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Salem Historical Commission
120 WASHINGTON STREET SAL EM.MASSACHUSETTS 01070 For Office Use Only
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 12f Reconstruction ❑ Alteration
❑ Demolition Painting F1 Sign ❑ Other
District: Derby Street Lafayette Street 9mcIntire FlWashington Square
Address of Property: l9 -'.)AL-9/Y), M P 7&
Name of Record Owner(s):
Owner Mailing Address:
Description of Work Proposed
Please type or print clearly. Attach additional sheets, as necessary:
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Name of Appli t:L__)elowe &W/4tt 71w�nerContracto Tenant Other:
Signature: 4• r Date: Al
Tel. #:6�),7�- ��� C- E-mail Address:
Certicdte7, be Zflef�to t e own run ess of ierw indicated here: y,��
Certificate should be mailed to: Name 4, I/I, W1
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Mailing address: l� �%C�� � City: SF Stafe:` Zip:
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 )r>lication may result in a continuation to a future meeting.
Recommended information includes:
Photos of existing conditions,taken from all public ways
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Site plan showing location of improvements
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Elevation drawings of the existing conditions and proposed improvements
Pt C
Drawings of details and other special conditions, including profiles
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Description,photographs, and/or catalog c is of proposed materials(please bring to the
meeting product samples, if appropriate)
Dimensions (i.e. height of fence, size of pickets and posts, etc.)
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Paint color samples, if applicable (no less than 2"x2")
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Location and size of all mechanical equipment, such as transformers, HVAC equipment,
PYI/lA electrical service and meters, and proposed screening
PROCEDURES FOR FILING APPLICATIONS
A. Be prepared to apply for approvals well in advance of commencing any exterior work. Before making anv changes to the exterior of a property
in an historic district,the owner should call or visit the Commission representative at the Department of Planning&Community Development to
discuss proposed alterations and to determine the category of the application(Appropriateness,Non-Applicability or Hardship).
B. The Commission normally meets on the first and third Wednesdays of each month and notices are posted at City Hall. The meetings are held at
120 Washington Street,3rd floor,and begin at 7:00 p.m. All meetings are open to the public and any person is entitled to appear and be heard
on any matter before the Commission before it reaches a decision.
C. An application for a Certificate of Appropriateness or Hardship must be received by 3:00 p.m.on the Monday 16 days before the meeting in
order to make the agenda. An application for a Certificate of Non-Applicability may normally be added to the agenda up to the day of the
meeting. In some cases,a Certificate ofNon-Applicability may be issued by the Clerk,without review by the full Commission,after notifying
Commission members and allowing 24 hours for any objection. There is no fee for any applications.
D. All applications for Certificates of Appropriateness or Hardship require a public hearing. Notice of the hearing must be posted with the City
Clerk 14 days before the hearing and abutters must be notified in writing. Commission staff will handle these procedures. A public hearing is
not required for a Certificate of Non-Applicability.
E. Applications must be submitted by the owner of the property. A contractor for the owner,at the owner's request,may submit an application on
the owner's behalf. In case of a tenant,a waiver of the owner's appearance maybe granted at the discretion of the Commission if it is requested
by the owner.
F. All applications must include photos of existing conditions,taken from all public ways. No certificates can be issued until receipt of photos.
G. An application will not be considered complete unless all work items are thoroughly described on scaled drawings and include specifications
regarding dimensions, materials, and any other information needed for the Commission to visualize the changes in order to make a
determination. Applications for paint colors should include a paint chip or chart. The following items should be included in your drawings as
applicable(exhibits should be 8'/2 x 11 or be able to be folded to 8 %x 11):
1. Site plan showing location of improvements;
2. Elevation drawings of the specific improvements;
3. Details/profiles(i.e.moldings,fence caps,cornices,vents,etc.);
4. Materials(i.e.wood,brick,etc.);
5. Dimensions(i.e.size of trim);and
6. Transformers,heat pump and condenser locations,electrical entries and meters,lamp posts,stove pipes.
H. At the hearing,the Commission will discuss the application with the applicant or his representative,hear the abutters and take a vote. Owners
having professional consultants such as architects or contractors are urged to have them be present at the hearing. If the application is approved,
a Certificate will be mailed to the mailing address provided on the application and copies will be sent to the City Clerk and Building Inspector.
Please note that the application can be continued until the next meeting if the Commission deems necessary(i.e.for reasons of incomplete
drawings,to perform a site visit,etc.). In any case,the Commission must make a determination within 60 days from the date the application is
received,unless the applicant waives that requirement in writing.
I. A property owner or a contractor cannot receive a building permit unless a Certificate has been issued. Please be sure to obtain appropriate
permits from the Inspector of Buildings(or other necessary permits and approvals)prior to commencing work.
J. The homeowner may opt not to commence the work approved(unless it relates to resolving an outstanding violation). Work commenced must
be completed within one year from the Certificate date unless otherwise indicated.
K. The City of Salem reserves the right to inspect the project to determine compliance with the conditions set forth in the Certificate issued.
Violations
A person commencing or completing work to the exterior of a building in an historic district without the necessary approval o f the Commission is subject
to fines of up to$500 per day from the date of violation. The Commission is not responsible for an owner's neglect to inquire about necessary City permits
and approvals. All records are public and we will confidentially assist you if you are concerned that someone in your neighborhood is in violation.
Assistance
The Commission's guidelines are available for viewing at the City of Salem Department of Planning&Community Development(DPCD),at the Salem
Public Library or on-line at hD://www.salem.com/Pages/SalemMA_Historic/index_ The guidelines provide examples of what is historically appropriate
(or inappropriate) for Salem's neighborhoods including trim, siding, barrier free access, doors, fences, gutters/downspouts, masonry, mechanical
equipment,paint colors,parking solutions,porches/steps,roofing,satellite dishes&solar energy systems,secondary egress,skylights,utilities,windows,
etc. These guidelines help you understand what changes are likely or unlikely to be approved. The Commission supports your efforts to improve your
property and can guide you on historical appropriateness. Further information,including City-wide architectural inventories,is available. For more
information,contact the Clerk of the Commission at the DPCD, 120 Washington Street,Salem,MA 01970,978 619-5985. Rev.10/12
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THE ORIGINAL
BOSTON Bgg 2014, 2015 &2016 110 Park Street
FENCE I AWARD WINNER Beverly, MA 01915
101 "The Only Fence CompanyPhone: 978-236-4001
COMPANY "� 800-585-7753
BBB. Tou'CCEverNeeif Fax: 978-236-4004
www.bostontenceandvinyi.com bostonfenceandvinyl@gmail.com
Proposal Submitted To: Cust.Email:
DtC JL-i —
Address: Job Location:
Job Location:
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Phone: Fax: Date:
We hereby submit specifications and estimates for:
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( Not Responsible For
*Please allow extra time for gate production and installation. Or Pool Lines
We propose hereby to%cnish material and.labLor—complete in a.cordanGe with the above specifications for the sum of:
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Dollars
with payments to be made as follows: of total price due as a de osi�he balance due upon completion of the job.
Any alteration or deviation from above specifications involving extra costs Company
will be executed only upon written order,and will become an extra Representative f G'Vir t/
charge over and above the estimate.Compressor work or"pins will be
charged separately as required.Minimum labor$375.00 *Customer is responsible to show Boston Fence property lines.
.,acceptance of Proposal
CHECK/CASH ONLY
The above prices,specifications and conditions are satisfactory and are
hereby accepted.You are authorized to do the work as specified.
Payments will be made as outlined above.
Date of Acceptance: _ Customer Signature -