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An application was received from Donger Lei representing FUPO CAFE, requesting permission for an awning at the premises numbered 359 Huron Avenue. Approval has been received from Inspectional Services, Department of Public Works, Community Development Department and abutters
⚠ This document is a scan; its text was recovered by optical character recognition and may contain errors. The original PDF is authoritative.
March 12, 2025
City of Cambridge, MA
Primary Location
Applicant
1148493
359 Huron Ave
Sign/Awning Permit
• Donger Lei
[phone removed]
Status: Active
Cambridge, MA 02138
Submitted On: 1/13/2025
[email removed]
Owner
20 Branch St
NAJARIAN, MARC, L. JAMES
Unit 1
NAJARIAN
Quincy, MA 02169
165 BALDPATE HILL ROAD
NEWTON, MA 02459
General Information
What option best describes this application?*
Sign(s) and Awning(s)
Description of Proposed Work*
1. Replace the existing wall signage with a larger sign 30" × 120" aluminum
panel sign; 2. replace existing awning fabric (141.5"L × 36" W × 40" H) 3. Add
signage to the awning valence
Estimated Cost of Awning(s) in dollars *
Estimated Cost of Sign(s) in dollars *
1350
1150
Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings).*
none
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*
FUPO CAFE
Illumination*
Type of Sign*
Natural
Wall-Mounted
Width of Sign (feet)*
Height of Sign (feet)*
8
1.5
Area of Sign (square feet)*
Height from the ground to the top of the sign
(feet)*
12
14
Height from the ground to bottom of the sign
Sign Material*
(feet)*
Aluminum, vinyl
11.5
Weight of the sign (Ibs)*
Projection from the Building (inches)
1
45
Is the sign an accessory to a first floor store?*
Width of Building Facade for Associated Use
(feet)*
Yes
15.5
Sign Text*
Fresh Healthy Delicious
Illumination*
Type of Sign*
Natural
Projecting
Height of Sign (feet)*
Width of Sign (feet)*
5
7.06
Area of Sign (square feet)*
Height from the ground to the top of the sign
(feet)*
3.53
8.76
Height from the ground to bottom of the sign
Sign Material*
(feet)*
acrylic
8.1
Weight of the sign (Ibs)*
Projection from the Building (inches)
36
10
Width of Building Facade for Associated Use
Is the sign an accessory to a first floor store?*
(feet)*
Yes
14.5
Awning Information
Width of Awning (feet)*
Height of Awning (feet)*
11.8
3.3
Height from the ground to bottom of the awning
Height from the ground to the top of the awning
(feet)*
(feet)*
8
11.5
Weight of the awning (Ibs)*
Awning Material*
90
Sunbrella Fabric
Projection from the Building (inches)*
36
Contractor
Contractor Name*
CHRISTOPHER CHAN
Address*
141 PEACH ST
E-mail*
Telephone*
[phone removed]
[email removed]
License Number*
License Expiration Date*
CS-086660
08/29/2025
Contractor's Signature
Date*
Signature of Licensed Contractor*
01/13/2025
Donger Lei
Community Development Approval
& Sign conforms to requirements of Article 7.000
& Sign requires a variance from the Board of Zoning
Appeal
-
-
• Comments
@ Exempt under Article 7.000
-
City Clerk Internal
A Bond Number
Attachments
REQUIRED
Drawing of Sign(s)
FUPO CAFE_Sign Plan.pdf
Uploaded by Donger Lei on Jan 13, 2025 at 3:58 PM
