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158 NORTH STREET - SIGN PERMIT
158 North Street My Barber S M E A D No. H263 UPC 15230 smead.com • Made In USA a1 y�(4 SUSTAINABLE FORESTRY INITIATIVE cWtow Firs ml _o— .. c� r � �� Cr-- �_T �� o 158 NORTH STREET 518-13 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM (rIS H: 34 Map: 127 LSIGN PERMIT Lot: �oz3a Permit: sI411 CalegorF: SIGN Permit P, s l s-13 PERMISSION IS HEREBY GRANTED TO: Project N IJS-2011-001749 GST. Cost: SI?75.oti Contractor: License: Expires: Vee Cliargcd:IIS000 03Awning("ompalry CONSTRUCTIOSUPERVISOR-03084 Balance Duc:,$.00 Owner: Lconedys Pcna '! of Fixtures: Applicant: OJ Awning Company DigSa1� a IAT: 15S NORTII STRITGT LlseGioup ConstClass ISSUED ON: 18-Dec-2012 AMENDED ON: EXPIRES ON: I s-May-2013 TO PERFORM THE FOLLOW/NG WORK: � SIGN PRRVII f AS APPROVED FOR(MY BARBER) jhh THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 14, v Fee'1'ype: Receipt No; Date Paid: Check No: Amount: SIGN RI:C-22011.0nIo00 Id-Dec-12 x So 00 GcoTNIS@ 2012 Des Laurlerrs NInnicipal Solutions.Ine. City of Salem Sign Permit Application Worksheet 12-Dec-12 My Barber Shop 158 North Street Zoning(res/non-res) Bt Entrance Corridor(YIN) Y Lot frontage 76 feet Building or tenant frontage 74 feet #of businesses on site 1 Biting dist from street center 45 feet Multiplier 1 Building and Blade Signs maximum area permitted 74.00 sq ft total proposed sign area 7.86 sq ft sign 1 length 70.00 inches height 10.00 inches sign 2 length 18.00 inches height 12.00 inches sign 3 length 18.00 inches height 12.00 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(approx) 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 yes Recommend approval yes Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED Location, Ownership and Detail Must Be Correct, Complete, and Legible Salem, Massachusetts To the Building Inspector: Date The undersigned hereby applies for a permit to ¢49rect, c Alter, c Repair a sign on the following described buildings: • 1✓FS NO Zr 16—S1 SALe „ yTG, pf y v n Urban Renewal Area a Entrance Corridor • L e Historic District a None aUse Buildingof Telephone- 1� floor • 2" floor Address N 3 Floor Telephone L _ 7 4 floor E-mail How many businesses are in the building? if a corporate body, name of responsible officer Frontage O 5 I ni W yy. c• Building linear feet Construction Sup's License No C S s JZA 1pb tP 7jdc LTA Applicant's Space(if multi-tenant) linear feel Address x t i SA 4M n ti �1l!ti tit r 6fA 92da Property linear feet Telephone L17-5'39-3339- 781•fi"fi`'t-5y 67 Mail sign Permit to E-mail VSfgwr»� rrlAP L � ❑ Sign Owner ❑Sign Erector ❑Other: E . . - §WN n Surface S1 n2 Si n3 ❑Surface ❑Surface n Right Angle to Building c Right Angle to Building c Free Standing c Free Standing c Right Angle to Building AAwning c Awning c Free Standing n Portable(A-Frame) c Portable(A-Frame) o Awning n Other(specify) a Other(specify) o Portable Frame) ❑Other(speciecify) Sign Materials Sign Materials W-A144Sign Materials Sign Dimensions I, Sign Dimensions r X J(o 8 Sign Dimensions Sign Area 81 sq ft g Sign Area Sign Area Sign Height(if free standin s ft 9) uJ A Sign Height(if free standing) Sign Height(if free standing) sq ft Estimated Cost of Net Work $ 127 ,S:— Existing Signs FoAwning Signatures Slgn Area To Be Removed? Sign Owner ace sq It ❑yes ❑no t Angle to Building sq R o yes c no C� Standing sqft o yes c no Sign Owner's Authorized ee a ntative sqft ❑yes ❑no r(specify) sq ft e yes n no Property Owner P ning 6 Community Development Department Historical Commission