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24 NEW DERBY STREET - SIGN PERMIT (16)
24-U-3 New Derby St Nikky Bergman Jewlery, Witch City Wicks, The Pack Paper Products Commonwealth of Massachusetts City of Salem '�aruv. ho'^ 120 Washington Sl.3rd Floor Salem•MA 01970(976)745-9595X5641 Return card to Building Division for Certificate of Occupancy lug Permit No. 13-15-597 PERMIT TO =EE PAID: $20.00 BUILD U ' L DATE ISSUED: 6/19/2015 This certifies that CITY OF SALEM has permission to erect, alter, or demolish a building 24-U-3 NEW DERBY STREET Map/Lot: 340424-701 as follows: Signs INSTALL THREE (3) INDIVIDUAL SIGNS 361N X 10 IN FOR ARTIST'S ROW Contractor Name: DBA: Contractor License No: 6/19/2015 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. APPLICATION FOR PERMIT TO ERECT A SIGN-Te- NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED 1 t°a Location, Ownership and Detail Must Be Correct, Complete, and Legible s Salem, Massachusetts 5/12/2015 Date To the Building Inspector: The undersigned hereby applies for a permit to Erect, ❑Alter, ❑ Repair a sign on the following described buildings: Street Address Zoning District in Urban Renewal Area ❑ Entrance Corridor 24 New Derby St Artist Row pi Historic District ❑ None City of Salem/Deborah Great Useof Telephone 978-619-5681 1 floorx ' Bridget Alexander, Nikky Bergman, Liz Frazier 2.. floor Address PO Box 215 Salem MA 01970 3 floor Telephone 617-800-4199 4 floor E-mail baQbrid etalexanderdesi n.com How many businesses are in the building?Three If a corporate body, name of responsible officer Sign Owners ;Stgn linear feet Construction Sup's Lioanse No t's Space(if mufti-tenant) linear feet Address linear feet Telephone E-mail wner ❑Sign Erector o Other: • opo Sign I Si n2 Sign 3 ❑ Surface ❑ Surface ❑Surface Right Angle to Building Right Angle to Building X Right Angle to Building ❑ Free Standing WFree Standing c Free Standing ❑Awning ❑Awning ❑Awning ❑ Portable(A-Frame) ❑Portable(A-Frame) ❑ Portable(A-Frame) o Other(specify) ❑ Other(specify) ❑ Other(specify) Sign Materials Sign Materials Sign Materials PVC,paint PVC,paint PVC,paint Sign Dimensions Sign Dimensions Sign Dimensions 10"x36`x2" 10"x36"x2" 10°x36"x2" Sign Area Sign Area Sign Area 2.5 sq It 2.5 sq ft 2.5 sq ft Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing) 10 inches 10 inches 10 inches Estimated Cost of Net Work $ 900 Type Sign Area To Be Removed? Si e ❑ Surface sq ft o yes ❑no o Right Angle to Building sq ft ❑yes ❑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 nni n &Community Development Department Historical Commission Approval Building Inspector r ); ' / i .3 ?J9:_ ( +._ •91fs13 ACS'. ;,IJ":'j v11wit'i - . "1: •>` .'i'•Jf ..:i 9'111(1 � .0:.)"PycOl a•...is��:1 Jf'! .� IRN .:a I, .� .•,t '. ;vt _ . g'L.a r�i;_.. .^:>r-a .� nl!e - '. r.;nv�+-'-.' i ..,�t..!'�.(�.�.ry!,��r4�.��py�� . % , 1. per'_. _i0.t�.i• 5tl1M,..iw ..;t• _-i -. . a�2::q�.., y 9i 'rA:.. 'H'iC'1'(• .Jho'-i:. -i 1 h611 �_ _ 1 W . I I oe "`� ,k C3..>r° '��i.'a' v.�''i` `�..�".rr"'"sirr�i►�`6`'s. .,-. I.' c+ls'�: , ltw :i. . - --— - -- City of Salem Sign Permit Application Worksheet RECEIVED 21-May-15 I SPECTIO��AL SERVICES Nikky Bergman,Witch City Wicks,Pack Paper 24 New Derby Street,Artists'Row#4 P Zoning(res/non-res) B, 1015 JUN 18 4 10 Entrance Corridor(Y/N) N Lot frontage na feet Building or tenant frontage 62 feet #of businesses on site 2 Biting dist from street center <100 feet Multiplier 1 maximum area permitted 62.00 sq ft total proposed sign area 9.00 sq It sign 1 length 36.00 inches height 36.00 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 eight 0.00 inches TFTRW• maximum area permitted sq It(per side) maximum#of signs permitted signs maximum height permitted It tall sign 1 proposed sign area 0.00 sq It length 0.00 inches height 0.00 inches proposed sign height 0.00 It(approx) sign 2 proposed sign area 0.00 sq ft length 0.00 inches height 0.00 inches proposed sign height ft Application meets standards set forth in the Salem Sign Ordinance Yes Recommend approval Yes Approved by SRA/DRB e Salem ® Redevelopment Authority Salem Redevelopment