207 HIGHLAND AVE - BUILDING INSPECTION (3) City of Salem Sign Permit Application Worksheet
MEW EID.
f 11-Oct-16
- 'avita Kidney Ca
..yam 207 Hi hland Aveab OCT 21 A 8146
(� Zoning(res/non-res) B2
Entrance Corridor(YIN) Y
Lot frontage 377 feet
n Building or tenant frontage 141 feet
.]6 #of businesses on site 1
Bidng dist from street center <100 feet
Multiplier 1
tin aria s&Signs ..
maximum area permitted 141.00 sq ft
total proposed sign area 4.73 sq ft
sign 1
Sign length 0.00 inches
height 0.00 inches
sign 2
Sign length 25.00 inches
height 13.63 inches
sign 3
length 25.00 inches
height 13.63 inches
sign 4
length 0.00 inches
height 0.00 inches
sign 5
length 0.00 inches
height 0.00 inches
reesteridt ns - --- - ---MUTMIXIM, -- ---
maximum area permitted 0.00 sq ft(per side)
maximum#of signs permitted 0 signs
maximum height permitted 0.00 ft tall
sign 1
proposed sign area 0.00 sq ft
length 0.00 inches
height 0.00 inches
proposed sign height 0.00 ft(approx)
sign 2
proposed sign area 0.00 sq ft
length 0.00 inches
height 0.00 inches
ro osed sign height ft
Application meets guidelines set
forth in the Salem Sign Ordinance Yes
Recommend approval Yes
Primary sign will be halo(reverse)-lit.
mQ1L.-WD -rb SIG? t) 111 ?
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
t o NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
a 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
❑Urban Renewal Area ntrance Corridor
207 Highland Ave 32 o Historic District ❑None
Use of Building
I
Telephone 1 floor
DaVita 2n,floor
Address 207 Highland Ave Salem, MA 3 floor
Telephone 4 floor
E-mail How many businesses are in the building?
If a corporate body,name
of responsible officer
Acme Sign Corporation Building linear feet
Construction Sup's License No Applicant's Space(if multi-tenant) linear feet
Address 3 Lakeland Park Peabody,MA Property linear feet
Telephone 976-535-6600 Mail Sign Permit to
E-mail brian@acmesigncorp.com ❑ Sign Owner ign Erector ❑ Other:
. - . ... -. ...
Si•n 1 Sign 2 Sign 3
❑ urface ❑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) VOther(specify) Wi g v ❑Other(specify)
Sign Materials Sign Materials Sign Materials
Aluminum/plastic 1
Sign Dimensions Sign Dim nsions Sign Dimensions
91.3"x 51.2" 1)L2 Zj 13
Sign Area Sign Area U �� ( Sign Area
32.46 s ft 1 sq ft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ 2000
Existing Signs
Type Sign Area To Be Removed? Sign Owner
❑Surface sq It ❑yes ❑ no
❑ Right Angle to Building sq ft ❑yes ❑no
❑Free Standing sq It ❑yes ❑no Sign Owners Authorized Representative
❑Awning sq It ❑yes ❑no 51-im rnI kZi'J
❑Other(specify) sq It ❑yes ❑no
Property Owner
3 5�-lw Zla(L ti?pfwa( t^ctOSt�J_
Internal Review
Plannin &Community Development Department Historical Commission
7
Building Inspector
OW4110 w
Commonwealth of Massachusetts
Citv of.Sale'm
_ 120 Washington St,3rd Floor Salem,MA 01970(978)745.9595 x5641 '
h Return card to Building Division for Certificate of Occupancy ' OF
Permit No. B-16-1249
`FEE PAID: $0.00 PERMIT TO BUILD
.DATE ISSUED: 10/27/2016
This certifies that ACME SIGN CORP.
has permission to erect, alter, or demolish.a building.._,_ -207_HIGHLAND AVENUE Map/Lot: 130002-0
as follows: Signs SIGN PE.RMIT,AS APPROVED FOR: 'w
DAVITA KIDNEY CARE
Contractor Name:.
DBAi i t
Contractor License No:
1
f 10/27/2016
Building Official _ Date
This permit shall be deemed abandoned and invalid unless the work authorized b this y permit 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.
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 and changes of use of any_building and structures shell be in compliance with the local zoning by-laws and codes.
a
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 completion of the same. .
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials ire provided on this. rmd.
f{I C#: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A).
Restrictions:
n Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
Da)vI t
Kidney Care
Date Revioed: 1011012016
Davita Salem Dialyoi5
207 Highland Ave.
Salem, MA 01970
GE '0ISJERT-
J.L. Geisler Corp.
28750 Loma Ave.
Warren,MI48092-3930
586/574-1800
Fax 586/574-1805
E-Mail:tammy@jlgeislercom UL Certified