2 BRIDGE STREET - SIGN PERMIT (2) 2 8�i��C- sty
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® APPLICATION FOR PERMIT TO ERECT A SIGN JUa! 22 2017
NOTE:BUILDING PERmrr MUST BE OBTAINED BEFORE SIGN Is ERECTS
Location, Ownership and Detail Must Be Correct,Complete,andI�eB I PT. Of- PLANNING &
UNITY D VE O N
Salem.Massachusetts
To the Building Inspector:
The undersigned hereby applies for a permit to AErect. o Alter, o Repair a sign on the following described buildings:
Street
District
•. o Urban Renewal Area ),En(rance Corridor
V�Y Z ❑Historic District ❑None
Telephone ,74 '-WQV1-floor _i
• , 2 floor
Address 2Z Y 3 floor
Telephone — e floor
E-mail Hcam ow many businesses are in the building?
If a corporate body,name
of re are omw,
Building linear feet
Catstrumon Stip$0! .Np Applicant's Space(if multi-tenant) linear feet
Address _ - Property linear feet
Telephone
E-mall n �). e Sign Owner)I Sign Erector o Other:
proposed, addsheets)
SI•n 1 Sign 2Sign 3
Surface a o Surface ❑Surface
o Right Angle to Building c Rt gle to Building o Right Angle to Building
u Free nding ❑Free S ing u Free Standing
c Awning u Awning o Awning
❑Portable name) ❑Portable(A-F ) o Portable(A-Frame)
u Other(spec Other(specify) p,Other(specify)
,
Sign aterials 11�` Sign M terials Sign Materials
�i�
Si n imensio • S' n en ' s ign. imensions
tr qp jQ L
yall
Sign A Sign Ar S ft Sig Ma - ft
ft
Sign t(if free standing) Signa eight(if free sta Ing) Sign Height( free standing) l
Estimated Cost of Net Work
$
ON
-10
•
Type
Sign Area To Be Removed? Sign Own r
❑Surface sq It o yes o no
u Right Angle to Building _sq ft o yes o no
u Free Standing ^sq fl o yes o no S' wn is Autho eprese
ntAive
u Awning sq ft o yes a no
y,Other(specify?PV"1 sq ft yes n rw
Internal Reviev
Planni &Community DevelP rty-4%vner Ar
opment Department Historical Commission
Apprrival
`""'
Building Inspector
MnNem
City of Salem Sign Permit Application Worksheet
18-Jul-17
Jami's Kitchen `
2 Bridge Street 3• 02
Zoning (res/non-res) B2
SEntrance Corridor(YIN) Y
Lot frontage combined feet
' Building or tenant frontage 76
#of businesses on site 1
Bldng dist from street center >100 feet
Multiplier 1
Building and Blade Signs
maximum area permitted 76.00 sq ft
total proposed sign area 0.00 sq ft
Surface Sign
length inches
height inches
0
length inches
height inches
Freestanding Signs
maximum area permitted 32.50 sq ft (per side)
maximum #of signs permitted 1 signs
maximum height permitted 12.50 ft tall
Existing Freestanding
proposed sign area 40.00 sq ft
length 96.00 inches
height 60.00 inches
proposed sign height 14.00 ft
Application meets guidelines set
forth in the Salem Sign Ordinance No
Recommend approval No
This is for a permit to reface an existing free-standing sign that was
previously permitted.
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(3774)
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4 28 8
17 28
5 26
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7 rFP 4 74 (818)
13
dem.patriotproperties.com/PictureView.asp?IMG=sketch/12000/565001.jpg 1/1
City of Salem Department of Planning &
Community Development
CHECK RECEIPT AND TRACKING FORM
DATE az 11 BOARD STAFF A- ro
CLIENT:
PROPERTY ADDRESS: 12-
CONTACT
CONTACT NUMBER: q7 Si or o l
PURPOSE FOR L J
APPLICATION:
CHECK #
AMOUNT RECEIVED: $
0402
DAWN'S SIGN TECH INC.