Authority Decision June 10, 2015 24 New Derby Street (Artists' Row), Stall #4 (Nikky Bergman Jewelry, Witch City Wicks, and The Pack Paper Co.): Discussion and vote on installation of signage SRA Decision At their meeting on June 10, 2015, the SRA voted unanimously (4-0) to approve the May 27, 2015 DRB recommendation to approve the proposal to erect signage at 24 New Derby Street Artists' Row Stall #4). Recommendation At its meeting on May 27, 2015 the Design Review Board voted unanimously (5-0) in favor of recommending the applicant's proposal for signage at Artists' Row stall #4. Black brackets shall be used to hang the sign. Proposal The applicants propose to erect three connected right angle signs that will be 10" x 36" each, making for a 36"x36" total sign area (9 square feet). Each sign will contain the artists' respective branding, be made of white PVC substrate, carved and painted — Deep royal background with white dove lettering. Staff Comment This proposed sign is compliant with the City's sign ordinance. More information will be sought regarding method of attachment. CITY OF SALEM SRA SUBMISSION FOR ARTISTS'ROW HUT#4 TENANTS: NIKKY BERGMAN JEWELRY WITCH CITY WICKS THE PACK PAPER CO. CC: DEBORAH GREEL ANDREW SHAPIRO DATE: MAY 15,2015 The planned signage for the existing post at Artists'Row Hut#4 is as follows: Three(3) individual signs,one for each business entity occupying the space. Each sign will be the same size, material,and colors. Each sign will be double-sided and hung perpendicular to the building on the existing post. Each business'logo will be placed separately.The specifcations are as follows: Three(3) signs at 36 in.x 10 in. White PVC substrate, 1.5 in.thick Carved and painted Colors: Benjamin Moore Deep Royal and White Dove Diagram, logos,and colors on following page. TY OF • ' SUBMISSION FOR • • •• TENANTS: NIKKY BERGMAN JEWELRY WITCH CITY WICKS THE PACK PAPER CO. DEBORAH ANDREW SHAPIRO • ' 15, 2015 1 1 -tJlx/ I WITCH cl �Y wl�Ks . ��) hand-crafted soy wax candles I I 1 DD%Effective Date: May 23, 2015 F Western Surety Company ; e Y Y LICENSE AND PERMIT BOND KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 71663543 That we, Elizabeth Frazier dba Witch City Wicks Y of Salem State of Massachusetts as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of Massachusetts , as Surety, are held and firmly bound unto the city of Salem State of Massachusetts , as Obligee, in the penal sum of one Thousand and 00/100 DOLLARS ( $1,000.00 lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Sign Installation by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until May 23rd 1 2016 , unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Mail, to,Ae Obligee and to the Principal at the address last known to the Surety, and at the expiration of thirty-'&e-(3i)'14ys from the mailing of said notice, this bond shall ipso facto terminate and the Surety shall thereupon l'e-Ajieved from any liability for any acts or omissions of the Principal subsequent to said date. Regardless`of'£�e number of years this bond shall continue in force, the number of claims made against this bond, and`the number of premiums which shall be payable or paid, the Surety's total limit of liability shall not be cumulative from year to year or period to period, and in no event shall the Surety's total liability for all claims exceed the amount set forth above. Any revision of the bond amount shall not be cumulative. - Dated this 4th day of May 2015 . ` WITCH CITY WICKS Principal Principal WESTE SURET COMPANY By Paul T.Bruflat, SeAor Vice President LFom.