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56 Washington Sq So - Cof NA application - painting Date Stamp Salem Historical Commission 4 €P T. OF- PLANNING & 120 WASHINGTON STREET SAIEM.MASSACHUSETTS 01970 c, -ypmuFor Office 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: Q New Construction E[ Moving Q Reconstruction Q Alteration ❑ Demolition ❑� Painting Sign Other District: Derby Street RLafayette Street QMcIntire �✓ Washington Square Address of Property: 56 Washington SQ South Name of Record Owner(s): Duncan Hsu(Trustee of the Duncan Hsu Revocable Trust of 2007) Owner Mailing Address: 56 Washington SQ South,Salem,MA 01970 Description of Work Proposed Please type or print clearly.Attach additional sheets, as necessary Repainting of house (including trim),using identical colors as before. Photos are attached. Painter inspected house on April 12,2017 with scheduled paint job to commence in late April. Painter is concerned that some of the old wood shutters will break during routine removal and replacement,given their brittle nature. Because the high expense of fashioning new wood shutters and the difficulty in finding existing wood shutters,I may need to remove a few shutters and over time,replace them as I find suitable wood replacements. The painter I use has always matched the original house colors perfectly. I don't have paint chips but he is precise and the house colors have not changed at all since the day I purchased it. Photos of house,taken on April 13,2017,are attached to the final pages of this document. Name of Applicant: Duncan Hsu QOwnerE]ContractorQTenantr-1Other: Signature: / ✓v -C. 12-- Date: April 13,2017 Tel. #:978-412-5234 E-mail Address: duncanhsu@comcast.net Certificate will be mailed to the owner unless otherwise indicated here: Certificate should be mailed to: Name Mailing address: City: State:_Zip: r G. + Olk -- z AM ty \, f ! r t =r law � �1-uf�•� A��r r f ' I �ji• :,4� tit "�".i a-mum a ,qRIr �� ►; �. 'iC1 `.C: -r.�. ice:. �✓�r ..�f.i ••i7�q1�+. 1�I�1 r i� '1 MR