33 FLAGSHIP DR. 0
NORTH ANDOVER,MA 01845-6103
�PH,.917/I18-28-0012
6.70172110
,�I1/�/I
:
Ralmna OF
€Citizens Bank
�---
11'00040211' 1: 2 & 1040175': 13235480 611'
The Commonwealth of Massachusetts
Department of Industrial Accidents
Ogee of Investigations
I Congress Street, Suite 100
Boston, MA 02114-2017
If www.massgov/dia
Workers' Compensation InsuranoeAffidavit: Builders/Contractor s1Electricians(Plumbers
Applicant Information Please Print Leeibly
Name (Business/Organization/Individual): ,I'�q�1,6c" `, ) ,T((1
Address: (V1Q41.i I-) I)
City/State/Zi Phone hl: Ctl 00
Are y an employer? Check the appropriate box: 'Type of project(required):
1. I am a employer with 4. EJ am a general contractor and I
6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g• ❑ Demolition
workingfor me in an capacity. employees and have workers
Y9. F1 Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs or additions
myself. [No workers comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees, [No workers 13.0Other yf:;K�
comp. insurance required.]
Any aWicant that dxrksb xe#1 must also fill out the section below showing their workers' compensation policy i nftxmatien.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-emtradasltameenployem they must prwidether workers comp.policy number.
I am an employer that isprcvidingworkers compensation insuranceformyEmployees Below isthepolicyand job site
information.
Insurance Company Name: _—
Policy#or Self-ins. Lic. #:x ����j,( 1�����} Expiration Date:�(j a ��-
Job Site Address:. � G�Q City/State/Zip:C QM ��q-4c)
Attach a copy of theworkers cb pensation policy 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$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be 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 ce i 'under the p
alm and penalties ofperjury that the information provided above is true and correct.
Si nature: Date: &hrll 11
Phone#: , c
Offteial use only. Do not write in this area, to he completed by city or town official.
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 M
Permit R& p'—E � �aD p
APPLICATION FOR PERMIT TO ERECT A SIGN
., NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
1� Location, Ownership and Detail Must Be Correct, Complete, and I�eBle r r-l-k i i r!i r i c; .g IviU - C V� O N
+qui
� Salem, Massachusetts
To the Building Inspector:
The undersigned hereby,applies for a permit to JAErect, o Alter, a Repair a sign on the following described buildings.
Street Address Zoning District
_ [ n Urban Renewal Area p1,Entrance Corridor
{� a Historic District ❑None
Telephone .' -14 . ( 1 floor i
2 floor
Address Z Y fft3 floor
Telephone 4 floor
E-mail How many businesses are in the building?
if a corporate body,name
or responsible omce,
r=lopelly
Linear feet
Cort Styes OL ,No (if multi-tenant) linear feet
Address A �- linear feet
Telephone Q � Mail Sign Permit to
E-mail �;t I o Sign Owner ASign Erector ❑Other.
proposed,posed Signs(if more than three signs a additional sheets)
Sian 1 Won 2 SI n 3
Surface a Surface ❑Surface
a Right Angle to Building c Right Angle to Building o Right Angle to Building
u Free Standing o Free Standing a Free Standing
c Awning u Awning u Awning
o Portable(A-Frame) u Portable(A-F ) a Portable(A-Frame) .�
❑Other(specify) Other(speciy __ ____ A,Other(specify) (Yf4,, '1
Sign aterials ` Sign M terials v Sign Materials
CU=
Sin imensions n S' n Dy ensions , ign imensions
L, ES
x
Sign Area Sign Area Slgz f�'T
R S it "LUQ it
Sign Height(if free standing) Sign Height(if free sta ng) Sign Height(If free standing)
Estimated Cost of Net Work
Type Sign Area To Be Removed? Sign Own r ,
a Surface sq It ❑yes o no
n Right Angle to Building sq it ❑yes o no
o Free Standing _sq It o yes a no S' wn is Autho' d eprese e
❑Awningsq It u yes a no
Other(specify) -L—*('j-sq R Xyes n no
� P pertyOWner iM'
Planning&Community Development Department Historical Commission
Building Inspector
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Overall size: 28" x 173"
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Letter ID T
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Overall size: 60" x 96"
Replacement Lexan faces for existing pylon
Colors: red/black on white
Letter height: 10" logo, 5" Bridge St, 4.5" phone ##
Font: Agency FB regular & bold, Arial