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31B-079 (3) File #BP-2022-0369 APPLICANT/CONTACT PERSON:POYANT SIGNS 125 Samuel Barnet Blvd.New Bedford,MA 02745(800)544-0961 PROPERTY LOCATION 132 KING ST MAP:LOT 31B-079-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE . ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $60.00 yp Type of Construction: ILLUMINATED WALL SIGN -DUNKIN New Construction Non Structura 1 Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING AC�'ION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P ENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan MajorProject: Site Plan AND/OR Spec ialPennitt`With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § a9 -1- i'1 ' Finding Special Permit V Variance* X� }► it 4 LtJou Received&Recorded at Registry of Deeds Proof Enclosed Qm `/ OtherPermits Required: Je O L Gii-hpc, t-W Curb Cut from DPW _ Water Availability SewerAvailability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Dela y 1/.2 Li-l s-1-2OZz Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. City of Northampton D0.t H elp u �. ,,9_ ! �' Massachusetts ,�v � `c< (, 1,_•� t... .,. �r s '�.( DEPARTMENT OF BUILDING INSPECTIONS �11.t jja oiii >„ - , 212 Main Street • Municipal Building 0%. Ca �''r r Northampton, MA 01060 ssi ly N 0 Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee /�p �+ (Application to be filled out in ink or typewritten) Number�7'� ^ �' ,- 3C' Plans must be filed with the Building Inspector Erection (X) before a permit will be granted Alteration ( ) Repair ( ) Repainting ( ) Removal ( ) FEE.66 PAGE3r ePLoTO-79 CLsi Northampton, Mass. 4/7 2022. 7 6 Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME Dunkin' 1. Location, Street and No. 132 King Street 2. Owner's name Emanuel Sardionha 3. Owner's address 16 Harvard St., Westfield MA 01085 4. Maker's name Poyant Signs 5. Maker's address 125 Samuel Barnet Blvd.,New Bedford MA 02745 6. Erector's name Same as maker. 7. Erector's address SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Non-illuminated X.... 2. Will sign obstruct a fire escape, window or door? NO Marquee 3. Lower edge will be 5 ft 0 ins above the public way. Projecting 4. Upper edge will be ..7...ft..0.....ins above the public way. Roof 5. Height .2...ft..0..ins Width .9....ft7..25.ins Temporary 6. Face areal2•l8sq. ft. Wall X 7. Inner edge will be 0 ins from the building or pole. Ground 8. Outer edge will be .7.5...ins from the building or pole. Other 9. Face of building or pole is 108.0.ins back from the street line. 10. Sign will project 0 ins beyond the street line. 11. Sign will extend ft 0. .ins above the building or pole. 12. Of what material will sign be constructed? Frame Acrylic Face Acrylic 13. Estimated cost $ 985 f The undersigned certifies that the above statements are tr he b t of his knowledge and belief. Signature of Owner or Agent) Page 1 of 3 City of Northampton Map:Lot 31 B-079-00 1 Massachusetts Date issued 04/14/2022 Inspector of Buildings Permit # BP-2022-0367 Permit Fee $60.00 SIGN PERMIT Business Address 132 KING ST Applicant Installer POYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd.,New Bedford, MA 02745 Work Description ILLUMINATED WALL SIGN- DUNKIN Estimated Cost $2000 Building Department Approval by: 3-1 � • File #BP-2022-0367 APPLICANT/CONTACT PERSON:POYANT SIGNS 125 Samuel Barnet Blvd.New Bedford,MA 02745(800)544-0961 PROPERTY LOCATION 132 KING ST MAP:LOT 31B-079-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $60.00 Type of Construction: ILLUMINATED WALL SIGN -DUNKIN New Construction Non Structural Renovations Addition to Existing (�C_ Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRI'OIATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan MajorProject: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay ifg2y- ly-ZOZZ Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. City of Northampton opt,N9._Mp o\ ;' Massachusetts ��?S .