REQUIRED
Signed contract between property owner and applicant
20250112-Landlord-Signed-Fupo.pdf
Uploaded by Donger Lei on Jan 13, 2025 at 3:58 PM
Certificate (3).pdf
Certificate (3).pdf
Uploaded by Donger Lei on Jan 13, 2025 at 3:58 PM
COI - FUPO CAFE.PDF
COI - FUPO CAFE.PDF
Uploaded by Donger Lei on Jan 13, 2025 at 3:58 PM
f-aff-builders (4) pdf
f-aff-builders (4).pdf
Uploaded by Donger Lei on Jan 13, 2025 at 3:59 PM
AZ Sign-Contract1718-Fupo-Signed.pdf
AZ Sign-Contract1718-Fupo-Signed.pdf
Uploaded by Donger Lei on Jan 13, 2025 at 3:59 PM
Sign Certification Form template.pdf
Sign Certification Form template.pdf
Uploaded by Mason Wells on Jan 14, 2025 at 1:54 PM
Sign_Certification_Form_FUPO CAFE.pdf
Sign_Certification_Form_FUPO CAFE.pdf
Uploaded by Donger Lei on Jan 14, 2025 at 2:06 PM
FUPO CAFE_Sign Plan_Revised.pdf
FUPO CAFE_Sign Plan_Revised.paf
Uploaded by Donger Lei on Jan 22, 2025 at 10:47 AM
Sign_Certification_Form_FUPO CAFE_Awning-pdf
Sign_Certification_Form_FUPO CAFE_Awning.pdf
Uploaded by Donger Lei on Jan 22, 2025 at 10:52 AM
Sign_Certification_Form_FUPO CAFE_Wall Sign.pdf
Sign_Certification_Form_FUPO CAFE_Wall Sign.pdf
Uploaded by Donger Lei on Feb 6, 2025 at 4:51 PM
FUPO CAFE_Sign Plan_Revised_02.06.2025.pdf
FUPO CAFE_Sign Plan_Revised_02.06.2025.pdf
Uploaded by Donger Lei on Feb 6, 2025 at 4:52 PM
Sign_Certification_Form_FUPO CAFE_Awning.pdf
Sign_Certification_Form_FUPO CAFE_Awning.pdf
Uploaded by Donger Lei on Feb 6, 2025 at 4:58 PM
Sign_Certification_Form_FUPO CAFE_Wall Sign.pdf
Sign_Certification_Form_FUPO CAFE_Wall Sign.pdf
Uploaded by Donger Lei on Feb 6, 2025 at 4:58 PM
359huronave_approvedsigncertificateWALL_20250206.pdf
359huronave_approvedsigncertificateWALL_20250206.pdf
Uploaded by Grant Perry on Feb 6, 2025 at 5:02 PM
359huronave_approvedsigncertificateAWNING_20250206.pdf
359huronave_approvedsigncertificateAWNING_20250206.pdf
Uploaded by Grant Perry on Feb 6, 2025 at 5:02 PM
Building Owner Authorization Letter_Final-Signed.pdf
Building Owner Authorization Letter_Final-Signed.pdf
Uploaded by Donger Lei on Feb 11, 2025 at 10:36 AM
1718 FUPO CAFE_Updated-AZSign-Signed.pdf
1718 FUPO CAFE_Updated-AZSign-Signed.pdf
Uploaded by Donger Lei on Feb 11, 2025 at 10:37 AM
City Clerk Application and Abutters Forms.pdf
City Clerk Application and Abutters Forms.pdf
Uploaded by Donger Lei on Feb 24, 2025 at 3:20 PM
Record Activity
Timeline
Due
Status
Label
Activated
Assignee
Completed
Date
/ Review for
Branden
2/18/2025,
1/13/2025,
Completed
3:25:54 PM
Completeness
3:59:26 PM
Vigneault
/ Community
Grant
2/6/2025,
1/13/2025,
Completed
Development
5:03:52 PM
3:59:26 PM
Perry
Plan Review
V Department
Brian
2/19/2025,
2/18/2025,
Completed
of Public Works
McLane
10:35:02 AM
3:25:54 PM
Review
/ City Clerk
2/19/2025,
Active
-
Lori Perez
10:35:02 AM
Review
V City Council
Inactive
Approval
Inactive
/ Bond
$ Sign Permit
Inactive
Donger Lei
Fee
V Building
Inactive
Inspector
Review
Inactive
B Sign Permit
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL., 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed])
FAS [phone removed]
DEPUTY CITY CLERK
CITY CLERK
, 20
Cambridge.
