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An application was received from Karine Ernest representing Le Macaron, requesting permission for a projecting sign at the premises numbered 1374 Massachusetts Avenue approval has been received from Inspectional Services, Department of Public Works, Community Development Department and abutter
⚠ This document is a scan; its text was recovered by optical character recognition and may contain errors. The original PDF is authoritative.
Location
Sign/Awning Permit
Applicant
1374 Massachusetts Ave
Д Karine Ernest
175796
Cambridge, MA 02138
& [phone removed]
@[email removed]
General Information
What option best describes this application?
Sign(s)
Description of Proposed Work
Pan Sign w/ Dimensional Letters, Blade Sign Cabinet, Internally illum
Estimated Cost of Sign(s) in dollars
6705
Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings).
no existing signs
Cambridge City Council approval may be required.
Will one or more of the proposed signs extend six (6) inches
You must submit a Projected Sign Application and
into the public sidewalk?
Abutter's Form
Yes
(https://viewpointcloud.blob.core.windows.net/profile-
pictures/City_Clerk_Sign_Awning_Application_Wed_Jan_0
2_2019_15:28:46_GMT+0000_(Coordinated_Universal_Time
)-pdf) to the City Clerk's Office.
Sign Information
Sign Text
Le Macaron
Illumination
Type of Sign
Natural
Wall-Mounted
Width of Sign (feet)
Height of Sign (feet)
16.2
2.5
Height from the ground to the top of the sign (feet)
Area of Sign (square feet)
10.5
12.5
Height from the ground to bottom of the sign (feet)
Sign Material
10
aluminum
Projection from the Building (inches)
Weight of the sign (Ibs)
90
2.5
Is the sign an accessory to a first floor store?
Width of Building Facade for Associated Use (feet)
Yes
25
Sign Text
le macaron french pasteries
Illumination
Type of Sign
Internal
Projecting
Width of Sign (feet)
Height of Sign (feet)
4.5
2.6
Height from the ground to the top of the sign (feet)
Area of Sign (square feet)
12.6
11.7
Sign Material
Height from the ground to bottom of the sign (feet)
10
aluminum
Projection from the Building (inches)
Weight of the sign (Ibs)
57
45
Is the sign an accessory to a first floor store?
Width of Building Facade for Associated Use (feet)
Yes
25
Contractor
Contractor Name
Brian Chipman
Address
170 Lorum Street Tewksbury MA 01876
Telephone
E-mail
[phone removed]
[email removed]
License Number
License Expiration Date
11/08/2023
CS-089645
Contractor's Signature
Date
Signature of Licensed Contractor
05/13/2022
Brian Chipman
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
PAULA M. CRANE
DONNA P. LOPEZ
DEPUTY CITY CLERK
CITY CLERK
June 23
Cambridge,
→ 2022
To the Honorable, the City Council of the City of Cambridge:
EACH PETITION MUST BE ACCOMPANIED BY A DRAWING OF PROPOSED SIGN, INDICATING DESIGN AND
DIMENSIONS AND LOCATION ON PREMISES.
The undersigned respectfully prays that Le Macaron French Pastries Cambridge
(NAME OF BUSINESS)
be granted permit to erect a sign of the following specifications in front of premises located at
1374 Massachusetts Avenue
(ADDRESS)
Type of Sign: Blade Sign
(state whether electric or otherwise and material used in construction)
Reading matter to go on Sign:
Le Macaron French Pastries
Size 261253
Weight: 40 bs
Public Way
Obstruction:
A. 56"
в. 126"
(Give exact distance sign is to extend over sidewalk) (Also exact distance from bottom of sign to sidewall)
126"
To: 152"
Height Above Grade: Bottom:
NOTICE - REGULATIONS
[Section 12.08.010 Municipal Code - Encroachments onto Streets]
Section 1212.0 State Building Code - Projecting Signs]
• A projecting sign shall be constructed wholly of incombustible materials.
• All signs must meet requirements of Zoning Ordinances and Building Code.
• Note: Section 12.12.220 provides in part "every owner who maintains a ... structure in or over a street... shall do so only on
the condition that such maintenance shall be considered as an agreement on his part to keep the same and the covers thereof in
good repair and condition, at all times during his ownership, and to indemnify and save harmless the City against any and all
damages, cost or expenses which it may sustain, or be required to pay by reason of such.. structure."
