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130 NORTH STREET - SIGN PERMIT 130 North Street Ken's Kickin Chicken I 130 NORTH STREET 298-12 COMMONWEALTH OF MASSACHUSETTS Gls #: 347 CITY OF SALEM Map: 27 Block: '- - -- SIGN PERMIT Lot: '0276-201 Permit: Sign — — Category: SIGN Permit I�298-12 PERMISSION IS HEREBY GRANTED TO: Project# '2S-2012-000840 Est.Cost:_ r- Contractor.-Contractor: License: Expires: Fee Charged:S45.00 1sl SINESS OWNER Balance Due-S.00 Owner: MERCHANT SAM #of Fixtures:) I pplicant: BUSINESS OWNER DigSafe# I T: 130 NORTH STREET UseGroup ConstClass ISSUED ON: 03-Oct-2011 ANIENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK INSTALL SIGN 12'X 3'FOR KEN'S KICKING CHICKEN THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPONIOC ATTT �N NY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check Na: Amount: BUILDING REC-2012-000919 03-Oct-11 1664 $45,00 (;vorMSB?III i Iles Lauriers Municipal tioiutiums,Inc. ��.�011tDIT 7 � � VSCVE �G CITY OF SALEM BUILDING PERMIT Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN i * NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED Location, Ownership and Detail Must Be Correct, Complete, and Legible Salem, Massachusetts Cq Date To the Building Inspector: The undersigned hereby applies for a permit to c Erect, c Alter, u Repair a sign on the following described buildings: Street Address Zoning District c Urban Renewal Area c Entrance Corridor u Historic District u None • Cvw�� : . Telephone �S -3 Oy 1"floor • Ke,AVAA v� A)D,,% it KC, 2 floor Address (3a tUQ2 h u 1 _ 3 floor Telephone �^715-Q,'2S -C`Za0 4 floor E-mail (Lo}'aWell Cuxkrw� ,�ov,1 How many businesses are in the building? If a corporate body, name ,) V,.J�1_ke of responsibleofficer C.CJ✓) '` Building Z91 linear feet Construction Sup's License No Applicant's Space(if multi-tenant) linear feet Address property linear feet Telephone Mail Sign Permit to E-mail ❑Sign Owner u Sign Erector u Other: Proposed Signs (if more than three signs are proposed, attach additional sheets) Si =F2 rf2 Sign 3 urface ace a Surface u Right Angle to Building c Right Angle to Building c Right Angle to Building Li Free Standing L Free Standing a Free Standing u Awning �Awning c Awning n Portable(A-Frame) c Portable(A-Frame) c Portable(A-Frame) u Other(specify) c Other(specify) c Other(specify) Sign Materials Sign Materials Sign Materials Sign Dimensions Sign Dimensions Sign Dimensions Sign Arear Sign Area Sign Area kZ b 3 sq ft sq ft sq ft Sign Height(if fr a standing) Sign Height(if free standing) Sign Height(if free standing) Estimated Cost of Net Work Existing Signs Type Sign Area To Be Removed? Sign Owner Surface sq ft u yes no u Right Angle to Building sq ft r_ yes �., no c Free Standing sq ft r. yes �_ no Sign Owner's Authorized Representative Li Awning sq ft u yes c no u Other(specify) sq ft u yes no Prope caner Internal Review 71=7 7777-777777 tanning&Community Development Department—/_ Historical Commission Approval Building Inspector OW24110 w City of Salem Sign Permit Application Worksheet 15-Sep-11 Ken's Kickin Chicken 130 North Street Zoning(res/non-res) I Entrance Corridor(Y/N) Y Lot frontage 45 feet Building or tenant frontage 28 feet #of businesses on site 1 Bldng dist from street center 25 feet Multiplier 1 Building and Blade Signs maximum area permitted 28.00 sq ft total proposed sign area 36.00 sq ft sign 1 length 144.00 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 height 0.00 inches Freestanding Signs maximum area permitted 0.00 sq ft(per side) maximum#of signs permitted 0 signs maximum height permitted 0.00 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 sign 2 proposed sign area 0.00 sq ft length 0.00 inches height 0.00 inches proposed sign height ft Application meets guidelines set forth in the Salem Sign Ordinance no Recommend approval yes,with no internal illumination I City of Salem Department of Planning & Community Development LCheck/Cash Receipt and Tracking Form Please complete form and make two copies. Date Received q Amount Received S— Form of Payment -Check ❑ Cash Client Information CASH PAYMENTS: client initials [Sign Permit Application Fee ❑ Conservation Commission Fee ❑ Planning Board Fee / ZBA Payment received for what service? ❑ SRA/DRB Fee ❑ Copies ❑ Other: Name of staff person receiving 1 payment Additional Notes '!) BEVERLY y KEN ROTHWELL CUSTOM CATERING INC. COOPERATIVE 1664 .wt wows ' SALEM,MA 01970 53.7214.2113 0 978)825-0200PAY `(` GATE Ip ORDER OF DOLLARS Ig FOR 0016649■ 1: 21 372iIII 5i: 0 6 30 2 2 3 7010 I Original Check and Form: DPCD Finance Copy 1: Client Copy 2: Application File I , -' ` - 978-8Z5-o2o0 Simply the Rest Horne�de Chicken Pot Pie you will E�Havel r s r ^=i s WAIN PRE-DELIVERY COMMITMENT AND GUARANTEE RETAIN THIS VERY IMPORTANT DOCUMENT A CLEAR UNDERSTANDING WILL ENSURE A LONG STANDING BUSINESS RELATIONSHIP. YOUR SIGN WILL HAVE THE WORDS, COLORS AND ART WORK AS SPECIFIED LAYOUTAT ON THE ART SHEET ATTACHED TO THIS ORDER. TO ENSURE YOU RECEIVE THE DISCRETION THE MOST EFFECTIVE SIGN POSSIBLE, OUR DESIGN DEPARTMENT WILL OF THE REVIEW THE SIGN AND MAY RECOMPOSE IT FOR PROPER LAYOUT LETTER ART DEPARTMENT STYLESAND READABILITY. it 'z i YOUR ORDER WILL REACH OUR FACTORY IN A FEW DAYS AND WILL BE 10 x PROCESSED THROUGH OUR ORDER ENTRY SYSTEM. •9 � 3 s s• has YOUR SIGN WILL BE DELIVERED BY COMMON CARRIER. UPON DELIVERY, THE FREIGHT COMPANY WILL ASK FOR A MONEY ORDER OR CASHIERS CHECK FOR THE DELIVERY CHARGES. (THIS IS AN ICC REGULATION.) IN ADDITION, YOU PAY THE FREIGHT AND C.O.D. CHARGES TO THE FREIGHT COMPANY. THE SIGN PRICE _] INCLUDES FREIGHT j DOES NOT INCLUDE FREIGHT. YOUR SIGN COMES EQUIPPED WITH BRACKETS FOR EASE OF HANGING. ` NEITHER SIGNTRONIX NOR ITS DEALERS ARE RESPONSIBLE FOR HANGING 4 — OR MAKING ARRANGEMENTS TO HANG YOUR SIGN. �Jfj �/ T =Y ! .•mow tom_' } Guarantee f% In keeping with the high quality craftsmanship of Signtronix ; 1 products, the POLYCARBONATE panels in your display are unconditionally guaranteed for 10 years, from the date of delivery, '!. against breakage including vandalism.. f` Name of Business: Dr I '•* Purchaser's Signature: President: : '•* Date: . Signtronix, 1445 W. Sepulveda Blvd., Torrance, CA 90501 1 �'i" r'•»'`r"•»``r"♦r`•r"♦»'•»" »'♦�"♦r` ':�::�µ= 't`•�. ^r``r "a "*•`t`"a`"r•"r`t`'r y,.: ©Signtronix 2001 Manufactured by Signtronix - SALES AGREEMENT CUSTOMER SERVICE 1445 W. Sepulveda Boulevard, Torrance, CA 90501-5094 1-800-729-4853 OR 1-800-729-1755 P-O. Box 2901, Torrance, CA 90509-2901 - www.signtronix.com 310-534-7500 FAX(310)530-6243 This agreement made in quadruplicate this day of 20-4-! between the"Dealer"and OFFICE USE ONLY IICITY,I NAME OF BUSINESS,THE"B(UYER" I I I I I I I I u ADDRESS E-MAIL / C/ ( v coA I I I I I I I I I I LJ CRY STATE ZIP I I I I I I I I u 2- AREA CODE BUSINESS PHONE ART HOME PHONE AREA CODE CELL NUMBER CrysMl HORF NAROUEE `. TYPE OF MOUNTING APPROXIMATE "GV MM VER- DF SF ARCH SOUTH CROWN ;nWRED FLUSH CENTER 6ETWEEN TOP BOTTOM DOUBL HEAD- GTY MODEL SIZE ONLY Panels TICA ZONTA WEST PAFR FULLMOUNT POLE POLES MmaNT MOUNT POLE C V3D LINER 186 18'X 733W 188 18"X 97 318'late 18'X 121 318' ser 1812 10"X 143112"25 25 38'X73 3/8" 28 25 3/8"X 97 318" Npgq210 2538'X 121 318- .1212 253/8"X1431/2" ONLY328 31 112'X 73318'328 31 12'X973/8" -3212 311/2'%1431/2" wz� onL96 37 38"X 49 318"36 373M"X 73 3/8" 36 MM 3731W X73318' I: 38 373/8'X973!8" REQUIRED 38 MM 373/8'X9738' 310 37 3/B"X 121 316' ' O LrY L ONLY ° ° ONLHi HOIY ONLY 312 37318"X1431/2' veQRNnLCAL HORI¢ NORM NONIo ONLY ONLY ONLY HORID 316 37316"X 192' VEONLY p WY ONLY' ONLY 44 49 3/8'X 49 3/8' "MM 49 318'X 49 318' - 45 49 318"X 61 318" onLl� 1 45 MM 49 3/8"X 613/8" 48 4838'X73318° anLlv2 MMIREo 46 MM 49 SW X 73 318' Generale, REWIRED 49 318'x 97 318' —_ GUY M 48 MM 49 3/8"X 97 318" ninuaEn L " 412 49 38'X 143 1/2' vemw,u N OLlyONLONLY ONLY 416 49 38'X 192• Vamoose. HON¢ HORI¢ ONLY ONLY ONLY 420 49 ,3/B"X 240" VEgnQ4l HORI2 NOR,x ONLY ONLY ONLY ES 56 61 318'X 73 38' I EOUIRRED 56 MM 61 318'X 73 3/8" OUY WIRES ° REOOIREO 58 61 3/8'X 97 38' OW WIRES REWIRED 58 MM 6131W X 97318' GUY WIRES -- REWIREO 610 el 316'X 121 We'• HORR HORIIZ MON¢ I Y REM ONLY ONLY ONLY 66 73318PX 73318" IGU REo1RRED 68 73318'X9738" nee Iupm 612 73 318"X 143 112" - — How¢ IxzR¢ ONLY ONLY IS40 40'x 181:2'x 6' P-203 Amor Mono 2-L Is IT x9,1 12^ P-20-2RIPC T,i-C4-L 3.."Ya• Contemporary Pole Facade GRAY BLACK IS40 Arch 40'x 18112'x G" P-20-3 Ami Mono 3-L 2314'X94112' P-20I R1 GI B-RGB 6L 4312'X71Vinyl Stripe I Rod I Green Due Yeloe BIacXOn Gray Pole Only P-20 3 Ambr Mono 4 L 30 1124"%9+112• P 20 lRlGIGRG6 4-L 31'X 94 I2• Southwest Pole Facade GRAY BLACK LED.40SX 41 Iaxlavn-.234- P-203 Ambr Mono 5-L 37 114'X 94 v2' P-20-1 R1G1 BAGS SL 37 L+'%94 t2' COMemponry 6 9W Pole FRC84a Sizes $' 1 $' IS-60 62"x21"x e" — P 20 2Rt PG-Tri-C2-L 1012'x]1' P-20-1 RiGIB.RGe 6-L 43 vz•x9+I2• SHROUD EMC BETWEEN TWO POLES IS-60 Arch 62'x 21'x6' P-2oQR1 PG-Tr1-C 3-L 24 la'X 71' P-Ir-2RIGI B HIGH C 7 L 43 LT X 94 I2' REVEAL EMC CENTER POLE LEDLOSX 37 W.a W'x 2 v4" P-20-2RIPCTO-C4L 31'x71' COMEO EMO RACKET EMC WALL MOUNT YAROUEE ARM LETTERS P-20.281 Pi2-L is 12'X 8412' _ _- BLUE BIACK 6" 8" p-20-2R1PG-Tri-C 3-L 23 31+'X94 12' NOTES TAP AUT14ORIZATON NUMBER ALL OTHER REPLACEMENT PANELS ONLY I I P-20.281 PG-TN-0 4 L 1 31'X 94 12" J 324 480 11.1400 LM 400128' LM 600 P-20.2R1PG iN-C 6 L 37 114'x94 112' P-TO-2RI PG-Tri-C3-L 2,1 n4-xao v4- ' � 1J �✓ V _ „ ` LM 80DLM1200BIGSIG U-TECH P-20281 PG Tri C 4-L 3rxleoea' P-202R1 PG-TriC 3L 24Y4'%1il 1. The merchandise above is guaranteed for 90 days by Signtronix against any imperfections in materials or workmanship. DELIVERY PREFERENCE N0FAiAC' SigntrbniX also guarantees the polycarbonate panels for ten years against breakage with the understanding that the Shipping Time Approximate RUSH merchant is responsible to pay the freight for delivery of replacement(s).Merchant is to call Signtronix before initiating any repairs. Maximum liability is replacement of merchandise. CONDITIONSOFSALE 2Signtronix assumes no responsibility,Or Obligation to erect or Connect any sign to electrical outlets for the merchant, a UNDERWRITERS LABORATORIES LISTED. '� PLEASE MerChaot is solely responsible for installation and/or installation arrangements and permits. •SIGN SHIPPED COMPLETE READY FOR INITIAL 3. Signbonix is not responsible for any representation,understanding or agreement not specifiedin writing on the copy ofthis INSTALLATION. agreement aS received and accepted by Signtronix,or for any change Or alteration in the printed terms of this agreement. •PRICE DOES NOT INCLUDE ANY PERMITS OR 4. Merchantand Dealeragree that the amounlofthe Deposit may be retalned by Dealer in the event of any default by Merchant INSTALLATION. funder the terms of this Agreement. Deposits are not refundable.Furthermore,this agreement is non-cancellable for the P MERCHANT IS TO PAY FREIGHT ON DELIVERY terms Indicated herein. UNLESS FREIGHT IS PREP AID, 5. Merchant agrees to accept shipment and pay for freight upon delivery of sign unless freight is Included. 