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 Fupo Cafe
(NAME OF BUSINESS)
be granted permit to crect a sign of the following specifications in front of premises located at
359 Huron Ave, Cambridge, MA 02138
(ADDRESS)
Type of Sign:
(state whether electric or otherwise and material used in construction)
Reading matter lo go on Sign:
Change new fabric for the existing awning sign(keep the existing frame and structure)
70lbs
Weight: _
141.5°L x 36"W40"H
Size:
л. 36"
(Also exact distance from bottom of sign to sidewalk)
(Give exnet distance sign is in extend over sidewalk)
98"
Top: 138"
Height Above Grade: Bottom:
Section /2/2.0 State Building Code - Projecting Signs)
[Section /2.08.070 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./2.220 provides in part "every owner who maintains a ... structare 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 sume and the covers thereof in
good repair and condition, at all times during his ownership, and to indemnify and save harmless the Cir against an and all
dumages, cost or expenses which it may sustain, or he required to pay by reason of such..structurc."
PROPERTY OWNER OR AUTHORIZED AGENT HEREBY STATES THAT INFORMATION IS TRUE TO THE BEST OF HISHEK
KNOWLEDGE AND T DERSTANDING TINDER PAINS AND PENALTY OF PERSERY.
617485 9578
(Tel. No.)
165 Bullfate Hill Newton
(Address)
ed ngent)
(Property owner or author
Than
Nuy am
(Business owner)
359 Karan Are, Cambridge MA 0238 181412-8208
UFFICE UF THE CY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
TTY/TDD [phone removed]
DEPUTY CITY CLERK
CITY CLERK
ABUTTERS FORM FOR SIGN/AWNING PERMIT
. To Whom It May Concern:
Date 221/25
SKA
Cambridge,
As Owner of Agent of
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.
Signed:
_Date 2/21/25
Infa
TURON AVE
Address:
357
ABUTTERS:
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
TTY/TDD [phone removed]
CITY CLERK
DEPUTY CITY CLERK
ABUTTERS FORM FOR SIGN/AWNING PERMIT
Date
2/21/25
To Whom It May Concern:
As Owner of Agent of Quimillie
Cambridge,
X
of the
Massachusetts, I do hereby declare my disapproval
approval
installment of:
Canopy over the sidewalk entrance: _
Awnings over the windows:
V
Projecting sign:
of said property.
2/21/25
_Date
maddres
Signed:
Address:
Sle heron Ave _ Cambridge: MA 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)
INVOICE
02/06/2025
AZSIGNS
20 Branch Street #1
Quincy, MA 02169
Tel: [phone removed]
Bill To: FUPO CAFE
Ship To: SAME
359 Huron Ave, Cambridge, MA 02138
Phone: [phone removed]
Fax:
SALESPERSON
ORDER DATE
DELIV. DATE
JOB NO
TERMS
SHIPPING
P.O. NO.
ASAP
1718
QUANTITY
DESCRIPTION
PRICE
$1200.00
Existing Awning Change New Fabric
1
- Keep the Existing Frame & Structure
- Fabric: Sunbrella Burgundy Fabric
S1050.00
1
18" x 96" Black Aluminum Panel Sign with White Vinyl Lettering
- Material: .040" Matte Black Alum.
- Lettering: White Vinyl Lettering
- Thickness: 1" Depth
- Non-illuminated
Installation & Labor
Sign Permit Application(Sign Permit Fee will be Paid by Client)
Comments: Not include ANY Electrical Permits, Special Permits & Others
SUBTOTAL
$2250.00
Not include ANY Stamped & Signed by MA Registered Design Professional
SALES TAX
$50.00
Lighting if Needed Responsibility of Customer
TOTAL
$2300.00
Signature:
Date: 02/09/2025
PAYMENTS
$1500.00
Print Name:
-
Zhang
BALANCE DUE
wyan
$800.00
This is a legal binding contract under MA General Laws. All materials are guaranteed to
be as specified. all work is to be completed in a workmanlike manner according to standard
practices. Six months limited warrant covers repair or exchanges of installed defective parts
with same or less value parts. All sale are final. No exchanges after 7 days of retail purchase.
Full payment is due upon the arrival of the installation personnel.Past due amounts are subject
to 15% APR interest. Client agrees to carry necessary insurances, verify spelling and pay for all
balance due, legal fee and all other costs incurred due to late payments or collection.
