159 Derby Street - C of A application - new sign Date Stamp
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Salem Historical Commission EA-0 N tT BEYELRU Hf
120 WASHINGTON STREET SALEM MASSACHUSETTS01970 For Office Use Only
'9781619-5685 FA-V(978)740-0404
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
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 Appropriateness for:
D New Construction F-1 Moving F-1 Reconstruction El Alteration
F-1 Demolition ❑ Painting F._/� Sign El Other
District: MDerby Street E]Lafayette Street E34cintire E]Washington Square
Address of Property: 159 Derby Street,Salem MA 01970
Name of Record Owner(s): Paul Nathan
Owner Mailing Address: 159 Derby Street,Salem NIA 01970
Description of Work Proposed
Please type or print clearly.Attach additional sheets, as necessary.
Application for a carved sign measuring 36"x 36" square blade style sign with metal bracket. The sign will hang
from between two second floor windows. The design is the Salem Arts Association brand logo consisting of a
green square containing the text "Salem Arts Association" in silver aluminum leaf and using a traditional serif
font.
Name of Applicant: Salem Arts Association Ej Owner E:]Contrac;tor[Z]TenantE:]Other:
Signature: Date: 2 February,2020
Tel. #: 978,618.6633 E-mail Address: Jim.Bostick@SalemArts.org
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name Salem Arts Association c/o James Bostick
Mailing address:159 Derby St City:Salem State:MAZip: 01970
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 conkt4ete a olication mat-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)
E;C- 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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