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An application was received from Stuart Pitchel representing Petunia, requesting permission for a projecting sign at the premises numbered 73 Mount Auburn Street approval has been received from Inspectional Services, Department of Public Works, Community Development Department and abutter

APP 2025 #4·Council meeting Jan 27, 2025·24 pages·📄 Original PDF (city portal)

⚠ This document is a scan; its text was recovered by optical character recognition and may contain errors. The original PDF is authoritative.

January 14, 2025 City of Cambridge, MA Primary Location 1144049 Applicant 71 Mt Auburn St Sign/Awning Permit • Stuart Pitchel Status: Active Cambridge, MA 02138 [phone removed] Submitted On: 11/21/2024 @[email removed] Owner 1Ar 236 Pearl Street HARVARD STUDENT AGENCIES, Somerville, MA 02145 INC 67 MT. AUBURN ST CAMBRIDGE, MA 02138 General Information What option best describes this application?* Sign(s) Description of Proposed Work* Refacing (1) non-illuminated blade sign to new tenant "Petunia" at 73 Mt Auburn St. Permitting system does not recognize 73 and had to input 75 Mt Auburn St. Was told to do this by Inspectional Services Estimated Cost of Sign(s) in dollars * 3151.56 Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings).* No existing sign to remain
Cambridge City Council approval may be required. Will one or more of the proposed signs extend six (6) inches into the public sidewalk?* Yes You must submit a Projected Sign Application and Abutter's Form to the City Clerk's Office. Sign Information Sign Text* Petunia Illumination* Type of Sign* Natural Projecting Width of Sign (feet)* Height of Sign (feet)* 3 3 Area of Sign (square feet)* Height from the ground to the top of the sign (feet)* 9 14.6 Sign Material* Height from the ground to bottom of the sign (feet)* Aluminum & Acrylic 11
Projection from the Building (inches) Weight of the sign (Ibs)* 41.5 25 Is the sign an accessory to a first floor store?* Width of Building Facade for Associated Use (feet)* Yes 16.5 Contractor Contractor Name* STUART R PITCHEL Address* 30 FREEMAN ST E-mail* Telephone* [phone removed] [email removed] License Number* License Expiration Date* 12/20/2026 CS-091230 Contractor's Signature Date* Signature of Licensed Contractor* Stuart Pitchel 11/21/2024
Community Development Approval & Sign requires a variance from the Board of Zoning & Sign conforms to requirements of Article 7.000 Appeal - - • Comments a Exempt under Article 7.000 - City Clerk Internal A Bond Number Attachments REQUIRED Drawing of Sign(s) Petunia_Blade_v1.pdf Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:04 PM REQUIRED Contract with Sign Company Est_4857_from_SRP_Sign_Corporation_11292.pdf Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:04 PM Proof of Insurance REQUIRED SRP Sign Corp COl.pdf Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:04 PM
Signed contract between property owner and applicant REQUIRED Petunia sign letter.pdf Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:04 PM 73MtAuburnSt_SignedCertForm_2024.11.21.pdf 73MtAuburnSt_SignedCertForm_2024.11.21.pdf Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:05 PM Petunia sign application.pdf Petunia sign application.pdf Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:05 PM OFFICE OF THE CITY CLERK.pdf OFFICE OF THE CITY CLERK.pdf Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:06 PM WorksComp_Signed.pdf WorksComp_Signed.pdf Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:08 PM 71-73 Mt Auburn St CNA reface existing blade sign.pdf 71-73 Mt Auburn St CNA reface existing blade sign.pdf Uploaded by Sarah Burks on Jan 8, 2025 at 12:30 PM Record Activity Stuart Pitchel started a draft Record 11/21/2024 at 1:57 pm 11/21/2024 at 2:04 pm Stuart Pitchel added file Petunia_Blade_v1.pdf Stuart Pitchel added file Est_4857_from_SRP_Sign_Corporation_11292.pdf 11/21/2024 at 2:04 pm Stuart Pitchel added file SRP Sign Corp COl.pdf 11/21/2024 at 2:04 pm 11/21/2024 at 2:04 pm Stuart Pitchel added file Petunia sign letter.pdf 11/21/2024 at 2:05 pm Stuart Pitchel added file 73MtAuburnSt_SignedCertForm_202411.21.pdf
Stuart Pitchel added file Petunia sign application.pdf 11/21/2024 at 2:05 pm Stuart Pitchel added file OFFICE OF THE CITY CLERK.pdf 11/21/2024 at 2:06 pm 11/21/2024 at 2:08 pm Stuart Pitchel added file WorksComp_Signed.pdf Stuart Pitchel submitted Record 1144049 11/21/2024 at 2:09 pm OpenGov system altered approval step Community Development Plan 11/21/2024 at 2:09 pm Review, changed status from Inactive to Active on Record 1144049 OpenGov system altered approval step Review for Completeness, changed 11/21/2024 at 2:09 pm status from Inactive to Active on Record 1144049 OpenGov system assigned approval step Review for Completeness to 11/21/2024 at 2:09 pm Branden Vigneault on Record 1144049 OpenGov system assigned approval step Community Development Plan 11/21/2024 at 2:09 pm Review to Teal Delys on Record 1144049 Branden Vigneault approved approval step Review for Completeness on 12/09/2024 at 5:46 pm Record 1144049 Teal Delys approved approval step Community Development Plan Review on 12/12/2024 at 12:35 pm Record 1144049 OpenGov system altered approval step Department of Public Works Review, 12/12/2024 at 12:35 pm changed status from Inactive to Active on Record 1144049 OpenGov system altered approval step Historical Commission, changed 12/12/2024 at 12:35 pm status from Inactive to Active on Record 1144049 OpenGov system assigned approval step Historical Commission to Eric Hill 12/12/2024 at 12:35 pm on Record 1144049 OpenGov system assigned approval step Department of Public Works Review 12/12/2024 at 12:35 pm to Brian McLane on Record 1144049 Eric Hill unassigned approval step Historical Commission from Eric Hill on 12/13/2024 at 10:34 am Record 1144049 Eric Hill assigned approval step Historical Commission to Sarah Burks on 12/13/2024 at 10:34 am Record 1144049 Brian McLane approved approval step Department of Public Works Review 12/18/2024 at 7:02 am on Record 1144049 Sarah Burks approved approval step Historical Commission on Record 01/08/2025 at 12:22 pm 1144049
OpenGov system altered approval step City Clerk Review, changed status 01/08/2025 at 12:22 pm from Inactive to Active on Record 1144049 OpenGov system assigned approval step City Clerk Review to Lori Perez on 01/08/2025 at 12:22 pm Record 1144049 Sarah Burks moved Record 1144049 from 75 Mt Auburn St, Cambridge MA 01/08/2025 at 12:26 pm 02138 to 71 Mt Auburn St, Cambridge MA 02138 Sarah Burks added file 71-73 Mt Auburn St CNA reface existing blade sign.pdf 01/08/2025 at 12:30 pm to Record 1144049 Timeline Due Label Status Activated Assignee Completed Date 12/9/2024, Branden V Review for 11/21/2024, Completed - Completeness 5:46:55 PM 2:09:04 PM Vigneault / Community 12/12/2024 11/21/2024, Completed Development Teal Delys - 2:09:04 PM 12:35:47 PM Plan Review / Historical Sarah 12/12/2024, 1/8/2025, Completed - 12:22:38 PM 12:35:47 PM Commission Burks / Department Brian 12/12/2024, 12/18/2024 Completed of Public Works - 7:02:32 AM 12:35:47 PM McLane Review / City Clerk 1/8/2025, Active - - Lori Perez 12:22:38 PM Review City Council Inactive - - Approval Inactive - V Bond Stuart $ Sign Permit Inactive Fee Pitchel / Building Inactive - Inspector Review Inactive - E Sign Permit
OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] DIANE P. LEBLANC PAULA M. CRANE DEPUTY CITY CLERK CITY CLERK 10/31 Cambridge, → 2024 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 Petunia (NAME OF BUSINESS) be granted permit to erect a sign of the following specifications in front of premises located at 73 Mount Auburn St (ADDRESS) Type of Sign: Non-luminated Projecting Blade Sign (state whether electric or otherwise and material used in construction) Reading matter to go on Sign: "Petunia" 36" Х 36" 25 Size: Weight: Public Way Obstruction: в. 132" A. 41-1/2" (Give exact distance sign is to extend over sidewalk) (Also exact distance from bottom of sign to sidewalk) 132" Top: 168" Height Above Grade: Bottom: NOTICE - REGULATIONS Section 1212.0 State Building Code - Projecting Signs] [Section 12.08.010 Municipal Code - Encroachments onto Streets] • 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. [phone removed] MA 0238, 1 PM, AuloRN Tort Persey GM/C5o (Property owner or authorized agent) (Tel. No.) (Address) (Business owner) (Tel. No.) (Address)
OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] TTY/TDD [phone removed] DIANE P. LEBLANC PAULA M. CRANE CITY CLERK DEPUTY CITY CLERK ABUTTERS FORM FOR SIGN/AWNING PERMIT To Whom It May Concern: Date Nor 6, 2024 (BOSTON RAMEN COMPANY) As Owner of Agent of Cambridge, Boston Ramen Compry _of the (approval Massachusetts, I do hereby declare my disapproval installment of: Canopy over the sidewalk entrance: Awnings over the windows: Projecting sign of said property. Date Nor 6, 2024 Signed: Address: 24 Hilyale St, Cambridge ut 02138 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)
OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL., 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] DIANE P. LEBLANC TTY/TDD [phone removed] CITY CLERK PAULA M. CRANE DEPUTY CITY CLERK ABUTTERS FORM FOR SIGN/AWNING PERMIT To Whom It May Concern: Date 11/1/24 As Owner of Agent of Playa B owls 71 Mt Auburn ST Cambridge, Massachusetts, I do hereby declare my disapproval _approval of the installment of: Canopy over the sidewalk entrance: Corner Hollyake st and Alf Album Awnings over the windows: Projecting sign: - 1/7/24 Playa Baals 21 Mt /burn st Cambridg Mh. 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)
CAMBRIDGE HISTORICAL COMMISSION 831 Massachusetts Avenue, 2nd Fl., Cambridge, Massachusetts 02139 Telephone: [phone removed] E-mail: histcomm@cambridgema.gov URL: https://www.cambridgema.gov/historic MIDGE HISTO Chandra Harrington, Chair; Susannah Barton Tobin; Vice Chair; Charles M. Sullivan, Executive Director Joseph V. Ferrara, Elizabeth Lyster; Jo M. Solet, Yuting Zhang, Members Gavin W. Kleespies, Paula A. Paris, Kyle Sheffield, Alternates COMMISSION CERTIFICATE OF NONAPPLICABILITY 71/73 Mt. Auburn Street Property: Harvard Student Agencies Applicant: Attention: Stuart Pitchel, sign contractor The Cambridge Historical Commission hereby certifies, pursuant to the Massachusetts Historic Districts Act and the Cambridge Historical Commission Ordinance, that the work described below does not involve any activity requiring issuance of a Certificate of Appropriateness or Hardship: Reface an existing round blade sign for new tenant, Petunia. ISD #1144049 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: 5249 Date of Certificate: January 8, 2025 Attest: A true and correct copy of decision filed with the office of the City Clerk and the Cambridge Historical Commission on January 8, 2025. By Chandra Harrington/SLB, Chair. ••.. Twenty days have elapsed since the filing of this decision. • Appeal has been filed No appeal has been filed Date _ City Clerk
