115 SWAMPSCOTT ROAD - SIGN PERMIT 115 Swampscott Road
Dilisisio Golf Range
Commonwealth of Massachusetts L;
rY
City of Salem
-; 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit B-17-178 PERMIT TO B
FEE PAID:: $0$0.00
DATE ISSUED: 3/27/2017
This certifies that TOR LARSON @ PEABODY SIGN CO.
has permission to erect, alter, or demolish a building 115 SWAMPSCOTT ROAD Map/Lot: 110002-0
as follows: Signs SIGN PERMIT AS APPROVED FOR:
DILISISIO GOLF RANGE
Contractor Name:
DBA:
Contractor License No:
J -/ 3/27/2017
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'(as set forth in MGL c.142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
City of Salem Sign Permit Application Worksheet
- •r a
6-Mar-17 .. I.J MInL F
S� %ei4
Dilisiso Golf Range
115 Swampscott Rd .511 MAR I b A 5
Zoning(res/non-res) I
Entrance Corridor(YIN) N
Lot frontage -1,185 feet
Building or tenant frontage 16 feet
#of businesses on site 1
Biting dist from street center 140 feet
Multiplier 2
Building and Blade Si ns
maximum area permitted 32.00 sq ft
total proposed sign area 0.00 sq ft
sign 1
Primary sign length 0.00 inches
height 0.00 inches
sign 2
Vertical painted length inches
height inches
sign 3
inches
height inches
sign 4
length inches
height inches
sign 5
length 0.00 inches
height 0.00 inches
Freestanding Signs
maximum area permitted 65.00 sq ft(per side)
maximum#of signs permitted 2 signs
maximum height permitted 25.00 ft tall
sign 1
proposed sign area 36.00 sq ft
length 72.00 inches
height 72.00 inches
proposed sign height 16.00 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 standards set
forth in the Salem Sign Ordinance Yes
Recommend approval Yes
6'by 6'double sided circle sign on 10'post underground concrete fooling.
It will be externally illumintated with a flood light installed at the bottom of
the sign.The existing free standing sign that will be removed.
OAT�T 44 CITY OF SALEM
$�y DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
"�tmne
KIMREllux DRISCOLL 120 WASHINGTON STREET•SALFM,MASSACHUSETTS 01970
MAYOR T� :978 619-5685♦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.
oenaio a.
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
aS ?? Location, Ownership and Detail Must Be Correct, Complete, and Legible
Salem, Massachusetts 2—a� — 17
Date
To the Building Inspector:
or, The undersigned hereby applies for a permit to Erect, ❑Alter, ❑Repair a sign on the following described buildings:
1Street Address Zoning District
C� 1� ❑Urban Fr Renewal Area ❑ trance Corr dor
am SC�T7 ttc�ad J. Q_, ❑Historic District if None
1 ct i I iOUse . Building
Telephone q yy -6 66 1 floor
I e e 60 .D 2 floor
Address /� � 1-o a d Peabe 3 floor
Telephone 7 _3-7 —� 4 floor
E-mail P&Q AOdy, Sinn S fnq;' " '� How many businesses are in the building?
If a corporate body, name �(SFrontage
of responsible officer o f-
e.n ,q S_ Building linear feet
Construction Sup's License No Applicant's Space(if multi-tenant) linear feet
Address 4 Property r . ( 8S linear feet
Telephone %1k nMail Sign Permit to
E-mail r •Sign Owner ❑Sign Erector ❑Other:
posed Signs (If moie than three sqns are proposed. attach additional sheet�)
Sign 1 Sign 2 Sign 3
❑Surface ❑Surface ❑Surface
❑Right Angle to Building ❑Right Angle to Building ❑Right Angle to Building
p(Free Standing ❑Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
❑Portable(A-Frame) ❑Portable(A-Frame) o Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify)
SignMaterial j)r.:n✓"LeYA I Sign Materials Sign Materials
5t.ePo/ xd E, , l
Sigh Dimensions L X 6 r C i I- le Sign Dimensions Sign Dimensions
VO4le 4,z
Sign Area 36 F + Sign Area Sign Area
G� s ft s ft sq ft
Sign Height(if free standing) F/. Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ 7)-00
Existing Signs
Type Sign Area To Be Removed? St r
❑Surface -fli sq it *yes ❑no
❑Right Angle to Building sq ft ❑yes ❑no
■Free Standing �sq ft a yes ❑no S�i9n Owner s Authorizgd Representative
o Awning sq ft ❑yes ❑no
❑Other(specify) sq It ❑yes ❑nu
Property Owner
I vv -'V
Planning&Community Development Department Historical Commission
Approval
BuildingInspector
092V10 s
RANGE .. .-,GOLF,Practice Facility
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City of Salem Department of Planning &
Community Development
CHECK RECEIPT AND TRACKING FORM
DATE 3 = Zoe BOARD S rta4F STAFFuA"y
CLIENT: ( IS o t
PROPERTY ADDRESS:
CONTACTNUMBER: 4-7j-- 2? _ 2192_
PURPOSE FOR
APPLICATION: (herr-�`ic—
u
CHECK # l g3
AMOUNT RECEIVED: $ S /
-- — - —
i PEABODYSIGNS _---
11A RAILROAD AVE 1 83
PEABODY.MA 01880-4311
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