142 DERBY STREET - SIGN PERMIT 142 Derby St.
The Nig Next Door
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Permit Number
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
APPLICATION MUST BE SUBMITTED IN DUPLICATE, ONE SET TO BE FILED WITH THE PLANNING
DEPARTMENT, AND ONE SET (BEARING THE APPROVAL OF THE PLANNING DEPARTMENT) TO BE
FILED WITH THE BUILDING INSPECTOR.
�sw Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
;i
Application for Permit to Erect a Sign
Salem, Massachusetts �U ZO 195
`—'-9 TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to Erect,_Alter,_Repair
a sign on the following described building:
S 1k✓by 5'
Location and No. /t/�tt r J7 Zoning/District iJSi 25
Name of Property Owner lnc /�ON�)7tlf4nl f2F.9Rl�bti�
Name of Sign OwneA�/Ul�
Addresss3q p/.CllS At c S442/m /2'd 627-7D
If Owner is a corporate body, name of responsible cfficeK.7—,,JN{ =:�
Name of Licensed Sign Erector Ve L4AZS
(,Y)'4tA& 'S //d .Q/fZ No. Bh�� 05'
Address /d CD/e Rd-
3 Salem License No.
Use of Building: Ist Floor Retd,L Store 3rd Floor Q vnQit
2nd Floor_dfidki,Mnlr} 4th Floor
Type of Sign: _Surface, Right Angles to Building, _Free Standing
Other (specify) Height:
Sign Materials MOOD /
Sign Dimensions f 0, W y Sign Area (p SF
Existing Signs: Surface: ��— Sign Area SF
Right Angles: Sign Area SF
Free Standing: Sign Area SF
Other: Sign Area SF
Signs to be Removed: Type — Sign Area SF
Frontage: Building '02O FT Property S^ / FT
Signature of Owner� P
Signature of Owner's Authorized Representative
Address �YCI ¢✓�JIA r�� Y�4OW 0— �
Estimated Cost Telephone
of New Work $ IDD 6o
Signature of Property Owner
APPROVALS: T
Salem Planning Department Superintendent of Streets Historical Commission
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.999 14:42 978-750-8856 CREATIVE SIGNS HAUL ei
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United States Fire Insurance Company
License and Permit Bond
Bond No. 2280971
Jenka,lnc.
KNCIWA li eoB THJSEPRE PRESENT
lem,
Of
as Principal and United
Stares Fire Inwrance Company, a corporation authorized under the laws of the State of New York and
licenicd to become surety on bonds and undertek.11n{��ss ip the State olMassachusetts as Spy,
are held and firmly bond unto the City of Salem
Obligee,
n the penal sum of Seven un ra an
dollars(S 700. 00
lawful money of the united States,for which payment,well and truly to be made,we bind ourselves,our
heirs, executor, administrators, successors and assigns,jointly severally,firmly by these present. Sj
WHEREAS, the said principal has applied to the C>bligee for a license or permit NOW
Sign Bond -
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f\
NOW, THEREFORE,THE CONDITIONS OF THE OBLIGATION IS SUCH,That if the said Principal
shall faithfully perform the duties of such licensoe or permitee, and In all things comply with the ordinances,
rules and regulations appertaining thereto,then this obligation shall be void,otherwise to remain in full force
and effect.
f:
PROVIDED, THE LIABILITY OF THE SURETY upon this bond shall be and remain in full force and
effect for the full period of the certificate or license,and renewals thereof,issued to the Principal,or until z
thirty(30)days after receipt by the obligee of a written notice signed by such surety,or its authorized agent,
sting that the liability of such Surety is thereby terminated and canceled; provide further,that nothing
herein shall affect any rights or liabilities which shall have accrued under this bond prior to the date of such
it
term nation.
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SIGNED. sealed and 3rd dat.d this day of November 1999 ?�
lanka, Inc.
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Vaited Sala Fir&Ili ra�Cotnpanx
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Dan M u len ,Attorney-in-Fag ?;
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.. �.�.. 1.iu%`:ii�i.ir.�'v^.�v•��'w'.�'i1..1'n.V1rV'�i.. .. .»•��.. ..i.r�.�.V:\Y
rvwr:K UY A17vRNEY
LTNr>!.n STATES PIKE DiSDRANCE COMPANY 122624
PRINCIPAL OFFICIE;,NEW VORY,N.Y.
