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400 HIGHLAND AVENUE - SIGN PERMIT (025) 400 Highland Ave North Shore Physicians Group City of Salem Sign Permit Application Worksheet 27-Jun-12 North Shore Physicians Group 400 Highland Avenue Zoning (res/non-res) BPD Entrance Corridor(Y/N) Y Lot frontage 370 feet Building frontage feet #of businesses on site 1 Bldng dist from street center 220 Multiplier 1.25 Building Signs maximum area permitted 0.00 sq ft total proposed sign area 0.00 sq ft sign 1 length 0.00 inches width 0.00 inches sign 2 length 0.00 inches width 0.00 inches Freestanding Signs maximum area permitted 62.50 sq ft(per side) maximum #of signs permitted 1 signs maximum height permitted 15.00 ft tall sign 1 proposed sign area 14.00 sq ft length 96.00 inches width 21.00 inches proposed sign height 16.00 ft sign 2 proposed sign area 0.00 sq ft length inches width inches proposed sign height 0.00 ft Application meets guidelines set forth in the Salem Sign Ordinance no Recommend approval yes The existing signage exceeds the height limits established by the entrance corridor guidelines. However, the current proposal is merely to reface the existing signs. There is no increase in square footage. City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form Please complete form and make two copies. Date Received tZol ?BIZ Amount Received Form of Payment Check Cash Client Information NCV'-h, S'KwK FH s!clahs <a z CASH PAYMENTS: client initials Sign Permit Application Fee Conservation Commission Fee Planning Board Fee/ ZBA Payment received for what service? ❑ SRA/DRB Fee Copies Other: Name of staff person receiving payment Additional Notes 21926 UNITED SIGN COMPANY, INC Salemfiven P.O.BOX M 110 Fuca:SOeet,Salem,MAO 1970 106 33 TOZER ROAD 53.7055-2113 BEVERLY,MA 01915 PAY TO THE Cx ©} SAAW ORDER OF I 0o DOLLARS Tt��1 � a �IpD e MEMO J HOPI C SIGNATURE i!! !!'02L926!!' 1: 24L3705581: 089907404 Lill .... ...,rte,, vnw , �1 n,. V�I.0 110.N I1.0 j Copy L: Cllant Copy 2: 1pphc-atwn File Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED JUN 20 2012 3 Location, Ownership and Detail Must Be Correct, Complete,and Legible ,b ..,r"Po� DEPT.OF PL`At`'li'"t: Salem,Massachus-61WMt OM12'' Date To the Building Inspector: The undersigned hereby applies for a permit to ❑Erect, h Alter, ❑Repair a sign on the following described buildings: Street Address Zoning District 400 Highland Ave ❑ Urban Renewal Area m Entrance Corridor ❑ Historic District ❑None ,,. • Use of Building Telephone 1 floor • North Shore Physicians Group 2" floor Address 81 Highland Ave, Salem, MA 01970 3 floor Telephone 4 floor E-mail dllombard@partners.org How many businesses are in the building? If a corporate body,name Diana Lombard of responsibleofcer Ed Juralewicz Building linear feet ConsWction Sups License No 058192 Applicant's Space(if multi-tenant) linear feet Address 33 Tozer Rd Beverly,MA 01915 