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170-220 BRIDGE STREET_SIGN PERMIT_SOFI AT SALEM STATIONCity of Salem Sign Permit Application Worksheet Zoning (res/non-res)I Entrance Corridor (Y/N)Y Lot frontage 2,126 feet Building or tenant frontage 200 feet # of businesses on site 1 Bldng dist from street center <100 feet Multiplier 1 Building and Blade Signs maximum area permitted 200.00 sq ft total proposed sign area 23.89 sq ft sign 1 (above the door)23.89 Sign length 86.00 inches height 40.00 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 height 0.00 inches Freestanding Signs not applicable 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 29.00 sq ft length 144.00 inches height 29.00 inches proposed sign height 6.00 ft (approx) sign 2 proposed sign area sq ft length inches height inches proposed sign height ft Application meets standards set forth in the Salem Sign Ordinance Yes Recommend approval Yes The two new signs are replacing existing signs, both are not illuminated and below the maximum allowed sign area. The new owner is going to remove the existing window signage at the leasing office. 3-Dec-20 SOFI 170, 220 Bridge Street aka 190 Washington Street BCommonwealth of Massachusetts City of Salem 120 Washington St, 3rd Floor Salem, MA 01970 (978) 745-9595 x5641 Permit No. SP-20-30 FEE PAID: 33 DATE ISSUED: December 4, 2020 PERMIT TO BUILD SIGN Expiration Date: June 4, 2021 This certifies that: Vasu Patel has permission to erect a sign(s) on :170 220  BRIDGE STREET Map/Lot #: 35-0027-0 Detailed as follows:Sign #1: Wall Sign,   Sign #2: Other,   Contractor Name: FASTSIGNS    DBA:   Installer:    Building Official :  Issued Date: December 4, 2020  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 grant 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 construction documents for which this permit has been granted. 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. HIC #:   Restrictions:   4/9/26, 10:47 AM about:blank about:blank 1/2 BBuilding plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. 4/9/26, 10:47 AM about:blank about:blank 2/2 Rebranding Bell at Salem Station to Sofi at Salem Station 4 0 0 We st Cummings Par k, Suite 1850, Wobur n, M A 018 01 | 214@fast signs.c o m | 781.93 8 .7 70 0 Ex i s t i n g Pr o p o s e d Scope of Work: - Removal of existing letters on facade “Bell at Salem Station w/logo element & tag line” Installation Method: - Stud mount method Sample representation: - 1/2” thick black acrylic Existing sq.ft. - 40”h x 117”w = 32.5 s.f. Proposed sq.ft. - 40”h x 86”w = 23.88 s.f. Letter fabrication: - 1/2” black acrylic Address: - 190 Bridge St, Salem, MA 01970 40 ” 86” - Fabrication of new copy “So at Salem Station”using 1/2” black acrylic Ex i s t i n g Rebranding Bell at Salem Station to Sofi at Salem Station 4 0 0 We st Cummings Par k, Suite 1850, Wobur n, M A 018 01 | 214@fast signs.c o m | 781.93 8 .7 70 0 Scope of Work: - Cover up of existing monument sign with a metal pan face Installation Method: - Using sheet metal screws, onto existing frame Sample representation: Existing sq.ft. - 29”h x 144”w = 29 s.f. Proposed sq.ft. - 29”h x 144”w = 29 s.f. Fabrication: - Metal pan face with cut vinyl graphics in white Address: - 190 Bridge St, Salem, MA 01970 - Fabrication of new metal pan face Side view Frontal view Side view Frontal view Pan face with graphics Applicant Information Please Print Legibly Business/Organization Name:_________________________________________________________ Address:__________________________________________________________________________ City/State/Zip:_____________________________ Phone #:________________________________ *Any applicant that checks box #1 must also fill out the section below showing their workers’ compensation policy information. **If the corporate officers have exempted themselves, but the corporation has other employees, a workers’ compensation policy is required and such an organization should check box #1. I am an employer that is providing workers’ compensation insurance for my employees. Below is the policy information. Insurance Company Name:______________________________________________________________________________ Insurer’s Address:_____________________________________________________________________________________ City/State/Zip: ________________________________________________________________________________________ :etaD noitaripxE# .ciL .sni-fleS ro # yciloP Attach a copy of the workers’ compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify, under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: ___________________________________ Permit/License #_________________________________ Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Licensing Board 5. Selectmen’s Office 6. Other _______________________________ Contact Person:_________________________________________ Phone #:_________________________________ 1. I am a employer with _________ employees (full and/ or part-time).* 2. I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers’ comp. insurance required] 3. We are a corporation and its officers have exercised their right of exemption per c. 152, §1(4), and we have no employees. [No workers’ comp. insurance required]** 4. We are a non-profit organization, staffed by volunteers, with no employees. [No workers’ comp. insurance req.] Are you an employer? Check the appropriate box:Business Type (required): 5. Retail 6. Restaurant/Bar/Eating Establishment 7. Office and/or Sales (incl. real estate, auto, etc.) 8. Non-profit 9. Entertainment 10. Manufacturing 11. Health Care 12. Other _____________________________ www.mass.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers’ Compensation Insurance Affidavit: General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Business Signs, LLC. 400 W. Cummings Pk#1850 Woburn, MA. 01801 X 4 Printing of Vinyl Graphic Signs & Installation Hartford Insurance Co. of the Midwest 76 WEG AC1921 One Park Place, 300 S. State Street, 7th Floor 12-31-2020 781-938-7700 Sean Shah 781-938-7700 X Syracuse, NY 13202 01-01-2020 Applicant Information Please Print Legibly Business/Organization Name:_________________________________________________________ Address:__________________________________________________________________________ City/State/Zip:_____________________________ Phone #:________________________________ *Any applicant that checks box #1 must also fill out the section below showing their workers’ compensation policy information. **If the corporate officers have exempted themselves, but the corporation has other employees, a workers’ compensation policy is required and such an organization should check box #1. I am an employer that is providing workers’ compensation insurance for my employees. Below is the policy information. Insurance Company Name:______________________________________________________________________________ Insurer’s Address:_____________________________________________________________________________________ City/State/Zip: ________________________________________________________________________________________ :etaD noitaripxE# .ciL .sni-fleS ro # yciloP Attach a copy of the workers’ compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify, under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: ___________________________________ Permit/License #_________________________________ Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Licensing Board 5. Selectmen’s Office 6. Other _______________________________ Contact Person:_________________________________________ Phone #:_________________________________ 1. I am a employer with _________ employees (full and/ or part-time).* 2. I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers’ comp. insurance required] 3. We are a corporation and its officers have exercised their right of exemption per c. 152, §1(4), and we have no employees. [No workers’ comp. insurance required]** 4. We are a non-profit organization, staffed by volunteers, with no employees. [No workers’ comp. insurance req.] Are you an employer? Check the appropriate box:Business Type (required): 5. Retail 6. Restaurant/Bar/Eating Establishment 7. Office and/or Sales (incl. real estate, auto, etc.) 8. Non-profit 9. Entertainment 10. Manufacturing 11. Health Care 12. Other _____________________________ www.mass.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers’ Compensation Insurance Affidavit: General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Business Signs, LLC. 400 W. Cummings Pk#1850 Woburn, MA. 01801 X 4 Printing of Vinyl Graphic Signs & Installation Hartford Insurance Co. of the Midwest 76 WEG AC1921 One Park Place, 300 S. State Street, 7th Floor 12-31-2020 781-938-7700 Sean Shah 781-938-7700 X Syracuse, NY 13202 01-01-2020