100-100 CROTCHET BOX - SIGN PERMIT 100-U1
Crotchet Box
�rOY01}�A' Commonwealth of Massachusetts
fl City of Salem
120 Washington St,31d Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit B-14-936 PERMIT TO BUILD
=EE PAID:: $0$0.00
)ATE ISSUED: 5/22/2014
This certifies that SHEA MARTINE
has permission to erect, alter, or demolish a building 100-U1 DERBY STREET Map/Lot410037-801
as follows: Signs SIGN PERMIT AS APPROVED FOR: CROTCHET BOX
Contractor Name:
DBA:
Contractor License No:
�L 5/22/2014
Bulletng 0WOr
- 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 cleady 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.
H IC#: 'Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL a142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
City of Salem Sign Permit Appllcafion Worksheet
28-Apr-i4ECEIVED
Crotchet Box INCSP 10NAL SERVICES
100 Derby Street
191N MAY 2 P 1' 34
Zoning(res/non-res) 81
1
Entrance Corridor(YIN) N
Lot frontage 33 feet
Building or tenant frontage 33 feet
#of businesses on site 1
Bldng dist from street center <100 feet
Multiplier 2
maximum area permitted 66.00 sq ft
total proposed sign area 16.00 sq ft
sign 1
Existing length 72.00 inches
height 12.00 inches
New Sign to be attached sign 2
length 72.00 inches
height 12.00 inches
Blade sign sign 3
length 24.00 inches
height 24.00 inches
sign 4
length 0.00 inches
height 0.00 inches
sign 5
length 0.00 inches
hei ht 0.00 inches
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
Application has been approved by the Historical Commission. The
blade sign will be painted as a representation of the red house. Sign#1
(existing)will be affixed to sign#2 so as to form one new sign.
231✓.�03 Ak0 T 1392NI
N£ A YAM dli�
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
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, ❑ Repair a sign on the following described buildings:
AddressStreet
/OG o Q ❑ rban Renewal Area ❑ Entrance Corridor
��'\/> S Historic District ❑ None
A-&rl Al Use of Building
7Address
hone 7Y — zy9l t floor Co M NI G,Q
MAAT"!A/C. S1>t/{- 2 floor RCS11PCrT-1dAL_
2 3 LLt-C_7 -f 2 D S14'-Plv? 3` floor
hone 7 & _ -1 yy_ Z Y q 4 floor
-mail How many businesses are in the building?
If a corporate body, name .
of responsible officer
• Building linear feet
—� Construction Sup's License No Applicant's Space (if multi-tenant) linear feet
Address Property linear feet
Telephone Mail Sign Permit to
E-mail ❑Sign Owner ❑Sign Erector ❑ Other:
Proposed Signs (If more than three signs are proposed. attach additional sheets)
Si n 1 1 Sign 2 Sign 3
E(Surface ❑Surface ❑Surface
❑ Right Angle to Building Irftight Angle to Building ❑ Right Angle to Building
❑ Free Standing ❑ Free Standing ❑ Free Standing
❑Awning ❑Awning ❑Awning
❑ Portable(A-Frame) ❑ Portable(A-Frame) ❑ Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials
WOOD WOOD
Sign Di ensions Sign Dimensions Sign Dimensions
IX -T X I Fr- ? FT K 2- F7
Sign Area Sign Area Sign Area
s ft � s ft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
Existing Signs
. .
