26 NEW DERBY STREET - SIGN PERMIT 10 P_euect Nails
26 New Derby St
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
—_ Date Received I
_Amount Received -
Form of Payment -`Check Cash
Client Information
CASH PAYMENTS: client initials
Sign Permit Application Fee
❑ Conservation Commission Fee
/
� Payment received for what Planning Board Fee ZBA
service? ❑ SRA/DRB Fee
Copies
Other:
Name of staff person receiving
payment T �;
Additional Notes
3373
VITAL SIGNS & GRAPHICS
BRIAN MCELENEY �7-
48 RED FOX CROSSINGfi-
& GARDNER,MA 01440 _
ev1� $ 55 ° C Q
S� The Order,)1
1
1 C FEDERAL CREDIT UNION
Fur Z� WV
/U-
1:
1: 2 1 1 38 28 501: 201003660611' 3373 I
Original Check and Form: i?Pt:D Fin uir:�!
copy L:
Copy 2: \'w1l., It nl FJ"
�-�rl.�..��T
26 NEW DERBY STREET 157-13
COMMONWEALTH OF MASSACHUSETTS
GIS : 1520 - - CITY OF SALEM
Map;- ----34 ---- -- I
Block: - 0423 — -- --i SIGN PERMIT
Permit Sign
Caroeory: —SIGN
I l mi I Il 15 13 _-- -. PERMISSION IS HEREB Y GRANTED TO:
Project# JS-2013-000304
Est.Cost: 51,316.00 Contractor.* Liceiase:
Fee Charged:S55.00
VITAL SIGN&GRAPHIC Expires:
Balance Due:$.0o_ _ 1Olv�ter: WASHINGTON AT DERBY LLC, RCG, LLC
of Fixtures: _ -'1PP1Ictutl: VITAL SIGNS&GRAPHICS
DigSafe# —IAT; 26 NEW DERBY STREET
UscGroup
Constclass -
ISSUED ON: 23-Aug-2012 AMENDED ON: EXPIRES ON: 23-Feb-2013
TO PERFORM THE FOLL 0WING WORK:
INSTALL SIGN FOR 10 PERFECT NAILS AS PLANS SUBMITTED
THIS PERMIT MAYBE REVOKED BY THE CITY OF SALEM UPON VIOL ION OF ANY OF
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Dale Paid: Cheek No: Autumn:
BUILDING REC 2013-000858 23-Au-12 3373
$55.00
Gai r;HStt,2012 Des Laurin.:,\Imuicipal Solutions,lac.
08/01/2812 12:27 9787418509 THE UPS STORE PAGE 01/01
FROM )ITgL SIGNS PHONE hO, Aug, CU 2012 Ai 513PM P1
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOYE:81JILDINO PWMT MUST BE 08TAMM BfiFoRE SIGN Is ERecTF.n
Location.Ownet•ship and Det*1 Must Be Correct,Compla?a. and Legible
\.. Stlern,Mossechueetta
Date
To the Bullding ImpfttOr.
The undersigned hereby applies for a permit ho _tact, c Alter, c Repair a 61gn on the following detrAbed buildings:
n ReW al Area 0 Enbarlce Corridor
3 ���2WC� 2r�a ' S"C. eH nrDiMrle! allone
z \O 'E'er�'eLC_t� ori
Teiephons q�tQ>�-I Y 1 floor
u vv N
3 onr __...,.
Address y v ) b S T dK
Telapfhone l d� 1- a iftr
E-rnrll n� �.¢.':.g!-1 t S6w�a � ,G�>'�•� Dw many businesses are In b
i M a corporate body:name
of m bnsrble atBrVP .�._v
e..N S— ea wilding , fi�+r rRet
uoWmom b�, � l a �' AMinmr s Spam l muHi-tenanl) .— inear fee:
ro
A w 4,8 P.s �q rosSlh rvva
Property linear feat
dedk-k t' 3 NSA b�'.5�^ �
E.w— V rP 0.\ i v.F No vi p.v�(, .N�! L p.^.iaOwner
n c sign C.mcmr a Oeror.
sign 1 .5!9.m 2 Sign 3
n Surface o Surface o Surface ......._...
