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BLUE SKY MASSAGE f Y 4 0 0 6 cli m N m di m ID N � Cp ❑ U = m r w r Q C U cc � 7 U �y Y. J y va W a- � � z � O1 o eA O C 7 L �IJ V=/ a It C a. C N .0 'a S o o m � g cG C � �V O IL3. U) o W Tgos ttr v m m N C. V H = o W r s �j � 2 9 i� 3 c 0 1Q 0 c Z c E i� �yz O O N O = [d Q_ = C � w (a 8 O m `- 't a � o R LL c m �� _ g � Q. IL! W W m C t ..s 3 M D N v N s a.+ + c m r LL � _ a =S t O y Qm on 9 C ow E CD 5 m W ILO CL 3 W W W t77 W n C. ca < E- n 2 a LULU~ m c W a Z `� � W �x r W > 0 w W W-o o z to o Z Z W O O o N V N ~ 0 @ p € c N O W C U W VWl a � stu M z m.x O CL CO)M m �' O C C 3 ��T N m _ S o C V! V IDC O = U U Q W E 0 fl z -j o jo- C ncc co o CO o # C m r- t co U In U H E Q Q I=— 3 2 0 6 CD o Z e0 W = ❑ U) E a w IL � o City of Salem Sign Permit Application Worksheet 19-Jun-19 13 Blue Sky Massage �-' 133 Boston Street Zoning (res/non-res) B2 (non-residential) Entrance Corridor(Y/N) Y Lot frontage 100 feet* Building frontage 25 (tenant space)* #of businesses on site 4 I Bldng dist from street center <100 Multiplier 1 BuilG��-`sue 9lF • • Signsx[? maximum area permitted 25.00 sq ft {' 24.00 sq ft total proposed sign area -` .v sign 1 24.00 sq ft width 96.00 inches height 36:00 inches _ w Freestanding Signs �4 maximum area permitted 125.00 sq ft (per side) maximum#of signs permitted 1 signs maximum height permitted 30.00 ft tall sign 1 proposed sign area 11.42 sq ft width 94.00 inches height 17.50 inches proposed sign height Not listed Application meets guidelines set forth in the Salem Sign Ordinance Yes Recommend approval Yes The proposal is for one new building sign and one new freestanding sign for the new business at this site, Blue Sky Massage. Both signs will replace existing signage. The initial application had phone numbers on both signs; this was revised to remove the phone numbers. The initial design is included in the back of the packet. *The frontage of the tenant space is unclear. The total building frontage appears to be approximately 100 feet; if the space is divided evenly among the four tenants, each tenant would be allowed 25 square feet of signage. Tenant space was not provided on the application, and it is difficult to tell from Google Street View whether space is divided evenly among the four tenants. Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN �F NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED Rom? 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, F1 Alter, ri Repair a sign on the following described buildings: AddressStreet r.1 llrban Renewal Area r_ Entrance Corridor 4` S .ry Historic District u None Property • c Telephone ef' CQ PLA �-9 1''floor • • 2n,floor Address 2 L 3 floor Telephone , 4 floor E-mail How many businesses are in the building? If a corporate body, name Frontage of responsible officer • ti S� Building linear feet Construction Sup's License No Applicant's Space(if multi-tenant) linear feet Address 70 vQ �4 Property linear feet Telephone a _ Mail Sign Permit to E-mail C Sign Owner "Sign Erector Other Proposed Signs(if more than three signs are proposed, attach additional sheets) Sign I Sign T Si n3 -_f-Surface a Surface ❑Surface Right Angle to Building ❑ Right Angle to Building ❑ Right Angle to Building Free Standing %e1`ree Standing ❑ Free Standing Awning a Awning i i Awning 1 Portable(A-Frame) i.i Portable(A-Frame) ii Portable(A-Frame) Other(specify) ❑Other(specify) ❑Other(specify) Sign Materials Sign Materials Sign Materials U �ti L t, , V L Sign Dimensions Sign Di ensions Sign Dimensions d jVf 'I Sign Area Sign Area Sign Area g — sq ft -2-4 1 sq ft sq ft Sign