22 HAWTHORNE BOULEVARD - SIGN PERMIT (2) 22 Hawthorne Blvd
Atlantic Coast Homes
City of Salem Sign Permit Application Worksheet
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6-Oct-16
Atlantic Coast Homes
C` 22 Hawthorne Blvd. Ib OCT I I A IU 5L,
_. Zoning(reslnon-res) B5
Entrance Corridor(Y/N) N
I Lot frontage 49 feet
Building or tenant frontage 37 feet
e, #of businesses on site 1
t Bldng dist from street center <100 feet
Multiplier 2
Building and Blade Signs
maximum area permitted 74.00 sq ft
total proposed sign area 20.67 sq ft
sign 1
Side#1 length 44.00 inches
height 24.00 inches
sign 2
Side#2 length 44.00 inches
height 24.00 inches
sign 3
Front length 24.00 inches
height 36.00 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 ft
length 0.00 inches
height 0.00 inches
proposed sign height 0.00 ft(approx)
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
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
dRiF NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Location, Ownership and Detail Must Be Correct. Complete, and Legible
Salem. Massachusetts d 0) to
To the Building Inspector: / '.date
The undersigned hereby applies for a permit to ❑Erect, d Atter, r a sign on the following described buildings:
as t ,o D Yee {/d S ❑Urban Renewal Area ❑Entrance Corridor
o Historic District one
L Lr+&I �+ T , eeeeeiiiiiii, -
Tclophone X a{ _
7 noon 1... I r V r.}t 1f "
Ir e^ 2 floor -
Address 3 Aoar
Telephone 4�floor —
E mall a - Q How many blrainessies are in the buildWip
Ma corporatedy,boname
ofre slbboAkasr 1 ` C��(
Building r.. Arrear feet
Catshttcfat Stp'a Lioerffie No - A 0M Applicant's Space((f multl-tenanQ NFSWfeet
Address s*` , + ,, - I c Property 1I O ther Inew feet
Telephone (,-I 4 - I
EmaII b C ¢I Ieki¢f0.4)rnr� c C„� ign Owner a Sign Erector c O
Sign �- — — Sign 2 SI n
r.Surface o Surface o Surface
u Right Angle to Building I c Right Angle to Building o Right Angle to BuildinvAwng
reeStanding ❑Free Standing o Free Standing
g ❑Awning ❑Awning
❑ Portable(A-Frame) ❑Portable(A-Frame) D Portable(A-Frame)
Omer(specify) i a Other(specify) ❑Other(specHy)
sign Materials Sign Materials
'rr °^ r :u � f2A Sign Materials
Sign Dimerise bns Sign Dimensions --
4_< (sides) 1%4x.% ( pr} Sign Dimensions
Sign Area
Sign -- --
0 Sign A.
Sign Height Of bee standing) Sign Height(if free standing) -- It
s R
Sign Height(f free standing)
Estimated Cost of Net Work - - ---
S iL49a .(sb
Type Sign Area To Be Removed? 701w�ners
c Surface o Right Angle to Building sqtt °Yes ❑no❑FjeeStanding sq ft o Yes ono;Awning sq ft e yes ❑no Authorized Representative
sq ft Ayes ❑no
a Other(specify)-- -- —- sq ft D yes a no
Planning Community Development Department Hiatodcai Commission
— - — Building Inspector
— - - oius�norov
CITY OF SALEM
9 DEPARTMENT OF P1,ANNING AND COMMUNPI'Y DEVELOPMENT
Kiump n•DRcscou. 120 WAS]1ING ON SrREFrl'* SA1.I?rot,NtLSSneciusc�'I'Fti01970
MAYOR '1'10.:978619-5685♦ FAX:978-747-W4
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:
NA Chan.-
■ Scaled Drawing of Sign(including dimensions) Method of Lighting 504 } au_ h rr&
■ Color Scheme NaVy bAtk . SII ver, W6,1n9 Building Frontage (width of building on publicd
■ Letter Style (font) hf)1/e,}}7°Q, - way)
■ Letter Size 41pab9-10 Inches h`�h SS ■ Photograph of Building(current conditions)
■ Method of Attachment A-1anFrn9 C graph 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-doll ($20 inimum 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.
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. A
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Surety Bonds for Signs or Awnings Hung over a Public Way e m� O
Any signor awning hung over a public way or sidewalk shall require a surety bond in the sum of one thousand Coyyl
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.
0-18) gS4- BolsLiability 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.
