19 PARADISE ROAD - SIGN PERMIT 19 Paradise Road
EMS
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19 Paradise Road
EMS
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=3-25 PARADISE ROAD - - - - 787-12
COMMONWEALTH OF MASSACHUSETTS
rt: 1518_ CITY OF SALEM
UlS -- _-- - - �
Map: 20
Block: - -
L.ot: 0006 - - SIGN PERMIT
Calcenry: SIGN
Perm
I'my"t /! J$-2011 2-002138 i1 I7s7-I - -.- j PERMISSIONIS HEREBY GRANTED TO:
Prnc — - -
I
Lst. Cos[: .$7500.00 1 Contractor: License:
A.-r tirvac:
'Pee Charged:S0.00 — - Poyant Signs Inc /
I3alancc Duc:'S_00 Owner: New Creek II C/O The Be]lard Group
#of Fixtures: jAPPlicant: Poyant Signs Inc
Di,,, ali� 4 - 'AT.• 3-25 PARADISE.ROAD
.UseGl'uup
ConstClass
ISSUED ON: 05-Apr-2012 AMENDED ON: EXPIRES ON 05-Sep-2012
TO PERFORM THE FOLLOWING WORK:
SIGN PERMIT AS APPROVED FOR(EASTERN MOUNTAIN SPORTS)jbh
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPOly�+'�OLATION OF ANY OF
ITS RULES AND REGULATIONS. / �J
Signature:
Fee Type: Receipt No:
P Date Pail: Check No: Amount:
SIGN 12EC-2012-002359 05-Apr-12 x $0.00
GeoTMS(%21112 Des Lauriers Municipal Solutions,Inc.
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City of Salem Sign Permit Application Worksheet
14-Mar-12
EMS
19 Paradise Rd
Zoning (res/non-res) 61
Entrance Corridor(YIN) N
Lot frontage 1,125 feet
Building or tenant frontage 51 feel
#of businesses on site 5+
Bldng dist from street center 150 feet
Multiplier 2.5
Building and Blade Signs
maximum area permitted 128.13 sq It
total proposed sign area 124.67 sq ft
sign 1
length 408.00 inches
height 44.00 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 32.50 sq ft (per side)
maximum#of signs permitted 1 signs
maximum height permitted 12.50 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
sign 2
proposed sign area 0.00 sq fl
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
Richard A.Westergren
Regional Vice President
3 Bud Way#19
Nashua,NN 03063
t 603.546.2005X13
jv)Y n c 999.4649
1 603.546.2007
e rweslergren®poyantsigns.com
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w Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
S 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 o Erect, ❑Alter, o Repair a sign on the following described buildings:
Street Address Zoning District
/9 dS� /?L1�17 5- / 1 o Urban Renewal Area ❑ Entrance Corridor
❑Historic District one
.. • Use of Building
Telephone 1 floor
• S40otrr c 2 floor
Address 1" " 3 floor
Telephone 4 floor
E-mail How many businesses are in the building?
