Cof NA application 380_essex_gate
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.
Currently the front gate is hanging askew, it’s wooden slats are separating and its paint is chipped and flaking off
(especially the top white section). If the gate is not repaired it will continue deteriorating. This application is for the
following work:
• Fix hinges of gate so that it hangs even and closes properly.
• Fix wooden slats and panels of gate (in-kind) and return it to its original state.
• Re-paint gate in-kind by matching its existing paint color via spectrophotometer available at Waters &
Brown.
Date Stamp
For Office Use Only
Name of Applicant: Jay Famico X Owner Contractor Tenant Other:
Signature: _____________________________________________ Date: 9/05/2016_________
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