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LET'S PRETENDpr_- 285 Devn cZI `4 j 44. I ..t N y SALEM REDEVELO?`ENT AUTHORii= DESIGN REVI:7,1 BOARD Application for Design Approval - OTHER THAN SIGNS 1. Date of Application I-I/& 107Z_ 2. Location of Building 285 DAY 5f ( Number and Street Proposed work impacts upon _Derby Square Historic area, _Museum area, _Essex Mall, North residential area, I,/L 'eripheral area, Significant historic bldg. (Itemize) 3. Owne {ZOS R-T A P 1 �9 Name Telephone Number 2195 WAINT sr99PE ' Address 4. Architect*/Engineer*/ Other: �A1/( � �.$ A $��7� � CIAW Name Address Telephone Number ,`. 5. Type of Improvement - ..s:=-:_construction Alteration _Demolition site work _Addition ISN -- Other MU ¢W- ft" Ag' 6. Reason for Request' S rity _Change of use Energy coaserv , �Crange of image _Safety Change of busi ** Other 7: Level of Approval Requested Cgncept _Schematic design ' anal design Field decision . Applicant must attach 3 copies of all schematic submissions (or in the case of originals, models, or mock ups, the original and two photos of the submission) 24 hours prior to the regularly scheduled DRB meeting to SIA staff. (Do not- write below this line) Number of DRB members in attendance The vote was unanimous_ _Yes _Nc DRB recommended action: _Approval as submitted No action, advisory onl,- Resubmit to DRB \o action, inadequate submission Approval subject to the following: DRB comments are attached. * A licensed professional architect or engineer is required for all constructio: other than ordinary repairs (p. 71 S.B.C.) or perfor-ed oa a building less th 35,000 cu. ft. enclosed space. **If, in the appl_cant's view, the change is of significant economic importance, information including financial figures where applicable should be supplied on a separate attached sheet which will allow the Board to evaluate the proposal intelligently. Let's Pretend 285 Derby Street A' � 5 o Zv u� O p t . 1Z ' til. Ofd t R3 P�vt'1 7k•zNl YZ �bo aY5-` z, i2 5 V 777 .10 �-fi 6` xAJ� 9 Don Giard Storefront Improvement Program 4� I X IZt 11.5 A Salem Main Street Program Scale 'A"=1'-0" 1HTIQUES at 285 Derby J nlmnurna r_• � A c,. I (s v � • Y Salem-Main-Street I iitiative Downtown Program Storefront Impifovement Program. OUM Grant'Application Name of Applicant /C'T / 1 e jez o_ Pte 7c Name of Business ��7 Sc I'Fe 11 q - Address of Business O e r Phone No. 'l / 7 Lo OV 0n / Fax Ngoq• f 7f 7)�O /00 / Email Type of Business Iw S rte' I/ Applicant is: Property Owner usiness Own Other f -�/ When does your lease expire? 200S' Length of time at present address: 3 h7 ohs ter-+ Property Owner's Name (If Different From Applicant): tTDh da rl(e- g Property Owner's Telephone Number: l73 �T --100 1 Note: If you are not the property owner please have the owner or an authorized representative cosign this application where indicated in the General Conditions. Please describe below the proposed improvement to the property. The following must accompany the Full Application:a color photograph showing the existing building, a sketch or drawing of the proposed improvements,the selected contractor's bid,and signed Davis-Bacon form. Additional information regarding colors or products may be included. Proposed Storefront Improvements J N 1 R!elky /e 1, /}110 fllctudtef - Sl6, Total proposed budget for project Project Start Date ort O 2 qqq , ,, , For Salem Main Streets Use: ,,. ittactied are me o ow ng: - �. Drawing.of proposed improvements Yes No . Completedpavis-Bacon Forms Yes No, Existing condition color photograph Yes No Selected contractor bid Yes No Additional information:color samples,product information,etc. (Not required) Approved SMS Storefront Improvement Grant $ Date SMS Director Approval Date SMS Design Approval Date SMS Manager Approval Date City of Salem Approval Date Other comments requirements: ,5 'tf "r ga 4 f . Salem Main Street Initiative Storefront,Improvement Program Letter of Agreement `Agreement made this day .