�c,�c DEPARTMENT OF BUILDING INSPECTIONS 1, .f.. �s? @ 212 Main Street • Municipal Building J`71 fca �' y4 Northampton, MA 01060 xs ,4s0 Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee P- �Z 3G 7 (Application to be filled nuiia-inkorTypewntten) Numberbe Plans must be filed with the Building Inspector i. t .16-- Erection OQ before a permit will be granted. j Alteration ( ) ' Repair ( ) APR 1 1 V2 Repainting ( ) Removal ( ) CTIO oFP7 OFauttnir1r,irisP 1op,0 �'FEE PAGE3.1$PLOTQ. .ry C� s'F"—a 3 I,�- 0 7/ �""��'� Northampton, Mass. �J 7 20 22- Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME Dunkin' 1. Location, Street and No. 132 King Street 2. Owner's name Emanuel Sardionha 3. Owner's address 16 Harvard St., Westfield MA 01085 4. Maker's name Poyant Signs 5. Maker's address 125 Samuel Barnet Blvd.,New Bedford MA 02745 6. Erector's name Same as maker. 7. Erector's address SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated X Non-illuminated 2. Will sign obstruct a fire escape, window or door? NO Marquee 3. Lower edge will be 18 ft 0 ins above the public way. Projecting 4. Upper edge will be ..20.ft...0....ins above the public way. Roof 5. Height 2 ft 0 ins Width 11 ft 4.5 ins Temporary 6. Face area 22.75sq. ft. Wall X 7. Inner edge will be 0 ins from the building or pole. Ground 8. Outer edge will be 5 ins from the building or pole. Other 9. Face of building or pole is .96Q.ins back from the street line. 10. Sign will project 0 ins beyond the street line. 11. Sign will extend ft ..0 .ins above the building or pole. 12. Of what material will sign be constructed? Frame Aluminum Face Acrylic 13. Estimated cost $ 2000 The undersigned certifies that the above statements are tr the est of his knowledge and belief. (Signature of Owner or Agent) 7 Page 1 of 3 City of Northampton Map:Lot 31 B-079-001 Massachusetts Date issued 04/14/2022 Inspector of Buildings Permit # BP-2022-0368 Permit Fee $60.00 SIGN PERMIT Business Address 132 KING ST Applicant Installer POYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd.,New Bedford,MA 02745 Work Description ILLUMINATED WALL SIGN- DUNKIN Estimated Cost $1100 Building Department Approval by: • T01 • �, , � . � � l File #BP-2022-0368 APPLICANT/CONTACT PERSON:POYANT SIGNS 125 Samuel Barnet Blvd.New Bedford,MA 02745(800)544-096I PROPERTY LOCATION 132 KING ST MAP:LOT 31B-079-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $60.00 Type of Construction: ILLUMINATED WALL SIGN -DUNKIN ,t New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ftMATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project:- Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Perm its Required: Curb Cut from DPW WaterAvailability Sewer Availability Septic Approva I Board of Hea Ith Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 1/e Li I LI-ZoZ 2- Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. City of Northampton oat H M ro , si4' Massachusetts �� `5-..� ~ << it, `� DEPARTMENT OF BUILDING INSPECTIONS ?st 14 212 Main Street • Municipal Building Northampton, MA 01060 s 0C ... ter. Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee /� (Application to be filled out in ink or typewritten) Number IV 22 —30 g Plans must be filed with the Building Inspector Erection (x) before a permit will be granted Alteration ( ) Repair ( ) Repainting ( ) Removal ( ) FEE.67 O PAGE}.I! PLOTO7 i C t 36/1 Northampton, Mass. 4/7 2022 Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME Dunkin' 1. Location, Street and No. 132 King Street 2. Owner's name Emanuel Sardionha 3. Owner's address 16 Harvard St., Westfield MA 01085 4. Maker's name Poyant Signs 5. Maker's address 125 Samuel Barnet Blvd., New Bedford MA 02745 6. Erector's name Same as maker. 