PROPERTY OWNER OR AUTHORIZED AGENT HEREBY STATES THAT INFORMATION IS TRUE TO THE BEST OF HIS/HER
KNOWLEDGE AND UNDERSTANDING UNDER PAINS AND PENALTY OF PERJURY.
zain
стли
(Property owner or authorized agent)
1374 MASS AVE SAMERGE 11N0) 441.4205
Digitally signed by Karine Ernest
1374 Mass Ave
[phone removed]
emall=[email removed], c=US
Karin Ernest on in kane testo. ou
(Tel. No.)
(Address)
Date: 2022.06.24 09:50:44 - 04*00'
Print
Reset
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
TTY/TDD [phone removed]
PAULA M. CRANE
DONNA P. LOPEZ
DEPUTY CITY CLERK
CITY CLERK
ABUTTERS FORM FOR SIGN/AWNING PERMIT
Date 6. 24. 22
To Whom It May Concern:
_Cambridge,
As Owner of Agent of /380 MASS AVE
approval
Massachusetts, I do hereby declare my disapproval
V of the
installment of:
Canopy over the sidewalk entrance:
Awnings over the windows:
Projecting sign:
Per attached
Date 6-24.22
ram mile Fraine
Address: 13>4 MASS AVE CAMBRIDGE
ABUTTERS:
PLEASE COMPLETE FORM WHETHER OR NOT YOU APPROVE OF THE REQUESTED
SIGN/AWNING AND RETURN IT TO THE APPLICANT WITHIN SEVEN (7) DAYS FOR INCLUSION
IN THE APPLICATION.
SIGN/AWNING APPLICANT:
PLEASE FILL IN DATE THAT FORM WAS DELIVERED TO ABUTTER (TOP RIGHT OF THIS
FORM)
Print
Reset Form
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
TTY/TDD [phone removed]
PAULA M. CRANE
DONNA P. LOPEZ
DEPUTY CITY CLERK
CITY CLERK
ABUTTERS FORM FOR SIGN/AWNING PERMIT
Date 6.24 - 22
To Whom It May Concern:
ST.
_Cambridge,
As Owner of Agentof /Z DUNSTER
approval
_of the
Massachusetts, I do hereby declare my disapproval
installment of:
Canopy over the sidewalk entrance:
Awnings over the windows:
Projoring sign: Der attiched
Date le 24-22
Address: 1374 MASS AVE CAMBRIDGE MA-
ABUTTERS:
PLEASE COMPLETE FORM WHETHER OR NOT YOU APPROVE OF THE REQUESTED
SIGN/AWNING AND RETURN IT TO THE APPLICANT WITHIN SEVEN (7) DAYS FOR INCLUSION
IN THE APPLICATION.
SIGN/AWNING APPLICANT:
PLEASE FILL IN DATE THAT FORM WAS DELIVERED TO ABUTTER (TOP RIGHT OF THIS
FORM)
Print
Reset Form
CAMBRIDGE HISTORICAL COMMISSION
831 Massachusetts Avenue, 2nd Fl., Cambridge, Massachusetts 02139
Telephone: [phone removed] Fax: [phone removed] TTY: [phone removed]
E-mail: histcomm@cambridgema.gov URL: http://www.cambridgema.gov/Historic
SLOGE HISTOR
Bruce A. Irving, Chair, Susannah Barton Tobin, Vice Chair; Charles M. Sullivan, Executive Director
Joseph V. Ferrara, Chandra Harrington, Elizabeth Lyster; Jo M. Solet, Yuting Zhang, Members
Gavin W. Kleespies, Paula A. Paris, Kyle Sheffield, Alternates
COMMISSIO
CERTIFICATE OF NONAPPLICABILITY
1374 Massachusetts Avenue
Property:
Applicant:
Cambridge Savings Bank, owner
Attention: Kerine Ernest, le macaron, tenant
The Cambridge Historical Commission hereby certifies, pursuant to
Chapter 2.78, Article III of the Code of the City of Cambridge and
order establishing the Harvard Square Conservation District, that the
work described below does not involve any activity requiring issuance
of a Certificate of Appropriateness or Hardship:
Install conforming wall signs for le macaron bakery.
All improvements shall be carried out as shown on the plans and
specifications submitted by the applicant, except as modified above.
specifications are incorporated by reference into
Approved plans and
this certificate.
