99 NORTH STREET - SIGN PERMIT 99 North Street
Metro PCS
Commonwealth of Massachusetts
i Citv of Salem
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' * 120 Washington St,3rd Floor Salem.MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit No. 8-17-32 PERMIT TO BUILD
FEE PAID: $55.00
DATE ISSUED: 1/17/2017
This certifies that HO FAMILY REVOCABLE TRUST LAM KITTY TR
has permission to erect, alter, or demolish a building 99 NORTH STREET Map/Lot: 2600640
as follows: Signs INSTALL SIGN FOR METRO PCS
Contractor Name:
DBA:
Contractor License No:
1/17/2017
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 Oficial
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.
Commonwealth of Massachusetts
City of Salem
Y'm+ 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595x5641
NN
Return card to Building Division for Certificate of Occupancy
Structure CITY OF SALEM BUILDING PERMIT
�I
Excavation PERMIT TO BE POSTED IN THE WINDOW
Footing INSPECTION RECORD
Foundation
Framing
Mechanical
Insulation INSPECTION: BY DATE
Chimney/Smoke Chamber
Final
r8 Plumbing/Gas
Rough:Plumbing
Rough:Gas
Final
Electrical
Service
Rough
'inal
Fire Department
'reliminary
sinal
Health Department
Ireliminary
=final
PermitNumbe _�
AP PI ICTON�FORERMIT TO ERECT A SIGN
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I 8; NOTE: A101AN 1`62MIRU2T&%BTAINED BEFORE SIGN Is ERECTED
., Location, Ownership and Detail Must Be Correct, Complete, and Legible
Salem, Massachusetts V
Date
To the Building Inspector:
The undersigned hereby applies for a permit to o Erect, c Alter, Repair a sign on the following described buildings:
Street Address
Zoning District
p
9 / IUJt�17 �• {M[��JL ! �j , o Urban Renewal Area u Entrance Corridor
❑Historic District ❑None
•MINE=
Telephone i r 1' floor f
• vvl�- rlb VIC 'jI 2" floor
Address 99Noh sr- 3 floor
Telephone §,og r 3 > p 4 floor
E-mail f- How many businesses are in the building?
If a corporate body, name Ft ontage
of responsible officer G c r-r-
tJL Building �L` 5odeFV,0,ttlinear feet
Construction Sups License No f l Nfal Applicant's Space(if mufti-tenant) linear feet
Address '2 W- M a J Property linear feet
Telephone �-7 a43Mail Sign Permit to
E-mail U Lt l �� .- o Sign Owner ign Erector ❑ Other.
Signs (If.more than three signs are proposed. additional
Sin t •Nor v Si n 2 yin V\ SI n 3
urface urtace o Surface
❑Right Angle to Building o Right Angle to Building ❑Right Angle to Building
o Free Standing ❑Free Standing u Free Standing
❑Awning ❑Awning o Awning
o Portable(A-Frame) I ` ❑ Portable(A-Frame) ❑Portable(A-Frame)
Other(specify) !�h J Nyl P1 I tI/ P'tther(specify) c h 3 vt N �Rr ❑Other(specify)
I fd l le"i 0N JAlleldoIA
Sign Materials Sign Materials Sign Materials
C JN t nowt ur+t c F Liiiiiin w FAem,,
Sign Dimensions i r3u X n r I)�� 9n Dimensions (rl��r 7( ,(�r� Sign Dimensions
ign Area 1Z1 "I Sign AreaSign Area
s ft 4 . F - sq ft sq ft
Sign eight(if free standing) Sign Height(if free standing) Sign Height(if freestanding)
Estimated Cost of Net Work
$ �vio 0`-
Existing Signs
Type Sign Area To Be Removed? Sign Own
❑Surface sq ft ❑yes o no
o Right Angle to Building sq it ❑yes o no
❑ Free Standing sq ft ❑yes ❑no Si ers u on spresentative
o Awning sq ft ❑yes ❑no
❑Other(specify) sq ft ❑yes ❑no
Property O er
Internal Review
Planning&Community Development Department Historical Commission
Approval
Building Inspebtor
City of Salem Sign Permit Application Worksheet
12-Jan-17
Metro PCS
99 North Street
Zoning(resinon-res) BN
Entrance Corridor(YIN) Y
Lot frontage feel
Building or tenant frontage 27 feet
#of businesses on site 1
Bldng dist from street center <100 feet
Multiplier 1
&#ding and Blade Si ns
maximum area permitted 27.00 sq ft
total proposed sign area 25.62 sq ft
sign 1
Primary sign length 119.00 inches
height 15.00 inches
sign 2
Vertical painted length 119.00 inches
height 16.00 inches
sign 3
Painted Doll length inches
height inches
sign 4
length inches
height inches
sign 5
length inches
height 0.00 inches
Wpostanding Signs not applicable
maximum area permitted sq ft(per side)
maximum#of signs permitted signs
maximum height permitted ft tall
sign 1
proposed sign area 0.00 sq ft
length 0.00 inches
height 0.00 inches
proposed sign height 0.00 ft(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
application only constitutes building signage(no window signs).The
channel letters will not be lit,existing goose necks are the only lighting.
CITY OF S.UX,2N4 NIASSACHUSETTS
BUILDING DEPAR11iEDiT
120 WASHINGTON STREET,3"a FLOOR
'ISL (976)745-9595
FAX(978) 740-9846
KLN[BERLEY DRISCOLL
MAYOR THoMAS ST.P[ERRE
DIRECTOR OF PUBLIC PROPERTY/BUUMLYG COMMISSIONER
Workers' Compensation Insurance Affidavit: Builders]Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Busincs Organizatiowlndividual): 04f-a �i�i_t,�4, 1�,41Ae-, je
Address: 69- I w.12 h(- Y-VI d t..n C
City/State/Zip: tJO ki'l b U t'CD/m 4 c2 15 3Pb ae#:_ �1- e a 8 5 P o2� o�
Are you an employer?Check the appropriate box:
Type of project(required):
1.❑ 1 am a crnployer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction
�,�`amp
ployees(full and/or part-time).* have hired the sub-contractors
2.Ie i am a sole proprietor or partner- listed on the attached sheet.: ?. ❑ Remodeling
ship and have no employees Theft subcontractors have 8. ❑ Demolition
working for me in any capacity, workers'comp. insurance. 9, ❑Building addition
(No workers'comp.insurance 5. ❑ We are a corporation and its
required.) officers have exercised their 10.❑Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions
myself.[No workers'comp. C. 152,§1(4),and we have no 12.❑Roof repairs
insurance required.)t employees.[No workers' 13.❑Other
comp. insurance required.)
'Any applicant that checks box ra must also fill out the section below showing their worked compensadun policy infunnadon.
'I hvtvaswnn who submit this affidavit indicating they are doing all work and thm hire outside conimcmm must submit a new affidavit indicating such.
:Cantracmrs that check this box most anached an mIdiwisal,h—,showing the none of the sub<antractom and their wurkem'romp.policy information.
I am On employer that is providing workers'c'ompensmlon insurance for my employees. Below is the policy mod Job site
information.
Insurance Company Name: __ _
Policy#or Self-ins.Lia#: Expiration Date:
Job Site Address: !9 NV !z_ e4,n City/State/Zip:
Attach a copy of the workers'compensation iolicy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to 51,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to 5250.00 a day against the violator. [It advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties ofperfury that the infornnution provided above is true and correct
Signature' C��- I J
P d: J 5 O ua t
Oficial use ody. Do not write in this area,to be completed by city or town oJrcial
City or Town; _ Permit/License#_
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.City/town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: ___ Phone#:
City of Salem Department of Planning &
Community Development
CHECK RECEIPT AND TRACKING FORM
DATE S t(D BOARD STAFF_
CLIENT: �� S
PROPERTY ADDRESS:
CONTACT NUMBER: � '� — 2 'L�62
PURPOSEFOR
APPLICATION:-
CHECK # l0 2 0
AMOUNT RECEIVED: $
1020 ,1
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Job: Individual Channel Letters
North Street Ma Salem 01970
99 North St. /Salem , MA 01970
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774.285.2702 Salem, MA 01970
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Job: Individual Channel Letters
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■ Arlon#5590-3412 Purple Vinyl
311A#DNO049 MPCS Purple Vinyl
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Job: Individual Channel Letters
Mason Street Ma Salem 01970
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■ Arlon#5590-3411 Orange Vinyl
3M#DN0048 MPCS Orange Vinyl
■ Arlon#5590-3412 Purple Vinyl
3M#DN0049 MPCS Purple Vinyl
2447 White Acrylic Face
® Job Location:
ULTRA
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VISUAL COMMUNICATION ""nP�' 'spO"p`�"Fe°"FRmnmuemFnuUFM1alayana Salem, MA 01970
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