D Right Anglo to Building o Right Angle to Building u Right Angle to Building i
a FM Sbendng o Fres Standing u Pme Standing
o Awning >k4ming d Awning
u Prii We(A-Frame' c Portable(A-Frame) o Portah)c�(Aame)
p6ther(specafyJ lx,w I,�•L 4e7dlcr c other(specify) _ D Other(sac. ) -
Iqn Matanals Sign Materials �ign Materials
'Forme \ I bartt.�- a
Sign mmo' �T$lgn 6ime!> Ons Dlmarhslons
Sign tea I
Sam Area Sign Arco
$ R
Sign HeIgM(iffire standing) 6 1 9n Weight COfree st'an�ng) •6,an He'.g'�t lir tree sisndingJ
EsVrnvM Coat of Nat Work
s
Mal
T Sign Asch To lav Rrmoved7
o urface „`sq ft c yes a nn _
n Right Angle to Building aq R o yes D no
o Free StarWing —sq ft n yes a no Slgn OMPVVn Authorized Reprase
Awning sq ft o yes d nD _
c Other(spe*) =sq R Wv06 r no P opsrtY Owner
plannirig 8,cwrtmurdy Dtwel Depprtmem Hiatorld Comnus6lon
Ll
Building InspeWbr .,.�
AUG 06 2012
DEPT. OF PLANNING i
COMMLfti-y DEVELOPMENT
W
15
eG(pr 5.
1.
100 mater)H re6.a pt rat Al•I tro papoaea
W m .- OacuKKe.luept Ns eleatrlar work
ssa s e W aecvlu'•.me wmr wlo w,e. J`
tepertt coNrac[Ip IVt atl Natal)tM alactrkN
pn
1 fleaVlaW to NrtNM N I, tll IJriM work p Nla
OOGnanq,Insltetea O Maw
a L9 P , IlPtlnp b tM
oOmeabs b Pavan NwtrlcM psN.Gp'Clrn bctbn d
boww.^pwe'e^ ^v GIENAPP
.1l.b owe.Or IIQIM.NAu wlro b w r
DESIGN
. m..any u+aU,PaM It[a mN`f egJecea MIN.M
M e.tarlor corouR fon IIu061
is elle .fM& rote A ARMTEC RE
z wan OrllsW 1 lebtantlp an a."s I^oamV Ibrkk)wa9,
1•wG trim(peYeae wlutt arRl Nb e+sxlry opts pNte.00 rpt O ,On Urlak tatlte. to comm w<.t
m"ORE t GMarf a<G tl• WMn CpIGIMta IpM1OrMQ b to Yp.'N.YN t'OroWlta I>a3AN ar92t
mltene utas�Ry ssi p NICO i:sw rR ?' CfrP 01XaMa' 473,750.906}
d NG,to"i NL trim. a. Set Il�lb b PaNaa Iw Wham d )n1s1,w be 9b' WC^+N*k+;Rnavm
tl%rva tal>rsl Vlm Rap d sa ttlml.Thb N b ntaWM
err bottom d rarlaatar t m•ebaa eap d Mw sign_
I' h
Formes.IeNk)error by - \ yc
moa2ee
DremwW IY b to
tkYavp Dac r mwuir<tum
epecllketbro. � f0
/ 1 # 41K4y CraCrly •rvC t DaKed u U b mt(J1
oaZ a
q eroppea aefAv--� —_ evisthv isaie E
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dq Utsu"mall✓•.Irp ty Wlw to
.KJ.p.bqj l 1 equabn e+cnon wRn LaB n• Z
xrcwe.see rote a p e rn
r M1 70 Perfect wue <
�twnAn)sort w t'aaar.m. h
ria,oera x a
w to 1 Back w.nna hst+na u
to1 t?eayslie0 steel.
MJ 1'<-'c_t rn a taNtCO UYGk. 9.4. qpe yrt
etOrNrOt Provtse W N(PIGJ bKr# � amp Mt�a�r
wNer ham*Wan Paula New Part"A St C wn
as lece0e as .W�
ew TW�tk-Wq Panial Building
Section
Building Section nAwning Detail
i..c���,k J ffC�r t�t411�' .7"� Tt�L S ��C�'-s�R•,4CT
Date
(b)WHERE FRINGE BENEFITS ARE PAID IN CASH
1. ❑ — Each laborer or mechanic listed in the above referenced payroll has been paid,
(Name of Signatory Parry) (Title) as indicated on the payroll,an amount not less than the sum of the applicable
do hereby state. basic hourly wage rate plus the amount of the required fringe benefits as listed
in the contract,except as noted in section 4(c)below.
