87 Federal Street - C of NA application in kind paint 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
❑ Reconstruction ❑ Alteration
❑ Demolition ✓ 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: McInt5je
Address of Property:121!Qderal Street
Name of Record Owner: Lieberman
Description of Work Proposed:
• Repaint house in kind to match existing colors
There will be no changes in color, material, design, location or outward appearance.Non-applicable
due to work being in-kind painting.
Dated: February, 13. 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 photographs) of the final result(maximum of four-i.e. one
photograph of each affected faVade).
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
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Salem Historical Commission DEFT °F At
COMM 'TY D VELO;'fviL tT
120 WASHINGTON STREET.SALEM,MASSACHUSETTS 01970 For Office Use Only
(978)619.5685 FAX(976)740-0404
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 EK Painting Sign ❑ Other
District: Derby Street Lafayette Street [McIntire Washington Square
Address of Property: 9, lee.6-1-e S%
Name of Record Owner(s): Zt 'yelc v., A/S:szr/ 176j A &Y
Owner Mailing Address: g � � 3T_ d-2 .Sfleht 414
Description of Work Proposed
Please type or print clearly.Attach additional sheets, as necessary
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Name of Applicant: 44eiwz OwnerE:]ContractorE]Tenant[! Other:C t''t"�r' A
Signature: /-- '� t__ Date:
Tel. #: q�Lg _S,/y -_� 3 el E-mail Address: a C �i e� J✓rt a• l d''y'
Certificate will be mailed to the owner unless otherwise indicate here:
Certificate should be mailed to: Name t i l6 li� "
Mailing address: 917 /dAt_g S'f City: J/_/111'n State:*,4Zip: a/_1
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 afuture meetine.
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
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