Property linear feet Telephone 978-927-9346 Mail Sign Permit to E-mail ed@unitedsign.biz ❑Sign Owner a Sign Erector o Other: posed Signs(if more than three signs are proposed, attach additonal sheets) Sign 1 1 Sign 2 Sign 3 ❑ Surface o Surface ❑Surface ❑Right Angle to Building o Right Angle to Building ❑Right Angle to Building N Free Standing Relettering existing sign ❑Free Standing o Free Standing ❑Awning ❑Awning o Awning ❑Portable(A-Frame) ❑Portable(A-Frame) o Portable(A-Frame) o Other(specify) ❑Other(specify) ❑Other(specify) Sign Materials Existing lexan panel Sign Materials Sign Materials Sign Dimensions 21"x 96" Sign Dimensions Sign Dimensions Sign Area 14.00Sign Area Sign Area s fts ft sq ft Sign Height(if free standing) 16, Sign Height(if free standing) Sign Height(if free standing) Estimated Cost of Net Work $ $500 Existing Signs Type Sign Area To Be Removed? Sign Owner ❑Surface sq ft ❑yes ❑no ❑Right Angle to Building sq It ❑yes ❑no o:Free Standing 14 sq ft N yes ❑no Sign O)�pQ'�Ier�'s A o' Repre ntative ❑Awning sq ft n yes ❑no I A44% ` / _ ❑Other(specify) sq It ❑yes ❑no Property Owner Internal Review 'P(612 ni &Community Development Department Historical Commission Building Ins or aei2am Rv EYE CENTER ms, - S p�UNp SUSHI & CHINESE BUFFET SAT M WOMEN'S HEALTH 4 ASSOCIATES Wellness Center LETTERING FOR PYLON SIGN ROBIS FRIED CLAMS _ TKANSLUCENT VINYL LETTERING FOR EXISTING WHITE PANEL STENCIL CUT BLUE VINYL TO MATCH PM5 301C vwl ; WeghtWatchersr4+S, NofthShorePhysiciansGroup PARMERS CLIENT DATE THI5 DRAWING CONTAINS PROPRIETARY INFORMATION AND VE51GN CONCEPTS AND 15 , NORTH SHORE PHY51CIANS GROUP 5/21/12 PROPERTY OF UNITED 5I6N COMPANY,INC. IT 15 PRESENTED TO YOU FOR YOUR EXCLUSIVE LOCATION USE AND MAY NOT 5E COPIED OR SHOWN TO ANYONE OUTSIDE YOUR ORGANIZATION WITHOUT 33 Tozer Rd. PO Box 3106 DE516NED 6Y OUR WRITTEN PERMI5510N. CHANGING OF COLOR5,51ZE,MATERIALS,OR ILLUMINATION DOES Beverly, MA 01915 Phone 978-927-9346 400 HIGHLAND AVE SALEM EJ NOT ALTER THEDA51C DRAWING. c 2012 UNITED SIGN CO.,INC. ALL RIGHTS RE5ERVED. Fax 978-927-9351 www.unitedsign.biz 400 HIGHLAND AVENUE 904-08 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM GMIS#: 1331 ap: 03 Block: Lot: 0005 SIGN PERMIT Pe n-ni t Sign Category: SIGN ,Permit# 904-08 PERMISSION IS HEREBY GRANTED TO: Project# JS-2008-001451 Est. Cost: $0.00 Contractor: License: Expires Fee Charged:$0.00 United Sign Company Balance Due:$.00 Owner: Rockett Realty #of Fixtures I Applicant: United Sign Company DigSafe# _ AT: 400 HIGHLAND AVENUE UseGroup ConstClass ISSUED ON.