Type Sign Area To Be Removed? Sign Ownf r
u(Surface sq ft ❑yes Zno CD�
❑ Right Angle to Buildingsq k ❑yes ❑no
❑Free Standing sq k ❑yes ❑no Sign wner's Authorized Representative
in Awning sq ft ❑yes ❑no
❑Other(specify) sq ft ❑yes ❑no
Property Owner
Internal Review
PI ning&Community Development Department Historical Commission
Approval
Building Inspector
08124/10 rev
The Hanover Insurance Company ado Lncoln S:rec{.\Nonoter fv1A 01653
Hanover GGxens Insurance Company of America bas We sl Grand River Avcoue Iorrdl.+.11 1813.1;
I I15LIra11CC Croup Massachusetts Bay Insurance Company 440 Lincoln StreN.Worcesl:v.NAA 0+.65
PRINCIPAL'S MAILING ADDRESS RIDER
To be attached to and form part of Bond No. BLNA278186
in favor of Crotchet Box Country Store
on behalf of Generic Obligee
It is agreed that:
1. The Surety gives its consent to change the Mailing Address of the Principal
From: 23 Belleau Road
Salem, MA 01970
To: 100 Derby Street
Salem, MA 01970
2. This rider is effective as of noon on April 17, 2014
3. Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions,
agreements or limitations of the Bond other than as above stated.
Signed, sealed and dated April 17, 2014
\\\J�lU1nu'nniuiiij.
The Hanover Insurance C m ny
aS AP'a By:
°jylr*r* O Elaine K Libby, Attorney-in-Fact
• Bond No.:BLNA278186
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both
being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint
Elaine K Libby
of Beverly,MA
and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place
within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizances,undertakings,
contracts ofindemnityor other writings obligatory in the nature thereof,as follows: - - - -- - - -
Sign Permit Bond
In the amount of$1,000.00
and said companies hereby ratify and confirm all and whatsoever said Attomey(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions
are still in effect:
'RESOLVED,That the President orany Vice President,in conjunction with any Vx:e President be and they are hereby authorized and empowered to appoint
Attorneys-min-factof the Company,in its name and as its acts,to execute and acknowledge forand on its behalf as Surety any and all bonds,recognizances,
contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company. Any
such writings so executed by such Attomeys-in-fact shall be as binding upon the Company as B they had been duly executed and acknowledged by the
regularly elected officers of the Company in their awn proper persons.'(Adopted October 7.1981-The Hanover Insurance Company:Adopted April 14,1982
-Massachusetts Bay Insurance Company:Adopted September 7,2001-Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duty attested by two Vice Presidents,
this 22nd day of August 2012
THE HANOVER INSURANCE COMPANY
Cu
0 � MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENSSURANCEJPOMPANY OF AMERICA
/],,
�
Robert Thomas.Vice President
THE COMMONWEALTH OF MASSACHUSETTS ) �-.T- 1 ,�--�_---�-'
COUNTY OF WORCESTER )as. toe Brcnstrom. ice President
On this 22nd day of August 2012 before me came the above named Vice Presidents of The Hanover Insurance Company.Massachusetts Bay Insurance
Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that
the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and
Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to
said instrument by the authority and direction of said Corporations.
BARBARAA.GARLICK
Notary Public /� p� y
eamraaweapn ofSSraassxfwamt (i-G�IU.d��� I- 3lfl��/y/ ✓
�. ay cm•..vm eayssm.ai.e's
Barbara A.Garlick,Notary Public
My Commission Expires September 21,2018
1,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company ofAmenca,
hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further
certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
'RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed
by the President of any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed.even though one or more of any such signatures thereon may be facsimile' (Adopted October 7,1981-The
Hanover Insurance Company,Adopted April 14,1982-Massachusetts Bay Insurance Company:Adopted September 7,2001-Citizens Insurance Company
of America)
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 17th day of April 2014
THE HANOVER INSURANCE COMPANY
MA SA HUSETT BAY 160 RA CE COMPANY
CIT EN 1 AASUR ICE OF AMERICA
J. h I ete.Vice as
ant
SIGN LICENSE OR PERMIT BOND
Bond No. BLNA278186
KNOW ALL MEN BY THESE PRESENTS,That We
Crotchet Box Country Store
of 100 Derby Street Salem,MA 01970 , as Principal, and
THE HANOVER INSURANCE COMPANY and/or MASSACHUSETTS BAY INSURANCE COMPANY, a New
Hampshire corporation, and having its principal office in the City of Worcester, MA, as Surety, are held and firmly
bound unto
City of Salem
hereinafter called the Obligee, in the penal stun of
One Thousand Dotlars
and No/]00
($1,000.00 ) lawful money of the United States of America to be paid to said Obligee for which payment
well and truly to be made,we bind ourselves, our heirs,executors, administrators, successors and assigns,jointly and
severally, firmly by these presents.
