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11 Cambridge St - C of NA application - restore rear porch Date Stam E E 177,co rr . 1 M1 AUG 3 0 2017 tr sj! EPT. OF PLAINNING & Salem Historical Commission COMMUNITY DEVELOPMENT 120 WASHINGTON STREET.SALEM.MASSACHUSETTS 01970 For Office Use Only (978)619-5685 FAX--9738;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 Py", Reconstruction Alteration ❑ Demolition b�K Painting Sign Other District: Derby Street EjLafayette Street McIntire Washington Square Address of Property: 1 , C A r-c-'ZP_i Z G;,-- S7'2 S i t SNL0l-1— P'L P 4 C5 Name of Record Owner(s): Owner Mailing Address: GArl.+3,2%�!F Si7LF r— t GAL_,G.A-1 i hA elf 91 Description of Work Proposed Please type or print clearly.Attach additional sheets,as Necessary. As � � � es Ta µ#'^`�t �[t S7+�C ALSO of EXZS7i,,V6 aNi [�D12G� �A�L epP e)r N lrLj; w oJ? rig 8_;: ��; �-i � w r TO /gl&'rCk eL,la S 2a Ti X t c4 t��S,6,u E X S ,u6 �A�Pr�c &2``-P� —prn_S i6P ot Pk OS T d F c.Jo>1?�C N or �-P� t(� t�c1 �-t,G 4j F' Name of Applicant:_ ST-5vr=u . c.aLgi, ±OwnerE]ContractorE]Tenant E]Other: Signature: ��� Date: 25 1�- Tel. #: 6o3-449 -51Lt Z E-mail Address: SCOL—S� �-42—/L 60ACX5F, PE:1 Certificate will be mailed to the owner unless otherwise indicated here: _ Certificate should be mailed to: Name Mailing address: I G fL ZVE Si. City: S"I-t StateAZip: 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 application may result in a continuation to a f.dure meeting. Recommended information includes: Photos of existing conditions,taken from all public ways ite 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) 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 JF • t. L a tsr tiA1 r' .. t i +�_�s. {�_. Sir-• ref t •�a�� C .# - - fir. F> a 4V ry _ n i � ' � k ♦ tilt 4. fiA lip, jib y s °S. ,� i J •4 r� I I '' �c >' !� ��� `' a "R •'� J 'A+ fie. •� r' T L�r�.s'©� ,, Roy C�•�����G ���� �; o FSSq REG[SMY OF:DE£-}S, SO,DIST.SpGIER, 144sS. ........ with....�.R.C,''.O5!-.i..... P,&.s.: .a1..`1..f?... .rq LoT n Wit: r . r i- .r`�T}G�ti17 Zp.Z7CM� ` 13:o yCORNb t7 20.23 7�or✓ r3 c, ' ("� p , q4 �n� tti LOT LEA. {. Gy �G i i D tl l 70 A.) � ELLlI G :5 j { E3)ra/ t-LING /3RIck 1S,SU( � 4-.5�� � Y rovNo.r tF ,a—spa Atr 77s w✓�O 11 J S J.N iJ fi 0 6 1 NAlAlL PsN '• NA re. y� J CFa� GAS} li ero} uZC, tTESET ,23 • i � r • j � f ` � I - d r j. ti r L - T� t � ; 76 Nil ■ lip ■ lop .� i 9 NSA f a r r� i■ r R e /A J_ A i 4y� ' '� 'f � M1 ��_ t l I� r - ti• � ii' .L�; �e Apw V_ is L 1