CITY OF CAMBRIDGE Community Development Department DECOR City Hall Annex, 344 Broadway, Cambridge, MA 02139 SIGN CERTIFICATION APPLICATION Please fill out this application to indicate the number, type, and dimensions of signage for your building. If you are unsure of the type of sign and/or allowable dimensions, please review the following pages of this application and Article 7.000 of the Zoning Ordinance. Please note the following additional requirements: • All signs must receive a permit from the Inspectional Services Department (ISD) before installation. Community Development Department certification action does NOT constitute issuance of a permit or certification that all other code requirements have been met. Do not contract for the fabrication of a sign until all permits have been issued, including City Council approval if necessary, for signs in the public way. • Any sign or portion of a sign extending more than six (6) inches into the public way/sidewalk must receive approval from the Cambridge City Council and a bond must be posted with the City Clerk. For questions or additional information, please contact cddzoning@cambridgema.gov. APPLICANT INFORMATION Applicant Name: SRP Sign Corporation Phone: [phone removed] Email: [email removed] Sign Address: 73 Mount Auburn St CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
PROPOSED SIGN Please fill out the information below and attach a sketch of the proposed sign to the application. Each proposed sign requires an individual form to be filled out. For further information on sign types, see the below page. Sign text: Petunia Sign type: Projecting Sign (including awnings) Area in square feet: 9 Dimensions: L 36" H × 36" Placement height in feet: 132' Depth from façade: 41.5" Illumination: Natural (no illumination) Sign frontage in feet: 16.5 Area of existing signs to remain: 0 COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION FOR INTERNAL USE ONLY Sign conforms to requirements of Article 7.000: Yes Sign requires a variance from the Board of Zoning Appeals: No The sign is located in the Harvard Square Overlay, which allows for flexibility of regulations in Article 7, and is thus approved. The sign conforms to requirements in Article 7. Comments: Signature: 11/21/24 Date CDD Representative CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
NATURAL ILLUMINATION AND EXTERNAL WITH CONDITIONS INTERNAL ILLUMINATION SQ FT DING SIGN MAX AROVE GROUND 2 SIGNS PER LOT FREESTANDING SIGN any other structure. self-supporting structure and is not attached to A free standing sign is attached to or part of a EXTERNAL NATURAL AND ILLUMINATION- RULL DING OF SIGNS PER UNLIMITED # SIGN FRONTAGE - - PARALLEL TO STREET- _LENGTH OF BUILDING WALL SIGN MAX 60 ABOVE GROUND WALL SIGN OVERVIEW BY SIGN TYPE sign area is parallel to the plane of the building. A wall sign is affixed so its exposed face and all APPROVE IF PROJECTION COUNCIL MUST EXCEEDS 6*, CITY MAX SIGN FRONTAGE- ABOVE PARALLEL TO STREET LENGTH OF BUILDING GROUND SO FT MAX 131 ONE SIGN PER GROUND FLOOR ESTABLISHMENT CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION ONLY -EXTERNAL ILLUMINATION NATURAL AND PROJECTING SIGN advertisement, announcement, or direction and which is designed to be seen from the outside of a building. For further information on specific Please note that this guide is intended to provide an overview of requirements by sign type. Sign shall mean and include any permanent or requirements, consult Article 7.000 of the Zoning Ordinance. temporary structure, device, letter, words, model, banner, pennant, insignia, trade flag, or representation used as, or which is in the nature of, an awning mounted signs. A projecting sign is attached to and projects from a building face, including marquee, canopy, and
