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337 Essext St Athenaeum - C of NA application for temporary sign • C Ef t Y -D DEC 16 2016 s DE PT. OF PLANNING & COMMUNITY DEVELOPMENT For Office Use Only 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 pe Other District: ❑Derby Street ❑Lafayette Street ZMclntire ❑Washington Square Address of Property: 337 Essex Street,Salem,MA Name of Record Owner(s): The Proprietors of the Salem Athenaeum Owner Mailing Address: 337 Essex Street,Salem,MA Description of Work Description of Work Proposed Please type or print clearly.Attach addilioNal sheets, as Necessary Install a temporary sign per the Massachusetts Historical Commission's requirements for grant received per the MPPF program. Sign will be removed approximately July 1,2017. Photo of similar sign and wording is attached. Name of Applicant:Jean Marie Procious ❑Owner ❑Contractor /❑TT nant%Z Other:Administrator Signature: Date: Tel. #:978 7 2540 E-mail Address: info@salemathenaeum.net Certificate will be mailed to the owner unless otherwise indicated here: Certificate should be mailed to: Name Jean Marie Procious Mailing address:The Salem Athenaeum,337 Essex Street City:Salem,MA State:_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 tieture 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 Preservation Works! Window Restoration and Repair Project SALEM ATHENYEUM This property, which is listed in the State Register of Historic Places, has received a matching grant from the Massachusetts Preservation Projects Fund through the Massachusetts Historical Commission, Secretary of the Commonwealth William Francis Galvin, Chairman. Recipient: Salem Athenxum Preservation Consultants: David M. Hart, AIA, Architect Prime Contractor: Window Woman of New England Additional_funding provided through the generosity, of private donors. O U � O • ct � � � t° • - d • V to 00 y Q a x �, t � , • 04 0 9 2 Ix G? s L3 q ICE z ` • M r Q r- .O � U O U OD r-