(1)That I pay or supervise the payment of the persons employed by
(c)EXCEPTIONS
an the
(Contractor or Subcontractor) EXCEPTIOt4(CRAFT) EXPLANATION
that during the payroll period commencing on the
(Building or Work)
day of and ending the_day of
all persons employed on s aid project have been paid t he full weekly wages earned, that no rebates have
been w will be made either directly a indirectly to or on behalf of said
from the full
(Contractor or Subcontractor)
weekly wages earned by any person and t hat no deduc tions have been in ado either direc fly or indirec By
from the full wages earned by arty pefson,other than permissible deductions as defined in Regulations,Part
3(29 C.F.R.Subtitle A),issued by the Secretary of Labor under the Copeland Act,as amended(48 Stal.948,
63 Start.108,72 Stat.967;76 Stat.357;40 U.S.C.§3145),and described below.
REMARKS
(2)That any payrolls otherwise under this contract required t o be s ubmitted forthe above period are
correct and complete;that the wage rates for laborers or mechanics contained therein are riot less than the
applicable Wage rates contained in any wage del errnination incorporated int o t he c ordract t hat t he
classifications set forth therein for each laborer or mechanic conform with the work he performed.
(3)T hat any apprent ices em ployed in t he abov a period are duty registered in a bone fide
apprenticeship program regis tered w ith a St ate apprent iceship agency recognized by the Bureau of
Apprenticeship and Training,United States Department of Labor,or if no such recognized agency exists in a
State,era registered with the Bureau of Apprenticeship and Training,United States Department of Labor.
(4)That
(a)WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS,OR PROGRAMS NAME AND TITLE SIGNATURE
— in addition to the basic hourly wage rates paid to each laborer or mechanic listed in
the above referenced payroll, payments of fringe benefits as listed in the contract THE WILLFUL FALSIFICATION0 FANY 0 FT HEABO VEST ATEMENTSM AV SM ECTT HE CO NTRACTOR0 R
have been or will be made to appmpna to progra ms for the bene fit of such SUBCONTRACTOR TOCIVIL OR CRIMINAL PROSECUTION.SEESECTION 1001 OF TITLE 18 AND SECTION 231 of TITLE
employees,except as noted in section 4(c)below. 31 OF THE UNITED STATES CODE.
These drawings illustrate facade improvements.The scope is as follows:
-New signage mounted on exterior facade
-(4)New Gooseneck lights on existing facade by Electrical.
-New Awning
-New trim on existing sign band
NlpJnv.-x:edo.Fns�w[Nevalike d..blucva hiAl.lab h
txb:n'wa'w.eJo.Ft,tx miaaGlseJavMavn Nn LJvb
pro a aaaerlbd he.., initial contact theulr. be with tb ardor of Veantlfiarea that indicate eMther the pa-tlmrlu
Drench, 02 Cnnatraction Nage Cete[nrna[iaaa. Nrite to: rate is there or non un ton.
Brencb of Oonstructlon Wage Oeternlnatione union id.eilfiela
Xege end Naur Olot.Loa
U.S. Department of Labor An Identifier enclosed in dotted linea beginning with
200 Constitute on Avenue, N.N. characters other than wSU• Smarten that the often
XenM1:nq[ory a 20210 claa.lri cation and rate have found to be prevailing for Mat
l..alf ics4on. EaueYle: PLUMI98-015 01/01/2013. 911.
2.) It tm a : to tna gtr.tlee In 1.1 is yea, then a. flout four latter. , PLUN, IndM Indica[. Llab rnatLonai union eM
Interested patty (those affected by the act Lo" can request the four-dlglt n May 0198, that rolls., Indicate he local
.view and r nsid—c'— frox to. n.qw and hour adniolarrator unem.. ri atetritt nWrrf. a—mar .1.1.appuuhia ,
(Sae 29 CPP Part 1.8 aid 29 CFA Part 1). Write to: , Plumbeis Local 0196. The nee[ n COS in the
erwV,Im, la a inteel number used en p omc,ei., tie were
Wage and NOur Adelnletea tot deteretaation.1 mTe date, 01/0t/2011, follo.irg these
U.S. Department or "bar characters is the afteotive data or the mac current
200 CoL •
ra tution Avenue, H.W. negottwteel r to/collactiew bergalnlcg agrea®rtwould uld he
Nash ngton, a 2C210 July L. 2011 In the no . ewarli..