- 08-Apr-2008 AMENDED ON. EXPIRES ON: 08-Sep-2008 TO PERFORM THE FOLLOWING WORK: SIGN PERMIT AS APPROVED FOR(NORTH SHORE PHYSICIANS GROUP) THIS PERMIT MAY BE REVOKED BY THE CITY OF SAL,AW UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. ti Sig d1!r%"4 'A<. Fee Type: Receipt No: Date Paid: Check No: Amount: SIGN REC-2008-001843 08-Apr-08 x $0.00 GeoTMS®2008 Des Lauriers Municipal Solutions,Inc. ° Permit Number APPLICATION FOR PERMIT TO ERECT A SIGIRECEIVE® PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED MAk 3 1 L0U8 Location,Ownership and Detail Must be Correct,Complete,and Legible "�trrB DEPT.OF PLANNING& CO1M UNTYDEVELOPMENT SALEM,MASSACHUSETTS J }� 0`6 TO THE BUILDING INSPECTOR: / The undersigned hereby applies for a permit to V Erect_Alter, Repair a sign on the following described buildings: Location and No. L[Dn N.SY.�6u A 6JL- Zoning/District Up p Name of Property Owner d � __�� Name of Sign Owner N0�`�tl't- �'y stcU++r� `""`^'P Address If Owner is a corporate body,name of responsible officer c lD P 5 044—wAt law Name of Licensed Sign Erector {u�� ^� 1AL I FA TWru�wwt, Salem License No. Tca2 Addressy�' FA �cll � D1q,15 Use of Building. 1°'Floor ✓ 3'"Floor 2^s Floor 4'b Floor .I l 1' 1 Frontage: Building 1 3`� linear ft Property linear ft Type of Sign Proposed: d Surface Right Angles to Building Free Standing ❑ Awning Other(specify) Proposed Sign Materials ��pt,e-svav, i S A t"Aw w,. U -K' PUC, �e 61 V'U. � yp,& pr!�'-� Proposed Sign Dimensions/41s j�1" scl� Sign Area '`I T q0Tsq ft 34" ,t kb., Ib y� Existing Signs: Surface: 4��e4- ° Sign Area sq ft Right Angles: Sign Area sq ft Free Standing: a'i" OW' Sign Area Ib 41 sq ft Other. Sign Area sq ft Signs to be Removed: Type 4vrfued Ftskw.li Sign Area 1 l0'1a sq ft Signature of Owner //gi�pp Estimated Cost of Net Work Signature of Owner's Authorized Repppresentative,� Lam`^ $ `}OD(� Address 3j -"y 1�6 Telephone q-Tt. r1yi-zlbgf' Signature of Property Owner APPROVALS(Department Use Only): P G&COMMUNITY DEVELOPMENT HISTORICAL COMMISSION BUILDINGINSPECTOR City of Salem Sign Permit Application Worksheet 3-Apr-08 North Shore Physicians Group 400 Highland Ave Zoning (res/non-res) BPD Entrance Corridor (Y/N) Y Lot frontage 400+ feet Building frontage 74 feet #of businesses on site 3+ Bldng dist from street center 130 Multiplier 1.25 Building Signs maximum area permitted 91.88 sq ft total proposed sign area 90.00 sq ft sign 1 length 324.00 inches width 40.00 inches sign 2 length 0.00 inches width 0.00 inches Freestanding Signs maximum area permitted 62.50 sq ft (per side) maximum #of signs permitted 1 signs maximum height permitted 15.00 ft tall sign 1-main area proposed sign area 16.00 sq ft length 24.00 inches width 96.00 inches proposed sign height 0.00 ft sign 1-second area proposed sign area 0.00 sq ft length 0.00 inches width 0.00 inches proposed sign height 0.00 ft Application meets guidelines set forth in the Salem Sign Ordinance yes Recommend approval yes 6i yid n® EXI5TING SIGN W�11414 4� REPLACE EXISTING WALL 51GN WITH NEW NON ILLUMINATED WALL 51GN 324 1"DEEP ALUMINUM PANEL NorthSh • , • , `� 1"THICK PVC LETTERS NON ILLUMIMATED CLIENT DATE THI5 DRAWING CONTAINS PROPRIETARY INFORMATION AND DESIGN CONCEPTS AND 15 ' NORTH 5HORE PHY5ICIAN5 GROUP 4/5/08 PROPERTY OF UNITED SIGN COMPANY.INC. IT 15 PRESENTED TO YOU FOR YOUR EXCLUSIVE USE AND MAY NOT BE COPIED OR SHOWN TO ANYONE OUTSIDE YOUR ORGANIZATION WITHOUT 33 Tozer Rd. PO Box 3106 LOCATION DE5IGNED BY OUR WRITTEN PERMISSION. CHANGING OF COLORS.SIZE,MATERIALS,OR ILLUMINATION DOES Beverly,MA 01915 400 HIGHLAND AVE., SALEM EJ/JEN Phone 978-927-9 346 NOT ALTER THE BASIC DRAWING.