Payment Terms: 60% Deposit. Balance Due Before Installation.
Fens acenriated with hirina an electrician for electrical wirina is
BOIOVAI
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240123
Tálame
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Building Owner Authorization Letter
hereby authorize
1, We, _
Mara Najarian
(Property Owner(s) --- Please Print)
_ representative for AZ Signs_
Donger Lei
(Company. Firm, Organization)
(Applicant's Name)
To make application for a SIGN PERMIT to install a 18" × 96" aluminum panel sign
and change new fabrie for the existing awning(141.5"L x 36" W x 40"H) at 359 Huron
Ave, Cambridge, MA 02138.
Назий 2/10/25
Date
Property Owner's Signature
Address:
165 Bald pate
Hill Rd Newton, Ma.
Phone: [phone removed] E-Mail:_
IS NOVIS
CITY OF CAMBRIDGE
Community Development Department
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: AZ Signs/ Donger Lei
Phone: [phone removed]
Email:
[email removed]
Sign Address: 359 Huron Ave, Cambridge, MA 02138
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: Fresh Healthy Delicious
Sign type: Projecting Sign (including awnings)
Area in square feet: 3.5
L
Dimensions: 6"
H × 84.91"
Placement height in feet: 8.2
Depth from façade: 3
Illumination: Natural (no illumination)
Sign frontage in feet: 15.5
Area of existing signs to remain: 0
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION
FOR INTERNAL USE ONLY
Sign conforms to requirements of Article 7.000: Choose option.
Sign requires a variance from the Board of Zoning Appeals: Choose option.
Awning will need City Council Approval.
Comments:
Signature:
02/06/2025
Grant Perry
Date
CDD Representative
CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
AND EXTERNAL
WITH CONDITIONS
INTERNAL ILLUMINATION
MAX 30
STAN-
SIGN
DING
MAX
ABOVE
GROUND
2 SIGNS PER LOT
FREESTANDING SIGN
self-supporting structure and is not attached to
any other structure.
A free standing sign is attached to or part of a
ONLY
CYTERNAL
LLUMINATION
NATURAL AND
BUILDING
UNLIMITED #
OF SIGNS PER
SIGN FRONTAGE.-
PARALLEL TO STREET
_LENGTH OF BUILDING
SQ FT
MAY 60
MAX
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
GROUND
LENGTH OF BUILDING
SQ FT
MAX 13 1
ONE SIGN PER
GROUND FLOOR
ESTABLISHMENT
CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
ONLY
SYTERNAL
NATURAL AND
ILLUMINATION
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
temporary structure, device, letter, words, model, banner, pennant, insignia, trade flag, or representation used as, or which is in the nature of, an
requirements, consult Article 7.000 of the Zoning Ordinance.
a building face, including marquee, canopy, and
A projecting sign is attached to and projects from
awning mounted signs.
CITY OF CAMBRIDGE
Community Development Department
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: AZ Signs / Donger Lei
Phone: [phone removed]
Email:
[email removed]
Sign Address: 359 Huron Ave, Cambridge, MA 02138
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: FUPO CAFE
Sign type: Wall Sign
Area in square feet: 12
H × 8
1.5
Dimensions:
Placement height in feet: 11.5
Depth from façade: 1"
Illumination: Natural (no illumination)
Sign frontage in feet: 15.5
Area of existing signs to remain: 0
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION
FOR INTERNAL USE ONLY
Sign conforms to requirements of Article 7.000: Choose option.
Sign requires a variance from the Board of Zoning Appeals: Choose option.
Comments:
02/06/2025
Signature: Grant Perry
Date
CDD Representative
CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
ILLUMINATION
AND EXTERNAL
WITH CONDITIONS
INTERNAL ILLUMINATION
STAN-
SIGN
-DING
MAX
AROVE
GROUND
2 SIGNS PER LOT
FREESTANDING SIGN
self-supporting structure and is not attached to
A free standing sign is attached to or part of a
any other structure.
