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81 HIGHLAND AVENUE_MGB SALEM HOSPITAL_SIGN PERMIT The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 -,� www mass.gov/dia 117orkers'Compensation Insurance Affidavit:]Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information 0 Please Print Leoibl Name(Business/Organiza' Mdual): !S1 m { � l mc) . Address: � � �- ' City/State/Zip: �kU ®2-3 Z 2 Phone 4: `( � Are you an employer?Chec the appropriate box: Type of project(required): 1. am a employer with employees(full and/or part-time).* 7. New construction 2. am a sole proprietor or partnership and have no employees working for me in g_ Ei Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3_LJ I am a homeowner doing all work myself.[No workers'comp.insurance required.]1 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.-* 13_ Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL a 14_ Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. y Insurance Company Name: +lam -` a ��rto _ (r_�_, tq Policy#or Self-ins- Lie.#: l� 7 q 'I Expiration Date: t 12022- Job Site Address: St 4i&wA-Nt) A it City/State/Zip: _A4 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi at'on. 1 do hereby rtify u er t e pains and penalties ofperjury that the information provided a ve is tru and correct Si afore. rrrT�� � Date: Phone#: e C 1 — 2 8`1 - � Official use only. Do not write in this area,to be completer)by city or town official City or Town: _PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: OP ID:KT CERTIFICATE OF LIABILITY INSURANCE DATE(M0/20 06/3 /20 1 21 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement- A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Eastern States Insurance NAME: Agency,Inc. PNH°NIUEo Ext_781-642-9000 is NII:781-647-3670 Prospect StreetE-MAILD W AA ss:certificaterequest@esia.com Waltham,MA 02453 PRODUCER CUSTOMER ID#:DESIG-1 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Design Communications,Ltd. INSURER A:Liberty Mutual Fire Ins.Co 23035 85 Bodwell Street Avon,MA 02322 INSURER B: INSURER c:Travelers Property Casualty Co 25674 INSURER D:Peleus Insurance Company 34118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IPY LTR TYPE OF INSURANCE INSR WNSR VD POLICY NUMBER MM/DDY EFF MMIDD/EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY TB7 Z91 449054 081 07/01/2021 07/01/2022 PREMISES Ea occurrence $ 300,000 CLAIMS-MADE 1XI OCCUR MED EXP(Any one person) $ 5,00 Contract Liab XCU INCL PERSONAL&ADV INJURY $ 1,000,000 per Location GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY X JECT PRO- LOC Emp Ben. $_ _1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO AS2 Z91 449054-011 07l01/2021 07/01l2022 (Ea accident) $ 1,000,00 ALL OWNED AUTOS - BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE X HIRED AUTOS (PER ACCIDENT) $ X NON-OWNED AUTOS $ complco11 $ 1,00 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB C CLAIMS-MADE AGGREGATE $ 10,000,000 CUP-3S905290-21-NF 07/01/2021 07/01/2022 DEDUCTIBLE $ X RETENTION $ 10,000 - $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY X TORY L!MITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N/A WCC Z91 449054-041 07/01/2021 07/01/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) CA,FL,KY,MA,MN,NY,CT If E.L.DISEASE-EA EMPLOYE $ 