C of NA application - 380 Essex Left and Rear fence
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 X Reconstruction Alteration
Demolition X Painting Sign Other
District: Derby Street Lafayette Street X McIntire Washington Square
Address of Property: 380 Essex St, Salem MA, 01970
Name of Record Owner (s): Jay Famico
Owner Mailing Address: Same
Description of Work Proposed
Please type or print clearly. Attach additional sheets, as necessary.
The rear and left hand fences have rotted in several areas. In addition, they require sanding and repainting.
We seek to repair the fence in-kind. In doing so, we will remove and replace all rotted or otherwise broken sections
of fencing with new pressure treated wood. The fencing will then be sanded as needed and repainted using the same
color green and white. The exact paint color will be determined by taking chips of the existing paint to Waters &
Brown and using its spectrophotometer. In cases where the fence posts have tilted or are no longer sturdy they will
be re-planted.
Date Stamp
For Office Use Only
Photo of Rear Fence
Door
Photo of Left Fence One of Two
Photo of Left Fence Two of Two
Name of Applicant: Jay Famico X Owner Contractor Tenant Other:
Signature: _____________________________________________ Date: 9/25/2016_________
Tel. #:978.500.4437 E-mail Address: famicojay@gmail.com
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name Jay Famico
Mailing address: 380 Essex St City: Salem State: MA Zip: 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 application 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
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