177 FORT AVENUE - SIGN PERMIT i�� ��� �� S�mr�� P�ua
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
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NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECT El
k r Location, Ownership and Detail Must Be Correct, Complete, and Legible L, ,s
Salem, Massachusetts NG &
pEPT. GrEQet€i f`gENr
To the Building Inspector: GOMMUN17y DE
The undersigned hereby applies for a permit to c Erect, ❑Alter, c Repair a sign on the following described buildings:
Street Address Zoning District
}� a Urban Renewal Area ❑Entrance Corridor
a Ve o Historic District a None
• YY1011CL en2� Use of Building
Telephone I Ifloor
• Pt l�G 2 floor
Address I, } C-0�--< PvC vkm 3 floor
Telephone C(S4 So(-Z lr? �k9 4 floor
E-mail 2000ot L Y � .� How many businesses are in the building?
If a corporate body, name � LFrontage
of responsible officer 2Dm L 9,
Building linear feet
Conslnxtion Sups License No Applicant's Space(if multi-tenan' jcj =0
Address Property linear feet
Telephone Mail Sign Permit to
E-mail Sign Owner a Sign Erector a Other:
posed Signs(If more than three signs are proposed, attach additional sheets)
SI•n 1 SI n 2 1 Sign 3
urfaceurface o Surface
pQ �
c Right Angle to Building n Right Angle to Building ❑Right Angle to Building
o Free Standing n Free Standing n Free Standing
o Awning n Awning c Awning
n Portable(A-Frame) o Portable(A-Frame) c Portable(A-Frame)
e Other(specify) a Other(specify) a Other(specify)
Sign Materials Sign Materials Sign Materials
I`3Clk�CY� 1TCx,Y� f
Sign 1Dimensions 1 Sign Dimensions rl Sign Dimensions
Sign Area Sign Area Sign Area
I s ft s ft s ft
Sign Height(if free standing) A ' Sign Height(if free standing) I Sign Height(if free standing)
Estimated Cost of Net Work I�J
$ 5DD
Existing Signs
Type p�rI Sign Area To Be Removed? Si•n Owner
� Rp_fAurface C L sq ft o yes o no ,.
n Right Angle to Building sq It ❑yes ❑no
n Free Standing sq ft n yes c no Sign Owner's Authorized Representative
n Awning sq it ❑yes o no
n Other(specify) sq ft n yes a no
Property Owner
Internal Review
7 Planning&Community Development Department Historical Commission
Building Inspector
0824110 rev
L
CITY OF SALEM
DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
KiMBERLEY DRiSCOLL 120 WASHINGTON STREET♦SALEM,MASSACHUSETTS 01970
MAYOR TEL,:978619-5685♦ FAx:978-740.0404
CITY OF SALEM SIGN PERMIT PROCESS
All exterior signs, awnings, and interior signs that can be seen from the exterior are required to have a City of
Salem Sign Permit before a sign can be fabricated and installed.
Please be aware that in some areas of the city,review by a governing board must take place before a City pen-nit
can be issued. These areas include the Urban Renewal Area(governed by the Salem Redevelopment Authority)
and Local Historic Districts(governed by the Salem Historic Commission).
Please note that it takes roughly three weeks to receive a sign permit and in areas governed by a review board it
may take longer.
Before any sign application can be reviewed,the following material must be submitted with the application:
■ Scaled Drawing of Sign(including dimensions) ■ Method of Lighting
■ Color Scheme • Building Frontage(width of building on public
■ Letter Style(font) way)
■ Letter Size ■ Photograph of Building(current conditions)
■ Method of Attachment ■ Photograph of Building(with proposed signage)
The Building Inspector may require additional pertinent information to insure compliance with the City of Salem
Sign Ordinance and any other applicable laws.
Sign Application Fees
There is a twenty-dollar($20)minimum permit fee for each application. If the estimated cost of fabrication and
installation is$2,000 or more, a fee of$10 per$1,000 plus a$5 application fee will be charged. For example, a
$12,000 sign project would have a$125 fee.
Electrical Permit
A licensed electrician must install any sign with ancillary lighting and sign boxes must be UL listed. An Electrical
Permit must be obtained from the City of Salem Electrical Department, 48 Lafayette Street, and be submitted with
the sign application before a sign permit will be issued.
Surety Bonds for Signs or Awnings Hung over a Public Way
Any sign or awning hung over a public way or sidewalk shall require a surety bond in the sum of one thousand
dollars($1,000.00) conditioned to save harmless the City from any claims. This bond must be placed on file in the
City Clerk's office. A copy of such bond must be submitted with the sign application before a sign permit will be
issued. Contact your insurance provider to obtain the surety bond.
Liability Insurance for Portable(A-Frame) Signs
Proof of adequate liability insurance with a minimum limit of$1,000,000.00 for each occurrence must be provided
to the City Clerk and remain in effect for as long as the portable sign is used. The portable sign must be indicated
as being included in the liability coverage. The City, and in the Urban Renewal Areas,the Salem Redevelopment
Authority,must be listed as additional insured(s). A copy of the insurance certificate must be submitted with the
sign application before a sign permit will be issued.
08!14110 rev
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