5 Carpenter St - C of A application - reconstruct fence Date Stamp
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Salem Historical Commission
120 WASHINGTON STREET.SALEM,MASSACHUSETTS 01970 For 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:
❑ New Construction ❑ Moving ✓❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting ❑ Sign ❑ Other
District: ❑Derby Street ❑Lafayette Street ❑✓McIntire ❑Washington Square
Address of Property: 5 Carpenter Street
Name of Record Owner(s): Kimberley A Russell
Owner Mailing Address: 5 Carpenter Street
Description of Work Proposed
Please type orpni it clearly.Attach additional sheets, as necessary
The fence at 5 Carpenter Street used to be on the street side of the property,attached to the brick structure. It was
moved towards the back of the house in the 1970's to make room for off-street parking. I'd like to reconstruct the
small section of the fence that used to be attached to the brick structure.
I have attached three images:
1. Original placement of fence(1967 photo)
2. Dimensional drawing of the proposed fence section reconstruction
3. Location where I would like to place the section(2017 photo)
Name of Applicant: Kimberley A Russell Owner❑Contractor❑Tenant❑Other:
gn Kimberley A Russell Digitally signed by Kimberley A Russell
Signature: Y Date:21017.10.1208:34:29-04'00' Date: 10/12/17
Tel. #: 978-273-3429 E-mail Address: kimrusse11978@yahoo.com
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name
Mailing address: City: State:_Zip:
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