Building Inspactor W24110rev 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 Form of Payment a 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 payment Additional Notes [Pay SCAR BURRION — -_- _- — -- — - ARVARD ST 1 28 HAM MA 02483-4112 sa-ryoaMA 2 3 f 2 euear o the qDater of C I f 0 r SA f{� $ p O U TLV G�-c r '70 f ov Dollars 8 BankofAmerica'�" ACNMCi10 30 , Far,S�'s� etcu x ,rte� St,re ':O i 10001381: 0046360 i6 23 100 1 28 original Check .rod Form: iw 1, .. Copy 1: vv c:ijpy L: 1 . :.,. p,,jn t Jit ACORL>Is � CERTIFICATE OF LIABILITY INSURANCE °ATE'"�°°" YY) 12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.OTHIS 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 1 kii(iesI must be endorsed. If 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 endorsement(s). PRODUCER CON ACT NAME: Producer 00 F.Z. Patnode Insurance Agency PHONE . (617)787-1400 FAX 396 Washington St. N.:(631)783-555: EMAIL P. O. Box 35340 anon s: Brighton MA 02135 INSURE S AFFORDING COVERAGE NAICI ONSURED INSURERAMain Street America 9939 O J AWNING COMPANY INSURER B: DBA OSCAR BURRION INSURER C: 106 HARVARD Sl' INSURER D: WALTHAM INSURER E: MA 02453-4112 1INSURER F: COVERAGES CERTIFICATE NUMBER:CL12113000724 REVISION THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED E ABO NUMBER: 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 TERM.S. FXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS wsn LTR TYPE OF INSURANCE POLICYNUMBER MMIOdYEYI% MMLMYEXp CENERALUABLm/ OnrYYY LIMNS EACH OCCURRENCE S 1,000,000 1C COMMFI2CIAI,GENORAL LIAp4OTY A CLAlydablADCEz PREMISES EaomnenX, $ 500,000 OCCUR 9916F 0/1/2012 0/1/2013 MED EXP(Anr one person) S 10,000 PERSONAL S AW INJURY 5 1,000,000 GENERAL AGGREGATE 5 3,000,000 GFNL AGGREGATE LAIR APPLIES PER X POLICY PRO- LDC PRODUCTS-COMPIOP AGG S 3,000,000 AUTOMOBILE LIABILITY S COMBINEU SINGLE LIMIT ANY AUTO a 9; __ ALL OWNED SCHEDULED BODEY INJURY(Per Penson) S AUTOS AUTOS BODILY INJURY Per acrxmnt S I IIREDAUrOS NON-OWN[D ( 1 AUTOS P OPERTY pAMq E Pa occepn S UMBRELLA LIAR OCCUR § EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE S DEO RETENTION AGGREGATE S WORKERS COMPENSATION § AND EMPLOYERS•LIABILRY WC STATU- OTH- ANYPROPRIETORIPARTNERIEXECUTIVE YIN Y OFFICERAAEMBER EXCLUDED+ ❑ NIA EL EACH ACCIDENT (Mandatory In NRI S II yes.dvsv'ao Vnder F L DISEASE-EA EMPLO 5 DESCRIPTION OF OPERATIONS ba1 - EL DISEASE-POLICY LIMIT S I DE50RIP7ION Or OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Ranad,s Sch,Mulq if more space is mnuhed) Awning Installation CERTIFICATE HOLDER CANCELLATION :T:lqE ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Salem ORDANCE WITH THE POLICY PROVISIONS, 120 Washington Street Salem, MA AUTNORI2EO REPRESENTATIVE R Patnoda,/mrnI; ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201 G05)01 The ACORD name and logo are registered marks of ACORD II ( Sing&Awning co. INVOICE 108 Harvard St. apt#2 Waltham, Ma 02453 Cell 1 (617)939-3389 LEONEDYS PENH DATE: 12/03/2012 158 North street Salem, Ma 01970 COMMENTS OR SPECIAL INSTRUCTIONS: SALESPERSON P.O.NUMBER FREQUISITIONER SHIPPED VIA F.O.B.POINT TERMS ] C.O.D. 72�-O"P. DESCRIPTION UNIT PRICE TOTAL X 3'-06"11. X 16'-08V. Instalation a New Awning With Metal rame and Sunbrella Awning Fabric Color Black No. 6008 nclude Text and Letter in white paint. $1,275.00 SUBTOTAL $1,275.00 SALES TAX $ 79.69 SHIPPING&HANDLING TOTAL DUE $1,354.69 Any Questions or Concerns?e-mail us to: OSawning@gmail.com Thank you for your business! r �q ! r9 r A ly s, 1r Sign area SIDE FRONT Font ,�� 10'I ✓� ��� s� � I,, Script MT Bold Ik 1