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331 LAFAYETTE STREET - SIGN PERMIT
331 5��Yl s City of Salem Sign permit Application Worksheet 14-Sep-17 331 Lafayette Street Offices Zoning(reslnon•res) 81 Entrance Corridor(YIN) Y Lot frontage 190 feet Building frontage 182 feet #of businesses on site Bldng dist from street center 36 Multiplier 1 Building and Blade Signs maximum area permitted 182.37 sq ft total proposed sign area 80.72 sq ft Sign 1 (Blank)Lafayette St Left Side 18.30 len�— 19.75 inches 1-7$ ( 3 height th 122.00 inches Sign 2(SSU)Center Sign Lafayette 18.30 q t� length 119.75 inches 1 height 22.00 inches Sign 3(Blank)Lafayette St Right Side 18.30 q�p length 119.75 inches 0 IS height 22.00 inches 8 ^ Sign 4(RN Esthetics)Rear Elevation Left 12.92 x-11 length 15.50 inches height 120.00 inches Sign 5(Blank)Rear Elevation Center 12.92 length 15.50 inches height 120.00 inches ` Sign 6(SSU)Rear Elevation Right 12.92 Lf length 15.50 inches height 120.00 inches yj Sign 7(Blank)West Avenue Right 12.92 - — length 15.50 inches height 120.00 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 ro Deed sign height ft Application meets guidelines set forth in the Salem Sign Ordinance Yes Yes Recommend approval Yes Yes Seven aluminum signs with acryclic letters are proposed,the cumulative total is less than the maximum allowed.Three signs are for tenant spaces that will be occupied immediately.The remaining four signs will be installed blank.The applicant has been informed that a new sign permit will be required to reface each of the four blank signs.There will be a black awning below the center sign on the Lafayette side,the awning will have the address,no signage. Commonwealth of Massachusetts tr � City of Salem 120 Washington St 3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Permit No. 8-17-894 PERMIT FEE PAID: $0.00 TO BUILD DATE ISSUED: 9/2212017 This certifies that 331 LAFAYETTE, LLC has permission to erect, alter, or demolish a building 331 LAFAYETTE STREET Map/Lot: 320231-0 as follows: Signs SIGN PERMIT AS APPROVED FOR: SSU Contractor Name: BRIAN A. CHIPMAN DBA: METRO SIGN & AWNING Contractor License No: CS-089845 9/22/2017 Buil n 0_#j 61 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 Oficial 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. H IC #: '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. Commonwealth of Massachusetts .i City of Salem a a 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Permit No. B-17-896 PERMIT FEE PAID: $0.00 TO BUILD DATE ISSUED: 9/22/2017 This certifies that 331 LAFAYETTE, LLC has permission to erect, alter, or demolish a building 331 LAFAYETTE STREET Map/Lot: 320231-0 as follows: Signs SIGN PERMIT AS APPROVED FOR: RN ESTHETICS Contractor Name: BRIAN A. CHIPMAN DBA: METRO SIGN &AWNING Contractor License No: CS-089645 9/22/2017 Buil Irnd 6ffjciaa 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 contracling 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. Commonwealth of Massachusetts ,LX Citv of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Permit No. B-17-898 PERMIT FEE PAID: $0.00 TO BUILD DATE ISSUED: 9/22/2017 This certifies that 331 LAFAYETTE, LLC has permission to erect, alter, or demolish a building 331 LAFAYETTE STREET Map/Lot: 320231-0 as follows: Signs SIGN PERMIT AS APPROVED FOR: SSU Contractor Name: BRIAN A. CHIPMAN DBA: METRO SIGN &AWNING Contractor License No: CS-089645 9/22/2017 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. Permit Number APPLICATION FOR PERMIT TO ERECT A SIGISP L-: NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED jt 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 efErect, ❑Alter, ❑Repair a sign on the following described buildings: 3 3 t I-A, rrF sT Zoning� ( D Urban Renewal Area nuance Corridor o Historic District o None • 331 6V/!-n-E 4 c cUse of Telephone 979C.gt7_S-20 v t floor. U • 3 3/ L/aF.� Erre 4 L c 2 floor U b Address sueu�pr�rkFn�r sr /f�tBaUlfiaOrto 3 floor SS v 0 le Telephone �1:_ 9,27 _cF76 v 4 floor E-mail (�u R 2 tt Q UsVLSiJ� ' fN Cory How many businesses are in the building? If a corporate body, name - ofres onsible officer �O t'f 6I �S U x 2 ljizl rJ IfgPnAAVJ-M9j,"Si( jp_.4rJu�uL Building ipz-3'7 �afee Construction Sup's License No CS_ C rF6 1/s— 11.9 -l Applicant's Space('rf multi-tenant) Address ISI6(O.CZ /gyp�/fitpNErt ".401,Vg0 Property z 1 R linear feet Telephone �e_�S-y�2 E-mail ryA2�c /tEr•.as;rru"0z I- ❑Sign Owner tan Erector o Other: &rz Si•• 1 Si 2 Si n irSurface urface urface o Right Angle to Building o Right Angle to Building o Right Angle to Building D Free Standing o Free Standing o Free Standing o Awning o Awning D Awning o Portable(A-Frame) o Portable(A-Frame) o Portable(A-Frame) o Other(specify) o Other(specify) o Other(specify) Sign Mate.