125 Derby St - C of NA application- reset granite step Date Stamp
Salem Historical Commission For Office Use Only
N WASH GTON STREET SALEM,MASSACHUS[TTS 019.0
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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:
C New Construction C Moving Y. Reconstruction C Alteration
C Demolition C Painting _ Sign C Other
District: XDerby Street Lafayette Street ❑M@jltire 0Washington Square
Address of Property: 125 Derby Street
Name of Record Owner(s): 125 Derby Street Condominium Association
Owner Mailing Address: 125 Derby Street, Salem, MA 01970
Description of Work Proposed
Please type or print clearly. Attach additional sheets,as necessary.
The work will level the step at the front of 125 Derby Street. The step has settled into the ground
unevenly over time, and is now lower than it was originally and slopes away from the building. This
work will fix these issues.
Name of A 1 Christian Haselgrove XOwner C.IContractor 51 Tenants Other:
Signature: Date: J%j j ti.),tiY '0
Tel. #: 617-416-4390 E-mail Address: Christian@haselgrove.org
Certificate will be mailed to the owner unless otherwise indicated here
Certificate should be mailed to: Name Christian Haselgrove
Mailing address: 125 Derby Street Cite: Salem State:MAZip: 01970
ATTACHED DOCUMENTATION
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125 Derby Street from the northwest (from across Derby Street).
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The entry, with the step in question. The work will raise the edge of the step closest to the curb.