281 ESSEX STREET - SIGN PERMIT (3) 281 Essex Street MMMM=9
( Life Alive)
License & Permit/Miscellaneous
Commercial Surety Application
�T• _HE
Complete this application in its entirety. 1 J.E1I{TF'ORD
Application must be SIGNED,WITNESSED and DATED.
FCityGeneral Information uestions w j
:
e purpose) Sure Bond for Signs Hun over a Public Way
(Attach a copy of the bond form,if available)
Intercontinental Insurance Brokers LLC
87168 Sub Producer Code: Bond Number:
oston Agency State: MA
Bond Amount: 51,000.00 Effective Date of Bond: 3/6/2012 Bond Term,if known:
#of years
Applicant is:(select one) ❑ Individual ❑ Partnership ❑ C-Corp ❑ S-Corp ® LLC ❑
Applicant(Principal): Life Alive Salem,LLC
Name to appear on Bond,if different from Applicant:
Applicant's Business Address: 281 Essex St,Salem,MA 01970
Applicant's Business Description or Latest Occupation: Restaurant
Number of Years in Business: 7
SS#: Fed Tax ID: 001069696 U.S.Citizen? No Yes
Business Phone: Pax No.: Email: hef lifealive.com
Obligee—party requiring the bond(required): The City of Salem
Obligee Address: 120 Washin ton Street,Salem,MA 01970
Billing Method: ®- Agency Bill ❑ Direct Billed—full payment ❑ Direct Bill TABS Account
TABS Account No.:
Billing Address, if different from-Applicant's Address: 765 Massachusetts Avenue,Cambridge,MA 02139-3303
Underwriting Questions 1 w;ti ,..i>.,
Does the Applicant have any other Surety bonds in force with any other Surety company? ® No ❑ Yes
Has another Surety company declined to write this or any previous bond? ® No ❑ Yes
Have you ever had a bond involuntarily terminated or cancelled? ® No ❑ Yes
Has there ever been a claim or legal action against any bond executed on your behalf? ® No ❑ Yes
Do you or any of your companies have any pending lawsuits,unsatisfied judgments or liens? ® No ❑ Yes
Have you or any of your companies declared bankruptcy or become insolvent? ® No ❑ Yes
Have you or any of your companies been the subject of any legal or administrative proceedings resulting in
disciplinary action? ® No ❑ Yes
Have you ever been convicted of a felony? ® No El Yes
F (If you answered Yes to any of ttie`above questions,_please attach a detailedexplanation.) -
Has the Applicant continuously been in business under the current name and ownership for at least three years? ❑ No ® Yes
Does the bond guarantee the performance of a speck contract or agreement? ® No ❑ Yes
If Yes,attach a copy of the contract or agreement. ❑ copy attached
Does the bond cover any type of environmental or pollution exposure? ® No ❑ Yes
Does the bond guarantee the payment of taxes, fees,wages or payment of an t e7 ® No El Yes
Page I oft 3/6/2012 CS-07/19/06-0
10:22 AM IStep Form,./APP4593
Indemnity Agreement
The undersigned Applicant and Indemnitor(s),(all hereinafter called the Indemnitor(s))hereby certify that the foregoing declarations made
and answers given are the truth without reservation, and are made for the purpose of inducing the Surety to execute a certain bond or
undertaking herein applied for, and any renewal, procurement, assumption, continuation or increase of the same, or any bond of similar
nature given in substitution or renewal thereof(all comprehended in the word"bond"or"undertaking"as herein used).
Indemnitor(s)hereby expressly authorize Hartford to access its credit records and to make such pertinent inquiries as may be necessary from
third party sources for the following purposes: (a)To verify information supplied to Hartford;(b)For underwriting purposes;and(c)Upon
receipt of a notice of claim or potential claim, for debt collection. Hartford may furnish copies of any and all statements,agreements, and
financial statements and any information, which it now has or may hereafter obtain concerning each of the Indemnitors, to other persons or
companies for the purpose of procuring co-suretyship or reinsurance.
If Hartford Fire Insurance Company,Hartford Plaza,Hartford,CT 06115,itself or any of its affiliates,parent,subsidiaries,co-sureties,or re-
insurers, (individually and collectively called "Hartford"), as Surety, shall execute or procure the execution of the bond or undertaking
hereinbefore applied for, which bond and application are hereby referred to and made a part of this agreement, the undersigned, in
consideration thereof,jointly and severally covenant and agree with Hartford as follows:
Indemnitor(s) shall pay the premiums and renewal premiums for each bond issued hereunder, until Hartford has received written legal
evidence,satisfactory to Hartford,in its sole discretion,of its discharge from all such bonds and all liability related thereto.
Indemnitors)agree to indemnify Hartford and save it harmless from any and all loss and expense of whatsoever kind or nature, including,
but not limited to interest,court costs,attorney fees,incurred by Hartford in connection with or by reason of furnishing any bond hereunder.