�I�UVt��Vf'1 Sign Materials Sign Materials FF// AC2 L c Lun u��t� c,� L�rrZJ 1012,110 4CA c ' LcriZ.J Sign Dirgensions Sign Dimensions Sign Dimensions „ ,2 2- v14 X //17.7S`L ;K q D �a N4k119.72rcx O 22'N� (15.zrL ,l� O Sign Area1P. 3 Sign Area sq ft 1F 3 s ft Sign Area d4 3 sit Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing) Estimated Cost of Net Work $ 3z,Go D Existing Signs ME Type Sign Area To Be Removed? 7-33.11,414r?-e o Surface sq it o yes o no 4LC ko d it F 6 urt,l_o Right Angle to Building sqft o yes o no❑Free Standing sq ft ❑yes o no onzed Re re ntative oAwning sgIt oyes ono❑Other(speciy) sq ft oyes ❑no Al aoJ rrZ4412 ecc Rv�F r r� n2 Internal Review Planning CommuMtMevelopmeht Department Historical Commission Approval Building Inspector Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN ~ ~' NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED n 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 c Erect, ❑Alter, o Repair a sign on the following described buildings: Street Address Zoning Dis�t—n—ct o Urban Renewal Area o Entrance Corridor n Historic District o None Telephone 1 floor. 7 77Telecl 2" floordress 3 floorhone 4 floor E-mail How many businesses are in the building? if a corporate body,name Frontage of res onsible officer Building linear feet Construction Sup's License No Applicant's Space(if multi-tenant) linear feet Address Property linear feet Telephone Mail Sign Permit to E-mail ❑Sign Owner o Sign Erector o Other: 2�1111110.. . . - .. Si•n , Si nZS' Si n,3" s5urface ace o-8-urface o Right Angle to Building in Right Angle to Building o Right Angle to Building o Free Standing o Free Standing n Free Standing o Awning c Awning o Awning o Portable(A-Frame) o Portable(A-Frame) o Portable(A-Frame) to Other(specify) ❑ Other(specify) o Other(specify) Sign Materials Sign materials Sign MaterialsglUf7aw.", n L G L�fre�ci gLurti✓ur�ls�t c c L�1re41 Sign Dimensions er y Sign Dimensions ,r Sign Dimensions /S. S'!F IzoL,LvQ 15:1'Yf,G Lo°L .erfO /(-..S'ifXtzoL )eV"O Sign Area rl 12 Sign Area 1 Z 92 Sign Area it s ft s itg /Z. QZ s ft Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing) Estimated Cost of Net Work Type Sign Area To Be Removed? Sign WN Owner o Surface sq ft o yes o no n Right Angle to Building sq ft o yes o no o Free Standing sq it o yes o no Sign Owner's Authorized Representative o Awning sq ft c yes c no o Other(specify) sq ft o yes o no Property Owner fr=rAL, S,6� L— Internal Review Planning&Community Development Department Historical Commission Building Inspector Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED yT 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 c Erect, o Alter, c Repair a sign on the following described buildings: Zoning District o Urban Renewal Area o Entrance Corridor o Historic District o None Use of Building Telephone 1 floor 2 floor Address 3 floor Telephone 4 floor E-mail How many businesses are in the building? If a corporate body, name Frontage of resonsible officer MIMU Building linear feet Consbucbn Sup's License No Applicant's Space(if mufti-tenant) linear feet Address Property linear feet Telephone Mail Sign Permit to E-mail ❑Sign Owner o Sign Erector o Other. SI Si n R Si n1 urface c Surface ❑Surface o Right Angle to Building c Right Angle to Building o Right Angle to Building o Free Standing o,Free Standing o Free Standing o Awning in Awning o Awning o Portable(A-Frame) o Portable(A-Frame) _ o Portable(A-Frame) o Other(specify) o4ther(specify) PtBR Y A)&- o Other(specify) GoT Sign Materials Sign MaterialsSign Materials Curt,�Us� C, Glomi rJ ACun,,u�o-LJVia Y4 e9 PNC1 Sign Dimensions Sin Dimensions , `j.SFV x 120 4D g ,,,�� IZ ,� Sign Dimensions Sign Area Z F L Sign Area ! S' Sign Area s ft s ft s ft Sign Height(if free standing) Sign Height(if free standing) o.r Sign Height if free standing) Estimated Cost of Net Work Existing Signs Signatures L Sign A!NJ Be Removed? Sign Owner o yes ❑no to Building o yes o no g ❑yes ❑no Sign Owner's Authorized Representative ❑yes ❑no y) o yes o no Property Owner Internal Review Planning&Community Development Department Histoncal Commission Approval Building Inspector ��.coNnIT,� < C sem , City of Salem Sign Ordinance Worksheet Property address: J 3 1 114 Disclaimer:This handout is intended to provide a brief explanation of the major components of the City of Salem's Sign Ordinance.Due to space limitations,only selective portions of the ordinance have been included.Thus,this