1,000,000 yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A IWC Part 3A incl NH,NJ,NC,OR,RI,TX,KS,VA D IProfessional Liab 121AE017332300 07/01/2021 07/01/2022 Occ/Agg 2M/2M DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) _. CERTIFICATE HOLDER CANCELLATION SCHEDUL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Schedule of Insurance Policies THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE % ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered'marks of ACORD Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards C o nstr )aalat{ rviscar CS-114073 empires:09/11/2023 ERllt JANIEL 20 GREENWICH ROAD_ l NORWOOD MAI 02062 Commissioner Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. r Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)7273200 or visit www.mass.govldpl :I&LN �' . �SP, 21 Recommendation Site: 11-001 P1 Signage Recommendation E-001 Context Recommendation Notes Existing Location: Highland Ave Entrance Type: None Existing Responsibility:Sign Vendor Quantity: n/a Illumination: n/a Permitting: Permitting will be required Attachment: n/a Overall Height: n/a Overall Width: Height: n/a Width: n/a Sign Depth: Mounting Height:n/a f Existing Notes: Recommended Action Action: Add new Approach: Existing-Image 1 Existing-Image 2 Existing-Image 3 Make Good: Fix damage to landscape and fill any holes. i Mass General Brigham *j Mass General Brigham " Birthplace f-Birthplace Cardiac/ E-Cardiac/ Pulmonary Rehab Pulmonary Rehab �«w 4 Endoscopy F Endoscopy 4 NSPG Cardiology E- NSPG Cardiology New — Type: Post and Panel Quantity: 1 Illumination: None Attachment: Ground Footing Sign Code: PP.C.78 Asset Height: 78" Asset Width: 54" Side A Side B Mounting Height:Ground Concept Rendering Sign Artwork ("''t-m'</,-7 t yy The contents of this document are for the sole purpose of determining design intent only and are not intended for construction purposes.©2021 Brandactive International Inc.All rights reserved. „e 5�1 I2—is l 1 SP -Zl SAMGB Rebrand-16359\Dw9s(11-001)NSMC SaIem Haspltal PI\MGBR11 01 PPC78 Braided Post&Panel.dwq Plotted on: 15 July 21-1:50pm 8y:Cindy FOR ALL MESSAGES&FTNISH DETAILS � SEE SEPARATE GRAPHICS SUBMITTAL AREA OF SIGN FACE:182 SQ.FT o r=- c� �— —•4'-5A" 1 a rn 0 PLAN BOSTON,MA 617,542.9820 3 U2"4'•0" ORLANDO'fl.407.856.9681 NEWYORK,NY 212,255.3226 r ��(1A OF 41q KENNETH rE' 3" � WOODS (` ALUM PANEL PTO D�4/STEPS', sMaw FInM neInd OrWm Ptl9 � W1 APPLIED VINYL GRAPHICS `�S�ONAL Ef� 4 Cardiac/ CALCULATED SIGN AREA- Pui m®01ary Rehab SEE TABLE MGD Rebrand 11-001 PI G Py 4 Endosc® NSMC Salem Hospital ALUM POST PTO 81 Highland Avenue ('4 SPG CardIdogy Salem,MA01970 TITLE Sign Type PP.C.78: — ———— Branded Post and Panel ISSUE For Approval 07 April 21 Revised GRADE 27 May 21 For Approval I-- 7 f— 7 17 June 21 m I^ I I I FOR PRODUCTION +"+ ` 29 June 21 FOUNDATION 2500 PSI CONCRETE L—--I I--——1 L—--1 DRAWN BY I SG Exterior n ELEVATION-(LOC E-001) SIDE ELEVATION CHECKED Ds 1 112..-1.-B.. Shop Drawing 16359 (51 N z Recommendation Site: 11-001 P1 Signage Recommendation E-002 Context Recommendation Notes Existing Location: Highland Ave Entrance Type: Pylon Quantity: 1 Responsibility:Sign Vendor Illumination: Internal Permitting: Permitting will be required Attachment: Footing Overall Height: 192 �1i919 utltt� Overall Width: .