150 CANAL STREET - SIGN PERMIT 150 tuna
City of Salem Sign Permit Application Worksheet
3-Oct-17
McDonald's p 12: 05
150 Canal Street 1111 C�� '3
Zoning (res/non-res) I
Entrance Corridor (YIN) Y
Lot frontage 447 feet
Building or tenant frontage 123 feet
#of businesses on site 1
Bldng dist from street center <100 feet
�. Multiplier 1
_^I
Building and Blade Si ns
f\ maximum area permitted 123.00 sq ft
Freestanding Signs _
Total Menu Board Signage 31.903397
Menu Board Sign 20.713189
length 48.83
width 61.08
Pre-Browsing Sign 11.190208
length 48.83
width 33.00
Application meets standards set
forth in the Salem Sign Ordinance Yes
Recommend approval Yes
This application consists of refacing the existing menu board and pre-
browsing board. The location of the signage is highlighted on the site
plan. In July 2017, the subject business received a permit to install
45.27 square feet of surface signage and reface of the freestanding
sign. The proposed signage is in additon to the signs approved in
July.
Permit Number
� 31
APPLICATION FOR PERMIT TO ERECT A S>E' - i B E D
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and LegibleICT 0'; Mit
Salem, MasSachusr'Ms I'LP.`,N I rJ G &
CO%HMUNIFY ELS p�T
To the Building Inspector:
The undersigned hereby applies for a permit to o Erect, o Alter, VRepair a sign on the following described buildings:
Street Address Zoning District
150 Canal St I o Urban Renewal Area ntrance Corridor
❑Historic District o None
a McDonald's Corp cto Charles Lietz McDonalds Use of Building
Telephone 1 floor Fast food
PO ant Signs, Inc. 2 floor
Address 125 Samuel Bamet Blvd, New Bedford,MA 02745 SO floor
Telephone (508)207-1301 4 floor
E-mail )oneil@poyantsigns.com How many businesses are in the building? 1
If a corporate body,name Frontage
of responsible officer Jennifer O'Neil
Same as above Building 64 linear feet
Construction Sup's License No CS-024491 Applicant's Space(if multi-tenant) linear feet
Address Property linear feet
Telephone Mail Sign Permit to
E-mail Sign Owner o Sign Erector o Other:
Si•n 1
:Sign 2 Si n 3
❑Surface o Surface c Surface
in Right Angle to Building o Right Angle to Building c Right Angle to Building
,VFree Standing c Free Standing o Free Standing
o Awning c Awning o Awning
c Portable(A-Frame) c Portable(A-Frame) o Portable(A-Frame)
o Other(specify) in Other(specify) o Other(specify)
Sign Materials Sign Materials Sign Materials
Sign Dimensions Sign Dimensions Sign Dimensions
4'10-5/16" H x 51-1/16"W
Sign Area Sign Area Sign Area
20 s ft s ft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
2'8-1/16"from grade to bottom of Sion
Estimated Cost of Net Work
$ 22,500
Existing Signs
Type Sign Area To Be Removed? Sign Owner
o Surface sq It o yes o no Poyant Signs,Inc.
o Right Angle to Building sq it o yes c no
.QfFree Standing ,n sq it dyes c no Sign Owner's Authorized/Representative
c Awning sq ft o yes o no
o Other(specify) sq ft o yes o no
roperty Kner
Remove and replace existing menu board sign faces
Internal Review
Planning& ommum Development Department Historical Commission
Approval
J W61vt
Building Inspector
0&124/10 rev
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a CITY OF SALEM
DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
KIMBERLEY DRISCOLL 120 WASHINGTON STREET•SALEM,MASSACHUSETTS 01970
MAYOR TEL:978 619-5685♦FAX:978-740-0404
CITY OF SALEM SIGN PERMIT PROCESS
All exterior signs, awnings, and interior signs that can be seen from the exterior are required to have a City of
Salem Sign Permit before a sign can be fabricated and installed.