handout should not be relied upon as a source of final information.Always refer to the City of Salem's Sign Ordinance for complete information regarding sign regulations. For further information,contact: Department of Planning and Community Development: (978)619.5685 O Determine property zoning category Locate your property on the City of Salem Zoning Map,Local Historic Districts map and the Salem Redevelopment Authority Urban Renewal Area map to determine the zoning category and overlay districts the property is within. Zoning category: Non-residential Residential' (circle one) 'Contact DPCD for more information Overlay district category: Entry Corridor Boston,Bridge,Canal,Goodhue,Lafayette and North Street, (circle one if applicable) Highland and Loring Avenue) Urban Renewal" Local Historic District" "Requires additional design review,contact DPCD for more information O Gather property information The following information will be used to calculate the area and number of signs permitted by the Salem Sign Ordinance. secondary 2a. Number of businesses on the property: (circle) 2 or less 3 or more ip entrance main 2b. Lot frontage: /9Z feet —entrance Measure the edge of the lot adjacent to the street.If the property is on a corner, measure only edge of the lot which the main building entrance faces. Diagram 1:Lot Frontage property 2c.Building frontage: If-Z feet 1t n e y�pro Measure the length of the building (or tenant space if multi-tenant)facing W I line a street(A in Diagram 3).For buildings on comers,add the length of the - ta Li U!U U two sides of the building facing streets(A plus B in Diagram 2). I 2d.Distance between the building and center of adjacent street(s) Diagram 2:Building Frontage Measure the distance between the front of the building and the adjacent street (B in Diagram 3).If the building is on a comer,average the distances.Contact DPCD for assistance with this calculation on streets with heavy traffic. q (circle) ess than 100 feet G p Qp 100 to 399 feet Q Q l 400 feet or more Diagram 3:Building Frontage(A) Salem Sign Ordinance Worksheet Page 1 &Distance to Street Center(B) Freestanding sign allowance 3` Freestanding signs are not permitted in the Urban Renewal Area and Local Historic Districts.One and two sided freestanding signs are allowed in non-residential districts. When calculating the area of a freestanding sign,only include one side of a two sided sign. ESQ. Freestanding Signs: Maximum Number,Area and Height FT. Lot frontage Less than 200 feet More than 200 feet Businesses on site 1 or 2 3 or more 1 or 2 3 or more Zoning Category 1 sign 1 sign 2 signs 2 signs 65 sq ft 125 sq ft 65 sq ft each 125 sq ft each Non-residential 25 ft tall 30 It tall 25 ft tall 30 ft tall =32sq 1 sign 2 signs 2 signs 62.5 sq ft 32.5 sq ft each 62.5 sq ft each Entry Corridor 15 ft tall 12.5 ft tall 15 ft tall ® Building sign allowance Building signs are physically attached to the building,such as a wall or blade sign.The building frontage is used to calculate the total maximum building sign area.The area of all building signs must be equal or less than this total,including existing and new signs. 4a. Building Signs total maximum area formula Building frontage x multiplier(see chart below)=total maximum area for all building signs �P_2_ feet x _ z square feet Total Maximum Area Multiplier Distance between building and street center Zoning Category Less than 100 ft. 100-399 ft. More than 399 ft. Non-residential 2 2.5 3 Entry Corridor 1 1,25 1.5 Urban Renewal 4b. Maximum building sign height Ground floor signs-The top of building ns :signs must be below the lowest of the following: 9 p The top of window The building line(where 25 ft.above grade OR sills at the first level of Cr7 the roof meets the windows above the building) ground floor OR Limited second floor signs are allowed in certain circumstances.Contact DPCD for more information. Salem Sign Ordinance Worksheet Page 2 ® 4c. Types of building signs allowed The types of building signs described below are permitted.Specific guidelines are included in the Sign Code regarding each type of building sign. part Wall sign Hangs parallel to the building Maximum projection from the building: 15 inches Blade sign Hangs at a right angle to the building $ Maximum projection from the building: 5 feet Maximum area:24 square feet per side(2 sides maximum) The bottom of the sign must be at least 10 ft.above grade in non-residential areas or 8 feet above grade in the Urban Renewal district. Awning and canopy sign • Painted on or attached to an awning or canopy • May hang below an awning or canopy p • Area of signage is equal to the area of the smallest rectangle that would enclose the letters Window Sign • Located inside window glass May not be illuminated Maximum area of window glass covered by window signs is equal to 20%of glass in the Urban Renewal district and 30%of glass in other non-residential areas 4d. Calculating sign area Sign height x Sign width=Sign area 7 /,B' T /D' Com ) 1, 3 x to feet x feet = /c G' square feet Include all background material in the sign height and width measurement.If the sign is not rectangular,draw the smallest rectangle that encloses all the letters and any background material.Use the height and width of this rectangle in the formula above. HARDWARE ; height TtI?