7. Erector's address SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated X Non-illuminated 2. Will sign obstruct a fire escape, window or door? NO Marquee 3. Lower edge will be 13 ft 0 ins above the public way. Projecting 4. Upper edge will be ..16.ft...0....ins above the public way. Roof 5. Height ..3...ft...0.ins Width ..5...ft.9.6.2ins Temporary 6. Face area 17.4 sq. ft. Wall X 7. Inner edge will be 0 ins from the building or pole. Ground 8. Outer edge will be 5 ins from the building or pole. Other 9. Face of building or pole is 384 ins back from the street line. 10. Sign will project 0 ins beyond the street line. 11. Sign will extend ft ..0. .ins above the building or pole. 12. Of what material will sign be constructed? Frame Aluminum Face Acrylic 13. Estimated cost $ 1100 The undersigned certifies that the above statements are o thekfest of his knowledge and belief. (Signature of Owner or Agent) Page 1 of 3 City of Northampton Map:Lot 31 B-079-001 Massachusetts Date issued 04/14/2022 Inspector of Buildings Permit # BP-2022-0370 Permit Fee $100.00 SIGN PERMIT Business Address 132 KING ST Applicant Installer POYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd.,New Bedford,MA 02745 Work Description ILLUMINATED GROUND SIGN-DUNKIN Estimated Cost $2775 Building Department Approval by: I c11 . File #BP-2022-0370 APPLICANT/CONTACT PERSON:POYANT SIGNS 125 Samuel Barnet Blvd.New Bedford,MA 02745(800)544-0961 PROPERTY LOCATION 132 KING ST MAP:LOT 31B-079-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $100.00 Type of Construction: ILLUMINATED GROUND SIGN -DUNKIN New Construction Non Structural Renovations Addition to Existing \j6) Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFgRMATION PRESENTED: Approved Additional perm its required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan MajorProject: Site Plan AND/OR SpecialPenmit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Perm its Required: Curb Cut from DPW Water Availability SewerAvailability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 1-111 20ZZ Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. City of Northampton oath M ,, .�... SI 4' Massachusetts �( '''''„'<e c. • DEPARTMENT OF BUILDING INSPECTIONS I ` .., 4_" f 212 Main Street • Municipal Building J I.N. rC'e \ " Northampton, MA 01060 SsyjY--6�� ..`--, Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee 6P-).y- 370 (Application to be filled out in ink or typewritten) Number Plans must be filed with the Building Inspector Erection ( ) before a permit will be granted. Alteration (?<1 Repair ( ) Repainting ( ) Removal ( ) FEE.I.0O.PAGE--5k GPLOTn79 Northampton, Mass. 4/7 2022 Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME Dunkin' 1. Location, Street and No. 132 King Street 2. Owner's name Emanuel Sardionha 3. Owner's address 16 Harvard St., Westfield MA 01085 4. Maker's name Poyant Signs 5. Maker's address 125 Samuel Barnet Blvd., New Bedford MA 02745 6. Erector's name Same as maker. 7. Erector's address SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated X Non-illuminated 2. Will sign obstruct a fire escape, window or door? NO Marquee 3. Lower edge will be 12 ft ins above the public way. Projecting 4. Upper edge will be ..N.ft....0...ins above the public way. Roof 5. Height .6....ft..Q..ins Width 13...ft..2..ins Temporary 6. Face area 79 sq. ft. Wall 7. Inner edge will be 0 ins from the building or pole. Ground .X 8. Outer edge will be 6•5 ins from the building or pole. Other 9. Face of building or pole is 252 ins back from the street line. 10. Sign will project 0 ins beyond the street line. 11. Sign will extend ..6....ft ...0...ins above the building or pole. 12. Of what material will sign be constructed? Frame Aluminum Face Acrylic 13. Estimated cost $ 2775 REPLACEMENT FA S IN'EXISTING SIGN The undersigned certifies that the above statements