11met request should bee eomamnied by a fill stataament of the Union transit ling wage rates .:11 be updated is reflect any
Interested party'a Maicion and by any iiformtlon (wage change. m M. collective ba[galnivg egtearnts gov.fnih, the
payment date, project de..il,tlon. are. o .rte L. care.
etc.l that the fpueotar considers relevant tr the issue.
Non-Union Identifiers
1.) It the decls-an of the Mlelni.tra[or le mot favorable, ..
interested parry may appeal directly to the Aceinletraile, Clae.l M.,... letea uMet a 'SO- idesUflrr, were derived
Pavia. Beard (I—cly the Nage Appeal. goard). Write tot trove aunay data by comonttn,avec.,. rate. and are not union
,atasrbowe.e r, Me data road In tambourine .Mae is.as,
Atlmi el rat cative Nevins hoard lncltde bo" also and non-mien dot.. amp l., S=2CO1-001
U.S. Dopa[uaent of tabor 5/13/2010. SO Indicates the rare. are n rates, LA
2DO Constitution Avenue. N.N. indicates the State of LoulaanN 1001 is the year .t the
naavny ttwi u. alit note... ono u0 a let.mai nurse. .... to'[ede
uc , toe
.ago determination.. A 1993 Or later data, $/11/2010, indicate.
a.) All desislona by the Administrative Nev lea Btefd ere final. the classifications and rates under that Identirler were issued
as a General We" Cetaminatlen rn that data.
ens. _—_----R—.Lee—ei9eemrt�'=�el�l� Survey wage faire X111 rwaln In affect antl will not cM mle
Stn OF GNNFAAL nECISTON emit a nee survey La cnnduccau.
HAGS DEM MINATION APPEALS P(LLCSSS
1.1 Xaa Ma[O "an em initl.l deei.lcc it the natter? ThLD can �
bei
• an exin[inq published wage determination
a survey underlying a aeon determination
• a Nage and (bur Division loiter setting forth a position on
wage Onte[e.untlon it.,
• a conformance (additional classification and ratei ruling
0. . '.1 related it.... loiLl.l c neat t, relexii, reguese.
for suvaae rich of surveys, should be with the Nage one Hour
Re9ioral office for the area 1n which the money qct coodu=ed
because those Regional Offices have taepansib,lity for the
Oavla-B.crn arv., pm;r u. If M. re)poaa• fr. Nt. initial
.elect Is nrtsatisfactory, then the praceas described In 2.1
.ad 3.) should he roll>wa.
N1th rega[0 to soy other patter out yec IN ice the lr[.sl
13.1`111 dQP.012kh1PM list[$ 4=012e:57pM
r
po6
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O
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D PYBtd 10 Perfect Nails O n
+t0e� Awning&Sign lmpr v ent o 9 tmi+ Z —.:f 7`
33 New Derby Sweet 'g 5 `�
Salem,MA ! A
Z
Fxreting crwk -_ -=' GIENAPP
(,)600xM[k.. - - •NG,1Yt nbea Wn,typle� "
DESIGN
LICHITICIM.1,xbtbpR
l.,IWg
10 PER.F$CT NAILS ^
d
acng ws an wmf Z E �g� f
u0�c�a s�Gemersd o er coor Ow ben& N c ❑ E
Lfggo
c sed[bn L oC
l Do Z
sre-goo-u nnfrom edge
ove exbu s[orefraPJUf g r—
nnxm •glen•elpa / Freme,tyv�cN for aocn
Exl��swrenas
N - E'to.AM=lIlpanl
If I
Neu 9•`/w/I imien df 1'x96'3M r o w LV
(Wbrb 9w3MUM
FaR.Geabn/.mob Or 4f x ma
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Fxl[Ing eelr
E I
Front Elevation
38': T-0•
FA-
4N
U.S. Department of Labor PAYROLL
N
Wage and Hour Division 0
(For Contractor's Optional Use: See Instructions at www.dol.gov/whd/forms/wh3471nstr.htm)
l'.S.'A., ,.r.l Hour Vivi+ion
Persons are Wit required to respond to the collechon of information unless it displays a currently valid OMB confrof number Rev.Dec.2008
NAME OF CONTRACTOR[3 OR SUBCONTRACTOR[3 ADDRESS ON4B NO.:1235-0008
Expires: 01/31/2015
PAYROLL NO. FOR WEEK ENDING PROJECT AND LOCATION PRQIECT OR CONTRACT NO.