�NARE height ; height ; W;d, width s wAE width OPortable Signs The City of Salem Sign Ordinance permits one portable or"a-frame"sign per business with individual first- floor storefronts in the Business Neighborhood(61), Business Highway(62),Business Wholesale and Automotive(134)and Central Development(135)districts. Please refer to section 4-60 of the City of Salem's Sign Ordinance for portable signage requirements. T 1 (front Side)Tenant Signage Single faced Ouantlt :3 A A Fabricated alum,tube frame w/1/8" alum.face B �•. Mounting;Blind push mount to I 3/4"dimensional acrylic graphics Parade with angle C Salem B �Picture frame retainerner STATE ` UNIVERSITY Finish:Painted a Digital Print Ia applicable) B A Illumination: ' tee t None OEM- 20 20 e Perpetua Bold J+ Univers BOItl paint Colors(Papal 6fnma) MSA Black F F. MSA SIvur YS„Ir Ill . ., - Paint Colam(S+Iam sia a) _ PM£+6e5a 3 I'MS]leaac o Produdion _ tt — B WorYOrder: C03393 CUSTOMER/JOB LOCATION: DWG.DATE:].aa.l> MODIFIED:quguat9,101]10:]1nM t t a r t o Burr Investments App�OVaI�❑APOrovea AltSA6P' USIGI PAGIL. P '^•+•w.+�"..*."•.,.�mi•.:.N„w,w.....n�.,�p,,,,,,�.,,,,„,,,°, '❑aearoveak Noted X Adam Brodeur MM 331 Lafayette Street •Salem,MA FUROL Blur Imestments Iafayette Building—Building 5 tenant signage Salem YR-DRAWINGe-P6: NEVI' ...., ” ,.. ._.__.,,...,._•„_ .... ,. �. — — 17.18713.1 1 (Back Side)Tenant Signage Siegle faced Ouantl cp— _. - — .--- - -- - - - - ---- 120" - - -- - — A A Fabricated alum.tube frame w/1/a" alum,face B — Mounting:Blind flush mount to s a 1 e facade with angle bracket B C � �^ I S TAT E lr lr 1■ Picture frame retainer C 1, U N 1 V E R S 1 T Y 3/4"dimensional acrylic graphics Finish;Painted B Digital Print lif applicable) 2 B A Illumination, 1 1 None fF,,.. Budd Paint Cobn(PaMSAelukMSA Silver Paint Colon(Sa V 1p Work Order: CO3Release to Produ(tion 393 CUSTOMER/JOB LOCATION: DWG.11TE:]R4.D MODIFIED:Augusra,201710:21 AM. � ' Burr Investments 7.27.17 n•me.aauoorel:ve option an a'uR�N:ne Arlpro�]I• �APamved SALES REP DES14N. P.MLR.:: •❑ApprondA:Nmxa x Adam Brodeur MM y III NAME:Burr Investments Lafayette Building_Building5tenant signage—Salem YR-DRAWNBU-P6: REV# 331 Lafayette Street • Salem,MA — 11.18783.2 1 Tenant Signage Single faced Quantity:7 Total 4 ES"t ;Fi,CS ' 5 2 -•- SalemiSTATERSITY C G— Salem i . NA I V E R S I T Y 6 3 � F� 7 I Release to Production Work Order: C03393 CUSTOMER/JOB LOCATION: DWG.DATE 7.24.17 MODIFIED:Augustg,201710:21AM. Burr Investments v2217 r a eaa i� 00 na,en ae Approval: Alum DES iex vncg.:. • • 331 Lafayette Street Salem,MA • °AOawvea as Nmna x Adam Brodeur MM e Flu nA6E. Burr Investments Lafayette Building 8 tenant signage Salem ra-DNAVIN6r vs: gEVa-. ,,..., m."..� .a. n.o„. .,am..,..,.., . ..a..., .. .,.,......,.,... .w. — — 17-18103.3 1 tenant Signage J— �— Single faced Quantity: 7 Total -�- - KL= `-- sale- 7 a1e IM a Release to Production . . . t N1akurew. C03393 CUSTOMEP/JOe LOCATION: - - - • • - • = DWG.DATE:].44.17 MODIFIED:Auguste,40t71P.21AM AA uvea SALES AEP' OES16N'. P.M4A.:1 Burt Investments _ 727.17 4.awaee�ra,ui,o-.•o„en,„„-„w,>^, Approva1.OAPp,avad A,NatedX Adam Brodeur MM 331+••.-...- ,..,„..,«..,,, ,,„.,,.,,,,.�,,,,�„,,,,,��,,.-,M.y' Flu xptt: Bun Investments Lafayette Building Buildingfi tenant signage-Salem lRi-1 103-4A: aFVA- Lafayette Street • Salem,MA .�....«.....,....,,.,«,....,,.,..,,.a,..,,......,,,...w..:.„ M.,,.. - 17-18787-4 1 - f Parking Signs Single faced 12" Quantity:42 I — Material:.080"aluminum panels with ed digitally punted vinyl graphics applied n faces. Sale- mc Corners:1.5"radius Mounting;t x2 Aluminum posts c finish:Painted Black S T A T E I U N I V IS R s I T V RESERVED PARKING 03 MON -FRI Illumination: NO°P 8AM -6PM 1.5 Porpetua Bold Univers Bred %nnyrColo. ALL OTHERS TOWED AT Itt"Clo" - _VEHICLE OWNERS EXPENSE Ri1nt;Coloro Release to Production M v'n 5rrz 1.5" Radius Work Order: CON CUSTOMER/JOB LOCATION: DWG.DATE'.].3<.1] MODIFIED:Auauste.201710a1AM Burr lnvestrnents Approval: A°°I°Yea sAdam oFsicx vncA ' • 331 Lafayette Street • Salem,MA +ommeo;,um:a r Adam Brodeur MM llUNAHt '17. 