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48 CENTRAL STREET - SIGN PERMIT AJ King Bakery 48 Cenlral St t , "Fermit The Commonwealth of Massachusetts Department of Public Safety '"a'IIl1,e115 Shah I1wIJml,QKIa(780 C\IR) Building Permit Application for any Building other titan a One-orTwo-Family Dwelling (Ibis Sl'l l it'll I'or Official L',e OnIV) l'r _ _-- Date Applied: -- -. -- --- B wilding Official: SECTION 1: )C,\I'1 N(Please indicate Block N and I ut s for locations fur which a street a russ's not available) Z- No and tilrl'et lily' TUtvn %ip(.Ude VJlttl'lK IStl ild iltg(11.t)tphl'J bit') 5EC'I'ION 2:1'ROI'OSEU LVURK PJIIion ul .\L\Slab Gide used - ___ If Nrty Cunstrurliun rhvck hpre❑or rhrrk,111 Ihat applyin the two rote,brluw _- G,islinl; BuilJingV I Repair❑ :\Iteration ❑ :Wdilion❑ Demolition ❑ (Please till outand,ubntitAppondis l) Cha[I;v nl 1- Q ❑ Change of Occupancy ❑ Other ❑ Specify:._—__- Arcbuildingplansand/ur construction L11K'untcnlsbcingsupplied,I.sp 'if tufIll Lvpermitapplilatlu ? 1'cs ❑ Nu p _- _---- Is an Independent Structural Engineering Peer Review required? Yes p Nu p Brivt Dcscri tion of Proposed Work:._-__ f --- - 1 - SECTION 1 COMPLHTE'rms SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check herr if an Existing Building Investigation and Evaluation is endased(Sec 780 CNIR 14) p E\islingUse Gruup(s): ---- Proposed UseGruup(s): SECTION 4:BUILDING IIEIGHT AND AREA Existing Proposed No,of Flours/51ories(include basement levels)h Area Per Flmr(sq.ft.) Total Area(sq.ft.)and rutal Height(ft.) SECTION 5:USE GROUP(Check as a licable) A: Assembly:'-I ❑ A-2213 ,Nightclub 13 A-1 ❑ ;\4 ❑ A-i❑ B: Business ❑ E: Educational ❑ F: FJcto F-i ❑ F?13 I I: Ili h Flazard H-I ❑ H-2❑ H-t ❑ 11--1❑ I I-i 13I: Institutional I-I ❑ I•?❑ i-1❑ 1-a❑ M: Mercantile❑ R: ItesidatNal R-I❑ R-'_'❑ R-1❑ R-a ❑ S: Storage 5-I 13 5•''❑ U: Utility❑ Special Use 13and Ilaue descnbe below: Spacial Use SFC'1'ION 6:CONSTItUCriON TYPE(Check as a licable) IA 0 IB ❑ IIA ❑ IIB ❑ IIIA 1 IIIB ❑ IV ❑ VA ❑ VII C3 SE(-r1ON 7:SITE INFOWMA FION(refer to 781)CM11 I1 LB for details on each item) Water Supply: Floud Lune Information: Sewage Disposal: rrvnch Permit: Debris Removal: Public ❑ Ura',k it oulmdc Flood Lone❑ htalia.le mmmuaipal❑ .\ bench wll not be Licrn,ad Itwpo,ol ails❑ Pm.Ih•❑ oro ik'11111y/,ma. _-- 11r.111 site 1% Ivin ❑ rryuiwd ❑or Invtah or,perlic prnnit is vita Insed ❑ liailroad right-of-way:1, y: IIJ/Jrd4111.\Ir,Vac iq,tllUm: " i , \'nl .\ppha Jl'la❑ Is tilrw tun•m chin.urpart.lpl9 nUa h.lira' I k thaar ma❑'ts ,wnplrlr,l' nr l,nmol to Ilotl,l rua lu,rd C1 )r, ❑ �r \'o❑ 1 r,Cl ❑ SIC IIONS:CON I IN I'OF t'FR 1'IPI('.\I OF OC'CU'PANCY I,IIWn nl l,vlr C,r l.rnuf'hl I\pr.d l,�u,l nla conn a —_ -_ I l u upani I nu,l prr I I,•, 1 I t,n Ihr l+wlallnl,,rnl:uu Slav I'll�npulJtn,n, t i Sli("PION 9: fItUI'LIf I'Y,'(��'VNIiR AU'I'l Il1RIZA'I'IUN __ t t m Wtir s ui 1 u rrty(honer i - - - ----- - Nante(Print) / Nu.and Slre-,y City/Town 1 Pru. •rty O.}nvr Cu Feet h , n uiul � 0 1 rku I'it e relophune No. (business) feiephune No. (cell) c-mail addrexs II applicable, tit property usher hereby authorizes Name —..--Street Address _— — _City/Town State — Zip — to art on the jirojwrty owner's behalf,in all matters relative tit work authorized by this buildine urmit a ++lic.uiun'. SECTION 10:CONSTRUCTION CONTROL(please fill out Appendix 2) If building is less than 15.OW cu.ft of eoclowd s.ace and or not under Construction control then check here D and ikip Stdiuti 10.1) 10.1 Registered Professional Res onsible f r Construction Control t» PMN ACA !�►dRqTlifm6t. Nll�l _ 11111!(Registrant) T , Nuladdres Registration Number jr -G 2- -- tu,�t ttv/]'ow U,D , SLtle !ip Dixipline Expirrtiun Date 10.2 General Contractorr \ Company Nance Nance of Person Responsible for Construction License Na. and Type if Applicable -- Street Address City/Town State Zip - — Tclr+honeNu, business Tele+huneNu, ttll e-mailaddress SECTION 11:t" el t r ont:N ce l) at\'I I M.G.L.c.152. 