62 JEFFERSON AVENUE - SIGN PERMIT (4) 62 Jefferson Ave
Andy's Exhaust&Undercar
i
City of Salem Sign Permit Application Worksheet
RECEIVED
21-May-15 IN i , EE ',VIES
Andy's Exhaust and Unden r
62 Jefferson Avenue 10 15 jUI4 1 1 PI b. 2 2
Zoning(res/non-res) R1
Entrance Corridor(YIN) N
1 n Lot frontage 160 feet
Building or tenant frontage 30 feet
#of businesses on site 2
_ n Bldng dist from street center <100 feet
Multiplier 1
Building and Blade Sins
maximum area permitted 30.00 sq ft
6--+ total proposed sign area 26.11 sq ft
sign 1
length 36.00 inches
height 60.00 inches
sign 2
length 20.00 inches
height 40.00 inches
sign 3
length 20.00 inches
height 40.00 inches
sign 4
length 0.00 inches
height 0.00 inches
sign 5
length 0.00 inches
height 0.00 inches
Freestanding Signs
maximum area permitted sq ft(per side)
maximum#of signs permitted signs
maximum height permitted 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 standards set
forth in the Salem Sign Ordinance Yes
Recommend approval Yes
3'0d CITY OF SALEM
Tq
q tl DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
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KIMBERLEYDRISCOLL 120 WASHINGTON STREET# SALEm,MAssAcHusETrs01970
MAYOR TEL 978619-5685# FAx:978-7400404
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.
oenano R.
' `• Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
w NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
j" 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 JErect, ❑Alter, ❑Repair a sign on the following described buildings:
Street Address Zoning District
O 7 —T7j l�p S C ^ a U Urban Renewal Area ❑Entrance Corridor
L �JLT�` J M ❑ Historic District V'None
lC 11C L • of
Telephone §dp ir060 16 floor tbb klzrn.r
• hC reLv @ r^ 2" floor
Address P V floor
Telephone ^� _ 4 floor
E-mail 61 Q SQ C' tido c0,,�j How many businesses are in the building?
If a corporate body, name p n d� /G
of responsible officer `l
Frontage
&A� Wi)r hamu Building r i linear feet
Construction Sup's license No Applicant's Space(If multi-tenant) 6 r linear feet
Address Property d r linear feet
Telephone Mail Sign Permit to
E-mail 1,k Sign Owner c Sign Erector ❑Other:
S- n
Proposed
t tSign 2 S n3 A
Surface urface Surfa
Li Right Angle to Building ight An to Buildin light Angle to Building
o Free Standing ❑F e S ding ❑Free Standing
❑Awning ❑Aw ' ❑Awning 2
c Portable(A-Frame) c Porta (A-F me) c Portable(A-Frame)
❑Other(specify) ❑Other(s ) ❑Other(specify)
Sign M rirl� f/UYI Sign t ials Sign Ma ials
L
Sign Di ons u x/ Qu Sig imensio / Sign imensions. ! r x 3 1
Sign Ara V1 Sign Are gn Area /.
s ft s sq it
Sign Height(if free standing) Si eight(if free standinlr Sign Height(if free standing)
Estimated Cost of Net Work
Existing Signs
Type Sign Area To Be Removed? Sign Owner
❑Surface sq ft o yes c no y
c Right Angle to Building sq ft ❑yes o no a�
❑ Free Standing sq ft ❑yes c no Sign Owners Authorized Representative
❑Awning sq it o yes Lino
❑Other(specify) sq ft c yes ❑no
� Property Owner
lVokne
Internal Review
a ning&Community Development Department Historical Commission
Buil Inspector
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City of Salem Department of Planning & Community
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received l� �s
Amount Received 70
Form of Payment
Check
Client Information El Money Order
CASH PAYMENTS: client initials
13 sign Permit Application Fee
❑ Conservation Commission Fee
Payment received for what
❑ Planning Board Fee/Z8A
service?
❑ SRA/DR8 Fee
❑ Old Town Hall Rental Fee
❑ Other:
Name of staff person receiving
Payment ��cipi jb
Additional Notes
ANDREW R GLASER 1090
114 BRIDGE ST / 53-13/110 MA
SALEM MA 01970-3946 � A 0.� I ��15 82728
Date
Orderofto e C<fdi d� �Gl�e $
Dollars 8
Bank of America
ACH RR 011000138
For Cwt A�/(/nitn �7
i:❑ L l ❑0 1381: 0000 L903594Bn" 1090
HaaMGleke
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2: Application File
Commonwealth of Massachusetts
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Citv of Salem
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120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
�•�""°c Return card to Building Division for Certificate of Occupancy
Permit No. B-15-569
FEE PAID: $0.00 PERMIT TO BUILD
DATE ISSUED: 7/28/2015
This certifies that MCLAUGHLIN MICHAEL R
has permission to erect, alter, or demolish a building 62 JEFFERSON AVENUE Map/Lot: 240089-0
asfollows: Signs SIGN PERMIT AS APPROVED FOR: ANDY'S EXHAUST & UNDERCAR
Contractor Name:
DBA:
Contractor License No:
7/28/2015
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.