80 Federal Street application for chimney Salem Historical Commission
120 WASHINGTON STREET, SALEM,MA 01970 r` „;
(978)745-9595 EXT. 311 FAX(978)740-0404 Co " L
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: Mchitire 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 material proposed, 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.
All applications must include three to four 35 min photographs of existing conditions
Signature of Owner: 141� Tel.#:
Mailing address: 4�2/ ZO,� City: S L6 _, State: !Y&ip:�U
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