This certificate is granted upon the condition that the work
authorized herein is commenced within six months after the date of
issuance. If the work authorized by this certificate is not commenced
within six months after the date of issuance or if such work is
suspended in significant part for a period of one year after the time
the work is commenced, such certificate shall expire and be of no
further effect; provided that, for cause, one or more extensions of
time for periods not exceeding six months each may be allowed in
writing by the Chair.
Case Number: 4823
Date of Certificate: June 16, 2022
Attest: A true and correct copy of decision filed with the
office of the City Clerk and the Cambridge Historical Commission
on June 16, 2022.
By Charles M. Sullivan sl, Executive Director.
of this decision.
since the filing
Twenty days have elapsed
filed
No appeal has been
• Appeal has been filed
Date
_, City Clerk
Sq Ftg.
• CMYK
first surface.
Qty: 1 SET
• Black (Satin)
GRAPHICS
PAINT COLORS
PRINT COLORS
SIGNAGE &
VINYL COLORS
Customer/Job Location:
• 3M HP #10 White
Cambridge, MA
LE MACARON
Location 1 - 2a/b
A: 40.5 B: 11.6 C: 13.2
sign painted Black (satin) w/ 5"
thick White acrylic copy. Letters
applied to windows, first surface.
Plotter cut and digitally printed/
stud mount to pan w/ 5" spacers.
2" deep fabricated aluminum pan
vinyl banding applied to windows,
laminated (luster) vinyl dots & copy
Digitally printed/laminated (luster)
"
30
91.5 "
10"
DWG. DATE: 12.10.2021
63.5 "
french
pastries • cakes
Date
APPROVAL
имене pisne пиniyeas
63.5"
194.5 "
File Name: Le Macaron_Cambridge_Sign Pkg__21-03564
• fine chocolates •
APPROVED APPROVED AS NOTED
TD
Sales:
JP
Design:
63.5 "
EC
le macaron
PMgr:
gelato • desserts
Pastries
Drawing # 21-03564-1r4
LOC. LI
LOC. 2a
C Loc. 2b
CREATIVE SIGNAGE SOLUTIONS
METROSIGN
Qty: 1
• CMYK
White LEDS.
Sq Ftg.: 12
Location 3
PAINT COLORS
PRINT COLORS
Customer/Job Location:
w2ybiawaiho li ccuynigy
I Black/Pink (Satin)
General Scope
Cambridge, MA
LE MACARON
D/F INTERNALLY
with routed and backed acrylic
copy. Internally illuminated with
6" deep fabricated alum. cabinet
ILLUM. BLADE SIGN
pra sT220c,dvig.
TP 2021 Metro Sign & Awning inc. No sansene greent mn be tetr
DWG. DATE: 12.10.2021
Kesik:
57 "
54 "
Date
APPROVAL
le macaron
french pastries
File Name: Le Macaron_Cambridge_Sign Pkg_21-03564
• APPROVED APPROVED AS NOTED
TD
Sales:
Drawing #
JP
Design:
french pastries
le macaron
EC
PMgr:
21-03564-2r2
french pastries
le macaron
CREATIVE SIGNAGE
METROSIGN
Locations 1-3
RENDERING
Customer/Job Location:
Cambridge, MA
LE MACARON
EXISTING
DWG. DATE: 12.10.2021
92021 Metro Sign Sign Arning, Inc. No phate to power Coles ood or litter o2
vare
PROPOSED
APPROVAL
File Name: Le Macaron_Cambridge_Sign Pkg_21-03564
APPROVED APPROVED AS NOTED
TD
Sales:
le macaron
JP
Design:
EC
PMgr:
Drawing # 21-03564-33
CREATIVE SIGNAGE SOLUTIONS
METROSIGN
Qty: 1
print graphics.
to interior wall.
Sq Ftg.: 1.8
Location 4
INTERIOR
PRINT COLORS
Customer/Job Location:
LE MACARON
Cambridge, MA
D/F VHB tape on back for mtg.
DIRECTIONAL SIGN
1/4" thick White acrylic with direct
Fo12IED-
DWG. DATE: 12.10.2021
18 "
OOO
vate
APPROVAL
french pastries
le macaron
File Name: Le Macaron_Cambridge_Sign Pkg_21-03564
_ APPROVED APPROVED AS NOTED
TD
Sales:
JP
Design:
EC
PMgr:
-00•
Drawing # 21-03564-43
le macaron
french pastries
CREATIVE SIGNAGE SOLUTIONS
METROSIGN
Sq Ftg.
