111 CANAL STREET - SIGN PERMIT (2) 111 Canal Street
Salem Laundry Company
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DESIGN • FABRICATION • GRAPHICS
Bud RObitaille 120 Lumber Lane, Bldg. 3
President Tewksbury,MA 01876
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�coxw CITY OF SALEM MASSACHUSETTS
DEPARTMENT OF PLANNING
�y 3 AND COMMUNITY DEVELOPMENT
120 WASHINGTONRD FLOOR
SALEM, MA 01970
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TEL. (978) 745-9595 EXT. 31 1
STANLEY J. USOVICZ, JR. FAX (978) 740.0404
MAYOR JOSEPH P. WALSH
ACTING DIRECTOR AND CITY PLANNER
CITY OF SALEM JON p 6 ?0
SIGN PERMIT PROCE 00'06PNOF Nit 43
All exterior signs, awnings and interior signs that can be seen from the exterio T
required to have a City of Salem Sign Permit before erection can take place.
Please be aware that in some areas throughout the City,review by a governing Board
must take place before a City permit can be issued. These areas include the Urban
Renewal Area; Local Historic Districts; and Entrance Corridor Overlay Districts.
All applications must be completed and submitted with:
• Scaled Drawing of Sign
• Color Scheme
• Letter Style(font)
• Letter Size
• Method of Attachment
• Method of Lighting
• Dimensions of Sign Area Background
• Photograph of Building/Sign Site
(Building Inspector may require additional pertinent information to insure compliance
with the City of Salem Sign Ordinance and any other applicable laws)
There is a twenty dollar($20.00)minimum permit fee for each application. If the estimated cost
of construction and erection is $2,000.00 or more, a fee of$10.00 per$1,000.00 plus a$5.00
application fee will be charged.
Please note that a licensed electrician must install any sign or ancillary lighting and sign
boxes must be UL listed. An Electrical Permit must be obtained from the City of Salem
Electrical Department,48 Lafayette Street,and be submitted with the sign application
before a sign permit will be issued.
Also, please be aware that any sign or awning hung over a public way or sidewalk shall
require a surety bond in the sum of one thousand dollars ($1,000.00)conditioned to save
harmless the City from any claims. This bond must be placed on file in the City Clerk's
office. A copy of such bond must be submitted with the sign application before a sign permit
will be issued.
I
t^ - Permit Number
t PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
l APPLICATION MUST BE SUBMITTED IN DUPLICATE,ONE SET TO BE FILED WITH THE PLANNING
DEPARTMENT,AND ONE SET(BEARING THE APPROVAL OF THE PLANNING DEPARTMENT)TO BE
FILED WITH THE BUILDING INSPECTOR
Location,Ownership and.D Aa Must be Correct,Complete and Legible. Separate
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Application Required for Every Sign.
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,JApplication for Permit to Erect a'Sign
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.. Salem,Massachusetts 19_
TO THE BUILDING INSPECTOR:
The undersigned herebyapplies fora permit to_Erect,_Alter,_Repair
a sign on the following described
eeCp�s ribed building: RECEIVED
t Location and No. 1 (I AN W—ilFi�i Zoning(District
Name of Prop"Owner_ /C-ftO�'g�{I�,�-.�, 7E;t}Sr- JUN 06 2003
Name of Sign Owner
I DEPT.OF PLANNING 8
COMMUNITY DEVELOPMENT
Address `tt�.iT('Si
r
if Owner is a corporate body,name of responsible officer' ��-Ft=rcRSCtJ �1cpV�.�.�2FS
Name of Licensed Sign Erector_ _ , 'ofrlef— o •�( �;� eG
Address(9�0 Ckly' f I DBS 4 Li���1(��'1 ��t l{ Salem License No. O��
Use of Building: Ist Floor l/ 3rd Floor
2nd Floor 4th Floor
Type of Sign: Surface, ,Right Angles to Building, TFree Standing
_- Other(specify) Height
Sign Materials -)ht?C-+ spoAao Le110141-
Sign Dimensions � - � -'4Sign Area ' co
+ SF
' ` �y
Existing Signs:' Surface: N r4 Sign Area SF
Right Angles: I Sign Area SF
Free Standing: Sign Area SF
Other. Sign Area SF
Signs to be Removed: Type 11,/ Sign Area SF
Frontage: Building 8 ' B >> FT Property FT
Signatu40 �t-JGP"l� l p C.
-
Signatuhorized Representative
Address
Estimated Cost v Telephone — �-{-- 13-4-Q VV
. of New Work$ Doo
Signature of Property Owner
APPROVALS:
Salem Planning Department Superintendent of Rreets Historical Commission
O REVERSE SIDE PLEASE SHOW SIGN SIZE,COLOR,LOCATION;LOCATION OF OTHER SIGNS AND BUILDING
rRANf'F
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Please complete form ana mage two copies.
Date Received
Amount Received
Form of Payment ❑ Chi Cash
CHECK PAYMENTS'
write check number
CASH PAYMENTS:
write client initials
4n Persnit Apptiatian Fee
Conservation Commission Fee
Payment received for Planning Board Fee
what service?
Q Old Town Hall Rental Fee
Q other
Name of staff person
receiving payment
Additional Notes
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Copy 2.Application Fite
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