are tryi he best of his knowledge and belief. f ignature of Owner or Agent) Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING (INFORMATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Poyant Signs Address:125 Samuel Barnet Blvd.,New Bedford MA 02745 Telephone: 774-762-3413 2. Owner of Property:Emanuel Sardionha Address: 16 Harvard St., Westfield MA 01085 Telephone: 413-246-9676 3. Status of Applicant: Owner Contract Purchaser Lessee X Other(explain): Sign fabricator and installer 4. Job Location: 132 King St. Parcel ID: Zoning Map# 31B Parcel# 079 Districts) Not on GIS (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: Fast Food Service 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) Unchanged. 7. Attached Plans: X Sketch Plan X Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO X DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: Enter: Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO X DON'T KNOW YES IF YES: Has a permit been,or need to be,obtained from the Conservation Commission? Needs to be obtained Obtained , Date issued 10. Do any signs exist on the property? YES X NO IF YES: Describe the size,type and location: There is one wall sign and one freestanding sign. The wall sign is being replaced and the freestanding sign is receiving updated faces as per the attached drawings. Are there any proposed changes to,or additions of,signs intended for the property? YES X NO IF YES: Describe the size,type and location: The site is getting a total remodel along with the next generation branding signs including 3 wall signs and new faces for the freestanding sign as per the attached drawings. Page 2 of 3 11. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. 12. This column to be filled in by the Building Department. Existing Proposed Required by Zoning Lot Size 8,544 sf. Unchanged Frontage 250' total Unchanged Front: 17' Unchanged Setbacks:(for sign)Side: L: 100' R: 19' L: R: Rear: 125' Unchanged Building Height 18' Unchanged Facade Square 475 Unchanged Footage #of Parking Spaces 28 Unchanged 13. Certification: I hereby certify that the information contained herein is e nd accurate to the best of my knowledge. i DATE: 4/7/2022 APPLICANT'S SIGNATURE NOTE: Issuance of a zoning permit does not relieve an applicant 's burden to comply with all zoning Requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. FILE# Page 3 of 3 Corporate Mee 125 Samuel Bernet Boulevard New Bedford,MA 02745 Northern New England 3 Bud Way 419 Nashua,NH 03063 Poyant Landlord Authorization Date: 3) 2 R 1 20 22 To whom it may concern: �! I ''f7)11 a/htte,(Jar/L Owner of the property located at /? A Gt-L-1 it/f ire' Do hereby consent to allow Poyant Signs, Inc.to act on my behalf pertaining to permitting and installation of signs and/or awnings for the property named above. Sincerely,, r Address: A .c1' e{a C,/o f'/r Telephone: V/1 Z'7b f 76 Email: Z i.� alifr-c-eti��,c - f ul _� v��l � t,� — Deede name of roperty 6416/k14;2.4,-C, )1/11:VG.- 800.544,0961 I poyaresigns.com The Commonwealth of Massachusetts ti Department of Industrial Accidents I" ''i Office of Investigations aiiAt= 600 Washington Street or 'IfV Boston, MA 02111 ' '"� •• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Poyant Signs Address: 125 Samuel Barnet Blvd. City/State/Zip: New Bedford,MA 02745 Phone#: 774-762-3413 Are you an employer? Check the appropriate box: Type of project(required): 1. X❑ I am a employer with 70+ 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P tY 9. ❑ Building addition [No workers' comp. insurance comp, insurance.+ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.® Other Signs comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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: Valley Forge Insurance Company Policy#or Self-ins.Lic.