(1) (2) (3) (4)DAY AND DATE (5) (6) (7) (9)
Y�
DEDUCTIONS
g NET
NAM1£AND INDM DIGITS
IDENTIFYING SOCIAL
NUMBER ff
SD - GROSS OL IIN WAGES
leg,LASTFWRDIGfTS OF SOCIAL SECURITY =cLL WORK o TOTAL RATE AMOUNT HOLDING TOTAL PAID
NUMBER OF WORKER a w CLASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY EARNED FICA TAX OTHE0. DEDUCTIONS FOR WEEK
0
s
0
s
0
s
0
0
While mnplaton of Form WT}347 b optiaN,it a mandatory for covered oaahaMn and sutxmlracbn penurtrrg work an Federally fironced or assisted consWction contracts to respond b the mknratwn collection contained in 29 C R.§§3 3,5 5(a) The(:gmelarN Act
(40 U.S.C.§37d5)oonVxlwe and erbrontrxtore perfuming wool on Federally financed m aeaisled wretruction centrads b Yumish weekly a statement with resped bee wages paid each emryby"during Ne preceding week.' U.S.DapadmeM M Labor(DOL)regulations at
29 C.F.R.§5.5(a)(3)l)require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or hunting the construction project,accompanied by a signed"Sblement of Compliance'indicating that the payrolls are conect and complete and that each laborer
or mechanic has been paid not less than the Proper Davis-Becon prevailing wage rare for the work pwkm*d DOL and federal contracting agencies receiving Misinformation review,the information to determine that employees have received legally required wages and fringe benefits.
Public Burden Statement
We setirWe that is will take an average of 55 minutes to compble this collection,including time for reviewing instructions,searching existing data sources,gaMerirg and mainbWrtg the data needed,and completing and reviewing the collection of infomution.If you Tuve
any comremts regarding these estimates or any ofr aspect of this collection.imdudng suggesbom for reducing his burden,sent them to be Administrator,Wage and Hour Divieim.U S.Dep itt ent of Labor.Room 53502.2110 Constitution Averse.N.W.
Waeingbn,D.C.20210
(over)
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received 1 I
Amount Received —
Form of Payment Check ❑ Cash
Client Information
CASH PAYMENIfor
Sign Permit Application Fee
Conservation Commission Fee
Planning Board Fee/ ZBA
Payment r ❑ SRA/DRB Fee
Copies
❑ Other:
Name of staff person receiving
payment T
Additional Notes
53 3=�21t3_ 3373
VITAL SIGNS & GRAPHICS E
BRIAN MCELENEY Dat
48 RED FOX CROSSING �—
GARDNER,MA 01440
C vx L' s G��— e Mn $ s5' 0 a
s The Order tlf �(r/r p
I
I C FEDERAL CREDIT UNION
1: 2 1138 28 501: 201003660611• 3373
grigin,ll Check and Farm OPCIO Ful.ln�::)
Copy L: 0".11t
Copy 2: \jwhr Itloo Filo,
Q -
Y
DD%
Y
Y
n
. _ s,tive Date: July 27th, 2012
fi
Western Surety Company
Y
LICENSE AND PERMIT BOND
Y
° Y
KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 61929320
P
° That we, Brian McEleney DBA Vital Signs & Graphics
of Gardner State of Massachusetts as Principal,
e
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 & Awning intaller
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
July 27th , 2013 , 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 the Obligee and to the Principal at the address last known to the Surety, and at the expiration
of thirty-five (35) days from the mailing of said notice, this bond shall ipso facto terminate and the Surety
shall thereupon be relieved from any liability for any acts or omissions of the Principal subsequent to said
date. Regau_ lless of-the 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.
d
Y
Dated this 27th day of July 2012 d
Y
Y
vital Signs & Graphics
Principal
CORPORATE �( �
SEAL Principal
WESTE SURET COMPANY
By, -
Paul T. Bruflat, S f nior Vice President
Form 532-12-2011
T3