25C 6 A Workers'Compensation Insurance Affidavit from the NIA Department of Industrial Accidents must but completed and submitted with this application. Failure In provide this affidavit will result in the denial of the issuance of the building permit. La a signed Affidavit submitted with this application? Yes 0 No l7 SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor Mitt%laterials ictal construction Cult(from Item G) -S_ I. BUildhig + Building Permit Fee-Total Construction Cost x_(Insert here 2. Electrical S 0 appropriate municipal factor)-5 4. I'lumbin , S J. : Note: Minimum fee-5__(contact numia slily) Medialtical li IV\C) S 13. Mechanical Other 5 Enclose check payable it, _____ L _ . I, final Cost 5 1rtrv, (Contact nunici+ality)and rr rite rhosk nutuber here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT Ilv cnlcring nw mute below. I heretiv alte+t tinder the pains and penalties of perjury That all of the information Cantourrr ur this .tppl'' l n is Iuv.n I aC- urate to the best of my know Iv, ,io understanding. Ile 11Ic,wc print and.rlpt tune- -- - title 1A•Icphuuv No. �1 D.Ite �I«•el Wdr•s , V C'ily, few ttV,v (A RAJ tilat` /tp v I9 I ,Municipal luspector to fill out this sediun upon application approval: -_ -_ __ I+.tie ,- CITY of S.1.( FN f, A\ss,ICHL: ETTS JLLLDNG OEi.1Anzsr 1 '0 ` AiHNGTON JTXMM, Jw RCCA IZt. (973) 11S•9S9S KD(aF:Rf y 0RISCO LL F.Vt(973) 74984 ti(AYC A MON4U ST.Pillai OfA5CT09CFM3LJCPROFfATY/3LIIDNCCO pIISSIOVEIt Con.3truction Debris D15POS31 Al'1ldavit (required for all demolition and renovation work) rn accordance with the sixth edition of the State Building Code, 130 CMR section 111.1 Debris, and the provisions of,XGL c 40, S 54; Ouilding Permit AI is issued with the condition that the debris resulting from (his work shall be disposed of in a properly licemed waste dispose) facility as defined by MGL c I 11. 3 1 JOA. The debris will a tramparted by; (fume ul'houldr) Cha debris wi II be (spored of in : name or rultiiy) i f,Jdre❑ at'f,ai6jy) n lnirureur- ` l ippli�inl ua ©ffw-. Of,L„-vesiipati= 600 Washington Street 9VIQ__ Boston,M.4 02111 wwmmass.p rldta Pv'orkers' Compensation Insurance?±davit: Builders/Contractors/Electricians/Plumbers Annlicaut Informstioa Please Print Le6ibF N'aIlse (Busiae s/Orsan�izza on/lnldividual)�:,{A11I `✓ / �/) ry Address: 7`rTl h �tt�� f/ ✓� Cina'Staze/Z_ : Phone Y: Are y an employer?Check thea propriate box: Type of project(required): 4. I am a genera]contactor and I ❑ 1. am a emnioyer with-/=-- ❑ 6. New concm,rt;on emnlpves(full and/o, par:-nmel.* have hired the suirconuactor Q listed on the attached she t- �• ❑Remodel a_ 1.❑ I am a sole proprietor or partner- g, ❑ Demolition ship and have no emnlovees These s¢o-contractors have working for me in any capacity workers' comp.insurance. 9, ❑Building addition o won-ars, comp.insurance 5• ❑ We are a corporation and its [N 10.❑Electrical ramitis or additions _ reauirer:} officers have exercised their right of exemption per MGL 11.❑Plumbing repairs or additions 3.IJ I am a homeowner doing all work P myselL[No workers' comp. c. 152,g1(4),and we have no 12,❑ f repairs hes rancerequired-J t employees.