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Salem Historical Commission
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APPLICATION FOR A CERTIFICATE OF NON-APPLICABILITY
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 L'J Reconstruction ❑ Alteration
❑ Demolition ❑' Painting ❑ Sign ❑ other
District: ❑Derby Street []Lafayette Street C^19IMc.l.ntim ❑Washington Square
Address of Property:
Name of Record Owner(a): STE v.EJ-� -� Su t-:S� G OL"
Owner Mailing Address: 11 C NA?p-t;)6 ST-Z.c6T- SALEht AAA O 14-70
Description of Work Proposed
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Name of Applicant: STSvt-t-S-vt~4. GOLM di�"er❑Contractor❑Tenant[]Dther:
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Certificate will be moiled to the owner unless otherwise indicated hem SVLt fL C. 0Lz'r]
Certificate should be mailed to: Name
Mailing address 11 CA LU99'7'SE Sr' City: SAI£l'l Stater Zip: d���
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 application may result in a continuation to a future meeting.
Recommended information includes:
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Photos of existing conditions,taken from all public ways
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Site plan showing location of improvements
Elevation drawings of the existing conditions and proposed improvements
Drawings of details and other special conditions, including profiles
Description, photographs, and/or catalog cuts of proposed materials(pleaseIbth,t,
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, HVA
electrical service and meters, and proposed screening
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CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
Cl Construction ❑ Moving
❑ Reconstruction ✓ Alteration
❑ Demolition ❑ Painting
❑ Signage ✓ Outer work
as described below will be appropriate to the preservation of said Historic District, as per the requirements
set forth in the Historic Districts Act(M.G.L. Ch.40C)and the Salem Historic Districts Ordinance.
District: McIntire
Address of Propert "
Name of Record Owner: City of Salem
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Description of Approval of Work: GVT1'S-4p'$
• New Benjamin Moore paint colors: "Marblehead Gold" (body, trim, windowframes); "Weston Flax"(rear
pergola and rear porch post and rails); 'Platinum Grey"(foundation,porch treads,front porch decking);
"Woodlawn Blue"(porch ceiling);and "Black"(window sash).
• Install new Harvey storm windows in black
• Remove shatters.
Upon completion of above work,please notify Historical Commission staff as final sign-off is
required to document compliance with this Certificate.
Dated: October 4,2018 SALEM HISTORICAL COMMISSION
By.
The homeowner has the option not to commence the work(unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise
indicated
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the
Inspector of Buildings (or any other necessary permits or approvals)prior to commencing work.
ESTIMATE
Steve Colby
% m 11 Cambridge st
"
m � Salem, Ma 01970
D E ROOFSMITHS
avaery e�aro��a�a (603) 778-5142
DERoofSmiths
46 Clark St Estimate # 000198
Salem, Ma 01970 Date 09/02/2019
Phone: (781) 479-7611 Business /Tax # 82-1926457
Email: deroofsmiths@gmail.com
Web: http://deroofsmiths.com
Description Total
Gutter Installation (Full K-style Aluminum) $1,250.00
-Install a 32' aluminum K style gutter on the left side of the house facing the neighbors driveway
-downspout leading from the roof to gutter already existing lower gutter
-Replace the right side high gutter(owners driveway)also with a 32' aluminum K-style gutter
system
-dispose of waste and additional material
License and Insured
Subtotal $1,250.00
Total $1,250.00
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