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43 CHURCH STREET - SIGN PERMIT (4) 43 Church Street , I' �r-�v t� l 1 �� T��°�f iT 43 CHURCH STREET 135-12 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM (3iS#: 'I 1356 Map: 135 1310°: IGN PERMIT Lot: 10601 - - _1 Off, Permit: Si�+n .,<. Calegory: SIGN - - PeiuntP• 1''-12 - -- PERMISSION IS HEREBY GRANTED TO: Project 9 I.IS-2012-000365 Est. Cost: $6,900.00 iContractor: License: Expires Pee CharW&S0.00 Boston Sign Balance DueeS.00 Owner: SALEM CHURCH ST RLTY TR THE, HARPUNGTON GEORGE F TR N of Fixnn'es ' —Applicant: Boston Sign DigSalc 7 _AT: 43 CHURCH STREET UseGroup Conslclass ISSUED ON: 22-Au8-20 i I AMENDED ON: EXPIRES ON. 22-Jan-2012 TO PERFORM THE FOLLOWING WORK: SIGN PERMIT FOR (SALEM RESTAURANT CORP)jbh THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: die Fee Type: Receipt No: nate Paid: Check No: Amount: SIGN REC-2012-000410 22-Aug-II x $0.00 Ge(,,rMS@ 2011 Des Lauriers Municipal Solutions,Inc. City of Salem Sign Permit Application Worksheet 26-Jul-11 43 Church 43 Church Street Zoning(res/non-res) B5 Entrance Corridor(Y/N) N Lot frontage 80 feet Building or tenant frontage 80 feet #of businesses on site 1 Bldng dist from street center 16 feet Multiplier 1 Building and Blade;S g ns maximum area permitted 80.00 sq ft total proposed sign area 48.88 sq ft sign 1 length 38.75 inches height 33.00 inches sign 2 length 24.00 inches height 120.00 inches sign 3 length 24.00 inches height 120.00 inches sign 4 length 0.00 inches height 0.00 inches sign 5 length 0.00 inches height 0.00 inches Freestanding Signs maximum area permitted 0.00 sq ft(per side) maximum#of signs permitted 0 signs maximum height permitted 0.00 ft tall sign 1 proposed sign area 0.00 sq it length 0.00 inches height 0.00 inches proposed sign height 0.00 ft sign 2 proposed sign area 0.00 sq ft length 0.00 inches height 0.00 inches proposed sign height ft Application meets guidelines set forth in the Salem Sign Ordinance Yes Recommend approval Yes T'1 Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN 5E NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED t•. ft# Location, Ownership and Detail Must Be Correct, Complete, and Legible Salem, Massachusetts Date To the Building Inspector: The undersigned hereby applies for a permit to ❑Erect, ❑Alter, o Repair a sign on the following described buildings: Street �? Address •V rrCA 1& S .tm A4 Q 1Q70 rban Renewal Area D Entrance Corridor I B S o Historic District ❑ None ;17- • �� 'r ori Telephone Use of Building 1 floor 2 floor C--^ AddressM!A�mkiiin410 3 floor Telephone ifs. S 4 floor E-mail �� WMA How many businesses are in the building? If a corporate body, name /' r of responsibleofficer G L Qrr'ty. 6K Tr f h rt Building 78 linear feet Construction Sup's License No C $ Applicant's Space(if multi-tenant) inear feet Address ( 02( f5 Property linear feet Telephone �� , y� Mail Sign Permit to E-mail Go ❑Sign Owner ❑Sign Erector o Other: Si•n 1 Sign 2 Sign 3 ❑Surface c Surface ❑Surface &flight Angle to Building wAight Angle to Building ivRight Angle to Building o Free Standing ❑ Free Standing o Free Standing ❑Awning ❑Awning ❑Awning o Portable(A-Frame) ❑ Portable(A-Frame) ❑ Portable(A-Frame) ❑Other(specify) c Other(specify) ❑Other(specify) Sion Materials A vnrruJw�. � n Sign MateraIs Sin aterials .tn Lf. .t v of . W Sign Di a sic s Sign Dimensions gn Dimensions •' 'r rCle 7.0" t.l( x3C " 0.113. V' t. 4 Sign rea Sig Area Signhrea .3 s ft 110 s ft rbn< ZO sg It Sign H i ht(if free standing) Sign Ileight(if free standing) Sign H i M(if free standing) Estimated Cost of Net Work $Existing Signs o(} Type Sign Area To Be Removed? Sin was ❑Surface sq ft dyes o no Right Angle to Building ;,S sq ft oyes ono ❑Free Standing sq it o yes o no Sign Owner's Authorized Representative o Awning sq it o yes o no o Other(specify) sq it ❑yes o no PrclEerty Owner Internal Review Plianning 8 Community Development Department Historical Commission Approval wilding Inspector 08124110 rev LICENSE OR PERMIT BOND BOND NO. S-805414 KNOW ALL MEN BY THESE PRESENTS THAT WE, 43 Church of 43 Church Street Salem, MA 01970 as Principal, and NGM Incuranre Cmmnanv , a Florida corporation with its principal office at 55 West Street Keene, NH 03431-7000 as Surety, are held and firmly bound unto City of Salem in the sum of One Thousand and 00/100 Dollars ($ 1,000.00 ), for the payment of which sum, well and truly to be made, we bind ourselves, our personal representatives, successors and assigns,jointly and severally, firmly by these presents. The condition of this obligation is such, that whereas the Principal has obtained, or shall obtain, a license or permit from the