1-2 Griffin Place application - original Date Stamp
ECE[VED
` MAY 312016
F PLA
Salem Historical Commission co muNQYDE EL pGmENT
t20 WASHINGTON S-REET SALEM_MASS�L'•_ - ji0 For Office Use Only
i918,Rly 5685 IAk i3i8i-40 0Ai
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
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:
❑ New Construction ❑ Moving 2 Reconstruction ❑ Alteration
❑ Demolition ❑ Painting ❑ Sign ❑ Other
District: ❑Derby Street []Lafayette Street MIclntire ❑Washington Square
Address of Property: 'a
Name of Record Owner(s): bft,\)
Owner Mailing Address: 31/r LO ;t. (� S11�G �/�✓)1/ C m
Description of Work Proposed
Please type or print clearly.Attach additional sheets; as necessary.
Name of A Yl l k [ Owner❑Contractor❑Tenant❑Other:
Signature: / Date:
Tel. #: t 7�j?_?- c(PL� E-mail Address: 6Q "7I Lq) ✓KOJ /-x�
Certificate will be mailed to the owner unless otherwi in di ated heze, \ C
Certificate should be mailed to: Name le a tjaf", lCcr� �}Wh i IL
Mailing address: 31(0 �0 ttk 11 54ecf , City:(j`!`"' � Zip:
�- t7�F�7
� State._
Description of Work:
Plans are to renovate the Historic -Woodbury, Ezra Double House built c 1897, located at 1-
2 Griffin Place, Salem MA. The intended use will be a Multiple
Family Dwelling House as it has been used in the past. The renovations will include exterior upgrades
submitted to the Historic Commission for approval in addition to creating a three unit condominium
following the state codes and city compliance at all times.
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