ONLY
EXTERNAL
NATURAL AND
ILLUMINATION-
RUIT DING
UNLIMITED #
OF SIGNS PER
SIGN FRONTAGE. -
PARALLEL TO STREET-
LENGTH OF BUILDING
5Q FT
MAX 60
MAX
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
EXCEEDS 6*, CİTY
COUNCIL MUST
MAX
ABOVE
CIEN CONTACE.
PARALLEL TO STREET
LENGTH OF BUILDING
GROUND
SQ FT
MAX 13 |
ONE CIGN DER
GROUND FLOOR
CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
ESTABLISHMENT
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
temporary structure, device, letter, words, model, banner, pennant, insignia, trade flag, or representation used as, or which is in the nature of, an
requirements, consult Article 7.000 of the Zoning Ordinance.
a building face, including marquee, canopy, and
A projecting sign is attached to and projects from
awning mounted signs.
20 BRANCH STREET, UNIT 1, QUINCY, MA 02169
1000 [phone removed]
AZ SIGNS & STOREFRONTS
- Material: .040" Matte Black Alum.; 1" × 1" Metal Tubing
- Size: 18" × 96"
- Lettering: White Vinyl Lettering
- Total Area: 12 SF
- Thickness: 1" Depth
2. Install a New Aluminum Panel Sign (Non-illuminated)
1. Replace the Existing Signage
Specification:
Existing
Date
96"
85.12"
The undersigned, in his or her individual and official capacity, hereby certifies
Print Name
the quoted prices, designs, terms, and conditions are accepted. AZ SIGNS
is authorized to perform the work as specified.
Delicious
FUPO CAFE
Fresh Healthy
Date: 02/06/2025
Address: 359 Huron Ave
City: Cambridge
State/ZIP: MA 02138
Job No.:
•FUPO CAFE
1
8
359 Huron Ave, Cambridge, MA 02138
Proposed
Company: FUPO CAFE
Customer:
Phone: [phone removed]
Estimate:
20 BRANCH STREET, UNIT 1, QUINCY, MA 02169
* 1 21-00-9 | [phone removed]
36"
AZ SIGNS & STOREFRONTS
Existing Awning Change New Fabric
Specification:
- Lettering: White Polyester Insignia Cloth
- Fabric: Sunbrella Burgundy#6031 Fabric
- Total Lettering Area: 3.5 SF
- Keep the Existing Frame & Structure
Existing
Delicious
Print Name
is authorized to perform the work as specified.
the quoted prices, designs, terms, and conditions are accepted. AZ SIGNS
The undersianed, in his or her individual and official capacity, hereby certifies
Delicious
141.5"
84.91 "
358
Healthy
FUPO CAFE
Fresh Healthy
State/ZIP: MA 02138
Date: 01/15/2025
Address: 359 Huron Ave
City: Cambridge
Job No.:
•Fresh
Phone: [phone removed]
Customer:
Company: FUPO CAFE
Proposed
Estimate:
359 Huron Ave, Cambridge, MA 02138
INVOICE
01/07/2025
AZSIGNS
20 Branch Street #1
Quincy, MA 02169
Tel: [phone removed]
Bill To: FUPO CAFE
Ship To: SAME
359 Huron Ave, Cambridge, MA 02138
Phone: [phone removed]
Fax:
ORDER DATE
JOB NO.
: SALESPERSON
SHIPPING
TERMS
DELIV. DATE
P.O. NO.
1718
ASAP
QUANTITY
DESCRIPTION
PRICE
1
Existing Awning Change New Fabric
$2450.00
- Keep the Existing Frame & Structure
- Fabric: Sunbrella Burgundy Fabric
30" × 120" Black Aluminum Panel Sign with White Vinyl Lettering
- Material: .040" Matte Black Alum.
