106 NORTH ST - BUILDING INSPECTION Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN ,
• • NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible np--
Salem, Massachusetts l9 I�
To the Building Inspector: Date
The undersigned hereby applies for a permit to o Erect, 6 Alter, ❑Repair a sign on the following described buildings'-
Street Address Zoning District
f Qb ❑ Urban Renewal Area Entrance Corridor
❑Historic District, _ ❑None
Use of Building
..- •
Telephone _7 floor T J c C
• d 2-floor
Address 3 fl oor
Telephone _ Ob
4 flo
or
E-mail How many businesses are in the building?
lfa corporate body, name Frontage
of responsible officer
' Pe.6L. bV oty St 11 Gg Building' linear at
Construction Sup's License No L ,., Applicant's Sa, p a pp cam's Space(if inear feet
Address e.
0 al Property linear.feet
Telephone —a ,
E-mail pGa r ri m a it,Go✓ ign Owner o Sign Erector o Other.
7SI n 1 Sign 2 Sign 3
❑Surface ❑Surface o Surface
❑ Right Angle to Building ❑Right Angle to Building ❑Right Angle to Building
y Free Standing ❑ Free Standing o Free Standing
❑Awning c Awning ❑Awning i
❑Portable(A-Frame)❑Other(specify) (f,(-, ❑ Portable(A-Frame) ❑Portable(A-Frame)
1 In G ❑ Other(specify) ❑Other(specify)
Sign Materials. (,�yh;�yn. lug Sign Materials Sign Materials
Sign Dimensions r�6 f Sign Dimensions Sign Dimensions
Sign Area 30. Sign Area Sign Area
- � �f s ft � � s ft - ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing) s
i SF1-
Estimated Cost of Net Work
$
Existing Signs
Type vw Sign Area To Be Removed? Sign Owner
❑Surface sq ft o yes o no
❑Right Angle to Building sq ft ❑yes ❑no r�
❑ Free Standing sq ft ❑yes o no Sign Owner's Authorzed Representative
o Awning sq ft ❑yes ❑no
❑Other(specify) sq ft ❑yes ❑no
Property 0 ner
-4
lap
Internal Review
ning&Community Development Department Historical CommissionApproval
L p Building Inspector