87103.6Gg AIYC .._...._.•.<.....�..�,•...„.,,.,,.,,...,..,.�.....,,,....,..,..m„�.,...,w,,,,.,.�.,� ,,..,,,,„�,,,,.,,o,,,,,,,•m K..„ ��.N Burr Investments Lafayette Building_Building Blenant signage Salem '17. 8703.6 A (front Side)Tenant Signage Single faced A Fabricated alum.tube frame w/1/8" alum.face Mounting:Blind flush mount to facade with angle bracket e AT E s a 1 � e m I 3/ S T Picture frame retainer ` 1 U N I V E R S I T Y 4"dimensional acrylic graphics Finish:Painted b Digital Print(if applicable) B A Illumination: None Mail" I 20 C z L PerpeNa Bold 1111 Univers Boltl �� Paint Colors.(Panel a Frame) MSA aI°ck MSA Silver / Paint Colon(Salem auto) "M 1mRelease to Production a tri R V WorYOrder: C03393 , e CUSTOMERi LOCATION! DWG.DATE:7.24.17 MODIFIED!Aaguslg,20171e:21AM • Burr Investments Approval:°"°°I°r°° SAIES RFR OESI°N'. V.M6a.:: 331 Lafayette Street •Salem,MA ❑teal°.w A,Nmm K Adam Brodeur MM s '"•°••°"° wve-v'."v.,. -."I v1 ..,�,,,, FlIENAISE Bun Investments Lafayette Building Building6tenant signage Salem YRDRAwIN0mR6: RE0 ...,..........1,.«.....,...,nv.,.,.....,..��,.m,,., :M...,....... — — — 17.18783.1 1 (Back Side)Tenant Signage Single faced Ouanti A A Fahricated alum.tube frame w/1/8" alum.face B Mounting:Blind flush mount to S a 1 facade with angle bracket C I S T A T E 1 / Picture frame retainer � 1.1 IV V E fi S I T Y C le 3/4"dimensional acrylic graphics E:( Finish:Painted 6 digital Print(if applicable) B —Q Illumination: t t s None 11.66] Perpewa Bold Univers Bold �- Paint Colon(Panel b Frama only)-_--_`— MSABIocx MSA Silver Paint Colors(Salem stet.) r Release Job: : . .17 WW Order. C03393 i CUSTOMER/JOB IO ' s DWG.DATE!7.24.17 MODIFIED:Au9uete,201)ID:xtAM Burt Investments 727.17 roma.Wmfa..lanoo'imma•aq�s.w Approval:❑Ao,, red SAES REP aF9tlN: Y.MGA.:. 331 Lafayette Street• Salem,MA °❑saaio�eaA:Aolee x Adem Brodeur MM v '"""°""'""'""`°^'^'•°-^m'^°^'= ."r+-•".�.+.�,�r.,��,a,.,.,a,,,m,,,,.,,,•,,,,,� """ nuserr. Burrinvestments Wfayette Building Building 6 tenant signage Salem rao2awi8eovG: sFvr. I I' Tenant Signage Single faced Quantity:7 Total 7 q RN ESTHETICS 7 l 5 2 G� SaIcmIUNIVERSITY ` S a 1. e m I S T T E 6 U N I V E R 5 1 T Y 3 7 Release to Production . . Wort 0rder. C03393 CUSTOMER/JOB LOCATION' DWG.DATE 7.24.17 MODIFIEDAu9u.9.201)10.21AM Approval. �A9Rmvetl "" SAUSRU DESIGW VMA: 31La'••yetteStret ale.,..,...«.,...�., —,.•.,....,. ] ne rtww.eae,v,wcn,vn,,,,,xr e�,euw ❑A9woved As xoleaX Adam Brodeur MM Err Investments 331 Lafayette Street • Salem,MA RENAME:Burr Investments Lafayette Building_Building6tenant signage_Salem vNsRAwlxu-ae. REvr. .............«.w ... ..<,....,,.„_..«.".a..,....•.. — 17.18703.3 1 Tenant Signage 1 i ---- -- — --"y4 Single faced _----- T_-- --_-.`— -- Quantity:7 Total �t (!A7lf� le h � a1em � . .a, e -� Release to Production i Work Order. C03393 CUSTOMER/JOB LOCATION: DWG.DATE:7.24.17 MODIFIED:Augusre,20t11@z1AM Burr Investments 7.22.17 now.,aen;�,m m.a�wn�n-aan e.m Approval•❑0APPPmvetlASNolea AdaPmred SAa ALP'. aFA4N: PN4P.:: 331 Lafayette Street •Salem,MA • A % m Brodeur MM '"^^•+"^•w^'^M•^+'m•r•,•a... et[UK Burr Investments Lafayette Building_Building 6 tenant signage Salem VP-DRAWIPAII-K PLVx I Parking Signs Single faced 12" Quantity:42 i Material:.080"aluminum panels with digitally printed vinyl graphics applied to faces. Corners:LO"radius Salem G-w- SMounting:2x2 Aluminum posts Finish:Painted 81ack T g T E , U N • V E R S • T V RESERVED PARKING 111umwo . MON —FRI "O°e8AM -6PM 1.5 Perpetua Bold Univers Bold viny1Colors ALL OTHERS TOWED AT I IDigital Pont o.1atrk>o" - VEHICLE OWNERS EXPENSE MF4 Nmc Release to PrOdUction 1.5„ Radius Work Order: COT3977377771 CUSTOMER/JOB LOCATION: DWG.DATE:7.24.17 MODIFIED:Au9.at9,201710:2tAM. Burr Investments App�0V8� 0^Dora---- SutsREo ue cncx_ 331 Lafayette Street • Salem,MA • O<omovee AS Xmed x Adam Brodeur MM ,. x ,,... ^-..._.,,m�..,•,�, .L,..,..... �,.r,,,. wm,.<mMe.,.p„•, a...�,..U, �,,.,..n�,..µ,.,,•,.„„ FUNAnL. Bunlnvestments Lafayette Building_Budding 0tenant sign---- Salam °R-nRnwluoa-K” RLva 17.18703.6 PITMAN S& WARDLEY ASSbe 1ss u.c "CHURCHSf— CTI.IAI,MA 11197, i.nA BMi f. <� o O.en n�uv•uup 'U - � ~ W � L W � wu LII W } aQ LL SI NAGE _ _ p I j q F LL 4 IL E HEN 4F< , .1 1211 F-TF STR_E: E_Evs A11.0 <Y iiECNP4 i �� _tel ���►! '� � �� � ;f0 ■fir..' I It ,F f. 1 IB 17' All f � r Uil JUP t l: ey PITMAN & WARDLEY A SS(H'IdIF LLC 12 CHURCH STUE SLLEM W Mll 91x-Iµ.PM1i2 W wN // /d dd (�/ 7 WW _ W W w W W aL � a . SIG AGE W AR Vd1! R GP_ l ��O Rear elevation - Signs 4, 5, 6 and canopy Si n 4 - RN Sign 5 -Tenant g Fabricated Canop — =Sign 6 - SSU Esthetics TBD 77 � I i I J r ♦f '4 1 PITMAN& WARDLEY A SOCMTES LLC R CHURCH STIUM SALU%t MA nigra e]r.9aJ e4d) I \ W ~ W N Z ww � � N � 1 Ill V W n i H J W N w W Q L wa� ILL Q m « D O � Z° erxSe.GVE ELFVdT GN Fi.