- Lettering: White Vinyl Lettering
- Thickness: 1" Depth
- Non-illuminated
Installation & Labor
Sign Permit Application(Sign Permit Fee will be Paid by Client)
SUBTOTAL
Comments: Not include ANY Electrical Permits, Special Permits & Others
$2450.00
Not include ANY Stamped & Signed by MA Registered Design Professional
SALES TAX
$50.00
Lighting if Needed Responsibility of Customer
TOTAL
$2500.00
Xuyang Than
Signature:
$0.00
PAYMENTS
_ Date: 01/08/2025
Print Name:
Хлуана
BALANCE DUE
$2500.00
Zhang
This is a legal binding contract under MA General Laws. All materials are guaranteed to
be as specified. all work is to be completed in a workmanlike manner according to standard
practices. Six months limited warrant covers repair or exchanges of installed defective parts
with same or less value parts. All sale are final. No exchanges after 7 days of retail purchase.
Full payment is due upon the arrival of the installation personnel.Past due amounts are subject
to 15% APR interest. Client agrees to carry necessary insurances, verify spelling and pay for all
balance due, legal fee and all other costs incurred due to late payments or collection.
Payment Terms: 60% Deposit. Balance Due Before Installation.
Fees associated with hiring an electrician for electrical wiring is
THANK YOU FOR YOUR BUSINESS!
NOT included.
MADICE
0 00 85052
1Gt .
ESUCU
A5102
[phone removed]
N· 03438
BAMEMIS
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
Applicant Information
Please Print Legibly
Name (Business/Organization/Individual): AZ Signs
Address: 20 Branch St
Phone #: [phone removed]
City/State/Zip: Quincy, MA 02169
Are you an employer? Check the appropriate box:
Type of project (required):
4.
I am a general contractor and I
I am a employer with 3
1.0
New construction
6.
have hired the sub-contractors
employees (full and/or part-time).*
listed on the attached sheet.
7.
Remodeling
2.0
I am a sole proprietor or partner-
These sub-contractors have
Demolition
ship and have no employees
8.
employees and have workers'
working for me in any capacity.
Building addition
9.
comp. insurance.*
[No workers' comp. insurance
Electrical repairs or additions
10.L
5. We are a corporation and its
required.]
officers have exercised their
11.L
Plumbing repairs or additions
3. _ I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
12.
Roof repairs
c. 152, §1(4), and we have no
insurance required.] *
13.
Other Sign & Awning
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: A.I.M. Mutual Insurance
Policy # or Self-ins. Lic. #: VWC10060199272024A
Expiration Date: 03/20/2025
Job Site Address: 359 Huron Ave
City/State/Zip: Cambridge, MA 02138
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.
Date: 01/09/2025
Signature:
Donger Lei
[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 2 Building Department 3City/Town Clerk 4. Electrical Inspector 5Plumbing
Inspector 6.DOther
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) names), addresses) and phone number(s) 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
_(city or
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in
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
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
ACORD
01/08/2025
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
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 policyies) 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).
Walter Kwan Insurance Agency
Walter Kwan Insurance Agency Inc
(AIC. No. Ext): [phone removed]
FAC, No): [phone removed]
200 Lincoln Street, Suite 202
ADDRESS:
INSURERS) AFFORDING COVERAGE
Boston, MA 02111
NAIC #
42390
INSURER A Guard Insurance
INSURED
INSURER B:
AN XING INC DBA: A Z SIGNS
INSURER C:
20 Branch St#1
INSURER D:
INSURER E:
QUINCY, MA 02169
INSURER F:
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
ADDL SUBR
OLICY EFI
POLICY EXP
LIMITS
TYPE OF INSURANCE
INSD WAD.
MM/DD/YYYY| (MM/DD/YYY
POLICY NUMBER
COMMERCIAL GENERAL LIABILITY
X
EACH OCCURRENCE
08/20/8024 08/28/2025
$1,000,000
A
X X ANBP560591
DAMAGE TO RENTED
CLAIMS-MADE
OCCUR
PREMISES (Ea occurrence)
$1,000,000
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
sincluded
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
PRO-
POLICY
LOC
JECT
PRODUCTS - COMP/OP AGG
$2,000,000
OTHER:
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
(Ea accident)
ANY AUTO
BODILY INJURY (Per person)
SCHEDULED
BODILY INJURY (Per accident)
AUTOS
AUTOS ONLY
HIRED
NON-OWNED
PROPERTY DAMAGE
per accident
AUTOS ONLY
AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
$
$
WORKERS COMPENSATION
STATUTE
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE S
ESCRIPTION OF OPERATIONS belo
E.L. DISEASE - POLICY LIMIT $
08/28/2024 08/28/2025
ANBP560591
Business Personal Property
$70,000
DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Sign Manufacturing/Industrial Design Services
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
NOTICE WILL
BE DELIVERED IN
THE EXPIRATION DATE
THEREOF,
FUPO CAFE
ACCORDANCE WITH THE POLICY PROVISIONS.