`D.t 4 of between Salein`Main Street Inttative—DowntownProgramand:: _20 p df for the sum of: $ as part of the contract value of$ For the following improvements: t42A and as further defined by Lite terms and conditions of the fryo�l�l�o�w� ing attachments: SIP Full Application, Instructions and Dra%yings dated t�tt�YC i'dT__a Final Estimate/ Schedule of Values dated SMS approval dated Building Owner Permission dated at: �-e e a D¢ " Y1 I 01970 All work is to be completed within six.months, on or before unless extended by the Salem Main Street Intiative— Downtown Program. Payment Terms: SMS matching funds will be released to the Applicant after SMS confirms acceptable completion of the work and the Applicant submits request for reimbursement accompanied by proof that complete payment has been made to all contractors and Davis-Bacon requirements have been met. Salem Main Street reserves the right to promote an approved project including but not limited to displaying a Main Streets sign at the site, during and after construction, and using photographs and descriptions of the project in M4Stls mater' s. r Signed: Mana er Applicant g _ 4. .. Let's Pretend 285 Derby Street In Y u . AVE, 4406w 404," SOWr LIGNTAIJCI FVF S14" NEW st4N Ya g n PtY y (PIT WrtH/N S14N fkkt4o) ADD NY..W MoWlrtGj _ To ee PrP r»o1+t�ut Fq' s{k �'� ElctsttNy azora +zmNT r f WINIMWS Tb pOrlt1N EL 1, IT IWO LIME New y� 5 4 3 ' fJ� n u f MrwW6• �/�G.� I Don Giard Storefront Improvement Program Salem Main Street Program Scale 'A"=V-0" The following list:is::comprised ofmaterials-needed torenovatethe storefront of Let's Pretend 285 Derby St:.-Salem,MA 01970. 4 4x8 sheets MDO-plywood @- 3955/ h eet (2) 1x6 pine 10' .long @ 9.95/piece,. (2) 1x3 pine-10':long @ 4.99/piece- (1) Gallon-primer @ 21.97/gallon (1) Gallonbluepaint @ 22.97/gallon (1) Gallon cream paint-@ 22:97/gallon (1) Quart-red=paint @-8.97/quart (1) Quart exterior wood filler @--1.2:99/quart (20) Sanding pads-@=9.95/20 Assorted fasteners (nails/screws/lag bolts)-15-.-00 Sign as proposed 600.00 Note: labor charges are not_included in this-pricclisL Total cost of materials as proposed: 904.10 + tax 949.31 Stens E.firephjcs 8 1 / Y ��)cAvia2^x�°5stra L�s7a-ass-Daze Y. [xn 2 f iSr<. . �fAL.i'whj. tt5 �Mxfi 1 ' pq (1)4' x 6' SIGN AS PER DRAWING ON 1/2" MOO PLYWOOD COMBINATION OF PAINT AND VINYL GRAPHICS COST IS BASED ON $25.00 PER SQUARE FOOT 4 X 6 = 24sf x 25. = $600.00 WMA ;: , q:• a jb^�' ��x° "ET., ' �,�j�`�!s � } 3 DISCOVER® DISCCIVER®BUSINESS SERVICES DRAFT CAPTURE DAILY BATCH SLIP BUSINESS SERVICES If Terminal Total and Deposit Total differ,please review total and transaction detail in the batch(for procedures,please see"Completing the Daily Batch Slip"section'of your Manager's Guide). If you need further assistance with this balancing, please call the Discover Business Services Merchant Services Center, 1-800-347-2000. Merchant Name Merchant Account Number 6 1 0 1 1 1 1 0' l I I I I I I I Batch Reference Number Merchant Assigned Terminal Number(or lane) Operator Name Date of Batch Upload Time of Batch upload Spoke With Date Time Solution Batch Information from Terminal Physical Count of Soles/Credit Draft Totals Type Count Total Amount Total Type Count Total Amount Total Batch Total Batch Total Discover Discover Cards Cards If Batch Information from Terminal and physical counts of Sales/Credits agree,please upload Batch to Discover Business Services.If you have any settlement reconciliation questions, please call the Discover Business Services Merchant Services Center at 1-800-347-2000. This Batch Slip is for Internal Records only and does not need to be submitted to Discover Business Services. 32731 Rev.9/00 Lou Salem_ Main Street Initiative Downtown Program Storefront Improvement Program Preliminary Grant Application Name of Applicant �C n o b,a r Pi e, r e� Name of Business L e 'f's Pr r:4'e VI Address of usiness 2 -r` e. Phone No. V 7 O QY00 _ Fax No. $ 0 ay(20 Web Site I J rEmail: Type of Business do iI L'f o Uy i a"IG /O y S Applicant is: Property Owner Business Owner Other When does your lease expire? Length of time at present address: ' Y✓7 0& Property Owner's Name tt�� Cl(It Different From Applicant) { 1ch^� `� , AAC Property Owner's Telephone Number lit 14S, Ida) Note: if you are not the property