12 Chestnut Street - C of A application - architectural shingles and paint color Date Stamp
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.Solent Histofical Commission .1 N 06 2019
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COMMUNITY DEVELOPMENT
APPLICATION FOR A CERTIFICATE OF NON-ANTrCABILITY
Pursuant to the Historic District's Act (M.G.L. Chapter 40C) and the Salem Historical Commission Ordinance,
application is hereby made for issuance of a Certificate of Non-Applicability as described below for:
❑ New Construction ❑ Moving ❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting ❑ Sign ❑ Other
District: ❑Derby Street ❑Lafayette Street ❑✓Mclntire ❑Washington Square
Address of Property: 12 Chestnut Street
Name of Record Owner(s): Martha&Peter Pitman
Owner Mailing Address: 12 Chestnut Street
Description of Work Proposed
Please type or print clearly.Attach ar1clitiorral slrcets, as necessary.
Scope of Work on Carriage House:
New roofing- Replace existing asphalt roof, GAF Appalachian Sky with copper drip edge.
Trim- Patch and repairs existing corner boards, rakes and replace missing or broken details.
Paint- Color shall match existing
Main House-
Painting windows and trim to match existing, except fascia the soffit will be white to match exterior window
casings.
New roofing on lower summer kitchen area only-Replace existing asphalt roof, GAF�eki, q with copper
drip edge. 6'c..a"jt L4*4 C
Note: All existing slate roof are is remaining.
Name of Applicant: Peter Pitman QOwner❑Contractor❑Tenant❑Other:
PITMAN,PETER. Digitally signed by PITMAN.PETER.1010506655
.
Signature: Date:2019.04.1612:20:30-04'00' Date: 4/16/2019
Tel. #:(978)815-5510 E-mail Address: pfpitman@juno.com
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name Martha B.Pitman,MD
Mailing address: 12 Chestnut Street City: Salem State: 1 Zip: 01970
ATTACHED DOCUMENTATION
An application will not be considered complete unless all work items are thoroughly described and the application
includes all information needed for the Commission to make a determination.
Failure to submit a complete a..+_) plication mqy result in a continuation to a future meeting.
Recommended information includes:
Photos of existing conditions,taken from all public ways
Site plan showing location of improvements
Elevation drawings of the existing conditions and proposed improvements
Drawings of details and other special conditions, including profiles
[7:1Description, photographs,and/or catalog cuts of proposed materials(please bring to the
meeting product samples, if appropriate)
Dimensions(i.e. height of fence, size of pickets and posts,etc.)
Paint color samples, if applicable (no less than 2"x2")
Location and size of all mechanical equipment, such as transformers,HVAC equipment,
electrical service and meters, and proposed screening
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