Signed with our hands and sealed with our seals, the 16th day of April 12014
WHEREAS, A SIGN LICENSE OR PERMIT has been granted by the Obligee to the above bounden
Principal located at 100 Derby Street Salem MA 01970
Now, therefore, the Condition of this Obligation is such,that if the said Principal shall faithfully observe the
provisions of the Laws, Ordinances, and Resolutions, governing the issuance of this License or Permit, then this
Obligation shall be null and void, otherwise to remain in full force and effect.
Liability under this bond shall terminate as of the 16th day of April 2020 as to
any acts subsequent thereto, unless said bond is continued in force from year to year by the issuance of a
continuation certificate signed by the Surety.
The Surety may cancel this bond at any time by filing with the Obligee ten 10 days written notice of its
desire to be relieved of liability. The Surety shall not be discharged from any liability already accrued under this bond,
or which shall accrue hereunder before the expiration of the ten day period.
Crotchet Box Country Store 4
The overinsu cc ny
y
BY:
Elaine K Libby
Attomey-in-Fact
Bond No.:BLNA278186
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both
being corporations organized and existing under the lavas of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint
Elaine K Libby
Of Beverly,MA
and each is a true and lawful Attomey(s)-in-tad to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place
within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizances,undertakings,
contracts of indemnity or other writings obligatory in the nature thereof,as follows:
Sign Permit Bond
In the amount of$1,000.00
and said companies hereby ratify and confirm all and whatsoever said Attomey(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions
are still in effect:
'RESOLVED,That the President or any Vire President,in conjunction with any Vice President.be and they are hereby authorized and empowered to appoint
Attomeys4n-fad of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,
common;of Indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company. Any
such writings so executed by such Attomeys-in-fact shall be as binding upon the Company as it they had been duly executed and acknowledged by the
reg ulady elected officers of the Company in their own proper persons.'(Adopted October 7,1981-The Hanover Insurance Company;Adopted April 14,1982
-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents.
this 22nd day of August 2012
M1W THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS SURANCE OMPANY OF AMERICA
'� t�►g � tom`'
Robert Thomas,Vice President
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER )as. Joe, renstrpm, id President
On this 22nd day of August 2012 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance
Company and Citizens Insurance Company ofAmerica,to me personally known to be the individuals and officers described herein,and acknowledged that
the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and
Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to
said instrument by the authority and direction of said Corporations.
N BARBARA A.GARLICK
Notary Public z:(/' J X
2�
CommnwesM of MarfMwreN
MV Cammsran E�Sept II t,1C i!
Barbara A.Garlick,Notary Public
My Commission Expires September 21,2018
I,the undersignedVice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further
certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
'RESOLVED,That any and all Powers of Attorney and Certfied Copies of such Powers of Attorney and certification in respect thereto,granted and executed
by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed,even though one or more of any such signatures thereon may be fammile' (Adopted October 7,1981-The
Hanover Insurance Company,Adopted April 14,1982-Massachusetts Bay Insurance Company,Adopted September 7,2001-Citizens Insurance Company
of America)
GIVEN under my hand and the seals of said Companies,at Worcester.Massachusetts,this 18th day of April 2014
THE HANOVER INSURANCE COMPANY
MA SA HUSETT BAY 16t.RA CE COMPANY
CR EN I ISU
ICEF OFAMERICA
r
J. I ete,Vice as
ant —
SIGN LICENSE OR PERMIT BOND
Bond No. BLNA278196
KNOW ALL MEN BY THESE PRESENTS,That We
Crotchet Box Condominium Trust
of 23 Belleau Road Salem,MA 01970 ,as Principal,and
THE HANOVER INSURANCE COMPANY and/or MASSACHUSETTS BAY INSURANCE COMPANY, a New
Hampshire corporation, and having its principal office in the City of Worcester, MA, as Surety, are held and firmly
bound unto
City of Salem
hereinafter called the Obligee, in the penal sum of
One Thousand Dollars and NO/100
($1,000.00 ) lawful money of the United States of America to be paid to said Obligee for which payment
well and truly to be made,we bind ourselves,our heirs, executors,administrators, successors and assigns;jointly and
severally,firmly by these presents.