©2007 UNITED SIGN CO.,INC. ALL RIGHTS RESERVED. Fax 978-927-99351351 w .unitedsign.biz 400 HIGHLAND PLACE 400 HIGHLAND ` PLACE i'lY1 iY r Y IIIIF �4 EXISTING SIGN Y TANNI11 NG RELETTER 2'X 8'SECTION OF EXISTING FREESTANDING SIGN PM5 301 BLUE BACKGROUND WITH WHITE LETTERING 941/2" ShoreI North 231/2" Physicians CLIENT DATE TH15 DRAWING CONTAINS PROPRIETARY INFORMATION AND OE51GN CONCEI"5 AND 15 OEM NORTH 5HORE PHY5ICIAN5 GROUP 3/27/08 PROPERTY OF UNITED SIGN COMPA"INC. IT IS PRESENTED TO YOU FOP.YOUR EXCLUSIVE OLA70N DESIGNED BY U5E AND MAY NOT 5E COPIED OR SHOWN TO ANYONE OUT5IDE YOUR ORGANIZATION WITHOUT 33 Tozer Rd. PO Box 3106 OUR WRITTEN PERM15510N. CHANGING OF COLORS,SIZE,MATERIALS,OR ILLUMINATION DOES Bevedy, MA 01915 Phone 978-927-9346 400 HIGHLAND AVE.,SALEM E1/,1EN NOTALTER 41EBA51C DRAWING, c 2007 UNITED SIGN CO.,INC. ALL RIGHTS RESERVED. Fax 978-927-9351 w .unitedsign.biz City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form Please complete form and make two copies. Date Received 3 21 06 Amount Received 5, 0b Form of Payment J�4 Check ❑ Cash Client Information UIli+Cd `5�54 Co CASH PAYMENTS: client initials K Sign Permit Application Fee ❑ Conservation Commission Fee Payment received for what ❑ Planning Board Fee service? ❑ SRA/DRB Fee ❑ Old Town Hall Rental Fee ❑ Other Name of staff person receiving payment kk-Y6 e� f IV�ZP.i/ Additional Notes 1930 BEVERLY NA-nONAL BANK UNITED SIGN COMPANY, INC. &1=190 51NC1B� 33 TOZER ROAD P.O. BOX 3106 BEVERLY, MA 01915 53-276-113 PAY TO THE ORDER OF6v � l I C7 V,/-DOLLARS MEMO N'Pr, 1 A.2 ,IeTN+�1 ioa�S pE 1140 L930411' 1:0 1 L30 2 ?681: 28000 L05 2 21i' Original Check and Form: DPCD Finance Copy 1: Client Copy 2: Application File 400 HIGHLAND AVENUE 10-13 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM GIS#: 1331 Map: 03 Block: SIGN PERMIT Lot: 0005 Permit Sign Category: SIGN Permit# 10-13 PERMISSION IS HEREBY GRANTED TO: Project# JS-2013-000061 Est. Cost: $500.00 Contractor: License: Expires: Fee Charged:$0.00 United Sign Company Balance Due:$.00 Owner: North Shore Physicians Group 9 of Fixtures: Applicant: United Sign Company DigSafe# ]AT: 400 HIGHLAND AVENUE UseGroup IConstClass ISSUED ON: 05-Jul-2012 AMENDED ON: EXPIRES ON: 05-Dec-2012 TO PERFORM THE FOLLOWING WORK O SIGN PERMIT AS APPROVED FOR(NORTH SHORE PHYSICIANS GROUP)jbh Ca THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signator Fee Type: Receipt No: Date Paid: Check o: Amount: SIGN UC-2013-000062 05-Jul-12 x $0.00 GeoTNIS®2012 Des Lauriers Municipal Solutions,Inc.