105 LAFAYETTE STREET - SIGN PERMIT 105 Lafayette Street -�
New York Fried Chicken
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104-106 LAFAYETTE STREET 451-09
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
GIS 11: 110640
.Map: _ 134
Block: _ - - SIGN PERMIT
Lot: - - 0488-0
Permit: -- - Sign
Category: SIGN
Permit a 451-09 PERMISSION IS HEREBY GRANTED TO:
Project Yr .1S 2009-000746
Est. Cost-. ISO.00 Contractor: License: Expires
FecCharged:80.00 Excel Sign&Decoration Corp
BalanceDue:'$.00 - _. Owner: Hazrat Khan
li of Fumires I Applicant: Excel Sign & Decoration Corp
DigSafc# _FIAT: 104-106 LAFAYETTE STRHI r
UseGroup
ConstClass
ISSUED ON. OS-Dec-2008 AMENDED ON: EXPIRES ON: oS-Nlav-2ti0o
TO PERFORM THE FOLLOWING WORK.
SIGN PERMIT AS APPROVED FOR(NEW YORK FRIED CHICKEN)jhb
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALE, 1PON VIOLATION OF ANY OF
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
SIGN RITC-2009-000870 08-1)ae-O8 s 50.00
GeoTMS®2008 Des Law iers Municipal Solutions.Inc.
City of Salem Sign Permit Application Worksheet
26-Nov-08
New York Fried Chicken
105 Lafayette Street
Zoning(res/non-res) B5
Entrance Corridor(YIN) Y
Lot frontage 85 feet
Building or tenant frontage 15 feet
#of businesses on site 5
Bldng dist from street center 35 feet
Multiplier 1
Building and Blade Signs
maximum area permitted 15.00 sq ft
total proposed sign area 14.69 sq ft
sign 1
length 117.50 inches
height 18.00 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
height 0.00 inches
Freestanding Signs
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 ft
length 0.00 inches
height 0.00 inches
proposed sign height ft
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
RECEIVED Permit Number
NOV2 6 20A PLJCATION FOR PERMIT TO ERECT A SIGN
DEPT, OF PLAN BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
COMMA DEVEM'Ownership and Detail Must Be Correct, Complete, and Legible
Salem,Massachusetts
Date
To the Building Inspector:
The undersigned hereby applies for a permit to Erect, in Alter, ❑Repair a sign on the following described buildings:
Street Address Zoning District
105 Lafayette st BS ^ Urban Renewal Area Entrance Corridor
Historic District a None
FTelephone
e .f BuiWing
1 floor Retals and Restaurant
New York Fried Chicken 2" floor
105 Lafayette St,Salem,MA 3 floor
617-285-5820 4 flow
E-mail How many businesses are in the building? 5
If a corporate body,name Hazrat Khan
of responsible officer
Excel Signs Building N/A linear feet
Construction Sup's License No CS088919 Applicant's Space(if muni-tenant) 15 linear feet
Address 259 Quincy Ave,Quincy,MA 02169 Property N/A linear feet
Telephone 617-079-6552Sign Permit to
E-mail permit@excelsigns.com ❑Sign Owner rj Sign Erector 6 Other.
Proposed proposed,n1 Si n2 Sign 3
Surface e in Surface o Surface
o Right Angle to Building' n Right Angle to Building o Right Angle to Building
❑Free Standing n Free Standing n Free Standing
.. Awning o Awning n Awning
❑Other(specify) n Other(specify) n Other(specify)
Sign Materials Sign Materials Sign Materials
Cooley Brite clothes; Galvanized tube frame
Sign Dimensions , / it Sign Dimensions Sign Dimensions
Sign Area Sign Area Sign Area
4, 7 f ft ft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
Existing Signs
Type Sign Area To Be Removed? Siga 6yme�
❑Surface sq ft ❑yes n no
n Right Angle to Building sq ft ❑yes ono
n Free Standing sq ft n yes n no Sign e s Authored Representative
n Awning sq It n yes n no
a Other(specify) sq ft n yes n no
Pr r
\,_pyjirYg A Commun evelopment Department Historical Commission
Buld' Inspector
I 1MV08 rev
The Commonwealth of Massachusetts
^�1 Department of Industrial Accidents
y i} Mice of Investigations
—L i r/, 600 Washington Street
Y `..�y- Boston, MA 02111
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant information Please Print Leeibly
Name(Business/OrganizatiorOndividual): Excel Sign & Decorabon Corp.