11 СМУК
Qty: 1 SET
GRAPHICS
A Black (Salin)
SIGNAGE &
3M HP #10 White
LE MACARON
A: 40.5 B: 11.6 C: 13.2
sign painted Black (satin) w/ 5°
Plotter cut and digitally printed/
thick White acrylic copy. Letters
appied to windows, first surface.
2" deep fabricated aluminum pan
stud mount to pan w/ 5' specers.
vinyi banding applied to windows,
laminated. (luster) vinyl dots & copy
Digitally printed/laminated (luster)
30"
30
91.5 "
20
10"
DWG. DATE: 12.10.202
pastries • cakes
french
472
194.5 "
63.5
• fine chocolates •
119a Kan Ene
63.5"
e macaron
Design:
gelato • desserts
-pastries
Drawing # 21-03564-1r4
METROSIGN
RENDERING
LE MACARON
EXISTING
DWG. DATE: 12.10.2021
CPOSED
nacaron
Drawing #
Design:
21-03564-3r3
SIGN
Qty 1
print graphics.
to interior. wall.
Sa Ftg.: 1.8
INTERIOR
LE MACARON
D/F VHB tape on back for mig.
DIRECTIONAL SIGN
1/4* thick White acrylic with direct
DWG. DATE: 12.10.2021
18"
le macaron
french pastries
Drawing # 21-03564-4r3
e macare
METONSIGN
White LEDs
Sa Ftg.. 12
general Scope
• Black/Pink (Satin)
LE MACARON
D/F INTERNALLY
with routed and backed acrylic
copy Interally illuminated with
6" deep fabricated alum. cabinet
ILLUM. BLADE SIGN
DWG. DATE
le macaron
french pastries
32"
eiT
wins
es
EC
6"
21-03564-2r2
as tries
ron
SIGN
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
01/10/22
ACORD®
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
IF SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements).
MAMA Patricia Anderson
J. Williams Insurance Agency, Inc
[AC, No): [phone removed]
No. Ext: [phone removed]
14 Wood Rd, Suite 204
As [email removed]
Braintree, MA 02184
NAIC #
INSURERS) AFFORDING COVERAGE
29424
INSURERA: The Hartford
INSURED
INSURER B: USRE - Travelers
524126
INSURER C:
C & D SIGNS INC.
METRO SIGN & AWNING
INSURER D:
170 LORUM STREET
INSURER E:
TEWKSBURY, MA 01876
INSURER F:
REVISION NUMBER:
INSR
X COMMERCIAL GENERAL LIABILITY
1,000,000
OCCUR
1,000,000
PREMISES (Ea occurrence)
CLAIMS-MADE
10,000
XXCU Included
MED EXP (Any one person)
$
12/28/21
12/28/22
X Bikt Contractual
O8SBAAK3EUP
A
1,000,000
PERSONAL & ADV INJURY
xx
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
2,000,000
LOC
PRODUCTS - COMPIOP AGG
POLICY PEO
X OTHER: Liability Ded $ None
$
AUTOMOBILE LIABILITY
$
ANY AUTO
DILY INJURY (Per pers
SCHEDULED
OWNED
$
DILY INJURY (Per accide
AUTOS ONLY
AUTOS
$
HIRED
NON-OWNED
AUTOS ONLY
AUTOS ONLY
UMBRELLA LIAB
10,000,000
OCCUR
EACH OCCURRENCE
EXCESS LIAB
10,000,000
B
12/28/22
CLAIMS-MADE
12/28/21
ZUP-71 M6967A-20-NF
AGGREGATE
RETENTION$ $10,000
DED
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
N/ A
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE S
under
describe
E.L. DISEASE - POLICY LIMIT S
DES STOOPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
***Blanket Additional Insd form SL 30 32 10 18, Primary and Non-contributory form SL 00 00 10 18, Waiver of Subrogation form SL 30 03 10 18****
CANCELLATION
CERTIFICATE HOLDER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED I
CCORDANCE WITH THE POLICY PROVISION
For informational Purposes Only
AUTHORIZED REPRESENTATIVE
The ACORD name and logo are registered marks of ACORD
ACORD 25(2016/03)
LETTER OF AUTHORIZATION (LOA)
for Metro Sign & Awning to act on the owner's behalf for the purpose of obtaining sign permits
Project Location:
1374 MASS AVE
CAMBRIDGE MA-
02138
Agreed and accepted:
Landlord
By
Name (sign):
daniel traine.
Name (print):
DANIEL E: FRAINE
Title:
SENIOR VICE PRESIDENT
Phone number: [phone removed]
Email:
DERANE@ CAMBRIDGE SAVINGS COM
Date:
5/16/22
METRO
SIGN ZAWNING
DESIGN• FABRICATION « INSTALLATION • SERVICE
Metro Sign & Awning
Invoice #: 4249
170 Lorum St.
Tewksbury, MA 01876
Customer #: 7424
Ph: [phone removed]
4/30/2022 6:47:00PM
-AX: [phone removed]
Order Created:
METROSIGN
Email: [email removed]
CREATIVE SIGNAGE SOLUTIONS
Web: http://www.metrosign.net
Page 1 of 3
Account No.: 7424
4/30/2022 6:47:00PM
Order Date:
Created Date: 4/30/2022 6:47:00PM
Billed To: Le Macaron French Pastries
Contact: Karine Ernest
Address:
[phone removed]
1374 Mass Ave
Office Fax:
Cambridge, MA
[phone removed]
Email: [email removed]
[phone removed]
Office Phone:
Description: Exterior Signage w/ interior Directional Sign
Unit Price
Quantity
Subtotal
1.00
$2,780.00
Product: Pan Sign
$2,780.00
1
Description:
Loc 1 - Pan Sign w/ dimensional Letters, per MSA dwg 21-03564-1r5
Size: 30" H x 194.5"W x 2" D
Materials: 1" × 2" aluminum tubing frame with .090" aluminum face panel (seam to be sanded
and filled)
Finish: Painted satin Black. graphics; 1/2" thick 7508 white acrylic letters, flush stud
mounted, and centered horizontally & vertically on face of pan.
Copy: "le macaron" @ 14" H
Install: Pan installed right side of Cambridge Savings Bank building facade at approx 10-12.5
ft elevation, over existing decorative trim, with interior angle brackets.
Option 1A Economy Pan Sign w/ seam. Per dwg 21-03564-1r3
Cost: $1,385
Option 1B w/ Dimensional Letters Size: 8" high x 1/2" thick acrylic copy: "le macaron" < logo
dots> "french pastries"
add $785
Option 2: Illuminated sign cabintet. 6" deep with LED illumination. Lexan faces. Vinyl
graphics. Cost: $4,200
3.00
$75.00
$225.00
2 Product: Vinyl Digital Print
Description: Loc 2A - Vinyl, Digitally Printed, per dwg 21-03564-1r3
Material: Digitally printed to clear, luster laminate
Ao building. Top at 0 Helevation, adar or bucke pan uie, on front
1.00
$3,725.00
Product: Cabinet Plastic Face
$3,725.00
3
Description:
Loc 3 - Blade Sign Cabinet, Internally illum, D/F, per 21-03564-21
size: 32"H x 54" Wx 6" L
Materials: 1" × 6" aluminum rect tubing frame, with .090" routed
aluminum face with 3/8" back-lit LED illuminated acrylic letters
and pastries. Translucent DP vinyl for dots and pastries.
Illumination: Internal white LED modules.
nstall: (2) 3" square support arms to 36" H × 8" W x 1/2" thick
nounting plate, with electrical whip thru top arm. Interior electrica
unction box to house LV power supply.
Tax ID:141911099
Print Date: 6/8/2022
Building your Brand!
Metro Sign & Awning
Invoice #: 4249
170 Lorum St.
Tewksbury, MA 01876
Customer #: 7424
Ph: [phone removed]
FAX: 978) 851-2022
Order Created: 4/30/2022 6:47:00PM
METROSIGN
Email: [email removed]
CREATIVE SIGNAGE SOLUTIONS
Web: http://www.metrosign.net
Page 2 of 3
1.00
$110.00
$110.00
Product: Panel Acrylic
4
Description:
Loc 4 - Interior Directional Sign, per dwg 21-03564-4r2
Size: 14'Hx 18"W
Material: 1/4" Matte black acrylic
Graphics - direct to substrate print
Install: VHB double sided tape to finished end wall between bank
and pastry shop.
$350.00
1.00
$350.00
Product: Site Survey
5
Description:
- Take photos for shop drawings and install
- Confirm all building dimensions, wall materials and fasteners required
- Confirm electrical box location for illuminated blade sign
1.00
$475.00
Product: Artwork / Design
$475.00
6
Description:
Production Design
- Conceptual design, artwork layout and shop drawings for production
1.00
$0.00
$0.00
Product: Permit Labor
7
Description:
Permit Acquisition.
- Cost of labor to acquire permit.
- Rates: $85/hour 8AM - 5PM. After hours: $125/hour
1.00
$0.00
$0.00
Product: Permit Fee
8
Description:
Sign Permit
- Cambridge municipal permit fee billed at cost
- Sidewalk permit (if required) to also be billed at cost.
$2,200.00
1.00
Product: Install
$2,200.00
9
Installation, Open Shop.
Description:
Hours restrictions: Assumes No
Meet client on-site: No.
Police Detail required: To be determined (Metro to add to bill if necessary)
Sidewalk permit required: Yes
Mont of uning na, ide instal and ape are inebint to
Note that sidewalk is separated from street by "T" subway station plaza. Signage may need
to be installed with scissor lift, as no vehicle
access close to this side of building
Print Date: 6/8/2022
Tax ID:141911099
Building your Brand!
Metro Sign & Awning
Invoice #: 4249
170 Lorum St.
Tewksbury, MA 01876
Customer #: 7424
Ph: [phone removed]
4/30/2022 6:47:00PM
FAX: [phone removed]
Order Created:
METROSIGN
Email: [email removed]
CREATIVE SIGNAGE SOLUTION
Web: http://www.metrosign.net
Page 3 of 3
Notes
TWIRE TRANSFER: Bank Account: 11013290, ACH Payments using Routing # 211371120, Beneficiary: Metro
Sign & Awning
By signing below you agree to our Terms & Conditions. To review please visit our web page at
Sign & Awning
Payments for Order
Date
Method
Amount
Tracking Number
5,638.44
5/03/2022
Freedompay American Expr xxxx 1003
Pay Online
Order Subtotal:
$9,865.00
$427.50
Total Taxes:
Total:
$10,292.50
$5,638.44
Total Payments:
Order Balance:
$4,654.06
Payment Terms: Deposit, Net due on completion. Thank you for your business, we appreciate it!
Tax ID:141911099
Print Date: 6/8/2022
Building your Brand!
5" spacers.
• CMYK
Qty: 1 SET
GRAPHICS
VINYL COLORS
SIGNAGE &
PRINT COLORS
Customer/Job Location:
• 3M HP #10 White
Locations 1 & 2
LE MACARON
Cambridge, MA
5" thick White acrylic copy.
Sq Ftg. A: 10.8 B: 4.6
Letters stud mount to backer w/
Plotter cut and digitally printed/
applied to windows, first surface.
laminated (luster) vinyl dots & copy
192021 Metro sign a Awning. Inc. N03
30" (backer)
91.5 "
14"
5021302 mes bes
Rect
DWG. DATE: 12.10.2021
Rest: 229.2 remateral
63.5"
french
Date
63.5"
110.8 "
File Name: Le Macaron_Cambridge_Sign Pkg_21-03564
APPROVAL APPROVED APPROVED AS NOTED
194.5" (backer panel - not part of the sign)
TD
Sales:
le macaron
JP
Design:
63.5"'
EC
PMgr:
Drawing # 21-03564-1r5
pastries
LOC. 2
LOC. I
CREATIVE SIGNAGE SOLUTIONS
METROSIGN
U
Qty: 1
to dots.
brackets.
by others.
• CMYK
White LEDs.
Sa Ftg.: 9.6
Location 3
PAINT COLORS
PRINT COLORS
Customer/Job Location:
with masonry anchors.
• Black/Pink (Satin)
LE MACARON
Cambridge, MA
Survey for electrical access.
cover, painted Pink, to cover
Sign mounts to building wall
faces and backed with White
Logo routed out of aluminum
SURVEY REQUIRED
D/F INTERNALLY
mounting plate, painted Black.
and Pink (satin) on the returns.
6"w x 26"h .25" thick aluminum
Final, primary electrical hookup
2" sq. brackets (internal). Alum.
6" deep fabricated alum. cabinet
(luster) translucent vinyl applied
Sign is internally illuminated with
painted Black (satin) on the faces
acrylic. Digitally printed/laminated
ILLUM. BLADE SIGN
26
26"
PLATE DETAIL
DWG. DATE: 12.10.2021
56"
53"
Date -
APPROVAL
le macaron
french pastries
SIDE A
File Name: Le Macaron_Cambridge_Sign Pkg_21-03564
SIDE B
APPROVED APPROVED AS NOTED
3D VIEW
TD
Sales:
JP
Design:
EC
PMgr:
french pastries
le macaron
Drawing # 21-03564-23
le macaron
french pastries
CREATIVE SIGNAGE SOLUTIONS
METROSIGN
Locations 1 -3
Customer/Job Location:
RENDERING
Cambridge, MA
LE MACARON
EXISTING
Tüs desig ovend u connonle-dis 2021 Metro Sign 4 Awning. Inc, Ne
Fer?: UN22 tet. coler
DWG. DATE: 12.10.2021
Date
PROPOSED
APPROVAL
File Name: Le Macaron_Cambridge_Sign Pkg_21-03564
APPROVED APPROVED AS NOTED
TD
le macaron
past
Sales:
JP
Design:
EC
PMgr:
Drawing # 21-03564-3r4
CREATIVE SIGNAGE SOLUTIONS
METROSIGN
Qty: 1
• CMYK
print graphics.
to interior wall.
Sq Ftg.: 1.8
Location 4
INTERIOR
PRINT COLORS
Customer/Job Location:
Cambridge, MA
LE MACARON
D/F VHB tape on back for mtg.
1/4" thick White acrylic with direct
DIRECTIONAL SIGN
Tie designing Is copyrighted:© 2021 Metro Sign 4 Awning, Inc. No rit of th
DWG. DATE: 12.10.2021
~18 "
OOO
vate -
APPROVAL
french pastries
le macaron
File Name: Le Macaron_Cambridge_Sign Pkg_21-03564
_ APPROVED APPROVED AS NOTED
TD
Sales:
Drawing #
Design:
EC
PMgr:
21-03564-4r3
-- 090
le macaron
french pastries
CREATIVE SIGNAGE SOLUTIONS
METROSIGN
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02111
ACHAN T
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information
Please Print Legibly
Name (Business/Organization/Individual): C & D Signs Inc. dba Metro Sign & Awning
Address: 170 Lorum Street
Phone #:[phone removed]
City/State/Zip: Tewksbury, MA 01876
Are you an employer? Check the appropriate box:
Type of project (required):
4. • I am a general contractor and I
1. • 1 am a employer with 36
6. • New construction
have hired the sub-contractors
employees (full and/or part-time).*
listed on the attached sheet.
7. • Remodeling
2. L I am a sole proprietor or partner-
These sub-contractors have
ship and have no employees
8. • Demolition
employees and have workers'
working for me in any capacity.
9. L Building addition
comp. insurance.f
[No workers' comp. insurance
10.• Electrical repairs or additions
5.
We are a corporation and its
required.]
officers have exercised their
11. Plumbing repairs or additions
3. L I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
12.O Roof repairs
c. 152, 81(4), and we have no
insurance required.] +
13. Other Signs
employees. [No workers'
comp. insurance required.]
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: AON Risk Services, Inc of Florida
Policy # or Self-ins. Lic. #: WC 127122100 MA
Expiration Date: 7/1/2022
Job Site Address: 1374 Mass Ave
City/State/Zip: Cambridge 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 certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature:
Date: 4/14/22
[phone removed]
Phone #:
Official use only. Do not write in this area, to be completed by city or town official
City or Town:
Permit/License #
Issuing Authority (check one):
10 Board of Health 20 Building Department 3Д City/Town Clerk
4.0 Electrical Inspector 5Plumbing
Inspector 6. Other
Contact Person:
Phone #:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractors) name(s), address(es) and phone numbers) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in
(city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Lafayette City Center, 2 Avenue de Lafayette
Boston, MA 02111
Tel. [phone removed] or 1-877-MASSAFE
Fax [phone removed]
Revised 7-2019
www.mass.gov/dia