359 Huron Ave,
AUTHORIZED REPRESENTATIVE
Cambridge, MA 02138
Wendy Chin
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03)
The ACORD name and logo are registered marks of ACORD
Printed by PLY on January 09, 2025 at 03:17PM
DATE (MM/DD/YYYY)
ACORD®
CERTIFICATE OF LIABILITY INSURANCE
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).
CONTACT Janet Li
RICHARD SOO HOO INSURANCE AGENCY
No, Ext): [phone removed]
FAC, No):
E-MAIL
ADDREss: [email removed]
123 Beach St
INSURER(S) AFFORDING COVERAGE
NAIC #
BOSTON
MA 02111
33758
INSURER A: AIM MUTUAL INS CO
INSURED
INSURER B:
AN XING INC
INSURER C:
INSURER D:
20 BRANCH ST 1
INSURER E :
MA 02169
QUINCY
INSURER F:
CERTIFICATE NUMBER: 1080072
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
POLICY EFF
ADDL SUBR
LTR
LIMITS
TYPE OF INSURANCE
POLICY NUMBER
INSD WVD
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
OCCUR
CLAIMS-MADE
$
PREMISES (Ea occurrence)
$
MED EXP (Any one person)
N/A
PERSONAL & ADV INJURY
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
LOC
POLICY
$
PRODUCTS - COMP/OP AGG
OTHER:
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
$
(Ea accident)
ANY AUTO
BODILY INJURY (Per person)
OWNED
SCHEDULED
BODILY INJURY (Per accident)
N/A
AUTOS ONLY
AUTOS
HIRED
NON-OWNED
PROPERTY DAMAGE
AUTOS ONLY
AUTOS ONLY
(Per accident)
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
N/A
CLAIMS-MADE
$
AGGREGATE
DED
RETENTION S
WORKERS COMPENSATION
STATUTE
AND EMPLOYERS' LIABILITY
YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 500,000
N/AN/A VWC10060199272024A
A
03/20/2024 03/20/2025
OFFICER/MEMBEREXCLUDED?
N/A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $ 500,000
N/A
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Workers' Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B, no authorization is given to pay claims for benefits to
employees in states other than Massachusetts if the insured hires, or has hired those employees outside of Massachusetts.
This certificate of insurance shows the policy in force on the date that this certificate was issued (unless the expiration date on the above policy precedes the issue date of this
ertificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage - Coverage Verification Search tool at www.mass.gov/lwd/workers
compensation/investigations/.
Continuation of above Named Insured: AZ SIGNS
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE
NOTICE WILL BE DELIVERED IN
EXPIRATION DATE THEREOF,
ACCORDANCE WITH THE POLICY PROVISIONS.
FUPO CAFE
359 Huron Ave
AUTHORIZED REPRESENTATIVE
Cambridge
MA 01238
Daniel M. Crowley, CPCU, Vice President - Residual Market - WCRIBMA
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03)
The ACORD name and logo are registered marks of ACORD
Building Owner Authorization Letter
I, We,_
_ hereby authorize
Marc Najarian
(Property Owners) --- Please Print)
Donger Lei
_ representative for _ AZ Signs_
(Applicant's Name)
(Company. Firm, Organization)
To make application for a SIGN PERMIT to install a 30" × 120" aluminum panel sign
and change new fabric for the existing awning(141.5"L x 36"W x 40"H) at 359 Huron
Ave, Cambridge, MA 02138.
1/12/25
Can Majin
Date
Property Owner's Signature
Address:
Ma.
165 Baldpate Hil/ Rd Newton
Phone: 6/7 485 9578
E-Mail: