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2 NORTH STREET - SIGN PERMIT 2 North Street Five-Hands Curiosity Shop Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN 3 t� NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED Location, Ownership and Detail Must Be Correct. Complete, and Legible Salem, Massachusetts Date To the Building Inspector: The undersigned hereby applies for a permit to - Erect. -Atter. - Repair a sign on the following described buildings AddressStreet Zoning District X Urban Renewal Area Entrance Corridor Historic District - None „- Use o f Building ?elephone T floor 2 Roar -_ Address — � 3 floor Telephone 4 floor E-mail C(IC NA How many businesses are in the building? 2 It a corporate body. name Frontage of res onsrble officer Building linear feet WM Construction Sups License No Applicants Spac (if mufti-tenant) linear feet Address Property 2 linear feet Telephone Mail Sign Permit to E-mail Sign Owner Sign Erector Other Proposedproposed Si n 1 1 Sign 2 Si n 3 Surface - Surface -Surface ,Right Angle 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) X11ther(specify) _ -Other(specify) Sign Materials : Sign Materials C L Sign Materials Sign Dimensio H X rk Sign D�menswns /�X 1 Sign Dimensions Sign Area // Sign AreaSign Area s 1A sq ft s ft Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing) Estimated Cost of Net Work 5 Existing Signs . . Type Sign Area To Be Removed? Sign Owner - Surface sq R - yes no /• Right Angie to Buddingsq It - yes - no Free Standing 1 _sq R yes no Sign Owner's Authored presentative Awrmg rp,��y sq R - yes - no )-(Other lspecify) r1 I _sq ft -yes - no l PV N Property Owner i� L pla�lny Community Development Department Historical Commission i Building Inspector Omuta r.V Salcin Redevelopment. Authorltv Design Review Board Recommendation March 27, 2013 2 North Street (FiveHands Curiosity Shoppe): Discussion of proposed signage and window decals SRA Decision At their meeting on April 10, 2013, the SRA voted to approve the March 27, 2013 DRB recommendation for the proposed signage at 2 North Street. DRB Recommendation At their meeting on March 27, 2013, the DRB voted to recommend approval of the hanging sign and window decals with the following comments: - The ornate bracket option is preferable - The blade sign should be 1-1 '/4" thick with a black edge - The background color of the blade sign should be slightly off-white - The sign will be located over the entrance door - The sign will be no wider than 30" Staff Comment The storefront is permitted 35 sq.ft. of building signage. The current proposal is for 19.5 sq.ft. The window decals will occupy less than 20% of the windows, as required in the Downtown Renewal Area. The signage complies with SRA guidelines and the Sign Ordinance. Proposal The application, dated March 14, 2013, includes a blade sign and window decal. The blade sign is 48"x 36" and consists of two pieces. It is a white background with black lettering and graphics. The applicant has proposed three different bracket options. The window decal are 18"x 60" black lettering in a custom font. It will be located on the window to the left of the doorway. �_AFA SB-300022- (Ed. 07/09) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION SCHEDULE Name Of Person Or Organization: CITY OF SALEM DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT 120 WASHINGTON STREET SALEM, MA 01970 Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. This endorsement modifies insurance provided under the following: BUSINESSOWNERS COMMON POLICY CONDITIONS We waive any right of recovery we may have against: 1. Any person or organization shown in the Declarations, or 2. Any person or organization with which you have a contract that requires such a waiver. SB-300022-B Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 1 (Ed. 07/09) Copyright,Insurance Services Office,Inc.,2002 DATE(MMODNYYV) CERTIFICATE OF LIABILITY INSURANCE 1 03112/2013 VSCERTIF�Al1 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: Ifthe