#: WC 182091627 Expiration Date: 9/4/2022 Job Site Address: 132 King St. City/State/Zip: Northampton MA 01060 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 certi e pains and penalties of perjury that the information provided above is true and correct: Signature: Date: 4/7/2022 Phone#: 77'-762-3413 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: POYASIG-01 LSOUZAI ACOREY DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/30/2021 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_c_ertificate holder in lieu of such endorsement(s). PRODUCER License#1780862 CONTACT Lucia Mendes NAME: HUB International New England PHONE FAX 222 Milliken Boulevard (A/C,No,Ext):(508)235-2210 (A/C,No): Fall River, MA 02721 AooREsg.Lucia.Mendes@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC C INSURERA:Valley Forge Insurance Company 20508 INSURED INSURER B:Continental Casualty Company 20443 Poyant Signs,Inc. INSURER C: 125 Samuel Barnet Blvd. INSURERD: New Bedford,MA 02745 INSURER E: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI (MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 1077924068 9/4/2021 9/4/2022 pREM SES(EaEoNTEDccurrence) $ 100,000 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY (Ea aacc deeD;SINGLE LIMIT $ 1,000,000 X ANY AUTO BUA1077924040 9/4/2021 9/4/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSE ONLY AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ONLY (er ac R iT DAMAGE er accident) $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE CUE1077924054 9/4/2021 9/4/2022 AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 $ A AND EMPLOYERS'LIABILITY STATUTEH WORKERS COMPENSATION PER ER W C 182091627 9/4/2021 9/4/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? N/A 1,000,000 Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Ref:#WO 2164917 Eversource Energy is listed as an additional insured on the general liability policy as respects to operations of the named insured when required by executed contract prior to the loss/claim. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Poyant Signs,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. 125 Samuel Barnet Blvd New Bedford,MA 02745-0000 AUTHORIZED REPRESENTATIVE 9.9.....?„,„ - ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts lit Division of professional Licensure Board of Building Regulations and Standards Constt ton Supervssor CS-091480 Expires: 09t16t2022 JASON GREGORY FREDETTE 32 SUMNER ST TAUNTON MA 02780 ,t_ --,, Cornmessioner ``/ju, , errtl Dunkin' I 132 King Street, Northampton, MA 01060 ( NextGen Branding Package March 25, 2022 Poyant Your Brand • 14 Pe Exclusive Brand Identity Warranty Program Poyant is the only Approved DBI Brands Vendor to provide an Exclusive 3 Year Comprehensive Labor and Material Warranty on all aspects of the Dunkin' Donuts and Baskin Robbins Brand Package. Our Warranty to you is supported by the largest installation and service fleet in New England as well as a reliable, qualified national network. Poyant's Exclusive 3 Year Warranty Program for DBI includes: Comprehensive Warranty including all labor and material and covers the following: - Construction and framework of your displays - Paint finish against peeling and noticeable fading of acrylic polyurethane finishes - Polycarbonate G.E. Lexan faces are guaranteed against breakage -All internal lighting components, electrical system, LED's and power supplies - Steel support structures Factory Trained Service Technicians anywhere in New England *For shipped sign product warranty covers sign product only* Customer Location Install Date Poyant Date Excludes"Acts of God", Hurricanes, Unusual Flooding,and Fire. Poyant ding Your Brand Proposed Pylon Refurbish See Page 4A.1 -5A.1 Pp a nt y ,, 125 Samuel Barnet Boulevard New Bedford,MA 02745 \ me { _. * 800.544.0961 I poyantsigns.com • —••••••/Ni ... qt !''' "qa .r s DVNKIN �, 132 King Street �;,�..