Address:259 Quincy Ave
City/State/Zip: Quincy, MA 02169 Phone#:617-500-3537
Are you an employer?Check the appropriate box:
1.N I am a employer with 3 4. E] I am a general contractor and I Type of project(required):
employees(full and/or part-time).*
have hired the subcontractors 6. ❑New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling
ship and have no employees These subcontractors have 8. ❑Demolition
worming for me in any capacity. employees and have workers'
[No workers'comp.insurance comp.insurance.:
9. E]Building addition
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner have exercised their r doing all work 11.[]Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13.0 Other Signage
corop-insurance required.]
Any applicant that checks box kl most also fill 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 owside contractors most submit a new affidavit indicating such.
iContractors that check this box must attached an additional sheet showing the renne of the subcontractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'coup.policy member.
I am an employer that is providing workers'compensation insurance for my employees. Below is the polity and job site
information.
Insurance Company Name;Zurich
Policy#or Self-ins.Lic.#:WC0341034 Expiration Date:09/25/2009
Job Site Address: 105 Lafayette st city/State/zip:Salem, MA
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
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form 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.
I do hereby certify under the pains and penallies of perjury that the information provided above is true and correct
SiQnatme: 11_� Date 11/14/2008
Phone#:617-479-8552
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/Lkense#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3.City/Town Cleric 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
EXCEL SIGNS
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EXISTING CONDITION PROPOSED ELEVATION
0=2a101"CEL SIGNS DECORATION CORP.ALL RIGHTS RESERVED
ALL CONTENT ON THIS DRAVANG IS PROTECTED BY US COPYRIGHTAOT.
CUSTOMER NAME. Khan Hazrat ADDRESS: 705 Lafayette St AlfFYAxaL b m G°mngeW be wp4mmMa mto. -'added petive.MYeIl«BII«i°r
COMPANY: New York Fried Chicken cm: Salem STATEop-.MA .eoemw' Pmm�l' � w �"°b;1e°N esOnal°°.°`ml°'°'°""�1°ro,
M1MniedeY �eW�NCIR. 6Iq Sle melIllmCetl Overt due unvMgineulletl Or vWi-61r°m l.e Caleof Sale
W dddl. .aC 1°r tlemegee Cue b Inlentl,C,d—du adeade l e Oy Ne Stele°I
PHONE: 617-282$996 FAX: X Date: Inwlebn eM ellom«c«�dnwn.nw..u.ed by u.uddun.subeed.Rw gym.nt webs
<CYBbIIIerS BNR> ae ugn¢m[:b0e�°Ixv'k rayNMu gerty lmeerJM.1TwM.qa beW buf{eclbe
SCALE: FILENAME: FCO.FS ORDER DATE: 1110512008 N" +ex APR mmmel.ens n dm sea m Nn wnnm w a.ve.lnemn.tl P°a s«e.wlwm Imw..I
wume norma.wbm egraee m qey all deet ew leas due m IM gnedeN.All eNaemenb
JOB NO.: 081120144P ESTIMATE: $0.00 (SO=NO PRICE)PLUS 5%MATAX DATE: 11/21/2008 Print Name: nornded.mmin 7 d dl�Ps uell. 15%ramdled.9 II..www ne°nkub°ene may.Ndf,,l
EXCEL SIGNS
��"!l�(llfldL"1 aY9ilU3�'1'JSd^/�77].9�d7�J
`f tib`/)-479-1:552 P 1617),011-41.052
aiYyNMY.'£(SFtv7�T�'^^^�n 9d �
Aluminum Panel Sign
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Panel Sign Specifications:
Panel: Vinyled White Aluminum
Structure: I"Aluminum Tubing Frame
Lettering: Vinyled 1/2" Laser Cut PVC
Illumination: (3) Overhead Gooseneck Fixture
02002-2007 EXCEL SIGN&DECORATION CORP.ALL RIGHTS RESERVED
ALL CONTENT ON THIS DRAWING IS PROTECTED BY US COPYRIGHTACT.
Anal....O&..I'
CUSTOMER NAME: Khan Hazrat ADDRESS: 105 Lafayette St The Quoted prim.apaa tone and mMitlonsaresabdactoryand
are hereby eooapted.You are authorized to do the work at the beadon
COMPANY: New York Fried Chicken cm: Salem STATEtzIP: MA as swclffed.Payment will W made as per term.and conditne.
PHONE: 617-282-6996 FAX: X Date:
SCALE: 0.091 FILENAME: FCO.FS ORDERDATE: 11/05/2008 -Customer Slgnalu ,>
JOB NO.: 081120144P ESTIMATE: $0.00 ($0=NO PRICE)PLUS 5%MA TAX DATE: 11/21/2008 Print Name:
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received mcv. c;) ajo
Amount Received -4
Form of Payment -0—Check ❑ Cash
Client Information ?
CASH PAYMENTS: client initials
D-Sign Permit Application Fee
❑ Conservation Commission Fee
Payment received for what ❑ Planning Board Fee / ZBA
service? ❑ SRA/DRB Fee
❑ Old Town Hall Rental Fee
❑ Other: Copies
Name of staff person receiving
payment
Additional Notes t u
EXCEL SIGN & DECORATION CORP. CITIZENS BANK 6349
33 NEWPORT AVENUE MASSACHUSETTS
QUINCY, MA 02171-2635
T. 1617) 479-8552 F. (617)479-4852 5-7077/2110 11/19/2008 - -
PAY TO THE
ORDER OF City of Salem, MA s "•20,00
Twenty and 00/100
DOLLARS
City of Salem
Dept of Planning& Community Development
120 Washington Street
MEMO: Salem, MA 01970
��A
1'00934911' 1: 2110701751: 110505039111'
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2: Application File
City of Salem Sign Permit Application Worksheet
19-Feb-09
New York Fried Chicken
105 Lafayette Street
Zoning(res/non-res) B5
Entrance Corridor(YIN) Y
Lot frontage 85 feet
Building or tenant frontage 15 feet
#of businesses on site 5
Bldng dist from street center 35 feet
Multiplier 1
Building and Blade-Si ns
maximum area permitted 15.00 sq ft
total proposed sign area 29.94 sq ft
sign 1
length 176.00 inches
height 24.50 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
height 0.00 inches
Freestanding Signs.
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 ft
length 0.00 inches
height 0.00 inches
proposed sign height ft
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 no
Recommend approval yes
The proposal exceeds the entrance corridor guidelines but meets the
underlying zoning requirements.
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
4y
�!it S�''•°1 NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
Salem, Massachusetts
Date
To the Building Inspector:
The undersigned hereby applies for a permit ,erect, in Alter, n Repair a sign on the following described buildings:
AddressStreet
Urban Renewal Area ntrance Corridor
105 Lafayette st 65 Historic District ri None
''" • Haz Khan Use of Building
Telephone 617-285-5820 1 floor Retails and Restaurant
• New York Fried Chicken 2 floor
Address 105 Lafayette St,Salem,MA 3 floor
Telephone 617-285-5820 4 floor
E-mail How many businesses are in the building? 5
ff a corporate body, name Hazrat Khan '
of responsible officer
Excel Signs F Building NIA linear feet
Construction Sup's License No CS088919 Applicants Space(if mufti-tenant) 18 linear feet
Address 259 Quincy Ave,Quincy,MA 02169 Property NIA linear feet
Telephone 6171179-8552 �I O -c (Y> Mail Sign Permit to
E-mail I permit@excelsigns.com ❑Sign Owners Sign Erector n Other:
posed Signs �if more-har three signs are proposed. attach additional sheeic
Si•n 1 Si n 2 Sign 3
n Surface s Surface ❑Surface
in Right Angle to Building n Right Angle to Building n Right Angle to Building
n Free Standing ❑Free Standing n Free Standing
e Awning o Awning ❑Awning
n Other(specify) ❑Other(specify) o Other(specify)
Sign Materials Sign Materials Sign Materials
Cooley Brite clothes;Galvanized tube frame Aluminum Backer Board; PVC Letter
Sign Dimensions Sign Dimensions Sign Dimensions
176"L x 48"H x 36"D 176"L x 30'H
Sign Area Sign Area Sign Area
0 sq ft 36.7 sqft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(H free standing)
Estimated Cost of Net Work
$ 1700
Existing Signs
. .
Type Sign Area To Be Removed? Sign er
r Surface 15 sq ft o yes n no _.
n Right Angle to Building sq ft n yes n no
n Free Standing sq It n yes o no Sign ers Authorized Representative
in Awning sq ft n yes n no
n Other(specify) sq It o yes n no
P=Owner,
Internal Review
lanning&Communffy Development Dep t Historical Commission
Building Inspector
nm,roe my
EXCEL SIGNS
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Aluminum Panel Sign
176 m
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Panel Sign Specifications:
Panel:Vinyled White Aluminum Proposed Awning
Structure: V Aluminum Tubing Frame
Lettering:Vinyled 112"Laser Cut PVC
Illumination:Existing(4)Overhead Gooseneck Fixture
Total Area: 176"x 24.5"=29.9 SF
Awning Specifications:
Clothes: Sunbrella Logo Red
Structure: 1"Galvanized Tubing Frame
02W2- BEXCELSIGNS DECORATION CORP.AU MOWS RESERVED
PROPERTY OF EXCEL SIGN S DECORATION CORP.