��.�� WEST AVE _EVATION A2.0 dreurtEcruwd Y rte;•r [ \ �T:, C Z Lid rA B9 A I • Ia i a low" r w r PITMAN& wwocu sccu�e WARDLEY w,�,a aewmop,.en�rec,.s..aa I'll 1111TI'l I I ILI lij Ill Q r W Q 111 I ` } L A�7-AyETrE s7-(FzoN;) r -t PA fLKiAiC, Lo—1— (RE]-R) �� �iuli rti - ------ _ - - im 11ir ill Mir 1111 - - _ _ - - WE SrAVa. SIDE' P SNICE eEVG•eLN —� 7 v_ a, kk a ♦Q' ,W1,. K Z fn aL¢ y ¢\t a m A. N W a C7 oU �d a Clrft St v�hs a 's rn Yn P\Yt = (yd d m W O n a c a �j1 Summit Ave e d W a It Ave �alaY .a m to N W Lafayette 'e .. MID, Lafayette S1 ® a 19 m' rnwU ' 5 ® D¢5 '66G�io v W a w a � o— N2 m U = z°z Wisteria St u U ¢Ot m Q C pzJ d O L L GJ = Linden St e^ O L¢ I Icn St a Linden St $ � � � 9j t• a�c`o m o < m °> a LL v m ® c p 2 Lussier St c 3 Hazet St Qa`rtL Jyra`1 `'•) 0 oa < W 0 a` a i o °a kc IF o x m m LL gto od as Canal St Canal St Canal Sl ® O O 0 = r D 916 of d o Broadway O, n o Broadway `o a f E � 0 5 U Z v d N �a. o Paa `m a JS a�4a M m c o' �Pde LETTER OF AUTHORIZATION (LOA) for Metro Sign & Awning to act on the owner's behalf for the purpose of obtaining sign permits Project Location: Lafayette Building 331 Lafayette St. Salem, MA A reed and accepted: By Landlord or Property Owner:_ Name(sign): �� Name(print): 100MZ or 94 ZZ Title: Phone numbertt�TZ—1 k Q 012. 1- TZ 1- 1 �O L Email: I'S 19 C Q? TO tt�Z iwJ�/� S+M S M'TS Date: T�j / /2017 ' The Commonwealth ofMassachusetts m Department oflndustrWAceidents i , t I Congress Street, Suite 100 Boston,AM 02114-2017 www.massgov/dia {i'orkers'Compensation Insurance Affidavit:Builders/Contrac[ors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY• A licant Information Name(Business/Organization/Individua]):C&D Signs Inc d b a Metro Sign 8 Awning Please Print Legibly Address: 170 Lorum St City/State/Zip:Tewksbury Ma 01876 Phone#: 978-851-2424 -------------- Are you an employer?Check the appropriate box: 1.[D 1 am s employer with 30 employees(full and/or . Type of project(required): pert-time) ' 1.❑I am a sole proprietor w partnership and have no employees working fe,me in ❑New constnletion any capacity.[No workers'comp.insurance required.] g. O Remodeling 3.OI am a homeowner doing all work myself[No workers'comp. insurance required l J 9. ❑Demolition 4.❑I ane a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10[]Building addition ensure that all contractors eitba have workers'compensation insurance or are sole proprietors with no employees. 11 ❑Electrical repairs or additions 5.O I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12'❑Plnmbmg repairs OI additions These sub-contractors have employees and have workers'comp.insurance.i 13.❑Roof repairs 6.❑Weare a carporation and its officers have exercised theirrigbi of exemption per MGL e. 14-QOther Signage 152,§1(4),and we have no employees.[No workers'comp.insurance required.) Any applicant that checks box#1 must 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 outside contractors must submit a new affidavit indicating sucb. lContractors that check this box must attached as additional sheet showing the name of the sub-contractors and slate whether or not those enti employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. ties have I am an employer that is providing workers'compensation insurance for my employees information. Below is the policy and job site Insurance Company Name:Ann Risk Services, Inc of Florida Policy#or Self-ins.Lic. #:'w C 6 a (- 1 (' (0 / q , n 4 Expiration Date O 7 O/ Job Site Address: 3 3 1 L City/State/Zip:S'0"'rn 1114 0/970 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORD a ainst the violator.A co ER and a fine of up to$250.00 a day g py of this statement may be forwazded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th aims a"ndp ttalties ofperjury than the information provided above is true and correct Si at ue: Date: z(j i Phone#: 7f- / 'n Y• Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License 4 Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phnne#• 1 Accw& CERTIFICATE OF LIABILITY INSURANCE DATE 06/20/0/rrrT 0617 THIS CERTIFICATE IS ISSUED ASA 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: H the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. H 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 endorsement