The undersigned Indemnitor(s)hereby agree to deposit upon demand with Hartford an amount sufficient to discharge any claim or any such
bond,which deposit may be held by Hartford as collateral security against any loss or cost on this bond.
Indemnitors agree that any Obligee on any bond written pursuant to this Agreement is specifically authorized and requested to disclose any
and all information, including providing copies of documents, whether deemed confidential or not, requested by the Surety in it's
investigation of any claim. The indemnitors irrevocably appoint Hartford as their Attorney in Fact with the right but not the obligation to
exercise its rights and execute or deliver any document in the name of the indemnitor deemed necessary to carry out the intent and purpose
of this paragraph.
A facsimile signature of this document shall be deemed an original signature for any and all purposes.
IT IS A CRIME TO KNOWINGLY PROVIDE FALSE, INCOMPLETE OR MISLEADING INFORMATION TO AN INSURANCE COMPANY FOR THE
PURPOSE OF DEFRAUDING THE COMPANY. PENALTIES MAY INCLUDE IMPRISONMENT,FINES AND DENIAL OF BENEFITS.
WITNESS the following signature(s)and seals) this 6th day of March, 2012. 4-
If Indemnitor is a PARTINERSHIP,CORPORATION or LLC:
� /, ( /
erne of Firm/Corporation Y.Q /L!fh LL
(Sea!)
!` Wi►TM
D / Print Above Name Here
rint Above N me er (Title(Print)
If Indemnitor is an INDIVIDUAL:
XWitness: Indemnitor
I Print Name Above Print Name and Social Security Number ofAbovc
Witness: Indemnitor
Print Name Above Print Name and Social Security Number ofAbovc
Witness: Indemnitor
Print Name Above Print Name and Social Security Number ofAbovc
Reminder2Please'make sure the application has been SIGNED WITNESSED a!10.DATE in the uppro rinte Wrens y:
Page 2of2 3/62012 CS-07/19/06-0
10:20 AM IStep Fmm.JAPP45a3
Salem
Redevelopment
Authority
Design Review Board Recommendation
March 28, 2012
281 Essex Street (Life Alive): Discussion and vote on proposed signage
DRB Recommendation
At its meeting on March 28, 2012, the DRB recommended approval of the
proposed signage for Live Alive as submitted.
Proposal for March 28 DRB and April 11 SRA Meetings
The submission, dated March 15, 2012, includes a sign permit application, sign
plan, and photos.
The proposal is for a blade sign, wall sign, and window decals. The blade sign is
27.3" x 36.6" and will hang from the existing sign bracket. The wall sign consists
of the words, 'live," `life," and "alive" and are 8" dimensional letters. There is one
window decal with the business name and logo (28" x 50") and a second decal
that will run along the bottom of the window and is 4" high with 2" letters.
Staff Comment for March 28 DRB Meeting
The signage complies with City and SRA guidelines. Please note the second
decal band at eye level has been removed from the proposal.
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
a NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
4 Location, Ownership and Detail Must Be Correct, Complete, and Legible
Salem, Massachusetts March 15, 2012
To the Building Inspector:
Date
The undersigned hereby applies for a permit to xEE x[Atter, ❑ Repair a sign on the following described buildings:
DistrictStreet Address Zoning
281 Essex street Salem Massachusetts 01990 ❑ Urban Renewal Area ❑ Entrance Corridor
❑ Historic District ❑ None
' • lefferey Halloran I Use of Building
Telephone 978 902 2544 1 floor
commercial
• • Life Alive SalemLLc -2-floor Condos
Address 281 Essex St Salem Me V floor Condos
Telephone 617 308 8235 4 floor Condos
E-mail hef@lifealive com How many businesses are in the building?
If a corporate body, name Heidi Feinstien
of responsible officer
' Edward S. Tanner Building linear feet
Construction Sup's License oCs21861 Applicant's Space(if multi tenant) linear feet
Address 1186 Great Plain ave Property linear feet
Telephone Needham Me 024921 Mail Sign Permit to
E-mail signs2000@gmail.com ❑Sign Owner x Sign Erector ❑ Other.
