400 HIGHLAND AVE - BUILDING INSPECTION (2) Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
Salem, Massachusetts 9/1/16
Date
To the Building Inspector:
The undersigned hereby applies for a permit to m Erect, o Alter, o Repair a sign on the following described buildings:
Street Address Zoning District
o Urban Renewal Area ❑Entrance Corridor
n 400 Highland Ave BPD ❑Historic District ❑None
400 Highland LLC/J. Michael Rockett Use of
Telephone 978-740-6990 1 floor x
� - North Shore Physicians Group 2r,floor
Address C/O NSMC 81 Highland Ave Salem, MA 3 floor
Telephone 978-354-2247 4 floor
E-mail Hanfigua(cDpartners.org How many businesses are in the building? 7
Ka corporate body,name
of responsible officer Roberta Lanti ua
Building 380 "linear
Construction Sup's License No CS 058192 Applicant's Space(if multi-tenant) 7
Address 33 Tozer Rd Bevedy MA Property 400+/- linear feet
Telephone 978-927-9346 MailSign Pernut to
E-mail edicDunitedsicirl o SignOwner xt Sign Erector o Other.
Proposed Signs (If more than thi ee signs ar e proposed. attach additiona[ sheets)
Si n 1 SI n 2 Sign 3
m Surface Replacing existing 40 x 324 o Surface o Surface
o Right Angle to Building ❑ Right Angle to Building ❑ Right Angle to Building
o Free Standing m Free Standing reletter existing panel ❑ Free Standing
❑Awning ❑Awning ❑Awning
❑Portable(A-Frame) ❑ Portable(A-Frame) ❑ Portable(A-Frame)
❑Other(specify) ❑Other(specify) o Other(specify)
Sign Materials Sign Materials Sign Materials
aluminum and PVC new digital vinyl print on existing lexan
Sign Dimensions Sign Dimensions Sign Dimensions
40 x 324 21 x 96
Sign Area Sign Area Sign Area
90 sq ft 14 sq ft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
16'+/-to top of tenant panel
Estimated Cost of Net Work
$ $3500
Existing Signs
Type Sign Area To Be Removed? Sign Owner
m Surface 90 sq ft N yes o no
o Right Angle to Building sq 1t o yes o no
6 Free Standing —sq It 5 yes ❑no Si n Ow er s Authorized Representative Ed Juralewicz
o Awning sq it o yes o no Agent
o Other(specify) sq it ❑yes o no
Property a Agent See attached
authorization
Internal Review
Planning Community Development Department Historical Commission
Building Inspector
oarzano re�
City of Salem Sign Permit Application Worksheet REWYED
9-Sep-16
North Shore Physicians Group 12 26
400 Highland Avenue
Zoning (res/non-res) BPD
Entrance Corridor(Y/N) Y
Lot frontage 370 feet
Building frontage 74 feet
#of businesses on site 1
Bldng dist from street center 220
Multiplier 1.25
gSa ns
maximum area permitted 91.88 sq ft
total proposed sign area 90.00 sq ft
sign 1
length 324.00 inches
width 40.00 inches
sign 2
length 0.00 inches
I width 0.00 inches
freestanding Signs "11 4 1
maximum area permitted 62.50 sq ft(per side)
maximum #of signs permitted I signs
maximum height permitted 15.00 ft tall
sign I
proposed sign area 14.00 sq ft
length 96.00 inches
width 21.00 inches
proposed sign height 16.00 ft
sign 2
proposed sign area 0.00 sq ft
length inches
width inches
proposed sign height 0.00 ft
Application meets guidelines set
forth in the Salem Sign Ordinance yes
Recommend approval yes
All signage is like-for-like and replaces existing signage of the same
size. Sign on the multi-tenant sign will be a reface.
Commonwealth of Massachusetts
City of Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy I Vim
.:.
FEE
B.16.1031 PERMIT TO BUILD
FEE PAID: $0.00
DATE ISSUED: 9/21/201
'
This certifies that HIGHLAND OFFICE,LLC C/O ROCKETT MANAGEMENT CO,
has permission to erect, alter, or demolish a building , 400.HIGHLAND AVENUE Map/Lot: 30005-0
as follows: Signs SIGN PERMITtAS APPROVED FOR:
N. S. PHYSICIANS GROUP 400 HIGHLAND AVE
Contractor Name: EDWIN J.JURALEWICZ T
DBA: UNITED SIGN CO i
1 t
Contractor.License No: 058192 i
- i
9/21/2016
i Building Icla Date
This permit shall be deemed abandoned and invalid unless the work authorized by this pemtit 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.
r
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 andchanges of use of any building and structures shall be in compliance with the local zoning by-laws and codes,
I f
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 complebon of the some.
't
The Certficate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officialsare provided on this permit.
P. '
HIC#: 'Persons contracting with unregistered contractors do not have access to the guaramyfund'(as set forth in MGL c.142A).
Restrictions: r
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.