44 JEFFERSON AVENUE - SIGN PERMIT 44 Jefferson Ave
Pizza World
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'T Commonwealth of Massachusetts I-\s
City of Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to BuildingDivision for Certificate of Occupancy
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Permit B-17-50 PERMIT TO BUILD
FEE PAID:: $0$0.00
DATE ISSUED: 1/25/2017
This certifies that BRAANDON SIMPSON
has permission to erect, alter, or demolish a building 44 JEFFERSON AVENUE Map/Lot: 250386-0
as follows: Signs SIGN PERMIT AS APPROVED FOR:
PIZZA WORLD
Contractor Name:
DBA:
Contractor License No:
1/25/2017
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.
City of Salem Sign Permit Application Worksheet s
•
18-Jan-17
O
Pizza World 2011 JAN 2 3 A �• 3 y
44 Jefferson Ave
Zoning(res/non-res) R-1
�... Entrance Corridor(YIN) N
Lot frontage -190 feet
Building or tenant frontage 43 feet
#of businesses on site 1
�•1�
Biting dist from street center <100 feet
I�.J Multiplier 1
b
Building and Blade Signs
maximum area permitted 43.00 sq ft
total proposed sign area 20.00 sq ft
sign 1
Primary sign length 5.00 inches
height 4.00 inches
sign 2
Vertical painted length inches
height inches
sign 3
Painted Doll length inches
height inches
sign 4
length inches
height inches
sign 5
length 0.00 inches
height 0.00 inches
Freestanding Signs _
maximum area permitted sq It(per side)
maximum#of signs permitted signs
maximum height permitted it tall
sign 1
proposed sign area 0.00 sq ft
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 standards set
forth in the Salem Sign Ordinance Yes
Recommend approval Yes
Reface of existing sign.Double sided each side is 20 square feet.The
existing box is internally lit.Window signage is not proposed,existing
stickers on the window will be removed.
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CITY OF SALEM
3q� p p DEPARTMENT OF PLANNING AND COMMUNITY ,NT'/
ED1JMIILR1.FY t9RIM. A.1. 1311 WNSI INC I ON"'I KIXI *S:1LGM,MASSACI II'SICI'IS 01970 I
Nf,mw 'Ila.:978619-5685♦ VAX:978-740-0404 J'?.J
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CITY OF SALEM SIGN PERMIT PROCESS C"MMUtviryoLAfv ME r
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.
0304110 ro
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Tt 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 o Erect, c Alter, ❑Repair a sign on the following described buildings:
Street
District
1 •, (' ❑Urban Renewal Area ❑Entrance Corridor
❑Historic District ❑None
A uqush 0. b,-(UA6r, Use of Building
Telephone 1 1s floor
2 floor
Address 3kt Wul 3 floor
Telephone 'Jl- 4 floor
E-mail r t How many businesses are in the building?