�" Height: 182 Width: 59 Sign Depth: ultrA UAA9P! Mounting Height:10 Existing Notes: as gag ilAa"�s!' Recommended Action Action: Replace Approach: Remove existing sign and replace with new Existing-Image 1 Existing-Image 2 Existing-Image 3 Mass Mass Mass ��'I � o� Make Good: Fix damage to landscape and fill any holes. General General General Brigham Brigham Brigham Salem Hospital Salem Hospital Salem Hospital i E Birthplace E- Cardiac/Pulmonary T Main Entrance vu.; T Main Entrance Rehab Birthplace 1,,� 4 Birthplace F Endoscopy New Rehalbc/Pulmonary i Cardiac/Pulmonary 6- NSPG Cardiology Rehab Type: Pylon Endoscopy 4 Endoscopy Quantity: 1 4 NSPG Cardiology Illumination: Internal 3 NSPG Cardiology Attachment: Ground Footing Sign Code: PY.C.E.134.1 Asset Height: 134" �• . Asset Width: 72" Mounting Height:Install in lace of existing Side A Side B 9 g p 9 Concept Rendering Sign Artwork The contents of this document are for the sole purpose of determining design intent only and are not intended for construction purposes.0 2021 arandactive International Inc,All rights reserved. 21 S:1MGB Rebrand-16359\DwgS(1I-001)NSMC Salem Hospital Pl\MGBR11_02 PYCE1341 BrandedEmergencyPylondwg Plotted on: 15 July 21-1231pm By:Cindy FOR ALL MESSAGES&FINISH DETAILS o SEE SEPARATE GRAPHICS SUBMITTAL SIGN WEIGHT ESTIMATE:1080 U3 z HIGHLAND AVE ,r^3 AREA OF SIGN FACE:67 SO,FT o 2 NOTE: a OWNER TO PROVIDE(XI PER LOCATION) g W/ 7 VAC PO AMP CIRCUIT LOC RID ALUM SIGN CABINET WI LOCKABLE DISCONNECT IN Co FACE B ACCORDANCE W/NEC CODE ARTICLE 600, Uz 0 2 . q o FACE A BOSTON,MA 617.542.9620 0RLANDO,FL 407'856.9681 NEWYORK,NY 212.255.3226 2 OFAs9� PLAN KENNETH 2U\ 4 318"-1'Ha" 8T WOODS r 5''11 ^rrvrr+� PTO ALUM SIGN CABINET PTO ALUM SIGN CABINET PIE)ALUM SIGN CABINET CLEAR ACRYLIC PUSH-THRU 1 1/"CLEAR ACRYLIC PUSH-THRU IM Rebrand 11-001 P1 M GRAPHICS,X"PROUD OF SIGN ®M GRAPHICS Y4"PROUD OF SIGN FACE Q """ `g FACE,W/15tSURFACE No O ��g BACK-ITW/6 OCK LIED VINYL NSMC Salem Hospital APPLIED VINYLBACK-LITW/6500K �Ql�QO a1 (ONATIMER) 0KLEDS S HighlandAvenue r M (ONATIMER) Salem,MA01970 ,y o ftham A LEDs(ON ATIMER) °o ft uam saiemm HOSPt4aip TITLE Sign Type PY.C.E.134.1: WHITE ACRvuc w/ Branded Emergency Pylon lot SURFACE APPLIED VINYL SEAMS REQUIRED FOR FACE MTD FLUSH W/FACE OF CABINET REMOVAL FOR SERVICING `�' ��rthp0ace SEAM BACK-LIT , ,�I ISSUE For Approval _ (EMERGENCY BANG TO BE cadac/PQ��rnonay/ 07 April 2l ��V�������� SLLUMINATED24HRADAY) - Rehm For Approval 4 Sinhpkce WHITE ACRYLIC � Endosc®py 27May21 KNOCKOUT GRAPHICS KNOCKOUT GRAPHICS CUT THRU TO DAY/NIGHT ACRYLIC W/1st SURFACE APPLIED VINYL CUTTHRUTO DAY/NIGHT ACRYLIC A Revised 4, cardac/I�6A1P1 onalry BACKER,BACKLIT W/6500K_EDS MID FLUSH TO FACE �°�����P�V®�®� BACKER,BACK-LIT W/65OCK LEOS 18 June 21 Rehab (ON A TIMER) BACK LIT W/6500K LEDS (ON A TIMER) ,,�I (ON A TIMER) FOR PRODUCTION 4E(<TIdosc.opy INSET WHITE ACRYLIC 08 Jul 21 W/1st SURFACE APPLIED VINYL y 4 NSPG C BACK LIT W/65OCK LEDS A (ON ATIMER) INSET WHITE ACRYLIC F- W/Ist SURFACE 2C BACK LIT W/6500KLI ED VINYL EDS A (ON A TIMER) 2d LOCKABLE SWITCH PER NEC CODE ELECTRIC 120 vac 5.01 amps PTO TO MATCH SIGN -- m LOCKABLE SWITCH PER NEC CODE .