Please be aware that in some areas of the city, review by a governing board must take place before a City permit
can be issued. These areas include the Urban Renewal Area(governed by the Salem Redevelopment Authority)
and Local Historic Districts(governed by the Salem Historic Commission).
Please note that it takes roughly three weeks to receive a sign permit and in areas governed by a review board it
may take longer.
Before any sign application can be reviewed,the following material must be submitted with the application:
■ Scaled Drawing of Sign(including dimensions) ■ Method of Lighting
■ Color Scheme ■ Building Frontage (width of building on public
• Letter Style(font) way)
■ Letter Size ■ Photograph of Building(current conditions)
• Method of Attachment ■ Photograph of Building(with proposed signage)
The Building Inspector may require additional pertinent information to insure compliance with the City of Salem
Sign Ordinance and any other applicable laws.
Sign Application Fees
There is a twenty-dollar($20)minimum permit fee for each application. If the estimated cost of fabrication and
installation is$2,000 or more, a fee of$10 per$1,000 plus a$5 application fee will be charged. For example, a
$12,000 sign project would have a$125 fee. ��� s2Z0 1 $S
225
Electrical Permit
A licensed electrician must install any sign with 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.
Surety Bonds for Signs or Awnings Hung over a Public Way
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. Contact your insurance provider to obtain the surety bond.
Liability Insurance for Portable(A-Frame) Signs
Proof of adequate liability insurance with a minimum limit of$1,000,000.00 for each occurrence must be provided
to the City Clerk and remain in effect for as long as the portable sign is used. The portable sign must be indicated
as being included in the liability coverage. The City, and in the Urban Renewal Areas,the Salem Redevelopment
Authority, must be listed as additional insured(s). A copy of the insurance certificate must be submitted with the
sign application before a sign permit will be issued.
0824110.
DRAWING NUMBER 66NE
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-\ The Commonwealth ofMassaehusetts
Department of Industrial Accidents
Office of Investigations
I Congress Street,Suite 100
Boston, MA 02114-2017
www.massgov/dia
Workers' Compensation Insurance Affidavit: General Businesses
Applicant Information Please Print Legibly
Business/Organization Name: Sign Art Inc.
Address: 60 Sharon St.
City/State/Zip: Malden, Ma 02148 Phone##: 781-322-3785
Are�you an employer? Check the appropriate box: Business Type(required):
LU 1 am a employer with 10 employees(full and/ 5. ❑ Retail
orpart-time).* 6. ❑ Restaurant/Bar/Eating Establishment
2.❑ 1 am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl.real estate,auto,etc.)
employees working for me in any capacity.
[No workers'camp.insurance required] 8. ❑Non-profit
3.❑ We are a corporation and its officers have exercised 9. ,❑,(Entertainment
!heir right of exemption per C. 152,§1(4),and we have 10.(_tI Manufacturing
no employees. [No workers'comp.insurance required]*
4.❑ We are a non-profit organization,staffed by volunteers, 11.❑ Health Care
with no employees.[No workers'comp, insurance req.] 12.❑Other
*Any applicant that checks box 41 must also all out the section below showing their workas'compensation policy infomntion.
"*1f ate cotporme officers have exeotpred themselves,but the corporation has other eulplayees,a workers compensation polio)-is required sad such an
organization should chink box 41.
I am an employer that is providing workers'compensation insurance for my employees. Below is rhe policy information.
Insurance Company Name: National Union Fire Insurance Company of Pittsburgh PA
Insurer's Address: 100 Executive Dr. Suite 200
City/Stale/Zip: West Orange, NJ 07052
Policy#or Self-ins.Lic.# WC 1653354 03/27/2018
Expiration Date:
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 da hereb}y certify,under the p ' and penalties ojperjury that the information provided above is into and correct,
Signature i Date: 5-24-17
Phone#: 781-322-3785 x 36,
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.SelectmEOfffice
6.Other
Contact Person: Phone#:
xmw.masa.gov/die