If a corporate body, name V Frontage
of responsible officer
Building (43 linear feet
Construction Sup's License No Applicant's Space(if multi-tenant) linear feet
Address Property linear feet
Telephone
E-mail VignOwner o Sign Erector ❑Other:
Sin 1 Sign 2 Sign 3
❑ urface ❑ Surface ❑Surface
V'Right Angle to Building ❑Right Angle to Building c Right Angle to Building
❑ Free Standing ❑Free Standing ❑ Free Standing
❑Awning ❑Awning ❑Awning
❑ Portable(A-Frame) c Portable(A-Frame) ❑Portable(A-Frame)
❑ Other(specify) c Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials
Sign Dimensions V _ Sign Dimensions Sign Dimensions
67A 4%
Sign Area Z0 S Sign Area Sign Area
s ft sq it sq ft
Sign Height(if free sta ing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ uJ
Existing Signs
Type Sign Area To Be Removed? Sig r
❑Surface t�, sq ft ❑yes ❑no _
4Right Angle to Building �-`�sq ft ❑yes )no
❑ Free Standing sq ft o yes ❑no Sign Owner's Authorized R presgnta we
❑Awning sq ft ❑yes ❑no '��
❑Other(specify) sq ft ❑yes ❑no
7_61 {c Property Owner
G S f
Internal Review
Planning&Community Development Department Historical Commission
Building Inspec or
OwNlom
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Effective Date: January 11th, 2017
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Western Surety Company
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LICENSE AND PERMIT BOND
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fi KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 63033202
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Thatwe, Louisa Brandon LLC dba Pizza World
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o Massachusetts
" of Salem , State of , 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
sum of One Thousand and 00/100 DOLLARS (S1, 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
January 11th 2020 , 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 thi,4 a5��f" lays from the mailing of said notice, this bond shall ipso facto terminate and the Surety
sh�$` l�e}'eup0llieved from any liability for any acts or omissions of the Principal subsequent to said
dot S,-.ps .the number of years this bond shall continue in force, the number of claims made
akasris{� us bo'd s"i�the number of premiums which shall be payable or paid, the Surety's total limit of
1FpYcy shall note emulative from year to year or period to period, and in no event shall the Surety's total
hib ity o VlaiiA'S-exceed the amount set forth above. Any revision of the bond amount shall not be "
cu4ul pye.
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Dates 17th day of January 2017
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" Loui Brandon DBA Pizza World
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WESTE SURET COMPANY
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Paul T.Br at,Vice President
n Form 532-12-2015
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ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA 1 Ss (Corporate Officer)
COUNTY OF MINNEHAHA I
On this 17th day of January 2017 ,before me, the undersigned officer,
personally appeared Paul T. Bruflat ,who acknowledged himself to be the 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.
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J M. BENT
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NOTARY PUBLIC SE�AI. e
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My Commission Expires March 2, 2020 ACKNOWLEDGMENT OF PRINCIPAL
STATE OF ss (Individual or Partners)
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 (Corporate Officer)
COUNTY OF ss
On this day of 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 Snuth Daknta its regularly elected Vir•P PrPsidont ,
as Attorney-in-Fad, 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
bond with bond number 63033202
for Louisa Brandon LLC dba Pizza World
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 corporation. 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
2017 Vire President with the corporate seal affixed this 17th day of January
ATTEST WEST E N U R E T>7COMPANY
By
L.Nelson,Assistant Secretary Paul T ruflat,Vice President
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STATE OF SOUTH DAKOTA
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COUNTY OF
On this 17th da of January 2017 personally a
y , before me, a Notary Public,personally appeared
Paul T. Bruflat and L. Nelson
who, being by me duly swam,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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i(SEAL,NOTARY PUBLIC�LS Aci
` SOUTH DAKOTA ' �12J
Nota Public
♦4S44gS4gY4S44444SSS444q} My Commission Expires June 23, 2021 Notary
To validate bond authenticity, go to www.cnasurety.com >Owner/Obligee Services>Validate Bond Coverage,
Form F1975-1-2016 0
Customer Name: Brandon Job Number:08118 File Name: Pizza World Us
Company: Pizza World Order Taken By:G Price: $800.00
Street:44 Jefferson Ave Order Number: E-mail address:
City:Salem Order Date:
State:Ma Zip:01970 Delivery Date:
Country:US Terms: 50% down balance due on or before installation
Phone:978-223-0317 Shipping:
Fax:
Description: 4'Wx5'H sign face re-letter
Comments: Removal of lettering and installation separate pricing
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Cusiom&Name: Brandon Job Number:08118 File Name: Pizza World 1.fs
Company: Pizza World Order Taken By:G Price: $800.00
Street:44 Jefferson Ave Order Number: E-mail address:
City:Salem Order Date:
State:Ma Zip:01970 Delivery Date:
Country:US Terms: 50% down balance due on or before installation Aur _
Phone:978-223-0317 Shipping: ra_
p ICS
Fax: .9i 534
Description:4'Wx5'H sign face re-letter 220BR.(RWA)Peabo y,M.01960
Comments: Removal of lettering and installation separate pricing
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