6. The dealer is an independent sales representative/organization,not an agent or employee of Signtronix. PRICE - $ - - 7. Merchant is solely responsible for Compliance with all codes,ordinances,bylaws regarding building,zoning permits and liability insurance. B. In theevent Signtronix incurs anyycoslwhatsoever in order tocollectall orpartofany unpaid balancesthen the undersigned OTHER $ hereby agrees to pay any and all such Costs so incurred including but not limited to a flat charge or percentage of the unpaid — balance charged by any Collection Agency or company and the undersigned hereby agrees to pay reasonable attorney's ADD SALES TAX,; -- fees and/or Court Cost. 9. That Manufacturer retains all proprietary interest in trademarks,service marks,art work and other Copy supplied by TOTAL $ � Manufacturerfor use on or in the merchandise purchased by Merchant andthat Merchantwill in noway,by act oromission, /l Cause orpermit any infringement of that proprietary interest and shalt not reuse images,designs ordescnptions supplied LESS DEPOSIT by manufacturer in its fulfillment of this contract for any purpose.Anyt's use of images from the sign design requires Merchant ❑CREDITCARJY to first obtain a separate license with the copyright owner at Merchansale expense. T IO.lfthe merchant refuses or avoids delivery of the signs,for whatever reason,the merchantwill be liable forthe full purchase ❑CASH❑ENECK price of the sign as well as all freight and storage charges,attorney fees and all collection Costs incurred. SUB TOTAL $ 6. 11.In the event of default of payment to Signtronix or t0 any of Its Assignees,ownership and possession of the signs)sold '— to merchant will revert back to Signtronix. On such default,Signtronix reserves the rigADD PROCESSING ht to repossess the sign(s). $30 00 12.At the option of Signtronix,this agreement may be ggoverned by the laws of the State of California. The parties expressly g Consent andsubmltto the jurisdiction of the Courts of the State of California and expressly agree the proper forum and venue 7 for any and all suits,actions or other proceedings arising out of this agreement are the State or Federal Courts located In BALANCE C.O.D. $ Las Angeles County,California,and the parties expressly waive any objection to venue in such Courts. Merchantagrees CASHIER CHECK OR MONEY INSTALLATIONNOT thatservicaof process in any such actionshall be sufficient if made by certified mail,return receipt requested,totheaddress ORDER NO EXCEPTIONS INCLUDED of Merchant set forth herein. Both parties expressly waive any right to a trial by'ury so that trial shall be only to the Court. - - 13.Merchant assumes liability for,and will indemnity and hold Manufacturer harmless against,any and all claims and legal [-]FRE1GfTT INC LUDED--(] FREIGHT NOT INCLUDED fees incurred by Manufacturer arising from copyright allegations and/or trademark infringement for artwork supplied by Merchant. CREDIT CARD 14.Merchant is fully responsible for any costs associated with the de-installation and/or removal of equipment for whatever 8 EXP reason. iNVOICEa FOR US NLY RM # DM # DEALER: # BUYER. � Signature Signature % r r - Acceptance of Oanuf r: Print Name Signtronix Home Address 7 '?.�' !'� v L 4 , —City 2 t By: Date State_ Zip_ Best time to co ad-M'T IN T F S Hours WHITIE MANUFACTURER(SIGNTRONDO COPY/CANARY-BUYER COPY/ PINK.MANAGER COPY/ GOLD-DEALER COPY ©$ig Signtronix Copyright 2009 S f