[No worker' 13. Other A Lt N/�� comp.insurance required.] -MY applicant thntcheaks box81 mustalso hili out the n coon below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they arc dome all wort:and then hire outside comm,,mm must submit a new affidavit bubcating such iContraerors char ewer:this box must attached an additional sheet showing the came of the subronvactor'and thcn-wotlats'COMP.Policy information. I am an employer that is providing workers'compensation insurance for my emptovBelow is the polLy and job sire information. insurance Company Nam=. I C2L/1�1'q�✓ Policy 9 or Self-ins.Lie ��O G I G I d Id / Z� $xpkanan Date: /Af Job Site Address: City/State CM /Zip: / L1A Attach 8 copy of the worliers' compensation policy declaration page(showing the policy number and e 4 iration 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 51,50100 andlor one-year imprisonment as well as civil penalties in the form of a STOP WORT:ORDER and a fine n:tip to _- disc•.a�inst.the violator. Be advised that a copy of this statem�t may be forwarded to the Once of lav^ gatioas of-t 4 Tor insurance co erage verification. 7Pho celify under fiw penahks'of perluly that the-information provided _ /-ti7e and correa ' Dat^: / r +se only. Do not write in this area,to be com!Pennitllicease d by city or town of,/ciaL City or Town: a issuing Authority(circle one): 1.Board ofH.alth 2.Buiiding'Department 3.City/Town Clerk 4.Electrical Inspector .Plumbing Inspector 6.Other Coniact Parser.• Phone,.. 48 CENTRAL STREET 156-13 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM GIS#: 114690 Map: -'34 - Bot: ! — SIGN PERMIT Lot: '0485-861 Pern,ir sigh _ Catccory: SIGN P<"n't# 156-13 __ —- PERMISSION IS HEREBY GRANTED TO: Project# JS-2013-000803 —" - - - Contractor: License: Est. Cost: 52,500.00 Expires: Tee Charged:$25.00 MORGAN AWNING Balance Due:!$.00 'Owner: DERBY LOFT LLC,C/O RCG LLC #of Fixtures: _-Applicant:Applicant: MORGAN AWNING DigSafe # - -AT. 48 CENTRAL STREET UseGroup ConstClass ISSUED ON: 23-Aug-2012 AMENDED ON. EXPIRES ON: 23-Feb-2012 TO PERFORM THE FOLLOWING WORK: INSTALL 3 AWNINGS FOR A J KING BAKERY THIS PERMIT MAYBE REVOKED BY THE CITY OF SALEM UPON VI ATION OFFAAN`Y OF ITS RULES AND REGULATIONS. , Signature: Fee Type: Receipt No: Date[laid: Check No: Amount: BUILDING REC-2013-000857 23-Aug-12 2349 S25.00 OeuT\IS N)2012 Dea lauriers Municipal Solutions,Inc. � A/� Permit Nump�� APPLICATION FOR PERMIT TO ERECT A SIGN fH�t((��'"//`` ( � NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED JUL 13 2012 1`111 � Location, Ownership and Detail Must Be Correct, Complete, and Legible pEpT.pp PLANNING a Salem, MassachusW10ALINlTy DEVEL-OPtNENT Date To the Building Inspector: The undersigned hereby applies for a permit to ❑ Erect, ❑Alter, ❑ Repair a sign on the following described buildings: Street Address Zoning District G L C� o Urban Renewal Area ❑Entrance Corridor O 7 J ❑Historic District ❑None Use of Building FTelephone 1 Floor _ 2 floor Address A- 3 floor AA Telephone + ... 4 nfloor E-mail How many businesses are in the building? If corporate body, nameI ° -' of responsible officer �tcil up r Building linear feet Construction Sup's license No Applicant's Space(if multi-tenant) linear feet Address Property linear feet TelephoneMail Sign Permit to E-mail ❑Sign Owner o Sign Erector ❑Other: Sign 1 Sian 2 Sign 3 ❑Surface c Surface ❑Surface ❑Right Angle to Building ❑ Right Angle to Building ❑ Right Angle to Building ❑ ree Standing ❑Free Standing ❑ ree Standing wring !'1,C-'A ❑P wring wning c Portable(A-Frame) ❑ Portable(A-Frame) ortable(A-Frame) c Other(specify) ❑Other(specify) ❑Other(specify) Sign Materials MY Sign Materials ►9 v Sign Materials 04 1 Sign Dimensions �G. �/3), Sign Dimensions / Y— 3 ��o Sign Dimensions /M 3 M / 6 W Sign Area Sign Area Sign Area ghq s ft s ft sq ft Sign Height(if frees nding) Sign Height(if re standing) Sign Height(if frele standing) Estimated Cost of Net Work �OV $ r Existing Signs Type Sign Area To Be Removed? 3sigo Td�Repr •Surface sq ft cyes ❑no • sq it C yes o no Right Angle to Building sq ft c yes c no c Free Standing sq ft ❑yes ❑noati re•Awning•Other(specify) sq ft ❑yes ❑no Internal Review Planning&Community Deve`lopmpartment Historical Commission A• . . Building 1154pector 0824110 rev