estimate Estimate # SRPSIGN Date CORPORATION 4857 9/9/2024 236 pearl street. somerville, ma 02145 t. [phone removed] f. [phone removed] AK Rep Name / Address Ship To Petunia Petunia Tamara Neyra 73 Mount Auburn St 73 Mount Auburn St Cambridge, MA Cambridge, MA Item Cost Total Description Qty 1 Blade Sign Re-Face Sign 1,225.00T 1,225.00 3/8" Acrylic Name "Petunia" Flush Mounted w/ VHB 1/4" Acrylic Tag Line " in Harvard Square" Flush Mounted w/ VHB Remove Existing Acrylic Logo Sand, Prime & Paint Sign Apply New Logo Installation Open shop installation during normal business hours 1,850.00 1,850.00 Includes (1) Install Trip to Remove Sign MA Sales Tax 76.56 6.25% Terms: 50% deposit required to begin. Delivery: 4 - 6 weeks from receipt of all required approvals. Total $3,151.56 Estimates are valid for 30 days Police details, municipal license or permit fees and/or aquisition expenses incurred by SRP Sign Corp., and sales or use taxes where applicable or required are additional charges which shall be born by the Purchaser. Sign permit at face value plus $85.00 per hour to obtain with a minimum 1 hour added to final invoice Dated:_ 10/18/2024 This contract in accordance with terms stated is hereby accepted. signed tamaRa Neyra
DATE (MM/DD/YYYY) ACORD® CERTIFICATE OF LIABILITY INSURANCE 01/24/2024 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 INSURERS), 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). Nicole Bobocea Risman Insurance Agency, Inc. . [phone removed] (AC, No): [phone removed] 689 Fellsway [email removed] ADDRESS: NAIC # INSURERS) AFFORDING COVERAGE Medford MA 02155 24082 Ohio Security Insurance Co. INSURER A : INSURED Norfolk & Dedham Mutual Ins Co 23965 INSURER B: Srp Sign Corp Ohio Casualty Insurance Co. 24074 INSURER C: 236 Pearl St INSURER D: INSURER E: Somerville MA 02145 INSURER F: CL2412360071 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TADDL SUBRI POLICY EFF TYPE OF INSURANCE _TR LIMITS POLICY NUMBER INSD WVD COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR $ 300,000 PREMISES (Ea occurrence) MED EXP (Any one person) $ 15,000 01/20/2024 01/20/2025 A BKS60819504 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ 2,000,000 GENERAL AGGREGATE LOC POLICY PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ 1,000,000 (Ea accident) BODILY INJURY (Per person) ANY AUTO SCHEDULED OWNED BODILY INJURY (Per accident) 01/20/2025 91970387A B 01/20/2024 AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE NON-OWNED X AUTOS ONLY (Per accident) AUTOS ONLY $ UMBRELLA LIAB X • OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB 5,000,000 USO60819504 01/20/2025 01/20/2024 CLAIMS-MADE $ AGGREGATE DED X RETENTION $ 10,000 WORKERS COMPENSATION OTH- ER X STATUTE AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE $ 1,000,000 E.L. EACH ACCIDENT WE190737A IN/ A 01/20/2025 OFFICER/MEMBER EXCLUDED? 01/20/2024 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required Insurance verification: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. SRP Sign Corp. 236 Pearl St. AUTHORIZED REPRESENTATIVE Somerville MA 02145 -Vicole Bobocca © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
00033115 AGENCY CUSTOMER ID: LOC#: of Page ACORD® ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Risman Insurance Agency, Inc. Srp Sign Corp & Goodpitch LLC & 234 Pearl Street Realty Trust POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM TITLE: Certificate of Liability Insurance FORM NUMBER: 25 Liability per forms CG8810 04/13 (ongoing operations) and CG8611 10/16 (completed operations) and Umbrella Liability per form CU6002 04/21. 10a 3, of abily perform A -2 or 05, and umbrela act to perm 4 120 and signed contract i regard to General Liability per form C8810 dditional insured status is primary and non-contributory subject to requirement in written and signed contract in regard to General Liability per form CG88 4/13. General Liability aggregate applies per project per form CG8870 12/08 Please refer to actual policy for all other terms, conditions and exclusions. ACORD 101(2008/01) © 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD
The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Please Print Legibly Applicant Information Name (Business/Organization/Individual): SRP Sign Corporation Address: 236 Pearl St Phone #: [phone removed] City/State/Zip: Somerville, MA 02145 Are you an employer? Check the appropriate box: Type of project (required): 8 4. • I am a general contractor and I 1.- I am a employer with 6. L 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. • Building addition comp. insurance.* [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 I am a homeowner doing all work 3.0 right of exemption per MGL myself. [No workers' comp. 12. Roof repairs c. 152, 81(4), and we have no insurance required.] * 13.• Other Signage employees. [No workers' comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. * 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: Risman Insurance Agency, Inc. Policy # or Self-ins. Lic. #: WE190737A Expiration Date: 01/20/2025 Job Site Address: 73 Mt Auburn St City/State/Zip: Cambridge 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. 11/21/2024 Date: Signature: [phone removed] Phone #: Official use only. Do not write in this area, to be completed by city or town official. Permit/License # City or Town: Issuing Authority (check one): 1 Board of Health 2L Building Department 3LCity/Town Clerk 4.L Electrical Inspector 5LPlumbing Inspector 6.Other Contact Person: Phone #:
HARVARD STUDENT AGENCIES Date November 6, 2024 Dear City of Cambridge, 1 am writing this letter to document my approval of the proposed blade sign for "Petunia" to be located outside their retail establishment located at 73 Mt Auburn Street, Cambridge, MA. The property in question is owned and operated by The Harvard Student Agencies and I am the General Manager & CEO of The Harvard Student Agencies. Please let me know if there are any questions. Sincerely, GM/CEO The Harvard Student Agencies Harvard Student Agencies, Inc. Burke-McCoy Hall • 67 Mount Auburn Street • Cambridge, MA • 02138 www.hsa.net T 617. 495.3030 • F [phone removed]
DATE 10-31-2024 1½" EcT: BLADE SIGN DDRESS: 73 MT AUBURN ST., CAMBRIDGE, MA RAWN BY: ADAM KNAUER QUENT PETUNIA LE LOCATION: Clients Petunia/Blade Signi Petunia, Blade yt polf DESCRIPTION. EXTERIOR SIGNAGE 44½" [phone removed] 236 PEARL STREET SOMERVILLE, MA 02145 12" CORPORATION SRPSIGN 11%" 36" 41½" Petunic Black TBD Pink TBD 30" Dia. x 2" 3/8" Acrylic Flush Mounted w/ VHB Non-Illuminated Blade Sign Qty. (1)
DATE: 10-31-2024 DRESS: 73 MT AUBURN ST., CAMBRIDGE, MA CONCI: BLADE SIGN LE LOCATION. CanaDate Blade Siont Paturia Blade v1 pet RAWN BY: ADAM KNAUER ESCRIPTION: EXTERIOR SIGNAGE CUENT: PETUNIA [phone removed] 236 PEARL STREET SOMERVILLE, MA 02145 CORPORATION SRPSIGN 36" Dia x 1-1/2" Fabricated Sign Panel 1/2" Flush Mounted Acrylic Logo Flush 1" Dia x 11-3/8" Aluminum Support Tube 2" x 2" x 41-1/2" Aluminum Mounting Arm 29" x 9" x 3/8" Aluminum Mounting Bracket Black TBD Pink TBD 3/8" Acrylic Flush Mounted / VHB Qty. (1) Non-Illuminated Blade Sign 30" Dia. x 2"
DATE 10-31-2024 Brick Facade 3/8" Aluminum Gussets _ 29" x 9" x 3/8" Aluminum Mounting Bracket ACT: BLADE SIGN - Mechanical Hardware Penetrates at Mortar Joint - 2"x 2" x 41-1/2" Aluminum Mounting Arm CRIPTION, EXTERIOR SIGNAGE ODRESS: 73 MT AUBURN ST., CAMBRIDGE, MA RAWNBY ADAM KNAUER CUENT: PETUNIA FILE LOCATION: Clients Petunia Blade Sign Petunia, Blade vt pat ([phone removed] 236 PEARL STREET SOMERVILLE, MA 02145 CORPORATION SRESIGN Black TBD Pink TBD 3/8" Acrylic Flush Mounted w/ VHB Non-Illuminated Blade Sign 30" Dia. x 2" Qty. (1)
MOg DATE 10-31-2024 BLADE SIGN RESS 73 MT AUBURN ST., CAMBRIDGE, MA CRIPTION. EXTERIOR SIGNAGE RAWNEY ADAM KNAUER LENT PETUNIA ([phone removed] 236 PEARL STREET COMERVILLE MA 02145 CORPORATION SRESIGN Potuna Proposed Conditions 132" A.F.F. Existing Conditions Black TBD Pink TBD 30" Dia. x 2" 3/8" Acrylic Flush Mounted w/ VHB Non-Illuminated Blade Sign Qty. (1)