•,i"! ..• , : Northampton,MA 01060 '''‘S ' Proposed Channel Letters ..! • 1 4 -,i*! , See Page2A.1 Po _ ;` a ,� q :` - 1 , : ::ganjr . -- • l. Date:3.25.22 It,� � � '� n. • °� � Designer:RMA „el 'Immr ll& Y Note: '` This is an original un unpublished �, P drawing created by Poyant Signs, + Inc.It is submitted for your r 4 :atife Proposed Channel Letters personal use in connection with , 4 t See Page 1 A.1 a project being planned for you *�'y *i Li by Poyant Signs,Inc.It is not to h+• ,' . be shown to anyone outside your ys � Ecti 0i organization,nor is it to be # reproduced,copied or exhibited :._ in any fashion until transferred. • Proposed Dimensional Graphics ,. { = See Page 3A.1 Revisions: 4C. _ ' Pk ir , 'I 64$4:' 11 (121 • .. .. imi .M .. •- `. : . ,i — ,_ - Thio n s Intended to be inataletl In amniftlance - ^ �` +41a .• 41r 4< It! r '`'-!i. '} " . '• •tit c , t with the requirements of Article 600 of the National wk .yr_? ..4 .'.�". ' 1 - .:t ;w4 3 77) -,;". t•r ► , {'�"+' v Electrical coda and/a other aPPFcebk local codes. ' �}� ;;-1c.+x r' -s• �{{ ,�� - �� �� `# LL . .t This includes proper grounding and bottling or the sign �:t`'iT} y:.4 .. t �.. tY .�! ��. .; • •a. +�-•i tom► :414.,1 1;.- ' � � �ya F #f. ,�j ..: Vti t t.x: "` i ♦ AN Signage Shown is Covered by p ,i �- s �} t[� � + ,.• j Poyant's Exclusive DD Franchisee • e '` ��" t -14• 44 -' y M� "' 3 Year Brand Identity Warranty Program a .. . ^' 4.4 rw"s• j t `� Approved By: lyaiii-afrL. Date: Sign Location Plan ASign Location Plan Scale:As Shown Sign Location Plan 1 • PSeeroposedPage 1 ChaAnnel Letters 11%, 11111k111111111411 Poyant Building Your Brand ' ' ' 125 Samuel Barnet Boulevard New Bedford,MA 02745 L 4 800.544.0961 I poyantsigns.com ` _i - .____mac. _-- _--_ _ + _= 132 KingStreet ,� _ � -- - Northampton,MA 01060 Proposed Dimensional Graphics :$ $- , T -` - �:O 4114 I► . t + . 1116 See Page 3A.1 R --- _- -, 4OIO 1►�EI I I • "44��/`4.4 .+ ei r��. , se O14?i ei�oi� oi`►�a�.��ei•e �i••si ; �OI�.�j�OI p��� II�'O COIOI s�p `IOI��I �i'I�P�OI F' Project:20915 , �i#aid'.$ � e e44 ,r 'E#$o . �i���i .i ore �oi�e _. _ � ��oiei ESN e��`�d01Y' i��ei�� �� �e�i�; 'ai�ei ;; , Dunkin' i e�► e� �i�e��!�, oii �e�iO1y4' �o°ei�oi ' .I `.SOI, ,4' OI`.,0� Npj�O �'. ••O O��O ,`' ' ���� �I' Sales:Bill Gavi an Jr. qs 4.•.'44.••i 4•••• �Olpj4j I• .4.'.40 , •• 4 -' • ,•• '•' i i, 4��` Date:3.25.22 g Aatlwi VA._-AA4W* 1!!M 4!Iw ,w d!Adi_ _ AAA! A. A :- �!IA AA. Designer:RMA 'i z Note: This is an original unpublished drawing created by Poyant Signs, T Inc.It is submitted for your personal use in connection with OProposed East Elevation a project being planned for you Scale: 3/16"=1'-0" by Poyant Signs,Inc.It is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. I cy--Proposed Channel Letters See Page 2A.1 Revisions: L t/// — •- 7 14) This sign is intended to be installed in accordance with the requirements of Article 600 of the National . —� .. Ths eeedee proper tncal Code and/grourWing or other pantl bontll local f thce sign •3YEAR• riliar1 I I III I All Signage Shown is Covered by Poyant's Exclusive DD Franchisee 3 Year Brand Identity Warranty Program l Approved � PP By: ,f \\ iI II II I - �/� C-� ) �g7� a ' g!�'a i y ,Gh C/ I Date: i Proposed Elevations 0Proposed North Elevation _ B Scale: 3/1 6"=1'-0" Proposed Elevations II Specifications EO'/aflt 11.