16 Kosciusko Street - C of H - replace slate roof
Salem Historical Commission
98 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978) 619-5685
CERTIFICATE OF HARDSHIP
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 will be appropriate to the preservation of said Historic District, as per the requirements
set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: Derby Street
Address of Property: 16 Kosciusko Street
Name of Record Owner: Anne-Terese Van Der Bura and Samuel Clarke
Description of Approval of Work:
▪ Replace slate roof with GAF Slateline asphalt architectural shingles in “Antique Slate”
Reason for Issuance of the Certificate of Hardship:
o The application affects only the building or structure on which work is to be done and not the historic
district in general.
o The application is approved because it does not cause substantial detriment to the public welfare.
o The application is approved because it does not cause departure from the intent and purposes of the
amended Historic District Act.
Dated: October 22, 2020 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. THIS IS NOT A BUILDING PERMIT. All applicable health and demolition permits,
including all necessary state and federal permits, to be obtained prior to demolition.