39 Warren Street - C of NA - Replace rubber roof Salem Historical Commission
98 WASHINGTON STREET, SALEM,MASSACHUSETTS 01970
(978)619 5685
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage X 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: McIntyle
Address of Property: 3
Name of Record Owner: William
Description of Work Proposed:
➢ In-Kind replacement of rubber roof on two story porch on west elevation.
There will be no changes in color, material, design, location or outward appearance. Non-applicable
due to work being in-kind painting and in-kind materials.
Dated: August 28 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.
Once completed,please submit a photograph(s) of the final result(maximum of four-i.e. one
photograph of each affected fa(ade).
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.
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APPLICATION FOR A CERTIFICATE OF NON-APPLICABILITY
Pursuant to the Historic Disllrices licit(&W.L. Chapter 40C)and the Salem Historical Commission Ordinance,
application is hereby made for issuance of a Certificate of Alton-Applicability as described below for-
New Construction ❑ Moving ❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting ❑ Sign ❑ Other
District: ❑Derby Street []Lafayette Street �clntire ❑Washington Square
Address of Property: 3
Name of Record Owner(s): �;�t"�c:� iY'1 t-��e��� 5�-nes L C-4�j e
Omer Mailing Address: 31 W r-*rre,, Skr'�e. - S 4 i-eM VYN A Ott?o -
Descriotion of Work Proposed
Please ope orpniutdearly Attach additional sheets,asneceswry.
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Name of Applicant: ❑Dwner❑ContractmOTenant❑Other_
Signature: Date: Zo 9
Tel. #: 01-1 1 `7 �(924 E-mail Address: Vll ken\,e-A -) c3t--,ui 1 C' Dr-\
Certif ware rill be mailed to the owner anless otherwise inc icated here:
Certificate should be mailed to: Name -
Mailina address: 3 W c. City: State: Zip:
S ot"e-'..,, vn OR 019,10
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 comtlete 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 excelling;conditions and Roposedimpm
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)
Dmwnnons(i_e, of few size of pickets and posts eE ac.�
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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