84 DERBY STREET - SIGN PERMIT 4 Derby Street
� Jean Louis Pasta Shop
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84 DERBY STREET 552-13
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
GIS #: 1907
Map: I#1
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Lotl:: 0n114-ant SIGN PERMIT
Pcnuit: Sien
calc•gory: SIGN
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it !l >52_I3 PER MISSION IS HEREBY GRANTED TO: se
Project it ]S_2013-001783 0 °�
4 llfractar: License: rpires:
t:,,.Cns,: 523s.�a e9y
Fee charged:SU.00 iAIcAleei Sims & Graphics
Balance Due:S.Oo Owner: Ryan Macione
7 of Fixtures: Applicant: McAleer Signs& Graphics
DigSafe l: AT.• 84 DERBI'S I RFF I-
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ISSUED ON. 08-Jan-2013 AMENDED ON: EXPIRES ON: 08-Jun-201-1
TO PERFORM THE FOLLOWING {YORK:
SIGN PERMIT AS APPROVED FOR(JEAN LOUIS PASTA SHOP)jbh
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date I'aid: V C'u• Am nnt:
SIC% RFC-20134)01055 09-.1211-13 X S0.00
IvnT\iSM 2013 Des Lass riers\I unicipaI Sol uI in ns.Inc.
c:;I ��— A�5
City of Salem Sign Permit Application Worksheet
13-Dec-12
Jean Louis Pasta Shop
84 Derby St.,Salem,MA
Zoning (res/non-res) B1
Entrance Corridor(Y/N) N
Lot frontage 50 feet
Building or tenant frontage 25 feet
#of businesses on site 1
Bldng dist from street center 20 feet
Multiplier 2
Building and Blade Signs
maximum area permitted 50.00 sq ft
total proposed sign area 0.00 sq ft
sign 1
length 0.00 inches
height 0.00 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
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
r rfta Location. Ownership and Detail Must Be Correct, Complete, and Legible
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Salem, Massachusetts Jt,ec
Date
To the Building Inspector:
The undersigned hereby applies for a permit to c Erect, n Alter, c Repair a sign on the following described buildings:
Street Address Zoning District
❑ Urban Renewal Area iiEntrance Corridor
{7 1storic District ❑ None
Use of Building
Telephone t? -3 I ( S I a a 1• floor
• 2n,floor
Address g�t D,; ` y 9ALE Sd floor
Telephone S 059-1 4 floor
E-mail Ica 6 MA-IL Co N How many businesses are in the building?
If a corporate body, name -
of responsible officer
I Building linear feet
Construction Sup's License No Applicant's Space(if multi-tenant) linear feet
Address Property linear feet
Telephone Mail Sign Permit to
E-mail Sign Owner o Sign Erector ❑Other:
Proposed Signs (If more than three signs are proposed, attach additional sheets)
Si n 1 sign 2 1Si n 3
o Surface o Surface o Surface
o Right Angle to Building n Right Angle to Building n Right Angle to Building
o Free Standing o Free Standing o Free Standing
o Awning o Awning o Awning
a Portable(A-Frame) ❑ Portable(A-Frame) o Portable(A-Frame)
o Other(specify) c Other(specify) o Other(specify)
Sign Materials Sign Materials Sign Materials
Sign Dimensions Sign Dimensions Sign Dimensions
Sign Area Sign Area Sign Area
sq 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
Existing Signs
Type Sign Area To Be Removed? Sign Owner
o Surface sq it o yes n no
n Right Angle to Building sq ft o yes o no
o Free Standing sglt o yes o no Sign Owner's Authorized Representative
n Awning sglt o yes o no
o Other(specify) sq ft o yes o no
Proerty Owner
rt
ning&Community Development Department A Internal Review
storical ommission
Approval
A
Building Inspe or
0824110 rev
Job:Jeen Louis Pests Shop
84 Derby St. Salem, MA
Wlndows to be lettered with whits vlr*l film.
1 ,
9 : 1
Window Window
1ruxx Loais �
Fresh and Fancy
McAleer Signs & Graphics �v�
22 C Lonergan Rd. �r
Middleton, MA 01949 Number: E207
Tel. 978.223.5186
Fax: 978.363.5728 Date: December 08, 2012
Bill To: Ship To:
Jean Louis Pasta Shop Jean Louis Pasta Shop
84 Derby St. 84 Derby St.
Salem, MA 01970 Salem, MA 01970
PO Number Terms Project
207 Due upon completion. Window Lettering
Description Quantity/Hours Price/Rate Tax Amount
Create & Install Vinyl Lettering On 2
Windows As Discussed.
Material:
"Jean Louis Pasta Shop" 45"I x 17.8" h - 6.00 5.99 35.94
6 sq/ft-Cut White Vinyl Film, Weeded
With Transfer Tape.
"Pasta Fresh& Fancy" 601 x 25.6"h -10 10.00 5.99 59.90
sq/ft Cut White Vinyl Film, Weeded With
Transfer Tape
Shop Materials 20.00 20.00
Labor:
Computer Set Up & Picture Proof 1.00 40.00 40.00
Installation 2.00 40.00 80.00
Sub-Total $235.84
State Tax 6.25% on 0.00 0.00
Total $235.84
This estimate is good for 30 days.
Production time for the above item(s) will be approximately business
days.
50% due on signing, balance due on completion.
By signing below, I authorize work to begin and agree to pay above amount in
full according to the terms on this agreement.