s. PRODUCER CONTACT Aon Risk Services,Inc of Florida NAME: Aon Risk Services,Inc of Florida 1001 Bricke8 Bay DMe,Sulte#1100 PH F Mie.UFL3313i4937 NC No Eat:800-743-8130 MAIL NC No:600-522-7514 ADDRESS: ADP.COI.Center Acm.com INSURERIS)AFFORDING COVERAGE MAIC 0 INSURED INSURER A; New Hampshire Ins Co 23841 ADP TnDr CO%XI,Inc. INSURER B Swt 10200 Sunset Drive Mlemi,FL 33173 INSURER C ALTERNATE EMPLOYER INSURER D: C d 0 Signs Inc DBA Metro Sign d Awning 170 Lamm St INSURER E: Tewbbu1,MA 01876 INSURER F: COVERAGES CERTIFICATE NUMBER: 1684682 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. LIMITS SHOWN ARE AS REQUESTED. INS TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY IXP LTR INSR WVO MYIOD MMID LIMBS COMMERCIAL GENERAL LIABILfrY EACH OCCURRENCE f CLAIMS-MADE OCCUR DAMAGERENTED I PREMISES Ea accunenm $ MED EXP pn one raon f 0GENL PERSONAL&ADV INJURY E AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PROJECT❑LOC PRODUCTS-COMP/OPAGG It OTHER ' AUTOMOBILE LIABILITY CO IN O SIN LE LIM S ANY AUTO Ea accident $ OWNED SCHEDULED BODILY INJURY Per arson b AUTOS ONLY AUTOS HIRED NON-OWNED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Peratdtleet $ UMBRELLA LWB LJ OCCUR $ EACH OCCURRENCE $ EXCESS LWB CLAIMS-MADE AGGREGATE $ DEC RETENTION S WORKERS COMPENSATNON A ANO EMPLOYERS'LUBILffY YIN WC 026166149 MA 07/01/17 07/01/18 X STATUTE ER ANYPROPRIETORMP NER/EXECUrNE ER OFFICER/MEMBER EXCLUDED? ❑ NIA E.L.EACH ACCIDENT E 2000,000 (Mandatory In NN) , ayss,deeelbew,der E..DISEASE-EAEM.UyE 5 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 2,000,000 DESORIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space is required) AIt worksite employees working ter C 8 D SIGNS INC DBA METRO SIGN It AWNING,paid under ADP TOTALSOURCE,INC.'.payroll,are covered under the above stated polity. C&0 SIGNS INC DBA METRO SIGN&AWNING Is an alternate employer Under this policy. CERTIFICATE HOLDER CANCELLATION C&D Signs Inc DBA Metro Sign&Awning SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE t]0 Lomm St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tawkabury,MA 01876 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE #Aon pkiAk 8etvlce3, line o 1f/Otida tCORD 25(2016/03) The ACORD name and logo are registered marks of ACORD RD CORPORATION.All rights reserved. ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MMroonvvr) 12/19/2016 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 policy(les) must be endorsed. If SUBROGATION IS WANED, 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 endorsement(s). vaooucER CONTACT NAMECheryl Ledin CISR,CLCS F170Lo� ams Insurance PHONE (781)848-9192 FAX 0' AR: Mo:(791)848-E116 d An"lls,uneryle3wil INSURERS AFFORDING COVERAGE NAILS MA 02164 INSURERA:Bartford Casualt Insurance C an 29424 INSURER 112ra"lers Excess ns, Inc. Dba Metro Sign i Awning INSURER c: Street INSURER D: INSURER E: Tewksbury MA 01876 INSURERF: COVERAGES CERTIFICATE NUMBERCL16121302928 REVISIONNUMBER: 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. LTR TYPE OF INSURANCE R POLICY NUMBER POLICY EFF POLICYEXP MMND/YYYY MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 A CLAIMS-MADE ❑X OCCUR PREMI ESE re E 300,000 X XCU Included OSSMIJ4502 12/28/2016 12/28/2017 MED EXP(AnY one Peman f 10,0110 X Blkt Contractual PERSONAL a ADV INJURY E 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: C00001 10/01 or Equivalent GENERAL AGGREGATE f 2,000,000 POLICY�jE O- LOC form I SS 00 OB 04 05 1 PRODUCTS-COMP/OP pGG f 2,000,000 OTHER: Liability Dad 5 Ron S AUTOMOBILE LIABILITY COMBINED SINGL LIM § ANY AUTO BODILY INJURY(Per person) E ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per ecdderd HIRED AUTOS ) E NCN_OWNED PROPERTY pAMAGE S AUTOS P reccidem E X UMBRELLA LIAR X OCCUR EACH OCCURRENCE § 10 000 000 B EXCESS LIAR CLAIMS-MADE AGGREGATE E 101000,000 DED I X I RETENTION$ 10,0001 IOP-15R61562-14-NP 112/28/2016 12/28/2017 S WORKERS COMPENSATION OTH AND EMPLOYERS'LW3ILITY YIN TATUTE ER ANY PROPRIETOWPARTNERJFXECUTIVE OFFICERIMEMBER EXCLUDED? ❑NIA E.L.EACH ACCIDENT § (Mandatory In NH) NYYoess des.1ce under E.L DISEASE-EA EMPLOYE § DESERIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,AddBionel Remarks Schedule,may be affached U mora space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Informational Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jonathan Williams/CEL ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 nm4nn �1 ® .acoRO CERTIFICATE OF LIABILITY INSURANCE DATE(10140YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY A12/19/16ND 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. THS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holder