11 FOSTER ST - BPA-20012-803 SIGN - KIDDIE KOOP Permit Number _
0 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
Date
To the Building Inspector.
The undersigned hereby applies for a permit to Erect, ❑Alter, ❑ Repair a sign on the following described buildings:
DistrictStreet Address Zoning
❑Urban Renewal Area ❑Entrance Corridor
❑Historic District ❑None
Use of Building -
Telephone , —) — g 1 floor .Q-
• • 2 floor
Address Sk 3 floor
Telephonescggy 4 floor
E-mail � How many businesses are in the building?
If a corporate body,name
of responsible officer i
• (L Building linear feet
Construction Sups License No - X O l S q B I "a 0
Applicant's Space(if multi-tenant) linear feet
can
Address Property linear feet
Telephone —�$ _&(9 S q". Mail Sign Permit to
E-mailI rVSign Owner o Sign Erector o Other.
Sign 1 Sign 2 Sign 3
❑Surface o Surface ❑Surface
❑Right Angle to Building o Right Angle to Building ❑Right Angle to Building
❑free Standing ❑Free Standing ❑Free Standing
Awning ❑Awning ❑Awning
o Portable(A-Frame) ortable(A-Frame) ❑Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials
Sign D' ensions Sign Dimension Sign Dimensions
Sign Ara 3 Sign Area Sign Area
s ft sq ft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimate ost of Net Work
Existing Signs
Signatures
Type Sign Area To Be Removed? Sign Owner
❑Surface sq ft ❑yes a no
❑Right Angle to Building sq ft ❑yes ❑no
❑Free Standing sq ft ❑yes ❑no gn O er's Authorize Re s ntative
❑Awning sq ft ❑yes ❑no L
❑Other(specify) sq ft ❑yes ❑no
Pro wner � I
Internal Review
Planning&Community Development Department Historical Commission
Approval
Building Inspector
OM4/10 rev