Obligee for Sign Permit Bond at 43 Church St., Salem, MA. 01970 for the term commencing on the 22nd day of July , 2011 and ending on the 22nd day of July , 2012 NOW, THEREFORE, if Principal shall faithfully observe and comply with all terms of the underlying license or permit,and all Ordinances, Rules and Regulations, and any Amendments thereto, applicable to the obligation of this bond, then this obligation shall become void and of no effect, otherwise to be and remain in full force and virtue. The Surety may, if it shall so elect, cancel this bond by giving thirty (30) days written notice to the Obligee and the bond shall be deemed canceled at the expiration of said period; the Surety remaining liable, however subject to all the terms, conditions and provisions of this bond, for any act or acts covered which may have been committed by the Principal up to the date of such cancellation. PROVIDED, HOWEVER, that this bond may be continued from year to year by certificate executed by the Surety hereon. Regardless of the number of years or terms this bond remains in effect, and regardless of the number and amount of claims that may be made,the maximum aggregate liability of the Surety is limited to the penal sum of the bond. SIGNED, SEALED AND DATED on this 22nd day of July 2011 Al rthttrlk-�� By NGM Insur nce om an By F �LQiI�,(Q-3�G Diane E Keena Attomey-in-Fact 68-QQ-0002-08 r ®NGM INsuxANcECoMPANY POWER OF ATTORNEY a mamw m m.u�so-.n amac ara�p S-805414 KNOW ALL MEN BY THESE PRESENTS: That the NGM Insurance Company,a Florida corporation having its principal office in the City of Jacksonville,State of Florida,pursuant to Article IV,Section 2 of the By-Laws of said Company,to wit: "SECTION 2.The board of directors,the president,any vice president,secretary,or the treasurer shall have the power and authority to appoint attomeys-in-fact and to authorize them to execute on behalf of the company and affix the seal of the company thereto,bonds,recognizances,contracts of indemnity or writings obligatory in the nature of a bond, recognizance or conditional undertaking and to remove any such attomeys-in-fact at any time and revoke the power and authority given to them." does hereby make,constitute and appoint Diane E Keenan its true and lawful Attomey-in-fact,to make, execute,seal and deliver for and on its behalf,and as its act and deed bond number S-805414 dated July 22, 2011 on behalf of ,...43 Church in favor of City of Salem for One Thousand and 00/100 Dollars IS 1,000.00 ) and to bind NGM Insurance Company thereby as fully and to the same extent as if such instrument was signed by the duly authorized officers of the NGM Insurance Company;this act of said Attorney is hereby ratified and confirmed. This power of attorney is signed and sealed by facsimile under and by the authority of the following resolution adopted by the Directors of NGM Insurance Company at a meeting duly called and held on the 2nd day of December 1977. Voted:That the signature of any officer authorized by the By-Laws and the company seal may be affixed by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond,undertaking, recognizance or other written obligation in the nature thereof; such signature and seal,when so used being hereby adopted by the company as the original signature of such officer and the original seal of the company,to be valid and binding upon the company with the same force and effect as though manually affixed. IN WITNESS WHEREOF,NGM Insurance Company has caused these presents to be signed by its Assistant ViceF=�rt General Counsel and Secretary and its corporate seal to be hereto affixed this 1 I m day of March.2011. .=''a$oer+opo 's= n��----- � C— 1823 t` NGM INSURANCE COMPANY By: ' p9,nnnR'�n""�e� Bruce Fox Assistant Vice President,General Counsel and Secretary State of Florida, County of Duval On this 1 I th day of March,2011 before the subscriber a Notary Public of State of Florida in and for the County of Duval duly commissioned and qualified,came Bruce Fox of the NGM Insurance Company,to me personally known to be the officer described herein,and who executed the preceding instrument,and he acknowledged the execution of same,and being by me fully sworn,deposed and said that he is an officer of said Company,aforesaid:that the seal affixed to the preceding instrument is the corporate seal of said Company,and the said corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Company;that Article V,Section 2 of the By-Laws of said Company is now in force. IN WITNESS WHEREOF, I have hereunto set my hand and affixed by official se raay. R� e :"'R com.uoorztvx i 1,Brian J Beggs,Vice President of the