KNOW ALL MEN BY THESE PRESENTS: That the UNTIED STATES FIRE INSURANCE COMPANY a
Corporahoo duly oc&mad and existing under the laws of the Stitt of New York, and bavmg its sdminismrWrc offices in
the Towt>abip of Morns, New Jersey, has rnadt, couxMted and appointed, and does by these prtamt, make, constitute
and appoint bllcl.aal J.Aepa,Dan McManea aad R.Bruce McDaapl of Peabody,Msasehmsetes,each
its true and awful Agengs)and Auomey(s)-in-Fact, win full power and authotily hereby conferred in its name,plate and
stead m txectme seal Sclmowledse and deliver. Airy and all bonds sod undertakings SUBJECT To THE
EXCLUSIONS LISTED BELOW:
Bid, Proposal and Final Boody and Undertakings guamteemg contraati for the construction or aectian of
or private btuldrags,improvements, and other public
and to bind do Corporation dwreby as fully and to the same cxD= as if such bands bad been duly executed and
aolaoaladled by ma fly elected offioas of the Corporation at its officts in Morris To
a"R""Perseus. Township,New Jerzy, in their
Thu Power of Attorney limits the act of those named therein to the bonds and tmdertalmga specifically named thereto,
and they brow no wabotity to bind the Company except is the lnanoer and to the extern thervin stated.
This Power of Attorney revolves As prevu xu Powers issued m behalf of the attaary(a}in-fact named above.
IN WIINF.SS WPTEREOF the United Stater Fire Insurance Company has canted these presonti m be signed and attested
by appropriate otficm and its cvpomte sal hereunto atExed oris$!L day of . 1999-
UNITED STATES FIRE INSURANCE COMPANY
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AaaiatmtvBtri�k
Thomas A Kv
STATE OF NEW JERSEY)
a.:
COUNTY OF MCVJM )
4 WA 26 b 0(UX 19"—befime the ru6oriber, a drily qualified Naesry Public of the State of Nese Jersey, came dre
a1r>ra�otiaaad Vas Preidew and Aansumt Secretary of United States Fitt htsxamoc Corupay, to me perwn&lly
known to be the ofAoers desoetIM m, and who endured the priming instrommt, and the a4,nowIcdged the exon
of the aartsa rod beiod by mr sworn, depwed and aid to they ere the a$ioess of said Camey aforo"and that
dw Math afliasd to the preoed:ng iosnumerrt is the Corporate Seal of said Compww,and the Said Corporate Sal and their
d joantre.as o/boers scars duly at7satd and aubsaibed to the acid=St nm=by the authority and daromon
of do amid C�.
i x DAIMIr,4b
M TESTIMONY WHEREOF, I bare at5ssd ny sal at the Towashfp of Morris, the dry and
yaw first above wri"M
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(Sued) •
n.. Iff C1ffil�I war alaaNl to amt
TOTAL P.03
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Salem Historical Commission
ONE SALEM GREEN,SALEM, MASSACHUSETTS 01970
(978) 745-9595 WE 311 FAX (978)740.0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
Signage ❑ Other work
as described below will be appropriate to the preservation of said Historic District, as per the requirements set
forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: Derbv Street
Address of Property: 142 Derby Street
Name of Record Owner: Reardon Realty Trust/Jenka. Inc. dba The Pig Next Door
Description of Work Proposed:
Installation of hood sign per drawing submitted to be hung perpendicular to the building above the door of the
right hand storefront. Brackett to replicate the bracket used for the "In A Pig's Eye"sign but without the mast.
Sign height over the sidewalk to meet sign ordinance with bottom of sign to be above the cornice and not
hanging over the opening.
Dated: December 2. 1999 SALEM HI RICAL COMMISSION
By:
The homeowner has the option not to commence the work(unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildin,s (or any other necessary permits or approvals) prior to commencing work.