-5.32-.124011 ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA 1 as (Corporate Officer) COUNTY OF MINNEHAHA I On this 4th day of May 2015 ,before me, the undersigned officer, personally appeared Paul T. Bruf lat ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF,I have hereunto set my hand and official seal. }444444444444444444444444} S. PETRIK 1. NOTARY PUBLIC 8EAL ry Public—South Dakota i i�SOUTH DAKOTAp }444b444b444444444444444} My Commission Expires August 11, 2016 ACKNOWLEDGMENT OF PRINCIPAL STATE OF (Individual or Partners) as COUNTY OF On this day of before me personally appeared known to me to be the individual— described in and who executed the foregoing instrument and acknowledged to me that—he— executed the same. My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL STATE OF l (Corporate Officer) COUNTY OF }ss On this day of before me personally appeared who acknowledged himself/herself to be the of ,a corporation,and that he/she as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himselftherself as such officer. My commission expires Notary Public T C Q— F q z a tl W � N a Wpm m Z Is N j w > a o m w ¢ a City Of Salem Department of Plannin g 01 Check/Cash Receipt and Tracking Community Dereloprnenr Please complete & m Form m ke two copies. Date Received "-- ' Amount Received �l Form of Payment l� ..heck Client Information ❑ Money Order CASH PAYMENTS: client initials i Permit Application Fee ❑ Conservation Commission Fee Payment received for what ❑ Planning Board Fee/ZBq service? ❑ SRA/DRB Fee ❑ Old Town Hall Rental Fee El Other: Name of staff Person receiving PaYment � Additional Notes Place Check Here When Photocopying Form original Checlr and Form: DPCDFinance 1 COPY 1: Client Copy 2. Application File l -- City of Salem Department of Planning Check/Cash Receipt and Tracking Community Development Please comp/ete form and Form make two copies. Date Received 5 ( u IS Amount Received ?o.— on,n Form of Payment Check Client Information El Money Order CASH PAYMENTS: client initials �� wl�� Sign Permit Application Fee Payment received for what 0 Conservation Commission Fee ❑ Planning Board Fee/ZBA service? ❑ SRA/DRB Fee ❑ Old Town Hall Rental Fee ❑ Other: Name of staff person receiving payment 4, YU Additional Notes ELIZABETH M FRAZIER DBA WITCH CITY WICKS s3 1 e7na 5 DERBY SO.UNIT 1 1255 SALEM,MA 01970-3704 'c/ PAYTOTHE / DATE ORDER OF $ aO e £ ®Eastern Bank DOLLARS 8 V, Bmm,wBsllo A277S j le4-" eastem0enN.com MBMo dMAL� p,,/� "BOOWTERN _ CPC,tf t:0113017ggi; 0600667g6B11� -- - - 0125 original Check and Form: DPCD Finance Copy 1: Client Copy 2: File -� 9FRAZ01 OP ID: DC ACORD" CERTIFICATE OF LIABILITY INSURANCE DA07/1412015Y) o711a/zols 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 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 David Bruett John J Walsh Ins Agency,Inc NAME: Fax P O Box 4407 o Eat:978-745-3300 AIC No):978-745-9557 Salem,MA01970-6407 E-MAILDD Br David C Bruett SS:dbruett@walshinsurance.com INSURERS)AFFORDING COVERAGE NAICS INSURER A:Nautilus Insurance Company INSURED Elizabeth Frazier INSURERS:CNA Surety Company Witch City Wicks 5 Derby Square INSURER C: Salem,MA 01970 NSURER D: NSURERE: 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 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. /NSR kDDL BURR TYPE OF INSURANCE POLICY NUMBER M�MYODY/YYYY POLICY EXP OMITS EFF LTR21111 lum GENERALUABIUTY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL UABIUTY NNS41047 0212112015 02/21/2016 PREMISES Ea oownsixe $ 100,00 CLAIMS-MADE T OCCUR MED EXP(Any one Person) S 5,00 PERSONAL B ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPAOPAGG $ 2,000,00 POLICY PRO- LOC S JECT AUTOMOHILE LIABILITY COMBINED SINGLE LIMIT Ea awlbent ANYAUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Peramden0 $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS PER ACCIDENT S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DEO RETENTIONS S WORKERS COMPENSATIONINC STATU- OTH- ANDEMPLOYERS'UABIUW YIN T RV LIMI ER ANY PROPRIETORIPARTNERIEXECUTNEE.L.EACH ACCIDENT S OFFICERNEMBER EXCLUDED? F-1 NIA (Mandatory In NH) EJ-DISEASE EA EMPLOYE S I/yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POUCV LIMIT 5 B Bond 71663543 0512312015 05/23/2016 Permit 1,00 Bond DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Adaoh ACORO 101.Additional Remelts S.Ndule,B mare a pace is required) COVERED LOCATIONS INCLUDE 24 NEW DERBY STREET, UNIT 4, SALEM, MA 01970 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salem THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Salem, MA 01970 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD