63 JEFFERSON AVE - BUILDING INSPECTION (6) SEP 06 2011
Permit Numb r
DEPT OF PLAidW!Nr ;S
A* APPLICATION FOXIMA1VUIMM&ER13,•QT A SIGN
,!On NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
ti; Location, Ownership and Detail Must Be Correct, Complete, and Legible
r c
Salem, Massachusetts
Date
To the Building Inspector:
The undersigned hereby applies for a permit to 1#rect, D Alter, ❑Repair a sign on the following described buildings:
DistrictStreet Address Zoning
❑Urban Renewal Area ❑ Entrance Corridor
❑ Historic District ❑None
Use of Building
Telephone —� _ S _ S t S 1 floor
' • y'. �11s� ¢ 2 floor � r .
Address Z: 'e AjC 3 floor
Telephone ,"'�� 4 floor
E-mail C j J*,j 11 - rym How many businesses are in the building? Z
If a corporate body, name 1 G—.AreFrontage
of re s onsible officer t iJ
Building 1�-� linear feet
Construction Sups License No Applicant's Space(if multi-tenant)5o linear feet
Address Property linear feet
Telephone Mail Sign Permit to
E-mail fKSign Owner D Sign Erector ❑Other:
Proposed Signs (if more than three signs are proposed, attach additional sheets)
Sign 1 Si n2 Sign 3
Surface ❑Surface ❑Surface
a Right Angle to Building ❑Right Angle to Building o Right Angle to Building
D Free Standing ❑ Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
❑ Portable(A-Frame) ❑Portable(A-Frame) ❑Portable(A-Frame)
•Other(specify) ❑Other(specify) ❑Other(specify)
Si n Mater' Is Sign Materials Sign Materials
Sig'D�ynensio .:•~ .Sign Dimensions Sign Dimensions
L d
Sign Area qAr s ft ea Sign Area
s k s ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$
Existing Signs
Type Sign Area To Be Removed? g O
❑Surface sq ft ❑yes ❑no
❑ Right Angle to Building sq ft ❑yes ❑no
❑ Free Standing sq It o yes D no S n.Owner's°Authoriied Representative
❑Awning sq ft ❑yes ❑no
a Other(specify) sq it ❑yes ❑ no
Property Ow
Internal Review
WnC mmunity evelopment Department rical Commission
Approval
j Ir7,
Building Inspector
OB/24110 rev