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City of Salem Sign Permit Application Worksheet
r 29-Aug-17
New England Veterinary Clinic
204 Highland Avenue
Zoning (res/non-res) B2
Entrance Corridor(YIN) Y
Lot frontage 305 feet
Building or tenant frontage 78 feet
#of businesses on site 2
Bldng dist from street center 100 feet
Multiplier 1.25
Building and Blade Signs
maximum area permitted 97.50 sq ft
total proposed sign area sq ft
sign 1 (awning)
length inches
height inches
Freestanding Signs
maximum area permitted 32.50 sq ft (per side)
maximum #of signs permitted 1 signs
maximum height permitted 12.50 ft tall
sign 1
proposed sign area 25.06 sq ft
length 44.00 inches
width 82.00 inches
Application meets guidelines set
forth in the Salem Sign Ordinance yes
Recommend approval yes
An internally illuminated, 31.5 square foot freestanding sign was
permitted in 2004. It was hit by a car in August 2017. The applicant is
proposing to install a 25 square foot, internally illuminated sign to
replace the broken sign.
t Perm Number
-� APPLICATION FOR PERMIT TO ERECT A SIGN
® ®\I NOTE:BUILDING PERMIT Mus-r BE OBTAINED BEFORE SIGN Is EREG D
1' Location,Ownership and Detail Must Be Correct.Complete.and L g ible
Salem,Ma achusetts
Date
To the Building Inspector:
The undersigned hereby applies for a permit to r Erect. Alter, n Repair a sign on the following des ibed buildingsStreet Address Zoning .
District
Urban Renewal a .,Entrance Corridor Histone District r+None
•• Telephone Q
I floor
78 `f6 C2S� 2 floory L
r o v. 7• -�-
Address ,+_lt-� 1�' + '.< <�+'�i' 3 floor '
Telephone 4 floor
1 L�-
E-mail ��fl t. O Ar:.k How many bus,, "sses are in the building?
If a corporate body.name
of res onsible officer "�' _ ;T!1 " %f t r'y__
Building linear feet
Construction Supslicen No - *Appli�m'sSpa (ifmulti-tenant) linearAddress C + linear leer
TelephoneE-mail - - Sign Erector c Other:
Sin t SI n 2+Surface u Surface Right Angle to Builtling r Right Angle to Builtling gle to Builtling
,,Free Standing i Free Standing i Free S anding
-i Awning +..Awning Awmn
_i Portable(A-Frame) c Portable(A-Frame) Portab (A-Frame)
.,Other(specify) r:Other(specify) Other ;pecify)
Sign Materials Sign Materials Sign Ma inals
Sl+• , t _
Sian Dimensioensions Sign Dimensions Sign Din -nsions
Sign Area Sign Area Sign Ar
' .ii- \- 5911 s ft ft
Sign Hefj
(if free standing) Sign Height(if freestanding) Sign Hei ht(if free standing)
Estimatedosl of Net Work
. t
Type Sign Area To Be Removed? n Owner .12 r
r Surface _set ft -yes :no
I Right Angle to Building _sq ft yes no
Xt Free Blanding i sq ft &yes no i�n Owner's Auth 'zed RepreseLnl
��Awning - _sq ft yes r.no 1f_ -`'"-( -_—_
h Other(specify)t: .ti'••.t L "C-A'.1 _sq ft -yes a no
,� ,t P pe Owner 4.-
Internal Review
AA
Planning 8 Community uevatopment Department Histoncalkommission
Building Inspector
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Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
m NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
a
Location Ownershipand Detail Must Be Correct Complete, and Legible
P 9
a
Salem, Massachusetts 25_ c�I2k
Date
To the Building Inspector:
The undersigned hereby applies for a permit to ❑Erect, Miter, ❑Repair a sign on the following described buildings:
Street Address Zoning District
O \ ❑Urban Renewal Area nuance Corridor
1 ❑Historic District ❑ one
_lot rz.11"Ing
� f6eKw-on Use of Building
Telephone 'I 1D � t 1 floor
• 2 floor
AddressNe_ 3 floor
Telephone '-� 4 floor
E-mail J How many businesses are in the building?