Height(if fred standing) Sign Height(if fre standing) Sign Height(if free standing) Estimated Cost of Net Work $ /330 Existing Signs Signatures Type Sign Area To Be Removed? Sign Owner e'Surface sq ft _Zyes c no 7 �Z C 1 Right Angle to Building sq ft c yes c no �7 Free Standing _C sq ft ✓.yes no Sign Owner's Authorized Representative Awning sq ft yes no Other(specify) sq ft 1 ❑yes ❑, no Prope O ne Internal Review Planni & ommunity Developrhent Department Historical Commission Approval Buildin%jaPector M24110 rev Brennan Corriston From: Rik Zeng <ccsignboston@yahoo.com> Sent: Friday,June 07, 2019 11:50 AM To: Brennan Corriston Subject: blue sky massage (135 Boston St.) Attachments: blue sky massage free stand sign.pdf, blue sky massage panel sign.pdf Hi Bcorriston, nice talk you ! I fix the drawing, Please see the attachment,. please let me know if you have any questions or need additional information. Thanks Fong New CC Sign Inc. 70 Old Colony Ave. Boston, MA 02127 T:617-210-7982 F:617-210-7983 RECEIVED JUN 07 2019 DEPT. OF PLANNING & COMMUNITY DEVELOPMENT 1 z \) M •5 § )! u / /\ g . 0 « i j a @ ± Q \ ƒ $ • ■ K w E j \\\ ) � § ( § ( § |!;{; \\\� e,��! %^ o -- _ [ _ : o d ° / + f|!{ A S § /{2{ \_ ca /6 _/ \#7{� \ _ 2 _ � g > � \z � ( } ) d § 2 Q § \ O • & / > _ {)i\ & !_ •,#7k _ �LL $ { )\ \ -C | . w ` / | I 7 t ! :\ RE t. ; ! \ _ - { LU \ R ! ! \ `-6 LL 0 = v / \ § 0 )00 \ 2 (D � G -!§a ca [ .Og ZL m ~ )\[ ! § , /!!!\E E E 2 z / \ S z d> i ■ ,! § f� u / z \} � e § \ » \ CO ) § � k $: | I� ± ± j }\\ ( (k [ § E��®) \\\� \) ) & -- _ § G @ § !E$;E ± _ ).E' _ E \ \ ( 2 g \ 1.2 a ( k(( ( \ \ \ a § Tl) e=;-E (n Z - � � ® - - , ))/{{ !\ 0 \\ }I|kƒ _ G - ( 0 !;! \ a \ ! a . \ \ \\ \�- � < ff4t[ ► ® k E ! ) ( /« !g � i 2 \\° 8 \ \ \ / �: ] } ` k ))\! % \\§f o k / \ } |k{{ )§] \ a Z]t!(! - Ac I �b CD LLL ¢c%jo ..�. o> Uncn oo ,p u C)N � o� y U �H U ice+ (6 J C .� Cu � � d CL � o a 7 00 V) c � .S3 '° '4 vJ N N Ui N U k4 rt rr J N .� C p 0 s • • a _. Cc CD �� 3 N LL U =� • C I c W s-- E c0 ccn � co �- v r The Commonwealth of Massachusetts Department of Industrial Accidents 1' Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): New CC Sign Inc. Address:70 Old Colony Ave. City/State/Zip: Boston, MA 02127 Phone #:617-210-7982 Are you an employer? Check the appropriate box: Type of project(required): 1.2 I am a employer with 2 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 workingfor me in an capacity. employees and have workers' Y �. 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 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] Any applicant that checks box 41 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. Insurance Company Name: Liberty Mutual Policy#or Self-ins.Lie.#:WC5-31 S-389571-029 Expiration Date:04/04/2020 Job Site Address: 135 Boston St. City/State/Zip:Salem, MA 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 certifi,under the pains and penalties of perjury that the information provided above is true and correct. Sig,nature: Date: 5/28/2019 Phone#:617-210-7982 / 857-205-5678 (cell) 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#: Stock ** COMMERCIAL GENERAL LIABILITY COVERAGE PART Company DECLARATIONS POLICY NUMBER: PAV0148947 1. NAMED INSURED: DBA:NEW CC SIGN 2. LIMITS OF INSURANCE-INSURANCE APPLIES ONLY FOR COVERAGE FOR WHICH A LIMIT OF INSURANCE IS SHOWN. General Aggregate Limit(Other than Products/Completed Operations) $ 2.000,000 Products/Completed Operations Aggregate Limit $ _ 1,000,000 Each Occurrence Limit $ 1,000,000 Personal& Advertising Injury Limit $ 1,000,000 Damage to Premises Rented to You Limit $ 100,000 any one premises