If a corporate body, name Frontage
ofresponsible officer
<< 1s -7zkj G Building s/ - 3 �r linear feet
ConstnxSonSup'sLicense No CS - 7?//7 Applicant's Space(if multi-tenant) linear feet
Address 3 J 7*/c� AJ/.4 Property linear feet
Telephone (gyp',j-SYb� 8Gb S' Mail Sign Permit to
E-mail )ZhJF.S76i•2 /2rLj sgal.CO&, ❑Sign Owner ign Erector ❑Other:
--Tif i—e an three
Proposed Signs noi th signs are proposed attach additional sheets)
i n1 Si n2 Si n3
urface ❑Surface ❑Surface
❑ ight Angle to Building ❑ Right Angle to Building ❑Right Angle to Building
❑ Free Standing o Free Standing ❑Free Standing
❑Awning o Awning u Awning
❑ Portable(A-Frame) o Portable(A-Frame) ❑ Portable(A-Frame)
❑Other(specify) o Other(specify) o Other(specify)
Sign Materials Sign Materials Sign Materials
Af r+�n G
Siggr piimmen, n ��o 4 Sign Dimensions Sign Dimensions
Si,56re Sign Area Sign Area
�✓ G SQ /C� 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
$ 7COO.CO
Existing Signs
Type Slgn Area To Be Removed? Sign 0 ner
o Surface sq It o yes ❑no
• Right Angle to Building sq ft ❑yes o no
❑ Free Standing sq It o yes o no --& wn s t e e e,
❑Awning sq ft o yes o no �J
❑Other(specify) A10V't sq ft ❑yes ❑no
. Property Own4r
Internal Review
Plann N
&Community Development Department Historical Commission
Approval
Building Ins for
0&24110 rev
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CITY OF SALEM
/ DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
KIMBERLEY DRISCOLL 120 WASMN(;rFON STR9Er 0 SALEM,MASSACHUSE rs 01970
MAYOR- TEL:978619-5685♦ Rix:978-740-04N
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 Cityof
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:Fol'ekampld, 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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DEED REFERENCES'
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City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received
Amount Received ZU ,C0
Form of Payment Check Cash
Client Information {�� a S1ghS
CASH PAYMENTS: client initials e( AA
gn Permit Application Fee
❑ Conservation Commission Fee
/
Payment received For what Planning Board Fee ZBA
service? ❑ SRA/DRB Fee
Copies
Other:
Name of staff person receiving LI S� cr ccs wSL
payment
Additional Notes
POYANT SIGNS INC. 1353
3 BUD WAY#19 PH.603-548-2005 st-m eazn
NASHUA,NH 03083 , 1 80438
"�C Date i
Pay to the
Order of
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Original Check and Form: DPCD Finance
Copy 1: Ghent
Copy 2: Application File
PROPERTY OWNER AUTHORIZATION FORM
I/we grant Poyant Signs and/or their representative authorization to apply and secure sign permits on
our behalf. � P E(IA S
Property Owner '" C W U4-el'r1 —
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I/we grant Poyant Signs and/or their representative authorization to apply to the zoning, planning
and/or design review board on our behalf.
Property Owner
Address
Signature
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PRIORITY
12S Samuel Barnet Blvd.
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SENDER: MAIL RECIPIENT WHITE AND PINK SHEETS.
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RECIPIENT: WRITE REPLY. RETURN WHITE TO SENDER. KEEP THIS PINK COPY.
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received 31 )-� C 4 D
Amount Received
Form of Payment ]/'Check ❑ Cash
Client Information is.M
CASH PAYMENTS: client initials
Sign Permit Application Fee
❑ Conservation Commission Fee
❑
Payment received for what Planning Board Fee / ZBA
service? ❑ SRA/DRB Fee
❑
copies
❑ Other:
Name of staff person receiving O
payment
Additional Notes
F-
Original
IGNS INC. 1354
19 PH.603-546-2006
03063 517218/2211
80428
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/p��+t-t $ 60 �
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_ Dollars 8
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peoples.com
21861: 228000338411• 3S4
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Original Check andForm: DPCD Finance
Copy 1: Client
Copy 2: Application File
I
�, I City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received 3 C
Amount Received
Form of Payment ]'Check ❑ Cash
Client Information ti(
CASH PAYMENTS: client initials
Sign Permit Application Fee
❑ Conservation Commission Fee
Payment received for what ❑ Planning Board Fee / ZBA
service? ❑ SRA/DRB Fee
❑ Copies
❑ Other:
Name of staff person receiving r
payment
Additional Notes
POYANT SIGNS INC.^
3 BUD WAY#19 PH.603-546-2005 1354
NASHUA,NH 03083
5112
1BR211
B0428
2211
Pay to the Date
Orde of $ 60 co
AV
DollarsHow 8
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peoples.com
' For F..u.S
1: 22ii72i861: 228000338411' 354 I'
6L' IqH 54f WBTIIF
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2: Application File