In
ouSTomER N4ue Khan Hazrat ADDRi 105 Lafayette St �:p:;",`�.:P.dema"w�eaw.....ua.aar.�e
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b e..amcortnw...Fa om�.�Y m.vA.i waXY�nyaawaoy
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EXCEL SIGNS
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_ EXISTING CONDITION PROPOSED ELEVATION
02N2-2006 ECELSION a DECORATION CORRAU MGH RESERVED
_ PROPERTY OF CEL SIGN 8 DECORATION CORP.
CUaTOMER NAME Khan H82rel � AODREss: 105 Lafayette St 11..p 2PWe pgbkW.r4 mwww.eumpoa a nrbmA w pu.mb.a b N..ePembe.a xax N b e.amPbbe b wlbwnM
COMPANY: New York Fried Chicken qty: Salem sTATETP:MA ..w,n.swae a.:FeO,bwme`bw�rm �robp ��
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X Date: I.NReeM.bOTe.SImnMbYYe wmNv m'wNr.PYNeae+petleYr.Xr.pN
cLupbmer Sl neture> °s"e^M°`YP°P°I.•M°W'^°A^°LHNoiewm are nsp..Pgmmb ue eoleuetl
SCALE PILE NAA¢; FCO with Awning 2.FS ORDER
DATE 11/05/2006 a '^�e^ee» e�v«.wwr+•b..�n.�papw�E..h �P, N,wwwmr
Mp.aM vYnoMM,.MfU.C9vI Y rppxWpy br Y Opel wY h®s M W.YerrN.
Jos No.: 081120144P ESTIMATE R 0.90 ISD=NO PRICE)PWS 5%MATAX DATE 1/21/2009 PAM Name: �rA.a r^'4'ee wltlewi`""a i.aw e.p.ew b nnm.e e.rnwn
D�lew.MlOs�well.r.
ZONING DISTRICT: R2
A ASSESSORS MAP 26 PARCEL 286
N MSSpN 3,T r�
L� RECORD OWNER: LONA BELANGER
DEED REFERENCE: K 26344 PAGE
p Lcdye
V � "
sr J ZONING TABULATION
LOCUS MAP RESIDENTIAL R2
ITEM MIN./MAX. PROVIDED
LOT WIDTH 100 FT. 50± FT.
ROBERT & CAROL BANNISTER LOT AREA 15,000 SF. 6742± SF.
FRONT YARD 15 FT. 50± FT.
SIDE YARD 10 FT. 11± FT.
2 STORY DWELLING
41 BARR ST. NOELIA ORTINS, TRUSTEE REAR YARD 30 FT. ± FT.
LOT COVERAGE 35 % 20±
S49'0T01'W BUILDING
— BUILDING STORIES 2 1/2 2
- 49.20' i 96
9v3
r — �
SHED
L — J
[—� LOT AREA �3
W DAVID & 697421 SF.
W JACQUELINE j n ALEXANDER & SANDRA KOLODZIEJ
LANGLOIS
z
2 STORY
DWELLING
u l 43 BARR ST. 97
PROPOSED �
TWO FAMILY _ - -
tt DWELLING ,N rttt'_
go
w r — - -
1 1 as
(y N C-4
I 1
MARIA 926' I I
VASILAKIS ti i a 99
M 2 STORY
w °�0 \ — � 3 DWELLING ROBERT, JR. &
2 STORY DWELLING I i I n No. 45 JENNIFER
45 BARR ST. a 0 1 0 SCHAEFFNER
3 / 993y w (A I N W
yy r Q z
1
98 ( o I a 1 �,
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w I
�- O MH dioo � r
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6i JSIOekgCk c �d STRUCTURE
110 BE REMOVED V 1
GR j� SA e8, L No. 4b— J
qN
CURB �o�d 2 STORY DWELLING
,S 9a sy �7
c z ?S•f No. 47
1 7 0 oLADO ,
� S x,66 O
100/ V 1
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rO' PLAN TO ACCOMPANY PETITION
r v TO THE
BOARD OF APPEALS
LOCATED /N
SALEM , MASS .
PREPARED BY
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EXISTING HYDRANT
EXISTING WATER GATE _ (978) 531 -8121
100 0 EXISTING CONT
0 EXISTING SPOTOUR GRADE SCALE: 1 " = 20' MAY 28, 2009
o UTILITY POLE
RETAINING WALL
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CURB
— x—x— FENCE
PHOTO REPRODUCTION OF THE ABOVE SEAL IS
INDICATIVE OF UNAUTHORIZED REPRODUCTION
OF THIS PLAN AND IS TO BE CONSIDERED A n:zee
COPYRIGHT INFRINGEMENT AND/OR FRAUD. 0 10 20 40 60 80
ENFORCEMENT AUTHORITY SHALL NOT ACCEPT F 10391
PHOTO REPRODUCTION FOR ANY PURPOSE.