Medical Expense Limit $ 5,000 any one person 3 LOCATIONS of all premises you Own,Rent,or Occupy Address City State Zip No. 1 1 70 Colony Ave South Boston MA 02127 PREMIUM BASIS RATES ADVANCE PREMIUM 4, CLASS" Code/Exposure Prod/CO All Other Prod/CO All Other It Classifications are Numbered,the coverage applies to the corresponding Location No No. 1 Bldg 1 98993 p) 5,000 25.898 24.664 129.00 124.00 Sign Erection,Installation or Repair No, 1 Bldg 1 58408 s) 120,000 Intl 0.396 Included 48.00 Printing-Other than Not-For-Profit No. 1 Bldg 1 e) i Incl 50.000 Included 50.00 Additional insured-CG2011 100%FULLY EARNED No. No. i It Classifications are Numbered,the coverage applies to the corresponding Location No. TOTAL: S 351.00 is) oross sales-per 31000 (c) total cost-per S 1000 (m)admissions-per 1000 (e) each (p) payroll-per $1000 (a) area-per 1000 sq. ft, (u) units (o) other 5. Policy may be AUDITABLE (t) see classification notes in company or ISO Commercial Lines Manual 6. SPECIFIC GENERAL LIABILITY FORMS/ENDORSEMENTS As per S1007(12-001 This page alone does not provide coverage and must be attached to a Commercial Lines Common Policy Declarations Common Policy Conditions,Coverage Part Coverage Form(s)and any other applicable forms and endorsements. S2000(06/01) Page 1 of 1 e WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY Liberty Mutual. INSURANCE AR INFORMATION PAGE 175 Berkeley Street Boston,MA 02116 Issued by LM INSURANCE CORPORATION 27243 Policy Number WC5-31S-389517-029 Issuing Office 016C RENEWAL OF: WC5-31S-389517-028 Issue Date 03-26-19 Account Number 1-389517 Sub Account 0000 1. Insured and Mailing Address NEW C C SIGN INC RISK ID 000972540 70 OLD COLONY AVE SOUTH BOSTON,MA 02127 Status 03 — CORPORATION Other workplaces not shown above: SEE ITEM 4. PREMIUM-EXTENSION OF INFORMATION PAGE 2, Policy Period:The policy period is from 04-04-2019 to 04-04-2020 12:01 A.M. standard time at the Insured's mailing address. 3. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE END WC 20 03 06B D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE 4. Premium: The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Code Premium Basis Total Rate per$100 Estimated Annual Classifications Number Estimated Annual Remuneration of Remuneration Premium See Extension of Information Page Minimum Premium $ 500 (MA) Total Estimated Annual Premium $ 2,201 Premium will be billed ANNUAL Producer 000 -024848 CINDY TAM 200 LINCOLN ST APT 1 BOSTON MA 02111 WC 00 00 01 A p 1987 National Council on Compensation Insurance,lnc. WC 00 00 01 B (CA) Ed. 07/01/2011 All Rights Reserved Page 1 of 1 Insured Copy Commonwealth of Massachusetts Division of Professional Licensure Board of Budding Regulations and Standards ervisor CS-113216 Expires:07/13/2022 RiCKY Z ZENG 1211 PLEASPATr STREET WEYMOUTH MA t621*! a Commissioner 7 2 z n § z {( w CL o M _! r !, u � §2 Z 7\ m 0 o � U \ \ } k . / _ A2\ / \} / j / ° § o E E E /]\k§ °�#| kE.. 2 E2 \)(/\ c &l;C. 2 L)'7 cu @ / $ \\)\E § E S e#B,; o 0 \// �j\ ff«#; \ J d / la42- � / � z g /\a22, \ § \ § ( N E / / / a §7!,-| {§kff 2 eE-!! b ;!§£ t }k) L ■ /kk\\ ■ k k ) CL j § kk§}\ \ u \ ) E a f ! af; k(%k/ ` ■ \ � 2 �k\�k � CL \\�z < ��f. ■ k )' = 7 � ) }\[§{ ?] 0 > ( �k\k/ � ) $ § i7}/7 E e a) / < : Eo 2 ji ( ( � \ ' kk)kk � / oCL 22){, � ■ Q &CL 2 e ae$ .7 m )\\aiE !8E 7 \ z {k ■ _. i !: IL u § 32 2 §k _ o « N \ ƒ § � ( o p �{ k co § \ S 2 ° § / § LL k+2a. �{(/f \\\c k2§({ §$§7! ƒ:rl; +t§!$ & E. &!(t / co k\)}( G / \ EKE-\ @ k {;8 � � §D C� ))1{j ' LO\ § / k /k\{E �k\W k k z E o�kOf t \ k ( !|§jk E \ / 2 e / {�2!! 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