Witch Pix A-Frame Application Permit N f e^� ram-!
c..- _11 T#ZELI
APPLICATION FOR PERMIT To ERECT A SIGN
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53 f q. NOTE:BUILDING PIERM1T MUST BE OBTAINED BEFORE SIGN Is ERECTED JU€� 24 2019
Location, Ownership and Detail Must Be Correct, Complete, and Legible PLANNING DEPT. OPLANNING &
Salem. MassjgYLNMPNJT2�,4c�YELOPMENT
Date
To the Building Inspector:
The undersigned hereby applies for a permit to Erect Alter, Repair a sign on the following described buildings:
Street Address Zoning District
rf urban Renewal Area Entrance Corridor
172 Essex Street business/retail Historic District_ None
Property Owner: Name 1 Marley Properties Use of
Building
Telephone f 781-890-9797 I t floor Photo Studio/Retail
Sign Owner. Name I Witch Pix/Hope Hitchcock 2 floor School/Garage
Address I 172 Essex Street 3' floor
Telephone i 978-745-2021 _ 2 �' G 4 `floor
--mail hope o)w_itchpixofsalem.com How many businesses are in the building? 20
j If a corporate body, name �- - Frontage
( of res onsible officer
Erector:Sign Witch Pix/Hope Hitchcock Building 83.33 linear feet
Construction Sup's License No Applicant's Space(if multi-tenant) 58,83 linear feet
Address 172 Essex Street Property linear feet
Telephone 978-745-2021 Permit
— -
r mail d Sigr Dwner Sign Erector Other:
Proposed Signs j I r crivre than three signs are proposed,attach additional sheets)
sign 1 Sinn 2 Sign 3
Surface Surface , , Surface - --
Right Angle U)BUild:oz, Right Angle to 13uildmg Right Angle to 13uiiding
Free Standing Free Standing Free Standing
Awning Awning Awning
V Portable;A-Framei Portable A-Frame) Portable iA-Frame)
othr.r ispc�tfy� _ Other lsoecifyj Other(specify)
Sicir, Mi4tr:.rials 7 Sign Mat Pil is T S•gn Materials
Plastic
S;gn Dimurisiuns Standard sanwieh board Sign Dimensions Sign Dimensions
4lx2•r0(when collapsed)
Sign Area 24x36" Sign Area I Sign Area
s ft Sign
ft sq ft
Sign Height(it free standing)3p„ Sign Height(if free standing) Sign Height(if free standing)
Fstirnated Cost of Net Work
75.00 or sandwich board + $100 signs when printed
Existing Signs Signatures
Type Sign Area To Be Removed? Sign Owner
V Surface sq ft r-yes d no Hope Hitchcock Y r r r�CIe,
Right Angle to Building sq ft r-yes no
Free Standing sq ft c yes Li no Sign Owner's Authorized Representative
c Awning sq ft e yes ❑no
Other I,specify) sq ft c yes n no Pro fawner
internal Review
Planning&Community Development Department Historical Commission
Approval
Building Inspector
Witch Pix/June 2019/Sign & Merchandising Permits
Exterior View of Store frontage—includes placement of A-Frame outside entry
Sample A=Frame Artwork
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Fonts most often used by Witch Pix include: Raja Drama,Al Fresco and Yana. These fonts are part of
our logo and slogans.
Color Schemes of artwork vary based on the promotion. Artwork always
Witch Pix logo and decor colors are BLACK, WHITE AND METALIIC GOLD.
A-Frame artwork is 24x36 inches
Attachment: Posters are adhered to the frame with Velcro squares
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9WITC10 OP ID: DN
DATE(MM/DD/YYYY)
.aCORo' CERTIFICATE OF LIABILITY INSURANCE
`� 04/30/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Adam Walsh
John J Walsh Ins Agency,Inc PHONE FAX
P O Box4407 a/c No E :978-745-3300 AIC No,978-745-9557
Salem,MA 01970-6407 E-MAIL
Adam Walsh ADDRESS:
INSURERS AFFORDING COVERAGE NAIC#
INSURER A:Safety Insurance
INSURED Witch Pix LLC INSURER B:The Hartford
Hope Hitchcock
172 Essex Street INSURER C
Salem,MA 01970 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IPOLICY EXP
LTR TYPE OF INSURANCE NSO U POLICY NUMBER MM DICDY EFF MMIDDrYYYY1 LIMITS
A X COMMERCIAL GENERAL LIABILITY I 1,000,00
EACH OCCURRENCE I $ _
BMA0025571 07/01/2018 07/01/2019 PR SEES(Eaaocc occurrence $ 10,00
CLAIMS-MADE �OCCUR
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00
POLICY1-1 JECT LOC PRODUCTS-COMP/OP AGG $PRO-
OTHER: CSL $ 1,000,00
AUTOMOBILE LIABILITY MBINED SINGLE LIMIT
EaCO accident $
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON OWNED PROPERTY DAMAGE $
X HIRED AUTOS X AUTOS Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED I I RETENTION$ $
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY STATUTE ER
B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 08WECEK3447 07/01/2018 07/01/2019 E.L.EACH ACCIDENT $ 600,001
OFFICER/MEMBER EXCLUDED? ❑N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,0
04
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.D -POLICY LIMIT $ 500,0
ISEASE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
City of Salem is named as an additional insured
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Salem THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
tY ACCORDANCE WITH THE POLICY PROVISIONS.
Washington Street
Salem,MA 01970
AUTHORIZED REPRESENTATIVE
Adam Walsh
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD