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76 LAFAYETTE STREET - SIGN PERMIT (3) 76 Lafayette Street Orange Leaf f � I� � d CO . hP ae �� � D �'� �' � � � � �� 1.02 LAFAYETTE STREET 754-12 COMMONWEALTH OF MASSACHUSETTS GIS#: _ CITY OF SALEM �too� - ---- :14115: 34 Bloch: Lot: i0417 -- _ --- SIGN PERMIT Pennil: Sign Category: SIGN Pertnrt# 754a2 ProjectN JS-20 02062 PERMISSION IS HEREBY GRANTED TO: 12-0 Esc Cost-. SS.0o0.00 Contractor: License: Expires: Pee Charged:$0.00 METRO SIGN&AWNINGS t2alance Due:!S.00 Owner: DODGE AREA, LLC,C/O RCG LLC Of hlatnres: Applicant: METRO SIGN&AWNINGS Di-'Salc a AT. 102 LAFAYETTE STREET l)sc(inuiP ConslClass - ISSUED ON: 23-Mar-2012 AMENDED ON: EXPIRES ON: 23-Aug-2012 TO PERFORM THE FOLLOWING WORK: SIG's PERMIT AS APPROVED FOR( ORANGE LEAF) THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt Na: Date Paid: / plount SIGN REC-2012-002273 23-Mar-12 $0.00 1:m(GNIJ(r4 2012 Des Lauriers Municipal Solutions,Inc. Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN { NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED lir Location, Ownership and Detail Must Be Correct, Complete, and Legible Salem, Massachusetts To the Building Inspector: Date � The undersigned hereby applies for a permit to td Erect, u Alter, u Repair a sign on the following described buildings: Street Address ning ct • %T rban Renewal Area a Entrance Corridor V FE ^YIL 5TCU- ,CJTq 1 .o Historic District c None ' oDGE- Pr,OPECTI CS )-l_C o R.CG "c j Use of 1s Floor• Telephone 78 - -70-0006 f=Ko- ti� oc;,zT REs Ru+'cAn, ' F_T Z Co 4o cAln)GS 1--i. C. 2 floor Address Lon R>JCµ N-A<£ a'd EL 1 3 floor Telephone7 19 - SO - 96 11 40 floor E-mail O Q(4N6C L -gLCO ( iL-• cc r-1 How many businesses are in the building? If a corporate body, name Frontage of responsible officer ( 14 U 10 1 Uc-eC_ fry-I.lZo 5(lrrJ 1 (}WNrNG Building linear feet Construction Sups t.ioense No G 4 5 Applicant's Space(if multi-tenant) So linear feet Address 0 LoC,,y 57¢4kT Tiqu,tC!5&W-1i Property a3 linear feet Telephone - 951a4,2-4, Mail Sign Permit to D,,V vA e rt ETCo_ ivign Owner o Sign Erector u Other: Sign 1 Sign 2 Sign 3 o Surface c Surface u Surface u Right Angle to Building o Right Angle to Building u Right Angle to Building Standing/ o Free Standing c Free Standing Zing pawning ;i i I o Awning L Portable(A-Frame) u Portable(A-Frame) u Portable(A-Frame) Li Other(specify) u Other(specify) u Other(specify) Si n Materials Sin Materials Sign Materials { Lr+ 5c:r„f32ti I o I, ui 5 /'j6eC1jjk Cl-OT14 Sign Dimensions Sign Dimensions Sign Dimensions Pr r- Fri Sign Area Sign Area Sign Area 6 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 $ 8C,cC 0 CO j Existing Signs Type Sign Area To Be Removed? Sign Owner u Surface sq It u yes o no • Right Angle to Building sq It c yes u no Vee Standing sq ft c yes u no AOwnuthorized Representative Awning //- � sq It e�s u no Other(specify) 1M/4in/G 6A6v .'20 sq ft jes u no 5<,C 'q-1r& Ko fiCTUICC tri Internal Review Planning&Community Development Department Historical Commission Approval Building In actor )&24110 w Salem Redevelopment Authority Decision March 14, 2012 76 Lafayette Street (Orange Leaf): Discussion and vote on proposed awnings SRA Decision At their meeting on March 14, 2012, the SRA voted to approve the February 22, 2012 DRB recommendation for the proposed awnings at 76 Lafayette Street. DRB Recommendation At its meeting on February 22, 2012, the DRB recommended approval of the proposed signage for Orange Leaf with the following condition: - All awnings except the south entry awning shall protrude 6"-8" less than originally proposed. Proposal for March 14 SRA Meeting The submission includes photos and plans of the proposed awnings. The proposal, dated February 24, 2012, is to add seven black Sunbrella cloth awnings. Four awnings would have a 16" x 16" orange leaf logo and three would have a 16" x 78.4" logo and business name. The revised depth of the awnings would have a 16" projection except for the awning over the entrance which would have a 24" projection Staff Comment for March 14 SRA Meeting The applicant has revised the proposal to conform to the DRB condition. Proposal for February 22 DRB Meeting The submission includes photos and plans of the proposed awnings. The proposal is to add seven black Sunbrella cloth awnings. Four awnings would have a 16" x 16" orange leaf logo and three would have a 16" x 78.4" logo and business name. Staff Comment for February 22 DRB Meeting The proposal complies with City and SRA guidelines. d. Salem Redevelopment Authority Design Review Board Recommendation February 22, 2012 76 Lafayette Street (Orange Leaf): Discussion and vote on proposed awnings DRB Recommendation At its meeting on February 22, 2012, the DRB recommended approval of the proposed signage for Orange Leaf with the following condition: - All awnings except the south entry awning shall protrude 6"-8" less than originally proposed. Proposal for March 14 SRA Meeting The submission includes photos and plans of the proposed awnings. The proposal, dated February 24, 2012, is to add seven black Sunbrella cloth awnings. Four awnings would have a 16" x 16" orange leaf logo and three would have a 16" x 78.4" logo and business name. The revised depth of the awnings would have a 16" projection except for the awning over the entrance which would have a 24" projection Staff Comment for March 14 SRA Meeting The applicant has revised the proposal to conform to the DRB condition. Proposal for February 22 DRB Meeting The submission includes photos and plans of the proposed awnings. The proposal is to add seven black Sunbrella cloth awnings. Four awnings would have a 16" x 16" orange leaf logo and three would have a 16" x 78.4" logo and business name. Staff Comment for February 22 DRB Meeting The proposal complies with City and SRA guidelines. Approx. 12' Approx. 12' A.1 16" A.1 78.4" r LL SLL LO7orange leaf M _ N FIIONI BUIL�INGRWNINGS Black Sunbrella cloth background. C ' n • • --Painted graphics. (16" x 16") + (16" x 78.4") = 10.5 sq.ft. (AMSCALE: 18,R,MV --Frame constructed of 1"square galvanized steel tubing. T.B.D. A.1 A.1 --- Maximum 16" 16" �— projection from building oranoe leaf s - Side View ruLFFVRONT W Orange PMS#138cyGreen PMS#382c❑WhiteGray PMS#431 g p0 black) DERBY STREET www.metrosign.net Fax:978.8 13elOmeydge Lecallcn: 0110191018: 2-7-2012 "ate ,� FIIe AM: Orange LeAf Awnings Salem MA 12-7958.edr Orange Leaf 2-9-2012 Rev1 updated plot plan ,,.. g 2-23-2012 Rev.2,smaller projection pee, p 31113 Re0.: Designer: SM Drawing# Derby Street,Salem MA 2-24-201213ev3:16"Droi. DanaSingleton mgelce: 12-7959-3r3 '' ' 113 11 To Be Surveyed A.1 16„ Maximum 16" 6 projection from building Co � LL N CUHNEH BUILDING AWNING Side View SCALE: �r --Black Sunbrella cloth background. ' ,....e --Painted graphics. --Frame constructed of 1"square galvanized steel tubing. ;, (16" x 16") = 1.8 sq.ft. G.r _ Orange PMS#138c White r`r Willis� To"her Elevation 2-8-2012 Orange Leaf_Awnings_Salem MA 12-7958.cdr Orange Leaf 2-9.20128ev.1:correct photo inserted 2-23-2012 Rev.2:herby Street,Salem MA 2-24-20128ev.3:1Vprrprojection snn olDana Singleton 12-7959-43 141" wF141" VIF I� A.1 16 A.1 78.4" �o > orange M 60 N SDE BUILDING AWNINGS ind gahes'°th background.--Pat graphics. SCALE: 3/8" = 1'-0" --Frame constructed of 1" square galvanized steel tubing. A.1 A.1 • • . 1_(16" x 16") + (16" x 78.4") = 10.5 sq.ft. �T.BSD. —_s Maximum 16" 16" projection from building orange leaf Side View Orange PMS#138c Green PMS#382c ❑Whiteema NGra y PMS#431 t p0%black) ftW • -ww.metrosign.net Fax: 978-851-2022 170 Lorum Street, Tewksbury, Ma 01876 978-851-2424 cu•r•mer/deo Coca-lion: geramemsunr. 2-7-2012 o e°i O uu;; ° "„"me rv.i.. FlI.RIM: Orange Leaf Awnings Salem MA 12-7958.cdr Orange Leaf 2-9-201280 °°^ ^_ ^^• s=^°a—^..M taIR1.0.: geslnner: SM en•un.# 2-23.2012 Rev.2:smaller ro'ection •e•nYtl: IDerbyStreet,SalemMA 2-24-2012Rev.3:16"oroiection "a .