196 ESSEX STREET - SIGN PERMIT (2) 196 Essex St.
The Coffee Merchant
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3'� yJl APPLICATION FOR PERMIT TO EREC7 A GN
�.9 Salem, Massachusetts 191
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
APPLICATION MUST BE SUBMITTED TO THE BUILDING INSPECTOR WITH STAMPED APPROVAL
FROM THE SALEM REDEVELOPMENT AUTHORITY.
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to '_ Erect,
Alter, Repair a sign on the following described
building. --//
Location �a5{3iL 5� r'11 �1-� Zoning/District
Name of Property Owner SSS F�( �p,t��oS L 77
VName of Sign Owner T� rQ L 119C 17"04) ///ISE (D�fckMl-zVeAfA'r
Address
If Owner is a corporation, name of responsible Officer
Name of Licensed Sign Erector IULS� S
Address 1V ,�� Salem License No.
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Use of Building: 1st Floor 3rd Floor
2nd Floor 4th Floor
Type of Sign: Surface V Right Angles to Building
Free Standing Other ( ) Height: fib(
Sign Materials : WOO S�
Sign Dimensions : \ Sign Area SF
Existing SignsS rface: K� I` Sign Area SF
Right Angles : Sign Area SF
Free-Standing: Sign Area SF
Other: Sign Area SF
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Signs to be removed: Type Su~�� `Pc Sign Area SF
Frontage: Building � 1 FT Property FT
S.�gnature of Owner
Name & Address of Address
Insurance Company: 77
_ Telephone
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Estimated Cost of New Work: 7�
APPROVALS:
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Anvemp. CERTIFICATE OF INSURANCE ISSUE°ATE(MM,°°""
05 03 94
PRDDuCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
B.K. McCarthy Ins . AgCy. I nC . DDOOES NOT NFERS NAMEND,TEXTEND OR ALTER S UPON THE T THE COVERAGE AFFORDEDIFICATE HOLDER.THIS BY THE
106 Lynn Street POLICIES BELOW.
Peabody, MA 019605795 COMPANIES AFFORDING COVERAGE
COMPANY A Aetna Life & Casualty, CID
LETTER
COMPANY B
INSURED LETTER
Coffee Merchant DBA Peter McMahon COMPANY
196 Essex Street LETTER
Salem, MA 01970 COMPANY D
LETTER
COMPANY E
LETTER
CgY4RAfiES '�
. . LICE:
THIS IS D. C OT IT THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED T THE INSURER NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT.T TERM OR CE AFFORDED
E ANY CONTRACTS OTHER DOCUMENT WITH SU RESPECT ALL
WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE nFFORDED BY THE POLIUES DESCRISfT) HEREIN IS SUBJECT TO ALL THE TEAMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEDBYPAID CLAIMS.
CO TYPEOFINSURANCE POUCYNUYBER POLICYLILY EXPIRATION LIMITS
LTR ATE(MM/DD/Y/)
A GENERAL LIABILITY BQ0023971900TW-F 037/31/9743 31 95 GENERALAGGREGATE f2 OOO 000
X OMMERCIAL GENERAL LIABILI PRODUCTS-COMP/OPAGG. 12 000 000
,,.. LAIMS MADE X OCCUR. PERSONAL SADV.INJURY it O00 000
WNER'S 6 CONTRACTOR'S PROT. EACH OCCURRENCE fl 000 000
FIRE DAMAGE(Any one f1m) $50 000
MED.E(PENM(Any me pe /5 000
AUTOMOBILE LIABILITY COMBINED SINGLE $
LIMIT
ANYAUTO
ALLOWNEDAUTOS BODILYINJURY i
(Perpenm)
SCHEOULEDAUTOS
HIREDAUTOS BODILYINJURY i
(Pereocltlen8
NON•OWNED AUTOS
GARAGE LIABILITY PROPERTY DAMAGE S
EXCESS LIABILITY EACH OCCURRENCE i
AGGREGATE e
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
STATUTOHY OMITS
WORKERS COMPENSATION
EACH ACCIDENT $ _
AND -iEMPLOYERS'LIABILITY DISEASE-POLICY LIMIT
DISEASE-EACH EMPLOYEE 6
OTHER
DESCRIPTION OF OflEflATONe/LOGTONS/VEHICLE9/SPECIAL ITEMS. oqd `� , j7aly/e GIS (7(SU/PR� %lAc' h
`(hZG7 D� OIG fj pG a"94 0 E,e dG➢G° 2 "a o40
CERTIFICATE HOLDER ..__ � .. .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
City of Salem, City Hall MAIL 10 DAYS WR OTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn: Sign Review Board LEFT. Bur FAILU H NOTCE IMPOSE NO OBLIGATION OR
Salem, MA 01970 LABILITY OF LEND THE P ITS AGENTS OR REPRESENTATNES.
AUTHORIZ S A
ACORD 25-6 47 ) 1 of-:1 #6982 AFD 0 ACORD'CORPORATLON IWO'