33 Warren St application for planting beds FEB 29 2016
D PLANNING N
GO MUNOY DEVELOP T
Salem Histol-ical Commission
. . . .. For Office Use Onk
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 ❑ Sign FY�'f Other
District: ❑Derby Street ❑Lafayette Street ❑McIntire ❑Washington Square
Address of Property: 33 W"ren 5{-- l Sa tewt MA &rg yo
Name of Record Owner(s): aseet, v ye--
OwnerMailingAddress: 33 Ct.)arree,t 5etjewt AAA PJ1910
Description of Work Proposed
/ Yleasc/qpe ol-priul clealk. ,91Grch w1flitional shects,);I s ncress,tr}/: /
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Name of Applicant: ) p4e�Lt Kaye - [Owner❑Contractor❑Tenant❑Other:
Simature: Date: / t.
Tel. #: M E-mail Address: nSenl. 'eF �� bcaye �4> `,Cow7
Certificate will be mailed to the owner unless othen� indicated It
Certificate should be mailed to: Name �O n_r Ka�iee -
Mailin<r address: 33 1j)arreo 9r- City: S4derlt State:MA%ip: 01970
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 TV„)
NIA
Location and size of all mechanical equipment, such as transformers, HVAC equipment,
electrical service and meters, and proposed screening rjrA
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