35 Chestnut Street Application for a Cof NA for brick repairs C � 5
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Salem Historical Commission
120 WASHINGTON STREET,SALEM.MASSACHU8EiTS 01970 I For Office Use Onlv
(9781619-5885 FAX(978)740-8404
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 ❑✓ Other
District: ❑Derby Street ❑Lafayette Street ❑✓Mclntire ❑Washington Square
Address of Property: 35 Chestnut St.
Name of Record Owner(s): Phil Gillespie
Owner Mailing Address: 35 Chestnut St.
Description of Work Proposed
Please type or print clearly.Attach additional sheets, as necessary.
Facade restoration-Re-point all brick work,replace broken/damaged brick, and restore brownstone.
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Name of Applicant: Brendan Murray / ❑Owner❑✓ Contractor❑Tenant❑Other:
Signature: - X Date: 7/8/16
Tel. #:(978)578-0940 E-mail Address: Brendan@MurrayMasonry.com
Certificate will be mailed to the owner unless other indicated here:
Certificate should be mailed to: Name Brendan Murray
Mailing address:PO BOX 8454 City:Salem State:Ma Zip: 01971
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
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