is an ADDITIONAL INSURED,the policy(les) 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 file certificate holder in lieu of such erdorsement(s). PRODUCER NAMEACT Peter C. Di Oaoli Choice Insurance Agency, Inc. PHONE g78 343-4853 FAX (978) 345-1007 376 Sumner Street Ea1al N Fitchburg, MA 01420 ADOREss: eter@choice-insurance-com INSUREIRS)AFFMC0WMGJENMcINSURERA:Citation In INSURED INSURER B: C & D Signs Inc. dba INSURER C. Metro Sign & Awning INSURER D: 170 Lorum Street NSURER E: Tewskbury, MA 01876 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICY 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. INSR ADDU SUBRIAMI POUCYNUNBER PIO LTR �fYEFF ATI;: Y TYPE OFINBURANCE urns GENERAL LIABILITY EACH OCCURRENCE § COMMERCIAL GENE RAL LIABWTY DAMAGE TO RENTED § CLAIMSAIADE F�OCCUR LED EXP(Ary ore Person $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE § GEN'LAGGREGATELMITAPPDES PER PRODUCTS- EOM1P/OP AGO E POLICY ECT LOC yWTOMOBILE LWBIUTY y RWL401 12/28/16 12/28/17 C INE a accbaM) § 1 000 000 ANYAUTO BODILY INJURY(Per paw) E A LL O W NED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per a:cidanl) S E X NON-OWNED MIRED AUTOS X AUTOS PBOr PE�,Y DNAgGE E UNBRELLALIAS OCCUR EACH OCCURRENCE g EXCESS LIAR CLAIMS-WDE AGGREGATE g OFD RETENTION WORKERS COMPENSATION WC STATU AND EMPLOYERS'LIABILITY YIN OTH- ANY PROPRIETORIPARTNERIEXEWTNE OFFKERMEM IER allMED? � N/A EL.EACHACO CEM $ (MefNebry h NH) E.L.DISEASE- If yes,describe ender EA EMV LOYEE DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S DESCRIPTIONOF OPERATIONS I LOCATIONS/VEHICLES (Mach ACORD 101,ABdilional Ranch Schedule,denwa.pce isreRJred) **For informational purposes only** CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CSD Signs dba - ACCORDANCE WITH THE POLICY PROVISIONS. Metro Sign and Awning 170 Lorum St AUTHORIZED REPRESENTATNE Tewksbury, MA 01876 Linda Baker ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: trishaf@metrosign.net Brian A.Chipman 151 Hosley Road Gardner, MA 01440 RE: Construction Supervisors license: CS-089645. Expiration: 11/08/2017 To Whom It May Concern: I hereby grant Mark C.Conserva permission and authority to use my Massachusetts Construction Supervisors license to obtain permits for Metro Sign &Awning. This permission is restricted to activity solely related to Metro Sign&Awning, a company in which I am part-owner. Feel free to call me at the phone numbers below should you have any questions. Regards, Brian A. Chipman Office: 978-851-2424 Mobile: 978-866-8036 !.xS:a'4truse3T5 'OgGa,+t.rne,^t .r eublrC t#� rex fi $uYt1'ralg R�guiurr n< a- d T�lanaaW nstrucfrlsi CS-W9645 Ifgaef Construct,on Supervisor b FAX W*45120n BRIAN A CHIPMAN Ce&. 151 HOSLEY ROAD, rNIK 27b tom swet GARDNER MA 01"0 AN!62x36 v e � ,o,•oras:eau.^='` 11i08n017 DRIVE LICER'S ,}1(}& 'j i S NSE — - LLIICENS? N OFy ' ta.{rOtyNONE"776394714. +• 1 of?ot7 .-08.1964i3&�. . 11 RJRf iN s 151 HONLEY RO ' "r✓:r_ Ij,WgK vA - GARDN ER,Nk Df{401757 sNIT 45 NMAtK Si U s mu.xavw.msae> / NO{5 LOYJELL,MA OIISbf/SO s maa.rmo p..msaor �� L City of Salem Department of Planning & Community Development CHECK RECEIPT AND TRACKING FORM DATE-4L'__ BOARD to a S;i STAFF A D&-tlo'eb CLIENT: PROPERTY ADDRESS: S u^ < a s hatK CONTACT NUMBER: PURPOSEFOR APPLICATION: 5 CHECK # F 3 1 AMOUNT RECEIVED: $ 3 25. Thu �� �` " Y "�l 1839 C& D SIGNS, INC. AS Enterprise Bank DBA METRO SIGN &AWNING CREATE SUCCESS 170 LORUM STREET 53-274/113 TEWKSBURY, MA 01876 y, L D�2 PH.((978)8551-22424 O PAY [[ r , 6 "I /LLr� s 3,2,,r 0d �i'�/L`� f7 (�Ul.�t2`✓ (�''-�. r/ L" �'/ �O OD d TARS VOID AFTER 90 DAYS "r MEMO / O SIGNATURE t, =1 11.00183911' 1:0113027421: 518 77011' /lz�2ci7 P r` n Ci l� /fir �• / , corp;n�ur:nv :: . _ _�,r. OLd�rAT�L'� Of-' /�u�t.rlr9/e.r/G- S' vN AaGC.'e�l �ia .0 33 ! CaF�a�E�2 fi �C�j�r/ ✓°� C(-FfCe /F z ,TN -FAIL 4114aw i L 3 zS v� 6 ") p 4�7, i Ff_E. AD, 4 &'V.44 Z CW6& � ld!3 eC>Z fv Ole E1t."vAIEOL4 1'�9czuLr�✓j 4JL,'�TZ.� piJ �ff�T Cl�eCf! �3s4.o� Iv�TL.r� n9 3ZS�. SOIt�C-Y %w ir'Nl �a�Con=iliL�JC�� Metro Sign & Awning City of Salem Department of Planning & Community Development CHECK RECEIPT AND TRACKING FORM DATE BOARD it, k Sa,�lti `)er� STAFF 14 S� CLIENT: I L cid a f%p 84- PROPERTY ADDRESS: CONTACT NUMBER: 17F - z5/ — 2y PURPOSEFOR APPLICATION: 5 �2L CHECK # IF? ? AMOUNT RECEIVED: $ 1839 C&D SIGNS,INC. EA Fnterprl5e Bank DBA METRO SIGN&AWNING CREATE SUCCESS 170 LORUM STREET TEWKSBURY, MA 01876 53-274/113 p7 W(978))8551-2424 C OTO RDE/R`/OFE G�[ df'L $ 3,2, , 0 d LLARS VOID AFTER 90 DAYS y9 MEMO ED SIGNATURE Y'W- t� S 111001839,1' 1:011302742i: 518 77011'