Sign 1 Sign 2 Si n 3
c Surface ❑ Surface ❑Surface
X6tightAngie to Building ❑Right Angle to Building ❑Right Angle to Building
❑ Free Standing ❑ Free Standing ❑ Free Standing
❑Awning ❑Awning ❑Awning
❑ Portable(A-Frame) ❑ Portable(A-Frame) ❑ Portable(A-Frame)
❑Other(specify) R6)ther(specify) letters w0ther(specify) Glass Lettering
Sign Materials Sign Mgt rials Sign Materials
2 Thick PVC matrial 1 " hick PVC matrial vinyl
Sign Dimensions Sign Dimensions Sign Dimensions
27.29x36.6x1" 8"x 22" each word varies per print
Sign Area Sign Area Sign Area
approx 6.8 sq ft+ s ft 1.2sgftx 3words 3.6 sq ft s ft 14 square It sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ 1500.00
Existing Signs
I Signatures
Type Sign Area To Be Removed? Sign Owner
❑Surface sq it ❑yes ❑ no -
xcRight Angle to Building 7_sq ft xgres ❑ no
❑ Free Standing sq ft ❑yes ❑no Sign Owner's Authorized Representative
❑Awning sq ft ❑yes ❑no
❑ Other(specify) sq ft ❑yes ❑ no
Property Owner
Internal Review
Planning&Community Development Department Historical Commission
Approval
Building Inspector
08/24/10 rev
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Phone: 617 9240070 Fax: 617 926-0034
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73 Oakland Street Watertown MA 02472
Phone: 617 924-0070 Fax 617 926-0034
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27.97" Tall x 36 wide x 1 " thick PVC material Appmsved Date
with digitally rinted design on each face
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281 Essex St Salem Ma
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LIVELIFE ALIVE Sign concept for review
S:ale Data
Window Graphic overall 28"x50" 3 words 8'x22"x1" deep 1.2sq ft x 3 1"thick sintra As noted
Mandella 22.5" high. Urban lettering Dram Che"led
2.5" cap height Papyrus font est
Sheet Dwg.No.
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Salem
Redevelopment
Authority
Design Review Board Proposal
March 28, 2012
281 Essex Street (Life Alive): Discussion of proposed signage
Proposal for March 28 DRB Meeting
The submission, dated March 15, 2012, includes a sign permit application, sign
plan, and photos.
The proposal is for a blade sign, wall sign, and window decals. The blade sign is
27.3" x 36.6" and will hang from the existing sign bracket. The wall sign consists
of the words, "live," `life," and "alive" and are 8" dimensional letters. There is one
window decal with the business name and logo (28" x 50") and a second decal
that will run along the bottom of the window and is 4" high with 2" letters.
Staff Comment for March 28 DRB Meeting
The signage complies with City and SRA guidelines. Please note the second
decal band at eye level has been removed from the proposal.
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
' March 15, 2012
f / Salem, Massachusetts
-- Date
To the Building Inspector:
The undersigned hereby applies for a permit to x[Erect, xgUter, c Repair a sign on the following described buildings:
DistrictStreet Address Zoning
281 Essex street Salem Massachusetts 01990 10 Urban Renewal Area u Entrance Corridor
o Historic District o None
• ■ Jefferey Holloran Use of Building
Telephone 978 902 2544 _1.150r commercial
■ Life Alive SalemLLc 2" floor Condos
Address 281 Essex St Salem Me 3 floor Condos
Telephone 617 308 8235 e floor Condos
E-mail hefnc lifealive com How many businesses are in the building?
If a corporate body,name Heidi Feinstien Frontage
of responsible officer
• Edward S.Tanner Building linear feet
Construction Sups License NoCs21861 Applicant's Space(if multi-tenant) linear feet
Address1186 Great Plain ave Property linear feet
Telephone Needham Me 024921 Mail Sign Permit to
E-mail signs2000@gmail.com ign Owner ign Erector Other:
Sian 1 Sian 2 Sian 3
o Surface c Surface o Surface
Xgtight Angle to Building o Right Angle to Building ❑Right Angle to Building
o Free Standing o Free Standing o Free Standing
•Awning o Awning o Awning
o Portable(A-Frame) o Portable(A-Frame) o Portable(A-Frame)
o Other(specify) KOther(specify) letters `Other(specify) Glass Lettering
Sign"Mater als Sign Materials Sign Materials vinyl
Thick PVC matrial 1 Thick PVC matrial
Sign Dimens' ns Sign Dimensions Sign Dimensions
27.29 6x1" 8x 22" each word vanes per print
Si Area Sign Area Sign Area
anpprox 6'&ft+ sq ft 1.2sgft(3words 3.6 sq ft s ft 14 square it sa ft
Sign Height(if free standing) Sign Height In free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ r 6- -OL)
Signatures
Type Sign Area To Be Removed? Si D ner
Surface sq ft o yes o no
xg2ightAngle to Building 7_sq ft xges no
o Free Standing sq ft o yes o no Sign Owner's Authorized Representative
o Awning sq ft o yes o no
o Other(specify) sq ft o yes c no Property Owner
Internal Review
Planning &Community Development Department Historical Commission
Approval
Building Inspector
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73 Oakland Street Watertown MA 02472
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27.97"Tallx36widen1"'in PVCmalarial
with Algitally onnletl tlesign on each(ace
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281 Essex St Salem Ma
Desaiplion
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LIVE LIM ALIVESign concept for review
Window Graphic overall 28"x50"
Mandela 22.5"high. Urban lettering
25"rap height Papynls font Scala Dam
3 words 8'x22"x1" deep 1.2sq ft x 3 As noted
Drawn enaelwa
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Mast Dg.N'.
4"High Panel with 2"cap and lower case lettering Papyrus font I/I
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