80 Federal Street - Application for Cof NA for chimney z If
Salem Historical Commission
120 WASHINGTON STREET, SALEM,MA 01970 IT
(978)745-9595 EXT. 311 FAX(978)740-0404 ��'""` ° d
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 Appropriateness for:
Construction Moving Restoration Alteration
Demolition Painting Other
as described below.
District: McIntire Original Building Construction Date, if known: c 1782
Address of Property: 80 Federal St Peirce Nichols House House
Name of Record Owner(s): Peabody Essex Museum
Description of Work Proposed
(Please include required scale drawings,paint chips, catalog cuts and/or samples of materialproposed, where applicable.)
Restoration of west chimney from top to attic floor level. All restoration material and methods used will be in kind
and there will be no change in outward appearance.
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All 1 1 1 1 four 35 mm photographs of existing
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Signature of Owner: Tel.#:
Mailing address: City: LS Stater✓ ip:—42E?2U
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