200 FORT AVENUE - SIGN PERMIT 200 Fort Ave
Salem City of, Salem Willows Park
200 FORT AVENUE 570-14
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
GIS#: 1372
Map: 45 —
Blo
Lot: 0089 Lot: _- SIGN PERMIT
Permit ;Sign —
Category: I SIGN
Permit# J
Project# JS-201 S-201 4-001270 PERMISSION IS HEREBY GRANTED TO:
Est. Cost $1,500.00 Contractor: License: Expires:
Fee Charged:$0.00 Star Sign Co.
Balance Due:!$.00 Owner: SALEM CITY OF, SALEM WILLOWS PARK
#of Fixtures:' Applicant: Amtelo Meimeteas
Di-Safe# AT.' 200 FORT A\"LNUE
UseGroup
ConstClass
ISSUED ON: 29-Jan-2014 AMENDED ON: EXPIRES ON. 28-Jul-2014
TO PERFORM THE FOLLOWING WORK:
SIGN PERMIT AS APPROVED FOR: CLAM SHACK
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIO ,ATION OF ANY OF
ITS RULES AND REGULATIONS.
Signature:
GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.
5 -7o— ( moi
City of Salem Sign Permit Application Worksheet
RECEIVED
21-Jan-14 CTIONAL SERVICES
Clam Shack
200 Fort Avenue The Willows SAN 23 p ►Q: 31
Zoning(res/non-res) non-res
Entrance Corridor(Y/N) N
Lot frontage n/a feet
Building or tenant frontage 35 feet
#of businesses on site 1
Bldng dist from street center <100 feet
Multiplier 2
Buildi
maximum area permitted 70.00 sq ft
total proposed sign area 24.00 sq ft
sign 1
length 144.00 inches
height 24.00 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
a;
sign 5 !�
length 0.00 inches
hei ht 0.00 inches
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
Sign for converted bathroom facility that is now a seasonally operated
food establishment.
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
wt 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 Arect, ❑Alter, ❑ Repair a sign on the following described buildings:
Street Address Zoning District
Zoo (-U 12( i/C i's
Ct ✓ti ❑ Urban Renewal Area ❑ ntrance Corridor
w t w ❑ Historic District None
Use of Building
7Telephone 1e floor
P 2" floor
dress O CCOVC U `,a 3` floor
phone _ 7 _ 6 _ 2 4 floor
E-mail CL S V 0.cn ya ftoa p How many businesses are in the building?
If a corporate body, name Frontage
of responsible officer
• S T H (Z S C Building linear feet
Construdion Sup's License No Applicant's Space(if multi-tenant) linear feet
AddressO C love Ir 0.t Q U C Property linear feet
Telephone - _ 97 e- 7 6 _ C Z 9 Mail Sign Permit to
E-mail ct V a U (n u Sign Owner ❑ Sign Erector ❑Other:
Proposed Signs (If more than three signs are proposed, attach additional sheets)
Si 111I Sign 2 i n3
XSurface ❑ Surface ❑ urf'
❑ Right Angle to Building Right Angle to Building ❑ Ri t Angle to Building
❑ Free Standing jo ee Standing ❑ Free%(Aa
❑Awning Aw ' g )<Awn
❑ Portable(A-Frame) ❑ Porta (A-Frame) ❑ Port❑ Other(specify) ROOF i-igr, S I ❑ Other(s cify) ❑Othe
Sign Materials W C) O a Sign Materials i t3 a i C_ Sign Materials �� L
Sign Dimensions 21
X t Zr Sign Dimensio f / Sign Dimensio r i
x
Sign Area �/ Sign Are �/ p Sign Ar i
Z4 sft T'O sq ft
Sign Height(if free standing) Sig eight(if free standing) Sig Height(if free standing)
Estimated Cost of Net Work
$ 11so0 . "
Existing Signs
Type Sign Area To Be Removed? Sign Owne
❑Surface sq ft ❑yes ❑no
❑ Right Angle to Buildingsq ft ❑yes ❑ no
❑ Free Standing sq ft ❑yes ❑ no Sign Owner' Aut orized R pr entail
❑Awning sq it ❑yes ❑no
❑Other(specify) sq ft ❑yes ❑no
Property Owner
Internal Review
nofArpommunity Development Department Historical Commission
Approval
Building Inspector
08124110 rev
Outdoor Sign
.G a'
Al
1
r '
I �
- Customer Name:Angelo
� Company:Clam Shack
COMPANY reet.^ slam Willows 124 Rantoul S1.Bewrly.NA 91015 City: Salem State:MA Zip:01970 Fabricate one 2'x 10'wood sign.Colors light gray
PHONE: (978)927667 Phone:978.7646294 Fax:
FAX: twoloi22.7557 Sign with white clam and black letters.
www.ntani9nme.cnmE-mail address:lasvagol@yahoo.com g
—rAwnings
>• 11,f
\T� i
t s j
f 't
i
r)
/1
F�
--TZ=
4 _I
12
O
(h _
MANN
f Customer Name:Angelo PRICE:$1500.00
PAIN Y Company: Clam Shack
C O M
Street:Salem Willows Fabricate one 4'X 12'awning&one 4'X 4'Awning, Colors and copy chosen
37J 1HONI(SL 78)9Beverly MA 57 City: Salem State: MA Zip: 01970 by the customer&installed In location of customers choosing.
PHONE: (978)827667 Phone: 978-764-6294 Fax: Price Includes installation but does not include tax or any
wA .st781g32-7687 Y
www.atarsignma.com E-mall address:lasvagol@yahoo.com applicable permits
1
t �
i
� t s
f f
1
l
� 4
i
t
I
t ,
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received l �v /4
Amount Received 20 - C�D %w
Form of Payment ❑ Check Cash
Client Information C/u,Askac.K f,4 rM
CASH PAYMENTS: client initials
13/sign Permit Application Fee
❑ Conservation Commission Fee
Payment received for what ❑ Planning Board Fee/ ZBA
service? ❑ SRA/DRB Fee
❑ Old Town Hall Rental Fee
❑ Other:
Name of staff person receiving ,yam W
payment
Additional Notes
DIS
JB 42257295 A
B2 �ITT
' 1
JB 42257295 A
LL
TM19 Moi[IpueL[[nMO PP[Vnie V t`: 'pL / �1�>
T.mmv(IN Iinisi.Wx.. sU[[!eWe
sm.l.vylw.r.o
D,D TO
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2: Application File