owner please have the owner or an authorized representative co-sign this application where indicated in the General Conditions. Proposed Storefront Improvements Please describe the proposed improvements to the property. Include two color photographs showing the existing building conditions. If you have any additional building information such as measured plans or site plans or architectural documentation for improvements, such as plans, sketches or construction costs, please include them with the application. Description of proposed improvements (e.g. new doors/windows, signs, lights, painting, etc.): 1 00 0o What do you estimate the total project will cost? How much funding assistance will you need? 2 °C 3 00 W hero you want to start project? Would you like Design Assistance ? Are two color photographs included? (no,cost.to business or owner) (required) . For Salem Maln Sti.eets Use: For City of Salem Use: Men ger roJal ' Approved: Date OZ Date: Ilk— Salem Main Street Initiative — Downtown Program Storefront Improvement Program General Conditions 1. It is expressly understood and agreed that the applicant shall be solely responsible for all safety conditions and compliance with all safety regulations,building codes,ordinances,and other applicable regulations. 2. It is expressly understood and agreed that work completed prior to final approval is ineligible for funding. 3. It is expressly understood and agreed that the applicant will not seek to hold Salem Main Streets Initiative—Downtown Program,and or its agents,employees,officers and/or directors liable for any property damage,personal injury,or other loss related in any way to the Storefront Improvement Program. 4. The applicant shall be responsible for maintaining sufficient insurance coverage for property damage and personal injury liability relating to the Storefront Improvement Program. 5. The applicant agrees to maintain the property and improvements,including,but not limited to -- promptly removing graffiti,sweeping and shoveling in front of the property and trash removal. 6. The applicant agrees to return a pro-rated amount of the grant money received if the improvement is removed within two years. 7. The applicant authorizes Salem Main Streets Initiative to promote an approved project, including but not limited to displaying a sign at the site,during and after construction,and using photographs and descriptions of the project in Main Street's materials and press releases. 8. The applicant understands that Salem Main Street Initiative reserve the right to make changes in the conditions of the Storefront Improvement Program as warranted. Signature of Applicant Date �GP.i^- Date 7 �� If the applicant is not the property owner, please have the property owner or an authorized representative review the application and sign below. As owner of the property at 2� Teriy Sf I have reviewed the above application and authorize the 6perator of Leis Pre koal. at said address to perform the storefront improvements described above as part of the Salem Main Streets Initiative Storefront Improvement Program. Signature of Property Owner �y C C,4 Date ' }'�IG� or Authorized Representative 1 t f,. APR-02-02 TUE 02 : 13 PM LET'S PRETEND 1+978 740 0400 P. 01 �/2/0 'Al El PLANN OIDTN o�oo ONS j S. Laxes (fle.�c ail) C-id Ai � ICs vot� b-13 TOTAL SIGN DIMENSIONS INCLUDING PROTRUDING SHAPES ARE 25.5"H X 106.5"W (18.85 S.F.). 156" GRAPHIC DESIGNER &SIGN 106.5"W I 978.3WO63R Is Eal EE 5dl# d ED m ® BACKBOARD WHIC70:070 ®®® 000 ® SHADED BLUE, IS ®® ®®® 27" X 156" - E00 M®m 000 ® 000 M�mI I �0 = 000 Let's Pretend 285 Derby Street +` s . .ice�� T i-3 f�i! `.-� e. e r s .:;! :"..✓Y �J'Caw s r,'�` N u ,• v °fir' 1- e�'. II — {414 NEMS 514N To $ire MP�I�� B� LLuoo�a �P Te 0!-Lrw BAr- KOWV (FIT WITHIN S14N R r3;L e { IN � NG.W r'IoLD u *Tp aesr-rj"g. rsinwO MDF B.kcr-GXDW.+VD - �"PaY'3'"- asTr' Yd i"'c y ha F^r. A)N 7 /1 - �likt �•Sr r�y'� �¢¢� r a. f Vit' _ �K ' 3S�'f,}r�f'�« ,s� >k� �" ux qIa r` a,: - EKISTI NIS b7ORBPWNT AIN W INWU/> Tb R�'H l � •- s 3� Yp h�' t ;< r f tJ i oxe�rfa't a Off Dori Chard W den Storefront Improvement Program Salem Main Street Program Scale 'A"=V-0" %� �} Y A ,I 111 j � I ♦ J y / / �yK ji D 3 NOTE: Awnings, signs and additional �< - .