Swiniuch Park - C of A application for drinking water fountain Date Stamp
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APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
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 Appropriateness for:
❑ New Construction ❑ Moving ❑ Reconstruction ✓❑ Alteration
❑ Demolition ❑ Painting ❑ Sign ❑ Other
District: ✓❑Derby Street ❑Lafayette Street ❑McIntire ❑Washington Square
Address of Property: Swiniuch Park, 128 Derby Street
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Name of Record Owner(s): City of Salem
Owner Mailing Address: 93 Washington Street,Salem MA 01970
Description of Work Proposed
Please lypc orprn)t clearly.Allach adcAlkwal shects, as Accessary.
The City of Salem has funds to install new water fountains at various parks throughout Salem. These water
fountains are designed for accessibility. The City has contracted with a firm under Statewide Contract to procure
the water fountains, which will be installed by City staff. One of the fountains is slated for the Swiniuch Park on
Derby St. The City has budged for a fountain with dog bubbler at this location. The existing fountain was
removed, and there is just a stub at the location,which presents a safety hazard.
The attached examples show 3 models that are more historic or architectural. For this park, the City is proposing
using a Model M-C76A bubbler with pet fountain in black finish and polished brass finish bowls. Information
(dimensions and specifications) about the choice of fountain is attached. The model has options: the pedestal/arm
has different colors (black,brown, or green) and the bowl has different finishes (brass, chrome plated, or powder
coated). Examples of these are circled in the catalog.
We are seeking approval of the water fountain, and input on the final choice of style, color, and bowl.
Name of Applicant: City of Salem Owner❑Contractor❑Tenant❑Other:
Signature: Date: 5--LL�/
Tel. #: 978-619-5 9 E-mail Address: fide@salem.com
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name Jenna ide Director ofC'api al Improvements&Operations
Mailing address:120 Washington Street _ City:Salem State:MbZip: 01970
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 apj)lication may result in a continuation to a future meeting.
Recommended information includes:
Photos of existing conditions, taken from all public ways
Site plan showing location of improvements
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Elevation drawings of the existing conditions and proposed improvements
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Drawings of details and other special conditions, including profiles
Description,photographs, and/or catalog cuts of proposed materials (please bring to the
`f meeting product samples, if appropriate)
imensions (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
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