10 DERBY SQUARE - SIGN PERMIT (5) 10 Derby Square, Unit S1
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Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGNi1
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Le able 3
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Date
To the Building Inspector: L
The undersigned hereby applies for a permit to VCect, ❑Alter, o Repair a sign on the following described buildings:
District
fb�A �0 U�11� S 1 a 5 Zoning rban Renewal Area ❑Entrance Corridor
❑Historic District ❑None
• Slivkvc�A�m,gk LLC Use of Building
Telephone 8 –� 1 floor
• �� \ CEI t✓
2m floor
(� Address 1 V floor
Telephone 3D 4 floor
E-mail Q S How many businesses are in the building?
i If a corporate body, name _
ofres onsibleofficer MC \t
st a, Building linearfeet
Construction Sup's Lioanse No Applicant's Space(if multi-tenant) inear feet
Address 1 kin r rj Property –1 linear feet
Telephone1:11ay
Mail Sign Permit to
E-mail ,, yQQL)ar" ❑Sign Owner ❑Sign Erector ❑Other:
Si n 1
Sign 2 Sign 3
❑ urfaoe ❑ Surface ❑Surface
vRight Angle to Building o Right Angle to Building ❑Right Angle to Building
❑Free Standing ❑ Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
❑Portable(A-Frame) ❑ Portable(A-Frame) ❑ Portable(A-Frame)
❑Other(specify) ❑ Other(specify) ❑Other(specify)
Sign MaterialsS kbVl Sign Materials Sign Materials
pmho f4 V,
Sig`Dime,sio sr– i yt Sign Dimensions Sign Dimensions
Sign AreaSign Area Sign Area
s ft s ft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ bolo
Existing Signs
TyypPe Sign Area To Be Removed? Sig Owner
efSurface �—sq ft ❑yes Ao
❑ Right Angle to Building sq ft L)yes ❑no
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❑ Free Standing sq ft ❑yes ❑no Sign Owner's A t ed Representative
❑Awning sq ft ❑yes ❑no
❑Other(specify) sq It ❑yes ❑no
Property
Internal Review
Planning&Community Development Department Historical Commission
Approval
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Building Inspector
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CITY OF SALEM
DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
KIMBERLEY DRISCOLI. 120 WASI IINGTON STREET♦SALEM,MASSACHUSErrs 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 permit
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.
0&24/10rt
e, Salem
Redevelopment
Authority
Salem Redevelopment Authority Decision (Administrative)
July 26, 2017
10 Derby Square, Unit S1 (Sperling Interactive): Discussion and vote on proposed
installation of blade sign.
SRA Decision Administrative
Following the recommendation of the DRB, SRA Executive Director Tom
Daniel administratively approved the proposed installation of a blade sign
at 10 Derby Square, Unit S1 (Sperling Interactive).
Recommendation
At its meeting on July 26, 2017 the DRB voted to recommend approval of the proposed
installation of a blade sign at 10 Derby Square, Unit S1 (Sperling Interactive).
Proposal
In 2010, the 10 Derby Square Condo Association received approval from the DRB/SRA
and the City for a signage plan for its building. The location and specification of signs
were approved and permitted. The individual tenant signs (approved as 2'1"x1'6.5"
brushed aluminum) were never installed.
Sperling Interactive, occupants of suite S1 , are requesting to install a sign as approved
in 2010 (in terms of size and material), but are requesting to have it mounted
perpendicular to the building (as a blade sign), as opposed to the approved flush-
mounted style. The bottom of the sign would be 8'3" off the ground. It would be
mounted with aluminum lag bolts/lock washers in a lag sleeve.
Staff Comments:
The proposed signage complies with the City's Sign Ordinance and Commercial Design
Guidelines.
As of the writing of this cover memo, the applicant has not yet provided the required
materials. I will provide those materials electronically once received and the hard
copies will be available at the meeting.
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Effective Date: August 2nd, 2017
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Western Surety Company
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LICENSE AND PERMIT BOND
KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 63298963
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That we, SPERLING INTERACTIVE
of SALEM , State of Massachusetts , as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of
Massachusetts as Surety, are held and firmly bound unto the
City of Salem State of Nassachuse ,as Obligee, in the penal
sum of One Thousand and 00/100 DOLLARS (�I,000,oo ),
lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made,
we bind ourselves and our legal representatives, firmly by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been
licensed Sign Permit
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply
with the laws and ordinances, including all amendments thereto, pertaining to the license or permit
applied for, then this obligation to be void, otherwise to remain in full force and effect until
August 2nd 218 , unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class
U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration
of thirty-five (35) days from the mailing of said notice, this bond shall ipso facto terminate and the Surety
shall thereupon be relieved from any liability for any acts or omissions of the Principal subsequent to said
date. Regardless of the number of years this bond shall continue in force, the number of claims made
against this bond, and the number of premiums which shall be payable or paid, the Surety's total limit of
liability shall not be cumulative from year to year or period to period, and in no event shall the Surety's total
liability for all claims exceed the amount set forth above. Any revision of the bond amount shall not be
' cumulative.
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Dated this 2nd
i day of August 2017
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SPERLING INTERACTIVE °
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WESTE SURET COMPANY
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By Paul T.Br at,Vice President "
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ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA I as (Corporate Officer)
COUNTY OF MINNEHAHA
On this 2nd day of August 2017 ,before me,the undersigned officer,
personally appeared Paul T. Bruflat such
acknowledged himself to be the aforesaid
officer of WESTERN SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed
the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such
officer.
IN WITNESS WHEREOF,I have hereunto set my hand and official seal.
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My Corimission Expires March 2, 2020 ACKNOWLEDGMENT OF PRINCIPAL
STATE OF (ss (Individual or Partners)
COUNTY OF 1
On this day of ,before me personally appeared
known to me to be the individual_described in and who executed the foregoing instrument and acknowledged to me
that—he—executed the same.
My commission expires
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
STATE OF ( (Corporate Officer)
COUNTY OF ) ss
On this day of ,before me personally appeared
who acknowledged himself/herself to be the
of ,a corporation,and that he/she as
such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing
the name of the corporation by himself/herself as such officer.
My commission expires
Notary Public
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Western Surety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America,does hereby make,constitute and appoint
Paul T. Bruflat of Sioux Fall
State of Snrrh DAkntp its regularly elected V•r•p Pre ;dent
as Attorney-in-Fact,with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on
its behalf as Surety and as its act and deed,the following bond:
One Sign Permit City of Salem
bond with bond number 63258463
for 9RERLING INTERACTIVE
as Principal in the penalty amount not to exceed: $1, 000 00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company
duly adopted and now in force,to-wit:
Section 7, All bonds, policies, undertakings, Flowers of Attorney,or other obligations of the corporation shall be executed in the corporate
name of the Company by the President. Secretary, any Assistant Secretary,Treasurer, or any Vice President,or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is
not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any
such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
2017 Vice President with the corporate seal affixed this 2nd day of August
ATTEST WESTEN URET COMPANY
By—
L.L.Nelson,Assistant Secretary Paul TfBruflat.Vice President
STATE OF SOUTH DAKOTA
COUNTY OF MINNEHAHA f ss
On this 2nd day of - Aucrust 2017 , before me,a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who,being by me duly sworn,acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
Mewsey.,aeSer.S.,..asga5esar,5}
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To validate bond authenticity,go to www.enasm•ety om >Owner/Obligee Services>Validate Bond Coverage.
Form F1975.1-2016 �y
Commonwealth of Massachusetts �\
City of Salem 19
' 4 120 Washington St.3rd Floor Salem.MA 07970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit No. B-1 7-722
FEE PAID: $0.00 PERMIT TO BUILD
DATE ISSUED: 10/2017
This certifies that SEAPORT SIGNWORKS
has permission to erect, alter, or demolish a building 5-US1 HIGGINSON SQUARE Map/Lot: 350252-801
as follows: Signs SIGN PERMIT AS APPROVED FOR:
SPERLING INTERACTIVE
@ 10 DERBY SQUARE, UNIT S1
Contractor Name:
DBA:
Contractor License No: / � L
G � 8/10/2017
Building Official Date
This permit shall be deemed abandoned and Invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official
may grant one or more extensions not to exceed six months each upon written request.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
HIC #: 'Persons contracting with unregistered contractors do not have access to the guaranty fund'(asset forth in MGL o 142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.