24 NEW DERBY ST - BUILDING INSPECTION (13) City of Salem Sign Permit Application Worksheet
18-May-16
r� Kay's Stained Glass Studio
W 24 New Derby Street Unit 5
N :-i01b,:JUN .
Zoning(res/non-res) B5
( Entrance Corridor(YIN) N
Lot frontage n/a feet
O Building or tenant frontage 25 feet
�.r #of businesses on site 1
Biting dist from street center <100 feet
Multiplier 1
,J \ BLlldffl 3i1d,818d¢31 t)51R .°. k w-,-Uo'
maximum area permitted 25.00 sq ft
total proposed sign area 0.00 sq ft
sign 1
length 0.00 inches
height 0.00 inches
sign 2
length 0.00 inches
height 0.00 inches
sign 3
length 0.00 inches
height 0.00 inches
sign 4
length 0.00 inches
height 0.00 inches
sign 5
length 0.00 inches
hei ht 0.00 inches
maximum area permitted 32.50 sq ft(per side)
maximum#of signs permitted 1 signs
maximum height permitted 12.50 ft tall
sign 1
proposed sign area 4.00 sq ft
length 24.00 inches
height 24.00 inches
proposed sign height 0.00 ft
sign 2
proposed sign area 0.00 sq ft
length 0.00 inches
height 0.00 inches
proposed sign height 0.00 ft
sign 3
proposed sign area 0.00 sq ft
length 0.00 inches
height 0.00 inches
proposed sign height 0.00 ft
P s
proposed sign area 0 sq ft
length 0 inches
height 0 inches
Application meets guidelines set
forth in the Salem Sign Ordinance yes
Recommend approval yes
DRB/SRA approved.Signage is being hung at existing bracket.
Permit Number
'N ? APPLICATION FOR PERMIT TO ERECT A SIGN
6
NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
4 A�'
I \'\
r2`r3^`'"°� Salem, Massachusetts
Date
To the Building Inspector:The undersigned hereby applies for avennit to Arect, o Alter, ❑Repair a sign on the following described buildings:
Street Address Zoning District
Urban Renewal Area ❑ Entrance Corridor
24 New Derby Street, Unit 5 7-Historic District ❑None
Use of Building
Telephone 1 floor
Aleksandra Nowak 2 floor
Address 5 Lemon St#1 3 floor
Telephone 17 7924142 4 floor
E-mail kanostainedglass@yahoo.COm How many businesses are in the building?
If corporate body,name Frontage
of responsible officer
Oar Building linear feet
Construction Sup's License No Applicant's Space(if multi-tenant) linear feet
Address Property linear feet
Telephone Mail Sign Permit to
E-mail Sign Owner ❑Sign Erector o Other:
Signs �lf nnorE than thre- signs are mopcse� aurich additional sheets)
Sin 1 Proposed Si n 2 Sign 3
❑Surface ❑Surface ❑Surface
o Right Angle to Building ❑Right Angle to Building ❑ Right Angle to Building
d Free Standing ❑Free Standing ❑ Free Standing
❑Awning ❑Awning ❑Awning
❑Portable(A-Frame) ❑ Portable(A-Frame) ❑ Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify) -
Sign Materials V C rJ__� Sign Materials Sign Materials
/X.a
Sign Dimensions 2y r� ri z y r Sign Dimensions Sign Dimensions
Sign Area L1 Sign Area Sign Area
s ft ft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$
Existing Signs
Type Sign Area To Be Removed? Sign O
❑ Surface sq It ❑yes ❑no
❑Right Angle to Building sq ft ❑yes o no
❑Free Standing sq It ❑yes o no Sign Owner's Authorise Representative
❑Awning sq ft ❑yes ❑no
❑Other(specify) sq ft ❑yes ❑no
Property e
Internal Review
I n ing &Community Development Department Historical Commission
Appro al
AW
Building Inspector
-U Q4110 rev
Commonwealth of Massachusetts
Citv of Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5841
Return card to Building Division for Certificate of Occupancy
Er : $0.00 o. , 8� ,.PERMIT TO BUILD
DATE ISSUED: 6111111F20116
This certifies that ALEKSANDRA NOWAK
has permission to erect, alter, or demolish,a building,.,__24.U4,NEW.DERBY.STREET Map/Lot: 340424.701
as follows: Signs SIGN PERMIT AS APPROVED FOR: KAY'S STAINED:GLASS STUDIO, UNIT 5
i
Contractor Name:
DBA:
i 1
Contractor License No:
6/16/2016
Building Official Date
This permit shall be deemed abandoned and Invalid unless the work authorized by this permit is commenced within six"months after issuance.The Building Official
may gram one or more extensions not to exceed six months each upon written request
All work authorized by this permit shall conform to the approved application and the approved constructiomdoctthlents for whkllf this permit has been granted.
t
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. i
The Certificate of Occupancy will not be issued until altappkabie signatures by the Building and Fire Officials are provided on ft permit.
H IC#: Persons Contracting with unregistered contractor;do not hays soma to the guarentyfund'(asset forth in MGL c.142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.