NGM Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by said Company which is still in force and effect. IN WITNESS WHEREOF, I have greunto set my hand and affixed the seal of said Company at Jacksonville,Florida this 22 day of July _ 2011 ;T�77� 1923 '�nnnROgN�„e"° WARNING: Any unauthorized reproduction or alteration of this document is prohibited. TO CONFIRM VALIDITY of the attached bond please call 1-603-358-1343. TO SUBMIT A CLAIM: Send all correspondence to 55 West Street, Keene,NH 03431 Attn: Bond Claun Dept. or call our Bond Clain Dept. at 1-603-358-1229. l Blade Sign Et : . Salem Side View Interior Front View Interior Side View r Stencil Cut Face LED Modules (glows 3M 84 tangerine) 0 -12v feed to remote 0 power supply 33" 12V Feed , a a Acrylic Lens (opaque) s LED Module m �38.75 711 Proposed Signage Blade Sign \n Scale t!2"=1' For Presentation �t 36"x 30"double sided sign mounted 10'above the side walk ' " _ _,, : -•=—� i l 4"awayfrom the building on a 3"square steel tube and 12"x12" ._,. plate secured with 8"sleeve bolts.Sign is painted burgundy with ` opaque faces internally lit with tangerine orange lights. >a 1: MP 3M 16106 �} Bd ienaerine g ( bostondi � Client Name: Start Date: Pro)ixtManeger. 0 Last Revision: ............................................................................... Ray Location: fob#: Client Approval Drawn By: www.bostonsign.com Drawing#: ,1 _1 �1 40 Plympton Street Boston,MA 02118 ............................................................................... J a� Tel.617-338.2114 Fax 617-482.4826 Page: Landlord Approval o- ®COMRIGHT M,eYEOGTONSIGNCOWP b -A11.DESIGNS PRESWEDARE THE SOLE PROPEMOF 60STONSIGNC Y..Fc.AND NAY NOT BE RCPRWUCED IN WRf ORVMOIF wMWiWS6TCN f9iMSSIDNFROM SOSTON SON C/JSPANY b7- . a - w Existing Signage 43 Banners are 120"tall 36"wide(top) 12"(bottom) ® Banner& Brackets with Tension Bar Banners attached from existing flag poles to tension bars and 1 1/2"square steel tube and 12"x12"steel plate Banner bracket system anchored with 8"sleeve bolts with tension E scale 1/4"=t' For Presentation bars as displayed to the right. ■ ■ MP 9unOrBlla 16105 1977-ODOD � � � Client Name: Start Date: 6/8111 Project Manager: IAYt91f�� j 43%huon Last: F1103 70'11 Ray Location: 3obp: F1to3 Client Approval Drawn By: www.bostonsign.com 43 Church St Drawing#: 001a.As1!et JC 40 loympton Street Boston,MA 02118 ............................................................................... Tel.617.338.2114 Fax 617.482.4825 Salem,MA Page:5 01 5 Landlord Approval 077 _0 LISTED a QOP GHT=,BY BOSTON SIGN WWANY Inc-AIL DESIGNS PRESENTED ARE THE SOLE PROPERTY OF BOSTON SIGN COMPANY.Im.AND WY NOT BEREPROOOCEO IN WATORYMOLEW1109I'MITTENPERMSSIONFROM BOSTONSION CO~,,Inc. � BOND DEPARTMENT-NOTICE OF CANCELLATION NGM Insurance Company 55 West Street P.O.Box 2300 Keene,NH 03431-7000 Issued to you as: Obligee AUC 23 2J13 City of Salem 120 Washington St y _'�P Salem,MA 01970 'OMbl�,y/ Ll'�t�Jf"fG$ �OZL ECOP►��, The Company hereby gives you notice of cancellation in accordance with bond conditions of: Bond Number: 5-805414 Principal: 43 Church Type of Bond: License Classification: Sign or Awning Permit License Number: Remarks: Sign Permit Bond Original Date of Issue: 7/22/2011 Cancellation Effective: 9/24/2013 By virtue of this notice the bond will be cancelled and all liability of said company will cease at and from the time and date stated above without further notice- Such action is caused by reason of'. Insured's Request Copies of this notice were mailed to: Principal: Obligee: 43 Church City of Salem 43 Church Street 120 Washington St Salem,MA 01970 Salem,MA 01970 Additional Principals: Additional Obligees: AGENCY: 20-1112 Hub International Ne Lie COMPANY: NGM Insurance Company By: Date: 8/21/2013 Attomey-in-fact 68-QQ-4040a CM 201112 NGM Insurance Company P 0 Box 2004 Keene NH 03431 MAILING DATE : 08/28/12 Surety Bond S 805414 OBLIGEE INSURED CITY OF SALEM 43 CHURCH 120 WASHINGTON ST 43 CHURCH STREET SALEM , MA 01970 SALEM , MA 01970 ***REINSTATEMENT NOTICE*** Regarding : Cancellation Effective 09/04/12 AT 12 : 01 A . M . SIGN OR AWNING PERMIT Dear Valued Bondholder , Thank you for your recent premium payment . Please be assured that your insurance coverage has been reinstated and you did not experience any lapse in coverage . Coverage reinstatement depends upon a successful funds transfer from your bank ; if your account has insufficient funds , your policy will terminate on the date displayed on our original cancellation notice . We look forward to continuing to serve your insurance needs . 01473 NGM Insurance Company AGENCY 201112 !' HUB INTERNATIONAL NE LLC 299 BALLARDVALE ST WILMINGTON , MA 01887 oFv" ��a