131 Federal Street - Applic for C of NA Date Stamp
� SUN 22 2018
Salem Historical Commission sion F p�ANNING &
EPT �
. VE L�OPMEPIT
120 WASHINGT:ON STREET.SAL.EM,MASSACHUSETTS0197C cotMN13tb_f Use Only
(978)619-5685 FAX(978)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 Painting Sign 0 Other
District: ❑Derby Street Lafayette Street R]McIntire Washington Square
Address of Property: 131 Federal Street
Name of Record Owner(s): Charles L.Newhall&Patricia W.Newhall
Owner Mailing Address: M 131 Federal Street,Salem, A 01970-3242
DescrivItion of Work Pro osed
Please type or print clearly.Attach additional sheets, as Necessary:
Exterior painting of the entire house (body,trim,shutters.,etc.); Exterior Paint/Gutter/Roof/Window Repair
Identical colors as now exist.
Contractor: Osgood Companies
Name of Applicant: Charles L.Newhall �✓Owner[]Contractor[]TenantE-]Other:
Signature: Date:
Tel.#:
978-744-1626 E-mail Address: CLNewhall@gmail.com
Certificate will be mailed to the owner unless o f tpfWLn *EWfi ere:
Certificate should be mailed to: Name
131 Federal Street
Mailing address: City: Salem Stater Zip: 01970