If a corporate body, name
of responsible officer
Building linear feet
Construddon Sup's License No Applicant's Space(if multi-tenant) linear feet
Address — Property linear feet
Telephone 0 Mail Sign Permit to
E-mail ❑ Sign Owner XSign Erector ❑Other:
posed Signs(if more than three signs are proposed. attach additional sheets)
Sign 1 Sign 2 Sign 3
❑Surface o Surface a Surface
❑ Right Angle to Building ❑ Right Angle to Building n Right Angle to Building
IFree Standing ❑ Free Standing ❑Free Standing
/❑Awning ❑Awning ❑Awning
❑ Portable(A-Frame) D Portable(A-Frame) ❑Portable(A-Frame)
n Other(specify) ❑ Other(specify) n Other(specify)
Si n Materials Sign Materials Sign Materials
Sign,Dimensions Sign Dimensions Sign Dimensions
Sign Area Sign Area Sign Area
s ft s ft sq ft
Sign e' (if ee standing Sign Height(if free standing) Sign Height(if free standing)
(3 O�LS14
Estima ed ost of Net Work -
$ cc
Existing Signs
Type Sign Area To Be Removed? Sign Owner t- P�v'\0_
❑Surface sq It a yes ❑ no
❑Right Angle to Building sq ft ❑yes ❑ no
Free Standing _PS sq it jkyes ❑no Si ner's Au
gmd�d Repre ntative
o Awning sq ft n yes ❑no 1 /
)(Other(specify) sq it u yes ❑no
Property Owner -
Internal Review
Planning&Community Development Department Historical Commission
Building Inspector
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New England
VETERINARY
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CLINIC
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,
Boarding & •
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CITY OF SALEM
DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
MEMORANDUM
TO: Denise S. McClure,Deputy Director
FROM: Frank Taormina,Planner
SUBJECT: Sign Application—New England Veterinary Clinic
DATE: November 29, 2004
Location: Entrance Corridor
Address: 204 Highland Avenue
Date Received: 11/22/04
Building Frontage: N/A
Maximum allowed: 32.5 sq. ft for freestanding sign.
Proposed Signage: The proposal includes the installation of a Tx 4' freestanding sign
with a white vinyl/laminate internally lighted box sign with Navy blue
and red lettering. Also a 6"x 5' hanging sign under the freestanding
panel and a 1'x 1' sign attached to the side of the freestanding sign
panel.
Comments: The freestanding sign will take the place of the existing freestanding
sign.
Total Area of Sign: 31.5 sq. ft.
Recommendation: This application meets the dimensional requirements and design guidelines
of the Salem Sign Ordinance and Entrance Corridor Overlay District
Ordinance. I recommend approval as submitted.
Please let me know if you would like more information regarding this topic.
The Commonwealth ofMassaehusetts Print Form
Department of Industrial Accidents
Office of Investigations
kvwp! 1 Congress Street,Suite 100
Boston, MA 02114-2017
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Nameminess/ anintion/Indi :vidual V � c ,'l L
(B Org )
Address:�) l.t�
City/State/Zip: p f S Phone #: C j� Q S
Are you an employer? Check the appropriate box: • Type of project(required):
I I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).' have hired the sub-contractors 6. E]New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
workingfor me in an capacity. employees and have workers'
Y Pa tY� 9. E]Building addition
(No workers' comp. insurance comp. insurance.t
required.) 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doingall work officers have exercised their 11.❑ Plumbing repairs or additions
myself o workers' comp. right of exemption per MGL
y [N p 12.[_1 Roof repairs
c. 152, 14 ,and we have no
t � O
insurance required.]
employees. [No workers' 13P Other
comp.insurance required.]
•Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must anarMd an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide then workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees Below is the policy andlob site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
yS �c�(�I
Job Site Address: U I��.�Ql1( I CSI _ City/State/Zip:�A((y((A-n OIG(-Yj
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 do hereby ce un the pains and =miles ofperjury that the information provided above is true and correct
Si aim Date s V
Phone#: C CJ
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/Licease#
Issuing Authority(circle one):
1.Board of health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
`uwNr CITY OF SALEM 1( lw jtN�
a ' 77)
DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
KIMOEIU.EY DRISCOLL 120 WAST IINGTON SFRF .1♦ SALIN,MASSACHUSETTS 01970 I\
MAYOR C 3 'Cel.:978619-5685♦ 17AX:978-740-0404 V
r ;E NT
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.
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.
0824/10 rw
° Commonwealth of Massachusetts
City of Salem
R
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit No. B-17-837
PERMITFEE PAID: $0.00 TO BUILD
DATE ISSUED: 8/31/2017
I
This certifies that Dawn's Sign Tech
has permission to erect, alter, or demolish a building 204 HIGHLAND AVENUE Map/Lot: 130001.0
as follows: Signs SIGN PERMIT AS APPROVED FOR:
NEW ENGLAND VETERINARY CLINIC
Contractor Name:
DBA:
Contractor License No: /
G � 8/31/2017
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.142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.