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87 JACKSON STREET - SIGN PERMIT 87 Jackson Street Gold Star Auto , . , E r r / Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN • NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED k Location, Ownership and Detail Must Be Correct, Complete, and Legible rMrNB Salem, Massachusetts Date To the Building Inspector: The undersigned hereby applies for a permit to ❑Erect, Iter, ❑ Repair a sign on the following described buildings: DistrictStreet Address Zoning y ( 0 a Renewal Area ❑ Entrance Corridor cakSo ❑ Historic District ❑ None hone flo FFTelephone 2" floor ress 1 o c 3 floor bo _ Z_I b 4 floor E-mail How many businesses are in the building? If a corporate body, name ..- of responsible officer • �� a d Building linear feet Construction Sups License No Applicant's Space(if multi-tenant) linear feet Address C 5 Property linear feet Telephone1�//j - 01?02 Mail Sign Permit to �S E-mail ❑ Sign Owner ❑ Sign Erector o Other: Si 1 Sign 2 1 Sign 3 urface ❑ Surface ❑Surface ❑ Right Angle to Building ❑ Right Angle to Building ❑ Right Angle to Building ❑ Free Standing ❑ Free Standing ❑Free Standing ❑Awning ❑Awning in Awning ❑ Portable(A-Frame) ❑ Portable(A-Frame) ❑Portable(A-Frame) ❑ Other(specify) ❑Other(specify) ❑Other(specify) Sign Materials Sign Materials Sign Materials Sign Dimnsionb Sign Dimensions Sign Dimensions Sign Area Sign Area Sign Area sq ft sq ft sq ft Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing) Estimated Cost of Net Work $ L Existing Signs Typ€ Sign Area To Be Removed? Sign Owner Surface 00 sq ft wS es ❑ no ❑ Right Angle to Building sq It ❑yes ❑no ❑ Free Standing sq ft ❑yes ❑no Sign Owner's Authorized Repr tative ❑Awning sq ft ❑yes ❑no ❑Other(specify) sq ft ❑yes ❑no 7=77177 internal Review lanning&Community Development Department Historical Commission Approval tiJ Building Inspector =24110 rev �utnu2 CITY OF SALEM DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT I ZO KiNfRi-MAN DRISCOLL 120 WASHINCUON S'mrr r♦SALPb1,MASSACI W SGPIS 01970 MAYOR Ttu.:978619-5685♦ FAX:978-740-0404 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. 08/24/10 rev 4 1� i � � o ON Alt Q W h G: d0 0 City of Salem Department of Planning & Community Develo pment Check/Cash Receipt and Tracking Form Please complete form and make two copies. Date Received Zr ZUlZ Amount Received 2 U Form of Payment Check Client Information /c/ S ❑ Cash NTS CASH PAYME ; client initials ( Qv �`� ["Sign Permit Application Fee Payment received for what ❑ Conservation Commission Fee service? Planning Board Fee/ ZBA ❑ SRA/DRB Fee ❑ Copies ❑ Other: Name of staff person receiving payment Additional Notes ANTON REPIN 332 Sb91BNl113 53 ++bl4figiotal' Federal+b17Union www.dcu.org t: 21139 is 251: 1494636 2u• -- -- "r 0332 Original Check andForm: DPCD Finance COPY l: Client ----- ----- --- Copy 2: Application File - - - i I(� U r i i S, "� 4 Fv City of Salem Sign Permit Application Worksheet 28-Oct-13 Gold Star Auto Gallery 87 Jackson Street Zoning(res/non-res) non-res(B4) Entrance Corridor(YIN) N Lot frontage 112 feet Building or tenant frontage 60 feet #of businesses on site 1 Bldng dist from street center <100 feet Multiplier 2 lade Signs maximum area permitted 120.00 sq ft total proposed sign area 24.00 sq ft sign 1 length 48.00 inches height 72.00 inches sign 2 length 0.00 inches height 0.00 inches sign 3 length 0.00 inches height 0.00 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 It length 0.00 inches height 0.00 inches proposed sign height 0.00 It(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 87 JACKSON STREET 352-14 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM GIS #: 1255 Map: 25 Lot: SIGN PERMIT Lot-. 0657 Pernut: Sign Category: (SIGN .Permit# '352-14 PERMISSION IS HEREBY GRANTED TO: Project# JS-2014-000810 Est. Cost: $330.00 Contractor: License: Expires: Fee Charged:$2200.00 FULL COLOR Balance Due:$.00 Owner. LABONTE PETER J,LABONTE HELEN J/PHILIP J #of Fixtures: Applicant: FULL COLOR DigSafe# AT: 87 JACKSON STREET UseGroup ConstClass ISSUED ON: 29-Oct-2013 AMENDED ON: EXPIRES ON: 28-Jun-2014 TO PERFORM THE FOLLOWING WORK: INSTALL 4 X 6 SIGN FOR GOLD STAR AUTO GALLERY INC THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON V ATIONOF ANY OF ITS RULES AND REGULATIONS. Signature: Fee-1ype: Receipt No: Date Paid: Check No: Amount III III REC-2014-000813 19-Oct-13 332 $20.00 GeoTNIS®2013 Des Lauriers Municipal Solutions,Inc.