24 NEW DERBY ST - BUILDING INSPECTION (12) APPLICATION FOR PERMIT TO ERECT A SIGN��_)S
s % NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
Salem,Massachusetts 5/12/2015
To the Building Inspector.
Date
The undersigned hereby applies for a permit to Erect, ❑Alter, o Repair a sign on the following described buildings:
Street Address Zoning District
o Urban Renewal Area ❑Entrance Comdor
24 New Derby St Artist Row 15 Historic District ❑None
City of Salem/Deborah Greel Use Of BUIldilIg
Telephone 978-619-5681 1 fkwrx
Bridget Alexander, Nikky Bergman, Liz Frazier 2 floor
Address PO Box 215 Salem MA 01970 3 floor
Telephone 617-800-4199 4 floor
E-mail ba@brill etalexanderdesi n.00m How many businesses are in the building?Thres
If a corporate body, name Frontage
of responsible officer
Sign Owners Building linear
Address feet
Consbrxtbn Sups Lroerdr No
ss Applicant's Space Cif Applicant'slinear feet
Property linear feet
TelephoneMail Sigil Pet ITlit to
E-mail Sign Owner o Sign Erector o Other:
Sign 1 Sign 2 Sign 3
❑Surface ❑Surface ❑Surface
Right Angle to Building %'Right Angle to Building )(Right Angle to Building
❑ Free Standing lo"FFree Standing ❑Free Standing
❑Awning
❑Portable(A-Frame) to Portable(A-Frame) ❑Portable(A-Frame)
to Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials
PVC,paint PVC, aint PVC,paint
Sign Dimensions Sign Dimensions Sign Dimensions
10°x36'x2° 10°x36'x7 - - 10"x36"x2°
Ssgn 9
Area Sign Area Sign Area
2. sq ft 2.5 sq ft 2.5 sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
101nches 10 inches 10 inches
Estimated Cost of Net Work
$ 900
LRIght
Sign Area To Be Removed? Si e J
sq ft ❑yes o no
o Building sq ft ❑yes ❑no. /
g sq it ❑yes ❑no Sign Owner's Authorized Representative q ft ❑yes ono
y) gs
sq ft o yes ❑no
Property Owner
nni 8-Community Development Department Historical Commission
�hn
Building Inspector