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21 Fowler Street - C of NA - replace 3 tab shingles Salem Historical Commission 120 WASHINGTON STREET, SALEM,MASSACHUSETTS 01970 (978)619-5685 FAX(978)740-0404 CERTIFICATE OF NON-APPLICABILITY It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving X Reconstruction ❑ Alteration ❑ Demolition X Painting ❑ Signage ❑ Other Work as described below does not involve an exterior architectural feature or involves a feature covered by the exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire Address of Property: 21 Fowler Street Name of Record Owner: David Yee Description of Work Proposed: ■ Replace existing shingle roof with in kind 3-tab shingles in black or charcoal grey. NOTE: This approval is for 3-tab asphalt shingles ONLY. If architectural shingles are to be used, a new application must be submitted to the Historical Commission to request a Certificate of Appropriateness. ■ Repair fascia with in kind material matching details &dimensions. ■ Home to be stained with in kind "cabot natural exterior" to match existing color. There will be no changes in color, material, design, location or outward appearance. Non-applicable due to being in-kind repair. Upon completion of above work,please notify Historical Commission staff as final sign-off is required to document compliance with this Certificate and approved plans. Dated: October 17, 2019 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. Date Stamp .; .7 E CEIVED ''r OCT 03 2019 Historical OF Salem Histor cal Commission CO I.iJ..ITY DEvLLGF­L N T 120 WASHINGTON STREET.SALEM.MASSACHUSETTS 01970 For Office Use Only -- —9-5685 E. X 978i-40-04()4 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 ❑ Reconstruction Alteration ❑ Demolition � Painting ❑ Sign ❑ Other t57 /W/ District: ❑Derby Street ❑Lafaay'ette Street McIntire ❑Washington Square Address of Property: 6;</ f Name of Record Owner(s): Owner Mailing Address:_ l /�� �'� ,eA '7 . X%14' ©/ 1;1 70 _ Description of Work Promsed Please type or print clearlJ:Attach additional sheets as n es _/1/�.65 `�1 Alool—If /1�h CIr-ac�✓c_ oe�� C�Ira Name of Applicant: /D LO ❑OwnerXContractor❑Tenant❑Other: Signature: =— Zg ��Date: Tel. #: l E-mail Address: ap—��D U � 4 <• of Certificate will be mailed to the owner unless otherwise indicated here— Certificate should be mailed to: /Name y Mailing address:��� f�/�1' � city: 1 Statemip: roti ' r x + (�•��� � -� ' � � ., - � yr. S��• -� _ — •--��..r.' ___yam _ �- - .._r _ ,,....s.;'�..,.`-.,..ten - __ _ '�;`_ C �k •�•� - - - � Y ` �*kzvl�l art ; . �• ,•+;a y ANW IPA Art ;0M. , ON V " 1. 6: ''h, • `.�� f! � i'' ,'! I46 JINIC at � . ���, -� • { y � ..� S l •.�� J kt a � "� 1 � t; � � ��� s �� � � r- F. - :�� � �t, _ � + /� 1 / ..� - / 4 ���~ - J � �� t � _ � �� � � 5 _ �,s ` � i - i � � � 1 � r �. - _.,. �� �� �_ ;- �� - _ , - -- ��y-3. fr' � S • �. _ .5_. �- - - � � _ ' iI• i= r - - r ���' i i -= j E. � I - - ,� �I - .�-- i � - b i _ _��, i �. _ AL Qw r. - ► r AL N %rNA I i � , qk lip } _ A1" t 44 �• �-� - k ire � �� �- 1r r t ;, Y :, v 1 ` il, - � = - �­ -. - I - i1 1 � Jim _ Ddp �.Y. r �•�� - ram_-���. 7 y. f ._ _ -.,��- '. O T t•�C�� � fir'-:r:.t�,� '` _ ,` 1•� •'l7�'�"�+4r ,�j� I ,�� � _%n. �r•:r� �=' ��pp'' p ate... 1�1� , ,apMaa.r_ f. =, :Y3i' y� 4,;1'•+' r�•� �r f. r i- � ; •- - _. ti tti Ylip tiIV, 4 " I 1 A f �•_ w • .K 1-� T . , r � _ 77 / � �. -ram• ti `� IN 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: 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 Description, 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 IM DISIC stallp FoT 0�,, it c 0- APPLICATTQN FOR A CERTIFICATE OF NO-N-APPLICABILITY Pursuxil c = the Iliac ric Dtstnct':, Acl (-%I,(i,L Ch3ptcr 4V(:i and the Salem lls),torwal 6,myritwon Ordin.4n.-C, ,Lpplic.duxi is herch% made for issuance of a Cernfizate ot'Non-Applic-ability z.%jc%,:6bcd below for- 0 NcAv Construction 0 Moving Rcutin,-Arus-tron Aitcration ED Demolitioll f7 Painting Sign 2. 01hrr Disirtec C]Derby,Street 01 zfu)vt#.c Struct RNIcInfirc [3w&S1,inp1r, sq=c Addrvs� of Properl� 2-; F e, Ai,c�K L-c­k , M Oks ( 1~,e r NaTnc of Rccord (Dumcr(5): _jrgc?aAa- Ir le 6 _ � e 'OvZ4 -)e%Q-4ji "i uwncr-Mailing ,%dd.-eNs-. 7-, vowli_cg� _!?LT"_k__1_.-JAL C w% MM14ft -114 v Description of Work Emosed t"M O-Ac R- .4,:0 1& Nanic of Applicant ]Tcnant Iflicr- Signaturc lbw Tel.t. , E-mail i v.-L'1jA.J(r w-P"Y AqMirti CerfificaieAould be mailed to: Name Mail i fig u,.Wrr,,S: Oty- Scatc- 7;n,-