Signed with our hands and sealed with our seals,the 16th day of April 2014
WHEREAS, A SIGN LICENSE OR PERMIT has been granted by the Obligee to the above bounden
Principal located at On Building-28 Belleau Road Salem MA 01970
Now, therefore, the Condition of this Obligation is such, that if the said Principal shall faithfully observe the
provisions of the Laws, Ordinances, and Resolutions, governing the issuance of this License or Permit, then this
Obligation shall be null and void, otherwise to remain in full force and effect.
Liability under this bond shall terminate as of the 16th day of April 2020 as to
any acts subsequent thereto, unless said bond is continued in force from year to year by the issuance of a
continuation certificate signed by the Surety.
The Surety may cancel this bond at any time by filing with the Obligee ten 10 days written notice of its
desire to be relieved of liability. The Surety shall not be discharged from any liability already accrued under this bond,
or which shall accrue hereunder before the expiration of the ten day period.
Crotchet Box Condominium Trust
BY: —Ka
7h mover Ins ce C
BY:
Elaine K Libby
Attomey-in-Fact
r Bond No.:BLNA278186
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both
being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint
Elaine K Libby
Of Beverly,MA
and each is a We and lawful Attomey(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place
within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizanres,undertakings,
Contracts of indemnity or other writings obligatory in the nature thereof,as follows:
Sign Permit Bond
In the amount of$1,000.00
and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions
are still in effect:
'RESOLVED,That the President or any Vice President.in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint
Attomeys-in-factof the Company,in its name and as its acts,to execute and acknowledge for end on its behalf as Surety any and all bonds,recognizences,
contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof.with power to attach thereto the seal of the Company. Any
such writings so executed by such Attomeys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the
regularly elected officers of the Company in their awn proper persons.'(Adopted October 7,1981-The Hanover Insurance Company;Adopted April 14,1982
-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of Amenca)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals.duly attested by two Vice Presidents,
this 22nd day of August 2012
� THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
A -X-MN
JW2 i � CITIZENS SURANCE OMPANY OF AMERICA
i tors
Robert Thn111t11.Vice President
THE COMMONWEALTH OF MASSACHUSETTSI
COUNTY OF WORCESTER )ss. Jae Brenstrom.Vice President
On this 22nd day of August 2012 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance
Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that
the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and
Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to
said instrument by the authority and direction of said Corporations.
a BARBARAA.GARLICK
./D
Nalary Publk //J7 (�/
xWmmw'nriMot}}MlrsiMufM6 (`� <.cy1-�'L��
of Ctmma+MCvy354'.21.2 .T Y�GiJLs�.�.� 'Q/L/PAL'!