•�s ,._ evterinr linhtinc will he nrenrnled_Iof T Saiem•Main Street lnitiathi,64Downtown Program Storefront Impr&etnentProgram �' 4 pPrellminary Grant Application w Name of Applicant ' ` a; (Jame of Business' �t�s �f e- }-e h Address of usl 2 g S� ae V tf tou- Phone No �77 T 0 00 0 Fax No. i V 7Y0 0Y0 U , Web'Site II Email: Type of Business do 11b a U ie ar(�tJ TO �/ S Applicant is: Property Owner Business Owner Other When does your lease expire? 011-2 00,5- Length 0SLength of time at present address: hi on Y4 Property Owner's Name . 1 r_ _ <C (If Different From Applicant) b�7ftfE W Property,Owners Telephone Number lit 14S' Ida) Note. if you are not the property owner please have the owner or an authorized representative co-sign this application where indicated in the General Conditions. Proposed Storefront Improvements Please describe the proposed improvements to the property. Include two color photographs showing the existing building conditions. If you have any additional building information such as measured plans or site plans or architectural documentation for improvements, such as plans, sketches or construction costs, please include them with the application. Description of proposed improvements (e.g. new doors/windows,signs, lights, painting, etc.):, I v What do you.estimate the total project will cost? -�� o 00°c How much fundingassistance will you need? 2,CV00 300°; WyheRo you want Eotstart prosect? fFS A-to Would you IdCe DesignrAss�stance? ❑ 'Are two color photographs included? < ;(n��oost�to business or owner)- (requuedj ,e?'vry'ynn t r, t i For Ctry of Salem Use s:F,0k SaIdffi�sMaaT Str}8at8 Use . eK.�1 v'uYJz 4xk-l; 'R° F rr yr i ger' royal Approved xDatte'� OZ Date:- rrt 3 Salem MainStreet Initiative= Downtown Program Storefront Improvement Program. • :v . _ ...,, General Conditions:. .,. . . ,. ,:;1 . . : . 1 Itis expressly understood and`aimed that the applicant'shall be solely'resporisible for'all safay conditions and compliance wiih all safetyFegulations,building codes,ordinances,and other applicable tegulattons. 2. It is expressly understood and agreed that work completed prior to final approval is ineligible for funding. 3. It is expressly understood and agreed that the applicant will not seek to hold Salem Main Streets Initiative—Downtown Program and or its agents,employees,officers and/or directors liable for any' property damage,personal injury,or other loss related in any way to the Storefront Improvement Program. 4. The applicant shall be responsible for maintaining sufficient insurance coverage for property damage and personal injury liability relating to the Storefront Improvement Program. 5. The applicant agrees to maintain the property and improvements,including•but not limited to .---'�- • promptly removing graffiti,sweeping and shoveling in front of the property and trash removal. 6. The applicant agrees to return a pro-rated amount of the grant money received if the improvement is removed within two years. 7. The applicant authorizes Salem Main Streets Initiative to promote an approved project,including but not limited to displaying a sign at the site,during and after construction,and using photographs and descriptions of the project in Main Street's materials and press releases. g. The applicant understands that Salem Main Street Initiative reserve the right to make changes in the conditions of the Storefront Improvement Program as warranted. Signature of ApplicantGP.I�- Date 7 Irl If the applicant is not the property owner, please have the property owner or an authorized representative review the application rand sign below. As owner of the property at 2� 7),q4 I S t I have reviewed the above application and authorize the 6Aerator of Le-f's Pre f[!a at saidaddress to perform the Storefront irnprovements described above as part of the Salem Main Streets Initiative Storefront Improvement Program A, Z Signao ture f Property Owner " C C Date t ov or&tthonied Representative 1 ° t xm x+ rt vain YyR a J;,i r- x ry x 'tR kith rt J s M