� Dana Singleton muoln: 12-7959-2r3 145.5" VIF 146.5" VIF A.1 78.4" A.1 16" LL_ � LL_ co > _ M orange N BERB BUILDING RWNINGS Black Sunbrella cloth background. —Painted graphics. q PMS#138c --Frame constructed of 1'"square galvanized steel tubing. 116" x 16") + 116" x 78.4") = 10.5 s .ft. T.B.D. Maximum 16' IN701rEge Green PMS#382c projection from building White 24" A.1 Al' NGrgPMS#431 Maximum 24' ° (70% black) projection—� from building PROJECTION Y I I Alorange leaf Al r _ Side View Side View Entrance Awning F,r Iwr p' :�,vayadvcnttrr�• z G r www.metrosi. ceatoMnr�ao Location: oslafnamslons: 2.7.2012 '".o w°, »" .,`„ ,";,",;.��;,""""°"`"` " File name: Orange Awnin s Salem MA 12-7958.cdr _ projection a"M,. w" ,�. a,..". g _ g _ .�o..Ms Orange Leaf 2-23-2012 Reva:smaller projection ,�„,b�"� `"'"""` sales nal.: oaaloaer: sM oraulmo# �, DerbyStreet,Salem MA 2-24-2ot2Rev.2:16" ro'ection „� Dana Singleton Memo: 12-7959-5f2 City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form Please complete form and make two copies. Date Received e L� 13 J �, a Amount Received — — Form of Payment Check E] Cash CHECK PAYMENTS: write check number CASH PAYMENTS: write client initials Sign Permit Application Fee Conservation Commission Fee Payment received for what service? Planning Board Fee Old Town Hall Rental Fee F—] Other Name of staff person (� receiving payment � � Additional Notes -4 Sa- o�, czcf BankofAmerica '�� Cashier's Check No. 2415498 Nouaew#upn dm I. Ic. I beck@Iuyl,mFpbaN 2xu lab nsmam „2, .. AFVtIla xmmmcnrend v}w Y + nal I II be nq4 etl iT Iv rcpQ.m I J hH -1 chakshoald¢e&glel.l 1.+j,Liu. VIA Banking SAL3M -BARING CENTER 0082720 00005 00024151.v G ,nl'i i,i,C. 8 Retnitter(Nrehased By) 1b $ **a5 .cur*>: t m Pay !'RIGHTY FIVR DOLLARS AND 00 CRNTS" To The Order *'CITY OF SALEM,* 5-lztl Of ittt 'k- 01 F uthorized Sibmatutv 9 Bank otonio,ex N.A. VOID AFTER 90 DAYS 9S San Antonin,Tesco II' 24 LSL,q&1 t: L L40000 L91: 00 L64 LOOS 33cle A THE ORIC IN%1 110(1,"%HNI HAS R EFI.I!CTI VF. VAT ERMA RK ONTI IE BACK DIF ORIGINAL DOCUMENT HAS REFLECTIVE WATERMARK ON THE BACK Original Check and Form: DPCD Finance Copy 1: Client Copy 2: Application File City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form J Please complete form and make two copies. Date Received [� Amount Received Form of Payment Ptheck ❑ Cash Client Information CASH PAYMENTS: client initials ,2rsign Permit Application Fee ❑ Conservation Commission Fee 1:1 Planning Board Fee / ZBA Payment received for what service? ❑ SRA/DRB Fee ❑ Copies ❑ Other: Name of staff person receiving payment Additional Notes aMi L2- JETICO HOLDINGS LLC 1009 SALEM LOCATION y 7 COMANCHE PL 51 171 82 711 Ali ANDOVER MA 01810-8805 DATE 0///71/2 TO THE PAY ORDEROF�j( / D/� �/T�"�// �j �� •l DOLLARS Bank ofAmerica ACM A T 01 t=lp FOR 11'00100911' 1:0 11000 13a1: 0046 34 10 2 24411' Original Check and Form: DPCD Finance Copy 1: Client Copy 2: Application File Massachusetts-Department of Public Safety _ Board of Building Regulations and Standards ��.+` Construction supervisor License License: CS 76718 Restricted to: 00 _ -DAVID J RANDA w 8 CIDER HILL LN SHERBORN, MA.01770 j - Expiration: 3/15/2012 CERTIFICATE OF LIABILITY INSURANCE 9�14/201i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andomement(s). PRODUCER CONTACT Elizabeth BOrtone NAME: EM Walley Insurance Agency Inc PHGNE . (781)326-8383 FAX No,.