15 Chestnut St - C of NA application - inkind gutter Date Stamp
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CEPT. OP P!A'NNI &
Sa ent Historical L Illliilr[.ti.sj0j�.MMUN ITY DEVELOPMENT
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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:
❑ New Construction ❑ Moving ❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting ❑ Sign ❑ Other
District: ❑Derby Street ❑Lafayette Street ZMcIntire ❑Washington Square
Address of Property: 15 Chestnut Street,Salem,MA 01970�_
Name of Record Owner(s): Peter Gordon and Karen Hayes
Owner Mailing Address: 15 Chestnut Street,Salem,MA 01970 Description of of Work Proposed
Please type or-plvll clearly:!lllacll addllioAal Sheets, as Accessary:
Gutter has hole in it above door. Will replace gutter with in-kind materials, appearance and color.
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Name of Applican eter Gordo. ❑Owner❑Contractor❑Tenant❑Other:
Signature: Date: sn12017
Tel.4: 617-756-0199 E-mail Address: peterkarensalem@hotmail.com
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name see above
Mailing address: City: State:_Zip:
ATTACHED DOCUMIENTATION
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 ma •result in a continuation to a Juture meetin
Recommended information includes:
EZ:1 Photos of existing conditions, `taken from a'.l public Nvays
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 s.anipl;;s, 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 ali mechanical equipment, such as transformers, HVAC equipment,
electrical seriice and meters, and proposed screening
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