6 BOSTON STREET SIGN PERMIT a O
a
c
N c � cli
0 ti
N NO a� c
m
0 M H o
y Y _ N
a c N
C
� L C] w � 16
N c o Z
J
3 a Y c 0
}r 3 C 3 O m }
N
°' c a > W
V o ncr o % OO o
m
a w r E c m m �
cc 4 O tO� N(n w G O y of
�R
`V m m C p t C U •� _
w W E y C N 0
W O
0 C LLJ _ SO c � E
.2 U a n c $ 0 0
O `o 0 CO) .0 O O O � m 0
(V _O Z >O U C C i i
N LL c 0 l p a � a c'
� P v ,�" � W m a U,mm) CD
O }� m FM
0 0 M o Q. d
V CDT ! G m � m 0 V, o
t W �O O d 7
m 3 3co
V N m e 5 m co w a m V
= CD = U y rr
C 0. 90 t0 U
CD
O
m > 2
0 N w E o
a a
uj _ _
C �" � E o c n m a
O co N S o >,
(D LIJ Z G� E
0 i. 0 U o O U 3
J L J maxi o c
U O QU) c o m
J (A •r v c mfa
c o f c
o
LL 2? 0 W Z m N T o c
O C1 m O QE °) O a c a
ti. as C N M E N E a m ? a 0
E —
O U) — O N — O
M •N Z O L y C L O N N C
F` O O O U d 0 U O
ti N N p U U E c co 2 E `� •
Q
~ V N W c 3 N i
N O + am O O U +.
ca m O COO L m 3 r o U m
m F— � c4 U 0 U H E Q ¢ ►- 3 F =
0
0
Z D
._ o 0)
E a W
�w
City of Salem Sign Permit Application Worksheet
22-J u I-19
`•—> 3J Beauty Salon
6 Boston Street
Zoning (reslnon-res) B1 (non-res)
Entrance Corridor(Y/N) Y
Lot frontage 60 feet
Building frontage 12 feet(tenant space)
#of businesses on site 2
Bldng dist from street center < 100
Multiplier 1
Building Signs
maximum area permitted 12.00 sq ft
total proposed sign area 11.67 sq ft
sign 1 11.67 sq ft
width 56.00 inches
height 30.00 inches ?,
sign 2 0.00 sq ft '.#
width inches height inches
Freestanding Signs
maximum area permitted 32.50 sq ft(per side)
maximum #of signs permitted 1 sign(s) F'-
maximum height permitted 12.50 ft tall
sign 1
proposed sign area 0.00 sq ft
width 0.00 inches
height 0.00 inches
proposed sign height 0.00 ft
Application meets guidelines set
forth in the Salem Sign Ordinance Yes
Recommend approval Yes
This building sign complies with dimensional requirements. This will
be a pink sign with a "3J" logo in purple and yellow and 'Beauty Salon"
and "6 Boston St." in white with purple outline. There is existing
gooseneck lighting on the building above the proposed sign location.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Invesdgadons
600 Washington Street
Boston, MA 02111
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
� r r
Name (Business/Organization/Individual):_ f tJ� I ( 0
Address:
City/State/Zip: L I),l 7 Phone#: �" Z
Are you an employer? Check the appropriate box: Type of project(required):
1.VJ I am a employer with Z 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers'
9. ❑ Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any appli:,ant that checks box n1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. 1_. ,
Insurance Company Name: 4 I i r-1 o i f 5
Policy#or Self-ins.Lie. #: U ��(-� S)8Expiration Date: So.�c �f C
Job Site Address: 00�-6-�, 5f City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby ce u der the parns and penalties of perjury that the information provided ove is true and correct.
Si ature: Date: l0 flel
Phone#: {' 3 Ll 17 T'7_3�_>
Official use only. Do not write in this area,to be completed by city or town official,
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Permit Number ` '
APPLICATION FOR PERMIT TO ERECT A SI.0 R E C E I �1 E D
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED MAY 0 8 1019
Location, Ownership and Detail Must Be Correct, Complete, and Legible
Salem, Ma&s8RffiTsT3tj@
F PLANNING &
�OMMUNI EVELOOMENT
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
(� ���on le �� 7� �j� ❑ Urban Renewal Area c Entrance Corridor
❑ Historic District ❑ None
Building
�]� Telephone q _ z 2 _ � V1 floor
• �V 5fi S 2n, /9 2"d floor
n
Address 3rd floor
Telephone 4th floor
E-mail How many businesses are in the building?
if a corporate body,name Frontage
of responsible officer
• I. linear feet
Lit
Construction Sup's License No Applicant's 8pace(if ulti-tenant linear feet
Address Property linear feet
Telephone Mail Sign Permit to
E-mail ❑Sign Owner ❑Sign Erector ❑Other.