cerd8cate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. N SUBROGATION IS WAIVED,subject to the terns 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 endorsememis). PRODUCER CONTACT CS$SBIN INSURANCE HOLDINGS LLC NAME: PHOPO BOX 946580 ((=,,Ext): IAm,Ne): MAITLAND,FL 327945580 E-MAIL ADDRESS: Phone-688-622-8931 Fax-877-7635122 INSURERS)AFFOROMG COVERAGE NAm e INSURERA:American Casualty Company of Reading,Pennsylvania 20427 INSURED INSURERS: CHRISTOPHER CINQUEMANI DBA FIVE HANDS CURIOSITY SHOPPEINSURERC: 60 St.Peters Street,#204 ,M-WRERD: Salem,MA 01970 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 W PAID CLAIMS. NSR ADDL POLICY E" LTR TME OF INSURANCE MR 0111D POLICY NUMBER MMInD Ulm GENERAL LIABILITY EACH OCCURRENCE $1,000,066 COMMERCIAL GENERAL UABILITY DAMAGE TO RENTED $300,000 CIAIMSMADE ®OCCUR PREMISES(Ea amnance) MEDEXP(An aleller ) $10,000 A Y Y 5086000475 03/05/2013 03/05/2014 PERSONALAADVINJURY $1,000,000 GENERAL AGGREGATE 2,000,000 GENLAGGREGATE UMITAPPLIES PER: PRODUCTS-COMPYOP AGG $2,000,000 FOUCV E6 LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea awward ANY AUTO BODILY INJURY(Per peiwn) AOSCHEDULED BODILY INJURY(PereaideM) AUTOS AUTOS MIRED AUTOS NON-0WNED PROPERTY DAMAGE (Psr— AUTOS (PeracvtlaM) UMBRELLA LIAS OCCUR EACH OCCURRENCE EXCESS UAB CLAIMSMADE AGGREGATE OED RETENTIONS WORKERS COMPENSATION W YUM -. OTH- ANDEMPLOYERVLIABILITY TORY UMRS ER ANY PROPRIETOP/PARTNER/ ECUTWE YM E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? (MandAtM]lNH) El E.L DISEASE-EA EMPLOYEE If yea deauiba under DESCRIPTION OF OPERATIONS W. E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Ae ACORD 1 Ot.Addidonei Remads Sd W.R more space Is iepuredl Certificate Holder is added as an additional insured as provided in the Blanket additional insured endorsement Waiver of Subrogation applies to the City of Salem, Department of Planning and Community Development as it pertains to insured's location at 2 North Street Salem Massachusetts 01970. CERTIFICATE HOLDER CANCELLATION CITY OF SALEM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 120 WASHINGTON STREET ACCORDANCE WITH THE POLICY PROVISIONS. SALEM, MA 01970 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD caM?ae City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form Please complete form and make two copies. Date Received Amount Received ® _ o Form of Payment (� as heck E] Cash Client Information CASH PAYMENTS: client initials IS] sign Permit Application Fee Conservation Commission Fee Payment received for what Planning Board Fee / ZBA service? F] SRA/DRB Fee 0 Copies Other: Name of staff person receiving payment _ Additional Notes -I v SVER FINANCIAL SERV!EESigwoad.(SCOWS ° WESTERN( (MONEY UNION ORDER Pwa �w 14-275551350 WA P A 1173 D 031413 �0 00 E<� 140503 L 034411 NOT GOO NOT GOOD OVER S`+M PAY EXACTLY TWENTY DOLLARS AND NO CENTS PAYMENT F'URIACCi PAY TO THE p ` i�ZO 1 ' O R F 1` J e Ki SPc1 MA 010130 I: 10 2 1001-.001: 40 L►. 24555 L 350311' Original Check and Form: DPCD Finance Copy 1: Client Copy 2: Application File pie Hmmx i ,o4( %4siW) TALC CURIOSITY SHOPPE TO ov is cusAoM WAe om Sc^'Jc 1+0 4 Uu e� IVE� �ND,� CURIOSITY SHOPPF Z� A Ro CERTIFICATE OF LIABILITY INSURANCE °"011133/D/2014 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(ies)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 NAME' CS&SANSUREON PHONE FAX A/C,No.Ext): A/C.No' PO BOX 946580 EMAIL ADDRESS: Maitland, FL 32794-6580 INSURERS AFFORDING COVERAGE NAIC# 1-888-622-8931 INSURER A: American Casualty Co of Reading,PA 20427 INSURED INSURERS CHRISTOPHER CINOUEMANI DBA FIVE HANDS CURIOSITY INSURER C; SHOPPE INSURER 0' 243 WEST END AVE MASSAPEQUA, NY 11758 INSURER E: INSURER 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. NOTWITHSTANDINGANY 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. a1SR ADOL WEIR POLICY NUMBER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSB wvD MM/DD/YY MM/DD/YY LIMITS A GENERAL LIABILITY Y Y 5086000475 03/05/14 03/05/15 EACH OCCURRENCE $ 1 000 000 GE TO RENTED COMMERCIAL GENERAL LIABILITY Pq MSES(Eaaccurerce) $ 300000 CLAIMS-MADE NOCCUR MED EXP(Any one Person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGE $ 2 OOO OOO P POLICY JEORO- X LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea ecciJeni7 ANY AUTO BODILY INJURY)Perpewn) $ ALL OWNED SCHEDULED BODILY INJURY(Peraccident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Peraccident) S $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS CLAIMSMADE AGGREGATE S DED I RETENTION$ $ WORKERS COMPENSATIONH- AND EMPLOYERS'LIABILITY YM TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECU IVE OFFICERIMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ If yes,descnbe under DESCRIPTION OF OPERATIONS bolo. E.L.DISEASE-POLICY LIMIT S OTHER I TORY LIMITS ER E.L.EACH ACCIDENT S EL DISEASE-EA EMPLOYEE $ E.L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach Acrd 101,Additional Remarks Schedule,if more space Is required) Certificate Holder is added as an additional insured as provided in the blanket additional insured endorsement. Waiver of Subrogation applies to the City of Salem, Department of Planning and Community Development. CERTIFICATE HOLDER CANCELLATION CITY OF SALEM,DEPARTMET OF PLANNING AND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE COMMUNITY DEVELOPMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 120 WASHINGTON STREET ACCORDANCE WITH THE POLICY PROVISIONS. SALEM, MA 01970 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD CNA Small Business Service Center PO Box 946580 Maitland, FL 32794-6580 000006 CITY OF SALEM, DEPARTMET OF PLANNING AND COMMUNITY DEVELOPMENT 120 WASHINGTON STREET SALEM, MA 01970 0 Q 0 O 0 0 0 0 0 0 0 0 0 0 0 O 0 N O O O O Ra CERTIFICATE OF LIABILITY INSURANCE DA /14/20,/20 5""' 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(ies)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 endorsements). PRODUCER CONTACT NAME: CS&S/INSUREON PHONE FAX PO BOX 946580 EMAIL o.E A/C,No): ADDRESS: Maitland, FL 32794-6580 INSURERS AFFORDING COVERAGE NAIC# 1-888-622-8931 INSURER A: Y g'American Casualty Co of Reading, PA 20427 INSURED INSURER B: CHRISTOPHER CINQUEMANI DBA FIVE HANDS CURIOSITY INSURER C: SHOPPE 243 WEST END AVE INSURER D: MASSAPEQUA, NY 11758 INSURER E: 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, NOTWITHSTANDINGANY 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. [NSA TR TYPE OF INSURANCE INnnL Mo POLICY NUMBER POLICY EFF POLICY EXP MM/0 MMICY EX LIMITS A GENERAL LIABILITY Y 5086000475 03/05/15 03/05/16 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DR SETTER E mel $ 300 OOO CLAIMS-MADE 7 OCCUR MED EXP(Any one person) S 10,000 PERSONAL&ADV INJURY S 1.000.000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPtOP AGG $ 2000000 PRO POLICY dECT1^1 LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Me acoidentl S ANYAUTO BODILY INJURV(Per person) $ ALL OWNS SCHEDULED BODILY INJURYIPer accident) S AUT OT AUTOS NON OWNED PROPERTY DAMAGE HIRED AUTOSHALT, (Per accident) S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS CLAWS-MADE AGGREGATE $ DED I RETENTION S $ WORKERS COMPENSATION AND EMPLOYER$LIABILTY YM TORY LIMITS ER ANY PROPRIETORPARTNERE ECUTIVE OFFICEWMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT S (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ It yes,Macron,under $ DESCRIPTION OF OPERATIONS below BL.DISEASE-POLICY LIMIT U OTHER TORY LIMITS ER E.L.EACH ACCIDENT $ EL DISEASE-EA EMPLOYEE S EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,B mom space is required) Certificate Holder is added as an additional insured as provided in the blanket additional insured endorsement. Waiver of Subrogation applies to the City of Salem, Department of Planning and Community Development. CERTIFICATE HOLDER CANCELLATION CITY OF SALEM,DEPARTMET OF PLANNING AND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE COMMUNITY DEVELOPMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 120 WASHINGTON STREET SALEM,MA 01970 AUTHORIZED REPRESENTATIVE 1 w�f 1 L'/vwf/YR4- 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD