Application for Cof NA - 19 Chestnut St Date Stamp
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Salem Historical Commission
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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 ❑✓McIntire ❑Washington Square
Address of Property: 19 Chestnut St Salem MA 01970
Name of Record Owner(s): Nathalie Binney
Owner Mailing Address: 19 Chestnut St Salem MA 01970
Description of Work Proposed
Please type or print clearly.Attach addition/sheets, as necessary.
Replacing 6" double bead half round gutter, 16 oz copper with the same size (6") copper gutters. Downspouts will
be replaced with the same size and profile as the existing downspouts currently on the house.Downspouts will be
16oz. copper- 3" round corrugated copper downspouts along with copper elbows and hangers.
Name of Applicant: Scott Kidney ❑Owner❑Contractor❑Tenant❑Other:
Signature: Date: August19,2016
Tel. #: (978)744-2875 E-mail Address: Jbkidney@verizon.net
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name J.B Kidney c/o Scott Kidney
Mailing address:41 Osborne St City: Salem State:NbZip: 01970