¢I N DRAWN BY C$ Exterior RID TO MATCH SIGN L CHECKED RM 1 ELEVATION-FRONT-FACE A v 2 ELEVATION-SIDE 3 ELEVATION-BACK-FACE B Shop Drawing 31B"-1,-B' --QTY:1 3/A"=t,-C" r- /g^-I.p" 16359 2 LOC.E-002 THIS SIGN 15 INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF ARTICLE 600 OF THE NATIONAL ELECTRICAL CODE AND/OR OTHER APPLICABLE LOCAL CODES.THIS INCLUDES PROPER GROUNDING AND BONDING OF THE SIGN. N vi 1�3 SP'2,1 Coq. Recommendation Site: 11-001 P1 ISignage Recommendation E-059 Context Recommendation Notes Existing Location: Dove Ave Type: Pylon Responsibility:Sign Vendor Quantity: 1 Illumination: Internal Permitting: Permitting will be required Attachment: Footing Overall Height: 185 Overall Width: Height: 182 Width: 59 Sign Depth: Mounting Height:3 Existing Notes: Recommended Action Action: Replace Approach: Replace entire sign Existing-Image 1 Existing-Image 2 Existing-Image 3 Mass t^Mass ,fit,Mass Make Good: Fix damage to landscape and fill any holes. GeneralBrigham ='I General ~— General B scamaapltsi Brigham Brigham Salem Hospital Salem Hospital (- Epstein center E Main Entrance E Epstein center Epstein Center a Birthplace f Main Entrance y Main Entrance a Receiving f Birthplace y Birthplace New f Receiving y Receiving Type: Pylon Dove Ave.Entranoe Quantity: 1 Illumination: Internal Dove Ave,Entrance Dove Ave.Entrance Attachment: Frame/Retainer Sign Code: PY.C.E.146.1 Asset Height: 146" � _. . Asset Width: 72" Side Side B Mounting Height:Install in place of existing Concept Rendering Sign Artwork The contents of this document are for the sole purpose of determining design intent only and are not intended for construction purposes.©2021 Brandactive International Inc.All rights reserved. 51 Recommendation Site: 11-001 P1 Signage Recommendation (E-003 Context Recommendation Notes Existing Location: Highland Ave Entrance Due to COVID will need to cover"Epstein Center"as patients need to be screened at main entrance. Type: Pylon Quantity: 1 Responsibility:Sign Vendor Illumination: Internal Permitting: Permitting will be required Attachment: Footing Overall Height: 192 Overall Width: Height: 182 Width: 59 h� Sign Depth: Mounting Height:10 Existing Notes: Recommended Action �•. Action: Replace Approach: Remove existing sign and replace with new Existing-Image 1 Existing-Image 2 Existing-Image 3 Mass _ Mass General General Make Good: Fix damage to landscape and fill any holes. Brigham Brigham Salem Hospital Salem Hospital Mass General Brigham snicm iivsaeai 4 Main Entrance Main Entrance 4 Highland Hall Highland Hall i Main Entrance 55 Highland Ave. 55 Highland Ave. New Highland Hall 4 Epstein Center E- Epstein Center 55 Highland Ave. 4, Birthplace Type: Pylon Epstein Center Quantity: 1 Illumination: Internal 81 Highland Ave. 81 Highland Ave. Attachment: Ground Footing slHgmandAve. Sign Code: PY.C.E.146.1 =a . Asset Height; 146 g * Asset Width: 72" 0" ';� _Sde Mounting Height:Install in lace of existing SideA Si g g p 9 Concept Rendering Sign Artwork The contents of this document are for the sole purpose of determining design intent only and are not intended for construction purposes,02021 Brandactive International Inc.All rights reserved. ��03 4 (:5:((wm :5P— (eq SAMGB Rebrand-16359\Dwgs(11-001)NSMC Salem Hospltal Pl\MGBR3103 PYCE1461 BrandedEmergencyPylondwg Plotted on: 157u1y 21-L55pm By.Cindy FOR ALL MESSAGES&FINISH DETAILS p SEE SEPARATE GRAPHICS SUBMITTAL SIGN WEIGHT ESTIMATE:1200 