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Effective Date: October 1st, 2016
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Western Surety Company
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LICENSE AND PERMIT BOND
KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 62928096
That we,Atlantic Coast Homes, Incorporated v
of Salem State of Massachusetts as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of
Massachusetts as Surety,are held and firmly bound unto the
City of Salem , State of Massachusetts
as Obligee,in the penal
sumof One Thousand and 00/100 DOLLARS ($1,000.00 ),
lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made,
we bind ourselves and our legal representatives, firmly by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been
licensed Sign Permit
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply
with the laws and ordinances, including all amendments thereto, pertaining to the license or permit
applied for, then this obligation to be void, otherwise to remain in full force and effect until
October 1st 2017 ,unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class
U.S.Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration
of thiXWf(#P0 gays from the mailing of said notice, this bond shall ipso facto terminate and the Surety
sh b' E@elieved from any liability for any acts or omissions of the Principal subsequent to said
dat2+ k%ie number of years this bond shall continue in force, the number of claims made
aeai ZOORPORATcd the number of premiums which shall be payable or paid, the Surety's total limit of
liar. A - ulative from year to year or period to period, and in no event shall the Surety's total
SEAL EAL T**%xceed the amount set forth above. Any revision of the bond amount shall not be
Cuq]Ulp a ?,
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Date rtisd`1Y 29thday of September 2016 ;
°
Atlantic Coast Homes. Incorporated ;
Principal
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WEST E SURET COMPANY
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Paul T.BaMat,Vice President e
Form 532-12-2015 °
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ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA 1 as (Corporate Officer)
COUNTY OF MINNEHAHA I
On this 29th day of September 2016 ,before me,the undersigned officer,
personally appeared Paul T. Bruflat ,who acknowledged himself tobethe aforesaid
officer of WESTERN SURETY COMPANY, a corporation,and that he as such officer,being authorized so to do,executed
the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such
officer.
IN WITNESS WHEREOF,I have hereunto set my hand and official seal. w
X444\44 444 44 4 4 44 4 4444444\{ l/�^. 'll./I
M. BENT
+ NOTARY PUBLIC ^ +
SOUTH DAKOTA s + Notary Public—South Dakota
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My Commission Expires March 2, 2020 ACKNOWLEDGMENT OF PRINCIPAL
STATE OF ss (Individual or Partnere)
I
COUNTY OF
On this day of ,before me personally appeared
known to me to be the individual_described in and who executed the foregoing instrument and acknowledged to me
that—he—executed the same.
My commission expires
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
STATE OF ss 1 (Corporate Officer)
COUNTY OF t
On this day of J ,before me personally appeared
who acknowledged himself/herself to be the _
Of ,a corporation,and that he/she as
such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing
the name of the corporation by himself/herself as such officer.
My commission expires
Notary Public
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Western Surety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts,Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America,does hereby make,constitute and appoint
Paul T. Bruflat of Sioux Falls ,
State Of south Dakota ,its regularly elected _ Vice President
as Attomey-in-Fact,with full power and authority hereby conferred upon him to sign,execute, acknowledge and deliver for and on
its behalf as Surety and as its act and deed,the following bond:
One Sign Permit City of Salem
bond with bond number 62926046
for Atlantic Coast Homes, incorporated
as Principal in the penalty amount not to exceed: $ 1,000.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company
duly adopted and now In force,to-wit:
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary,any Assistant Secretary,Treasurer, or any Vice President, or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-In-Fact or agents who shall have authority to issue bonds, policies,or undertakings in the name of the Company. The corporate seal Is
not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the wrporation- The signature of any
such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
2016 V' President with the corporate seal affixed this 29th day of Seotember ,
ATTEST �_ D WESTE N URET COMPANY
,iLKQ! z / By
L.Nelson,Assistant Secretary Paul T113ruflat,Vice President
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W1L �E7' °Aio
a e= (pRPORATE -
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STATE OF SOUTH DAKOTA 1 SEAL
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as
COUNTY OF MINNEHAHA "
On this 29th day of September 2016 ,before me,a Notary Public,personally appeared
Paul T. Bruflat and L. Nelson
who,being by me duly swom,acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
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NOTARY PUBLIC
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To validate bond authenticity,go to www.enasurety.com >Owner/Obligee Services>Validate Bond Coverage.
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City of Salem Department of Planning &
Community Development
CHECK RECEIPT AND TRACKING FORM
DATE g G ( � BOARD 111 P��^'J STAFF ILP k>
CLIENT:
PROPERTY ADDRESS: h" OL
CONTACT NUMBER: -7'77- I-ILIL-,Li, O�
PURPOSEFOR n ^
APPLICATION: t
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EA Enterprise Bank
CREATE SUCCESS
AAANTIC COAST 53274/113
HOMES 9/29/2016
ai HAVVT"ORNE BOULEVARD
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SALEM,MA 01970 8
ORDER THE City of Salem $««20.00
OF
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City of Salem ATLANTIC COAST HOMES,LLC
PO Box
Woburn,
MA MA 01888-4125
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110003711u2 1:0113027424 S32 1830
Commonwealth of Massachusetts
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120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit No. B-16-1167
=EE PAID: $0.00 PERMIT TO BUILD
DATE ISSUED: 10/18/2016
This certifies that SALEM RESIDENTIAL RENTAL PROPERTIES, LLC
has permission to erect, alter, or demolish a building 22 HAWTHORNE BOULEVARD Map/Lot: 350271-0
as follows: Signs SIGN PERMIT AS APPROVED FOR:
ATLANTIC COAST HOMES
Contractor Name:
DBA:
Contractor License No:
V/<��•-..�✓�`� 10/18/2016
Building Official Date
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official
may grant one or more extensions not to exceed six months each upon written request.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
HIC#: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.1 42A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.