Barbara A.Garlick,Notary Public
My Commission Expires September 21,2018
I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further
certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
'RESOLVED,That any and all Powers of Attomey and Certified Copies of such Powers of Attorney and certification in respectthemto,granted and executed
by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile.' (Adopted October 7.1981-The
Hanover Insurance Company;Adopted Apnl 14.1982-Massachusetts Bay Insurance Company;Adopted September7,2001-Citizens Insurance Company
of Amen®)
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 18th day of April 2014
THE HANOVER INSURANCE COMPANY
MA SAHUSETT BAY RA CE COMPANY
CIT EN I SU CE OF AMERICA
J. I ate.Vice es ant
„
Salem Historical Commission
120 WASHINGTON STREET,SALEM, MASSACHUSETTS 01970
(978)745-9595 EXT, 311 FAX (978)740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
O Construction ❑ Moving
❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other work
as described below will be appropriate to the preservation of said Historic District, as per the requirements set
forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: Derby Street
Address of Property t 00 T)erhy Street
Name of Record Owner: Martine Shea
Description of Work Proposed:
Install a wall sign as submitted in the application dated 4117114. The conjoining sides of the existing and new
wall signs should be cut and buffered together so that they appear to be one continuous sign.
Install blade sign along the right corner board above the historic plaque. The sign will measure 2'x2'and will
be painted to look like the building. Option of the Florence or Napoli-style bracket, as submitted in the
application.
Dated: May 14, 2014 SALEM HISTORICAL COMMISSION
By
The homeowner has the option not to commence the work(unless 1t relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals) prior to commencing work.
RECE1 ,; ED
�+
APR 1 / 2014
DEPT.OF PLANNING 6
Z
COMMUNITY DEVELOPMENT
Salem Historical Commission
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
Pursuant to the Historic District's Act (M.G.L. Chapter 40C) and the Salem Historical Commission Ordinance,
application is hereby made for issuance of a Certificate of Appropriateness for:
New Construction Moving Re onstruction Alteration
Demolition Painting QE) Other
District: Derby=Street Lafayette Street McIntire Washington Square
Address of Property: 100 ,I W Y $ 7l
Name of Record Owner(s): M A R T I N l- S N 5-
Owner Mailing Address: 7-3 r L L C g l { Rh Sr i L-E/n
Description of Work Proposed
(Please include required scale drawings,paint chips, catalog cuts and/or samples of material proposed, where applicable.)
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Name 0 pptica t y��/12 i t �! Sfl�/� Owner `,I Contractor Tenant Other:
Tel.#: 97�- 7Y5 - 2-Lf j (-f E-mail Address:
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name
Mailing address: City: State:_Zip:
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Low Clearance Wall Mount Blade Sign Brackets
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Architectural Sign Bracket •e=obit;^fir Usually ships in 2-3
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Well Montt Sip Backe% _'inen.:iors: Length with Finial:41"
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Description:The 36"Napoli Lower Scroll Hanging Blade Sign Bracket is made with a 1"
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Ba®er Brackets-All heavy duty 3"back plate with four mounting holes.Black Powder Coat Finish.
watt MouredB,mu,Backcts Recommended maximum sign weight of 10168 for all I.ow Clearance Wan Mount Blade
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Detwery: Estimated on r before Fri.Apr.181001970
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Last updated w Jul 14,2010.08:07:29 PDT View all revislons
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Condition: Nm:A brand-new,unused,unopened,undamaged Item In its original packaging
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City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received S (i;Itef
Amount Received 2v. w
Form of Payment [Check ❑ Money Order
Client Information 63,/64-ell-
CASH
3,/64-ef.CASH PAYMENTS: client initials
dSign Permit Application Fee
❑ Conservation Commission Fee
Payment received for what ❑ Planning Board Fee / ZBA
service? ❑ SRA/DRB Fee
❑ Old Town Hall Rental Fee
❑ Other:
Name of staff person receiving
payment �7
Additional Notes
s3-179/113 378
MARTINE S. SHEA 9q M4224
CROTCHET BOX
23 BELLEAU RD. DATE
SALEM, MA 01970 («}'
PAY TO TF�w ,% , o
ORDEROF p
3 DOLLARS L'� e..-.e
3 �
(DEastMn Bank
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MEM
1: IL30i ?gal: 04 03884224u■ 0
O 378
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2: Application File