LB z rAREA OF SIGN FACE:72S SQ.FT NOTE: ° ELECTRICAL REQUIREMENTS: PTO ALUM SIGN CABINET OWNER TO PROVIDE(XI @ LOC E003) 120.277 VAC 20 AMP CIRCUIT k— W/LOCKABLE DISCONNECT IN 2 ACCORDANCE W/NEC CODE ARTICLE 600, w 3 EXISTING 480 VAC CIRCUIT @ LOC,E-059 0 DCL TO PROVIDE STEP DOWN TRANSFORMER. BOSTON.MA 617.542.9820 ORLANDO,FL 407.856.9881 NEW YORK,NY 212.255.3226 I 3 �! ��P�tki OF Mq PLAN Q`� KENNETH CMG WpQP3 PTO ALUM SIGN CABINET Y`NTF'���"/ 5'-113u^' PTO ALUM SIGN CABINET ��SrONAIL CLEAR ACRYLIC PUSH-THRU GRAPHICS,Y4'PROUD OF SIGN FACE,W/ist SURFACE PTD ALUM SIGN CABINET 2116"CLEAR ACRYLIC PUSH-THRU APPLIED VINYL BACK-LIT W/65OCK ��gg GRAPHICSY,"PROUD APP O VINYL OF SIGN FACE Q�OVIIa��`J LEDS(ON ATIMER) ������ BACW1 Is KLIT W/65OCK LEDS MGB Rebrand 11-001 PI e Cgemly (ON ATIMER) NSMC Salem Hospital m l gghaam A BDIZham WHITE ACRYLIC W/ 81 Highland Ave O stoe HompBtkal 36 ��Hwpl4asB 1st SURFACE APPLIED VINYL Salem,MA 01970 WHITE ACRYLIC W/ MTD FLUSH W/FACE CF CABINET 1st SURFACE APPLIED VINYL BACK-LIT W/6500K LEDS TITLE Sign Type PY.C.E.146.1: MTD FLUSH W/FACE OF CABINET + EM EG 21ENCIV (EMERGENCY BAND TO BE Branded Emergency Pylon BACK enc LIT W/6500K LEDS SEAMS REQUIRED FOR FACE ILLUMINATED 24 HR A DAY) g Y Y on (EMERGENCY BAND TO BE REMOVAL FOR SERVICING 4 Mah Entrance ILLUMINATED 24 HR A DAY) + �1816901��11'QPaP9f�e ISSUE For Approval 07 April 21 W 4 Highland 6L d SEAM D IOa�tod��¢�D��11 Revised 55�I hiand A 55 ft N and Ave" 0 KNOCKOUT GRAPHICS WHITE ACRYLIC SEAM 27 May 21 ������Center DAY/NIGHT ACRYLIC W/1st SURFACE APPLIED VINYL ��������'���'� Revised BACKER,BACKLIT W/6500K LEDS MTO FLUSH TO FACE KNOCKOUT GRAPHICS ® t Nrth dace (ONATIMER) BACK LIT W/6500K LEDS � CUT THRU TO DAY/NIGHT ACRYLIC 18 June 21 (ON ATIMER) BACKER,BACK-LITW/65OCK LEDS FOR PRODUCTION INSET WHITE ACRYLIC (ON A TIMER) 08 July 21 W/1st SURFACE APPLIED VINYL BACK LIT W/6500K LEDS $1 Highland Ave. INSET WHITE ACRYLIC A (ON ATIMER) W/1st SURFACE APPLIED VINYL ELECTRIC 120vac 5.01 SC BACKLIT W/650CK LEDS A (ONW1 ATIMER) � d LOCKABLE SWITCH PER NEC CODE LOCKABLE SWITCH PER NEC CODE PTD TO MATCH SIGN DRAWN BY CS Exterior m� s�,f0., PTO TO MATCH SIGN CHECKED RM 1 ELEVATION-FRONT-FACE A � ELEVATION-SIDE ELEVATION-BACK-FACE B Shop Drawing 318"-1'-0" QTY:2(MESMNSVARY) �..,lj318�—t'-0" 3/B"-I'-0" 16359 [3 LOC:E-003&E-059 THIS SIGN 15 INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF ARTICLE 600 OF THE NATIONAL ELECTRICAL CODE AND/OR OTHER APPLICABLE LOCAL CODES.THIS INCLUDES PROPER GROUNDING AN NGOF THE SIGN. 7/23/26,5:55 PM about:blank �w �on�nrT f Commonwealth of Massachusetts City of Salem 9 % 120 Washington St,3rd Floor Salem, MA 01970(978)745-9595 x5641 1, ����CIMINE Do�P Permit No. sP_21-64 FEE PAID: $55.00 PERMIT TO BUILD SIGN Expiration Date:April 4,2022 DATE ISSUED: October 4, 2021 This certifies HEATHER DUDKO that: has permission to erect a 81 HIGHLAND AVENUE Map/Lot#: 24-0001-201 sign(s) on : Detailed as Sign #1:, follows: Contractor Name: ERIKJANIEL DBA: DESIGN COMMUNICATIONS LTD Installer: DESIGN COMMUNICATIONS LTD ,Contractor License No: CS-114073 Building Official : Issued Date: October 4, 2021 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: about:blank 1/2 7/23/26,5:55 PM about:blank Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. about blank 2/2