ISSUE']) THROUGH
A. A. DORITY COMPANY
BOSTON
LICENSE OR PERMIT BOND
KNOW ALL M17N BY THESE PRESENTS,That we The Pit*Next Door
of 142 Derby St, Salent, MA 01970,
hereinafter referred to as Principal,and NGM Insurance Company
a corporation organized and existing under the laws of the State of Florida
and authorized to do business in the Commonwealth of Massachusetts as Surety,are held
and firmly bound unto City of Salem,MA ,hereinafter referred to as Obligee,
in the sum of One Thousand dollars ($1,000.00)
lawful money of the United States of America,to the payment of which sum,well and truly to be made,we bind ourselves,out-
executors,administrators,successors and assigns,firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH,That whereas,the Principal has made application for
it license or permit to the Obligee for the following purpose:
Sign Permit
NOW,THEREFORE, if the Principal shall faithfully comply with all ordinances,rules and regulations which
have been or may hereafter be in force concerning said License or Permit,and shall save and keep hat•mless
the Obligee from all loss or damage which it may sustain or for which it may become liable on account of the
issuance of said license or permit to the Principal,then this obligation shall be null and void;otherwise,to remain in 11111 force
and effect.
THIS BOND WILL CONTINUE IN FULL FORCE UNTIL CANCELLED BY THE SURETY. The Surety may at any time
terminate its liability by giving thirty(30)days written notice to the Obligee,and the Surety shall not be liable for any default
after such thirty day notice period,except for defaults occurring prior thereto.
SIGNED,SEALED AND DATED July 20th,2011.
The Pig Next Door
By. ✓
NGM Insurance Company
Bond No. 805541
Katie E.Ford Allorney-in-Fuel
A.A.Dor'ily Company,hic,
262 Washington S/reel,Suite 99
Iloslon, Vbl 02108
(617)523-2935 Fac:617-523-1707
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN "�v E VE D
NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
,, Location, Ownership and Detail Must Be Correct, Complete, and Legible JUL 18 2011
Salem, Massachusetts rFpr r:
'.14NING h
To the Building Inspector: COMUIXa.IY .:cJFLOPNENI
The undersigned hereby applies for a permit to ❑Erect, ❑After, u Repair a sign on the following described buildings:
Street Address Zoning District
r/� S� _ �� ❑ e Area ❑Entrance Corridor
`F is oric District Iff MNone
7ofTelephone o 1 floor ST G/t fcc
2 floor
Address3 floor
Telephone 4 floor
E-mail How many businesses are in the building?
rate body, name
s onsible officer
Building linear feet
Construction Sups License No Applicants Space(if multi-tenant) 1b linear feet
Address Property linear feet
Telephone
E-mail ❑Sign Owner ❑Sign Erector o Other.
Proposed oposed. attach additional sheets)
Si n1
Sign 2 1 Sign 3
o Surface ❑Surface o Surface
®'Right Angle to Building ❑Right Angie to Building o Right Angle to Building
❑Free Standing n Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
wPortable(A-Frame) ❑Portable(A-Frame) ❑Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials
Sign Dimensions 3 . X 2 r/i Sign Dimensions Sign Dimensions
Sign Area / Sign Area Sign Area
sq R s ft R
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated C
pst of Net Work
Existing Signs
Type Sign Area To 8a Removed? Sign Owner
;Z❑Syrface sq ft ❑yes wifo
g"ht Angle to Building sq ft o yes ❑no
❑ Free Standing sq R o yes o no Sign Owner's Authorized Representative
❑Awning sq ft ❑yes o
❑Other(specify) sq It ❑yes o no
Pro rty Owner ,
Internal Rmew
Planning&Community Development Department Historical Commission
Building Inspector
osrzaro�
CINial'�
ra �0 CITY OF SALEM
a DEPARTMENT OF PI..INNING AND COMMUNITY DEVELOPMENT
s
KI m=. -YDRm-oil 120WASIDNbiQNS'CRE *SAS NL%S5AcuL:SEM01970
MAYOR 1'ry 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) a Method of Lighting '�
NdAlo—
■ Color Scheme ■ Building Frontage(width of building on public
■ Letter Style (font) way) STO{a- FidV T f it
■ 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.
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