5 Monroe Street application / FOffice
l�
0D
Salem Histm cal Commission
120 WASHINGTON STREET,SALEM,MASSACHUSETTS 01970 C' ly
(9781619 5685 FAX(978)740-0404 C r _
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 ❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting 0 Sign ❑ Other
District: ❑Derby Street ❑Lafayette Street fWcIntire ❑Washington Square
Address of Property: S M,n„-ar-
4 ice_} �a levw
Name of Record Owner(s): 13 �i o�I r
Owner Mailing Address: `34:-vi c
Description of Work Proposed
Please lnw orxhit dead},. Attacli addiao»al sheets, as rtecessarl:
CvnS{y.1� + q I�MxIY' �ru'd� t► o�sc� I�1� s�v��c.�c�r� w;1l6�e—�,odz\cd
�. f +�Y.. 4' E• ` T-cl. {-}o H S L. O'n Pj r-6 W VN S`F��c�•I- o .i_7' Intl 1\
S k"'^t- t-Y-+C-r-1 0 r d o\-c�i\S and �-Ln C. s k>rl t [IN Y O L -j- - Fly
pilot 4 - > tdot0:9 1 �,� �� s `�s � � ro hays
d0 LA,1Jke. boor•
Tint d ( r.1ls w ;i\ (ot sotnc. ,r4 $ 7MP I1j_ -cj - No �oriv�-11�1 �th cyp, F�IS
o� }lac 1�tsfi�-rS , v�o �,�'tvliid cc� r%r -A ! ,v%yady 1 ah� 5% nPfi71;
fin I- a I5 cs� t in c ti A 1 to S-}.rcL ke c.o ✓i� l r ns-f-S . j d L} a r'1 s
-j-Ljc �kiS--f• vN c,l ```I'l� � r� ,�.ir l� ousej
L WI�1C�1tDV� S C"Y-\ C4D aar SCP L�1�u bQ\t.'kS'+e-� VV
u5 vJi1) Est van +�c �to�tj►"v� P�� 1'ic Lito,^a�
Name of Applicant: ira a vi S k�,i *Owner ❑Contractor ❑Tenant ❑Other:
Signature: Date:
Tel. #:cj rl Ss , 5 b tD (o,5 tc 5 E-mail Address: 'Cloy) , In!=r r-j
Certificate will be mailed to the owner unless otherwise indicated here.
Certificate should be mailed to: Name
Mailing address: City: State:_Zip:
�y �./IT Tr.:. • r.
f
7 �
.ti
�:°,, � �.-..a-�a...�-ate_ �tea_•
rp
y
ab .
Various Views of Full-Size Outline
r-
,�
..l>_ .Zip• }� �� !'
it
1
i
F '
w
- q
'1 ` it 7i V ��.
• err T7 �R
M • . � .
L I` y �'rS+ I • q
y n
WAll
i
Front Entryway Pilasters
ppry�------
Kitchen Door Pilaster
,m • • Ab •
r:
`3
II
. �i• i / 4 1
q!b
t
i
�i
••L4I)� t /t
Public
� T
Double Hung Sash - Strafford Window Manufacturing, Strafford NH.
latex with
galvanized
Cie
screws
oil
•
EDPM Flat Roof l 1 '