Proposed Signs(If more than three signs are.proposed, attach additional sheets)
Sign 1 Slim 2 Si n 3
❑Surface ❑Surface ❑Surface
❑Right Angle to Building ❑Right Angle to Building ❑Right Angle to Building
❑Free Standing ❑ Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
❑ Portable(A-Frame) ❑ Portable(A-Frame) ❑Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials
Sign Dimensions 4 Sign Dimensions Sign Dimensions
Z•S ,�
Sign Area Sign Area Sign Area
�z ft s ft ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimatec$ q�� a }
FORM. °W
x 30U Signatuies
Type (�7` X Z `� Area To Be Removed? S' Owner
❑Surface _sq ft ❑yes ❑ no
❑ Right Ar —sq ft ❑yes ❑ no
❑ Free Ste _sq ft ❑yes ❑no Sign Owner's Authorized Representative
❑Awning _sq ft ❑yes ❑no
❑Other(sl sq ft ❑yes ❑no
Property Owner
Internal Review
Planning&Community Development Department Historical Commission
Approval
Building Inspector
08/24/10 rev
i
I
A
r�
1
City of Salem Sign Permit Application Worksheet
8-May-19
3J Beauty Salon
6 Boston Street
Zoning (res/no ea✓liev 3k�rwtil`CSi,r� (non-res)
Entrance Corri,
C�iAKgtd due `u
f•
Lot frontage � � '0 i feet
Building fronts Munn r on raw) ! feet(tenant space)
#of businesse !
Bldng dist fror I
Multiplier
Building Signs
maximum area permitted 12.00 sq ft
total proposed sign area 12.00 sq ft
sign 1 12.00 sq ft
width 57.60 inches
height 30.00 inches
sign 2 0.00 sq ft
width inches
height inches
Freestanding Signs
maximum area permitted 32.50 sq ft (per side)
maximum#of signs permitted 1 sign(s)
maximum height permitted 12.50 ft tall
sign 1
proposed sign area 0.00 sq ft
width 0.00 inches
height 0.00 inches
proposed sign height 0.00 ft
Application meets guidelines set
forth in the Salem Sign Ordinance Yes
Recommend approval Yes
This building sign complies with dimensional requirements. This will
be a sign with primarily black text and graphics on a white
background. There is existing gooseneck lighting on the building
above the proposed sign location.
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
* 4.' NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
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 ❑Erect, ❑Alter, ❑Repair a sign on the following described buildings:
Street Address
Zoning District
�OS ion &J1 -vn 44A c�wo ❑ Urban Renewal Area ❑Entrance Corridor
,�+ ❑ Historic District ❑None
Use of Building
j Telephone Q 7$ _ 7yq_ c1 s{ 3S 1st floor
• n SQ17 2"dfloor
Address S On 3ro floor
Telephone _ 2 -is (p 0 41h floor
E-mail How many businesses are in the building?
If a corporate body, name Frontage
of responsible officer
r-clor Building linear feet
Construction Sup's License No Applicant's Space(if multi-tenant) linear feet
Address (,p 1 o y c e S f- LVtiN ynj4 Property linear feet
Telephone 5-+ _ _ 7E32 Mail Sign Permit to __7
E-mail Sign Owner n Sign Erector ra Other:
Proposed Signs(If more than three signs are proposed, attach additional sheets)
Sign 1 Sion 2 Sign 3
❑Surface ❑Surface ❑Surface
❑ Right Angle to Building ❑ Right Angle to Building ❑ Right Angle to Building
❑ Free Standing ❑Free Standing ❑ Free Standing
❑Awning ❑Awning ❑Awning
❑ Portable(A-Frame) ❑Portable(A-Frame) ❑ Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials A L
Sign Materials Sign Materials
Sign Dimensions g h o� Sign Dimensions Sign Dimensions
43 x 30N
Sign Area � 0 Sign Area Sign Area
s ft s ft sq ft
Sign Height(if free Stan ng) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ 5-0 C)
Exi§ting Signs Signatures
Type Sign Area To Be Removed? Si n.Owner /
❑Surface sq ft ❑yes ❑ no
❑ Right Angle to Building sq ft ❑yes ❑ no
❑ Free Standing sq ft ❑yes ❑ no Sign O ner's A4horized Representative
❑Awning sq ft ❑yes ❑ no
❑Other(specify) _ sq ft ❑yes ❑ no
Property Own J
Internal Review
PlanningA Community Development Department Historical Commission
Approval
Buil n nspector
08/24/10 rev
�L4�5- 22`i ` 7,%(o 0
'�
',, � �
� � O
� t�' �
� O
U �
s
��� � �i��
�„r, ,� --
� -- ,
� � � o
� �
_ �. -, .�
,�
� � � � ,
_ �' � � �
�� � �.
---�
� i
--
�� � -�
� --
�- - - _
i �� --