(781)326-8387 475 High Street E-MRIE .ebortone@walleyinsurance.com P. 0. BOX 469 INSURERIS)AFFORDING COVERAGE NAICR Dedham NIA 02026 INSURER A.Travelers Indemnity Cc of CT 25682 INSURED INSURERSMravelere Prop Cas Ins Co 36161 Expansion Opportunities Inc INSURER C.Travelers Ina Cos DBA Viewpoint Sign & Awning INSURER O: 35 Lyman Street INSURER E: Northborough MA 01532 INSURER F: COVERAGES CERTIFICATE NUMBER2011 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER MMD/ CYEFF MM/DO EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A DLAIMS-MADE OCCUR 63056090939 9/19/2011 /14/2012 MED EXP(Any one on) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINEa accident) IN 11000.00 B Ix ANY AUTO BODILY INJURY(Per person) $ ALLOANED SCHEDULED 8100123T720 /14/2011 9/14/2012 BODILY INJURY(Par scadem) $ S AUTOS HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS PereWdent Medical panments $ X UMBRELLA LIARX OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTIONS 10,00C CUP7678C707 /14/2011 9/14/2012 $ (] WORKERS COMPENSATION y WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETCRIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 500,00 OFFICERMEMBER EXCLUDED? ff] NIA (Mandatory In NH) -4A698605-11 9/14/2011 /14/2012 E.L.DISEASE-EA EMPLOYEE $ 500,000 Ityyes,descr ea under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY UNIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is requlredl CERTIFICATE HOLDER CANCELLATION (508)393-4244 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Expansion Opportunities, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. DBA Viewpoint Sign & Awning 35 Lyman Street AUTHORIZED REPRESENTATIVE Northboro, MA 01532 Frank Walley III/BETH ACORD 25(2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. INS02549nlnnslnl Th.Arnpn nam<and Innn orn ronie}nro,4 mur4e of Ar.nPn The Commonwealth of Massachusetts IMMMM Department of Industrial Accidents OfJke of Investigations I Congress Street'Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Aaulicant Information Please Print Legibly Name(Busineworganiration/Individual):Expansion Opportunities Inc,dba Viewpoint Sign and Awning Address: 35 Lyman Street City/State/Zi :Northborough, MA 01532 Phone#:508.393.8200 Are you an employer? Check the appropriate box: Type of project t(required): M1. 1 am a employer with� 4._ ❑ 1 am a general contractor and I 6. C]Now construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheoL 7. ❑Remodeling ship and have no employees Those subcontractors have g• ❑ Demolition workingfor me in an capacity. a ci employees and have workers' y pa ty• 9. ❑Building addition [No workers'comp. insurance comp.insurance.t required.] S. ❑ We are a corporation and its I0.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.E] Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 1311Other comp. insurance required.] *My applicant that checks box 01 must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the subcontractorsand state whether or not those entities have employees. If the sub-contractors have employes,they must provide theirworkers'comp.policy number. .lam an employer that Is providing workers'compensation insurance for my employees Below is the policy and job site Information. Insurance Company Name: AIG (� Policy If or Self-ins. Lic.#:WC 00176250500 Expiration Date: Job Site Address: IQ.# ESTX sn& City/State/Zip: A - Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a line up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the Fonn of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. /do hereby cert y under the pains ant/L=s er•ury that the in armation provided above is true and correct. Signature: Date. phone#: 508.393.8200 Official rise only. Do not write in this area,to be completed by city or town official. City or Town: Pernrit/License If Issuing Authority(circle one): I.Board of health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone th SIGN LICENSE OR PERMIT BOND Bond No. BLN9453184 KNOW ALL MEN BY THESE PRESENTS,That We Jetico Holdings,LLC of 7 Comanche PI Andover,MA 0 18 10 , 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 tam day of Febmary ' 2012 WHEREAS, A SIGN LICENSE OR PERMIT has been granted by the Obligee to the above bounden Principal located at 76 Lafayette Sr,Salem MA 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 131h day of February 2013 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. Jetico Holdings LC uzi�BY The Hanover Insurance, ompany BY: 1 s 1.Howlett III Attorney-in-Fact