-4 t/2(136 1/2") 5" Qty: 1 22.75 Sq Ft Building Your Brand Face Lit Channel Letters 125 Samuel Barnet Boulevard -5"deep remote wired channel letters New Bedford,MA 02745 -Prefinished dark gray aluminum returns 800.544.0961 N - 1 ' Bronze 313 trim cap I poyantsigns.com 0 3/16"White acrylic face with 3M translucent N vinyl applied 1st surface O White LED illumination; GE Select Line p V N K I N 0 II) 1111 IN IC I IN la -®to be 1/2"white PVC with vinyl applied to face; blind stud mounted flush to wall(with 1 stud on back) 132 King Street *120V Northampton, MA 01060 OSign Elevation-Front View ©Sign Elevation-Side Views Scale: 1/2"=1'-0" Scale: 1/2"=1'-0" Project:20915 Dunkin' Sign Code: DD-BS-01-Md Colors&Materials Sales: Bill Gavigan Jr. Vinyl Date:3.25.22 Designer:RMA DD Orange 3M 3630-3123 DD Magenta 3M 3630-1379 Note: This is an original unpublished Coil Stock drawing created y Poyant Signs, - Dark Gray#1 19 Inc.It is submitted for your personal use in connection with Trim Cap a project being planned for you by Poyant Signs,Inc.It is not to 1"Jewelite Bronze 313 be shown to anyone outside your 5" organization,nor is it to be lb reproduced,copied or exhibited in any fashion until transferred. O 3/16"White Acrylic with O Revisions: 3M Translucent Vinyl Applied 1st Surface O �T © Threaded Nutsert in Back for Threaded Rod a © White LED Illumination OD Remote Located Power Supply © O © 3mm ACM Back O Thls sign is Intended to be installed In accordance teth the requirements of Ark*600 of the National aElect nd/ © Aluminum Returns ncalc«taopergr other applicable rdboodngofthcodes. © This inGudes proper grounding and bonding of the sign © 1" Bronze 313 Trim Cap •3 YEAR• �'®�I AB Signage Shown is Covered by • 1/4-20 Stainless Steel Threaded Rod © Poyant's Exclusive DD Franchisee for Installation; Drill Hole in Wall&Fill with Silicone 3 Year Band Identity Warranty Program I 0 1/2" Conduit Out 5-6"from top to Power Source © Approved By: (to align with apostraphe); Final Connection by Others O Existing Backer Panel by Others © . 4,/, Date: Face Lit Channel Letters CConstruction Detail0 -Side Section View Not to Scale Option A 1 A.1 Sign Type 20915.1A 1 of 1 5'-9 5/8"(69 5/8") 5" Specifications "I" "a �� Qty: 1 17.4 Sq Ft J Building Your Brand Face Lit Channel Letters 125 Samuel Barnet Boulevard co 5" deep remote wired channel letters New Bedford,MA 02745 -Prefinished dark gray aluminum returns 800.544.0961 I poyantsigns.com - 1" Bronze 313 trim cap -3/16"White acrylic face with 3M translucent b -vinyl applied 1st surface �, White Line DUNK I N'®to be 1/2LED "whiteillumination;PVC GE withSelect vinyl applied to face; blind stud mounted flush to wall(with 1 stud on back) 132 King Street ID DO *120V Northampton, MA 01060 Colors&Materials OSign Elevation- Front View O Sign Elevation -Side Views Project:20915 A Scale: 1/2"=1'-0" B Scale: 1/2"=1'-0" Dunkin' Vinyl Sign Code: DD-BS-02-Sm DD Orange 3M 3630-3123 Sales:Bill Gavigan Jr. Date:3.25.22 DD Magenta 3M 3630-1379 Designer: RMA Coil Stock --- -- Note: Dark Gray#119 This is an original unpublished drawing created by Poyant Signs, Trim Cap Inc.It is submitted for your personal use in connection with 1"Jewelite Bronze 313 a project being planned for you by Poyant Signs,Inc.It is not to 5" be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. UA 3/16"White Acrylic with 3M Translucent Vinyl Applied 1st Surface O Jr O 1111 Revisions: © Threaded Nutsert in Back for Threaded RodI © White LED Illumination ill © Remote Located Power Supply © (0 © 3mm ACM Back This sign Is Intended to be installed in accordance O Aluminum Returns - with the requirements of Article 600 of the National Electrical Code and/or other applicable local codes. MI1 ma P,dadoO proper grounding and bonding of the sign 01"Bronze 313 Trim Cap O 'er I •3YEAR• r l , 0 1/4-20 Stainless Steel Threaded Rod © All Signage Shown is Covered by for Installation; Drill Hole in Wall&Fill with Silicone Poyant's Exclusive DD Franchisee 3 Year Brand Identity Warranty Program © 1/2"Conduit Out Center Back to Power Source; © Final Connection by Others Approveeddd By: O Existing Backer Panel by Others 0 '""'a G"f'�% 'p, Date: CConstruction Detail-Side Section View Face Lit Channel Letters Not to Scale Option A 2A.1 Sign Type 20915.2A 1 of 1 p 2p•)yB,,,,dingran 1/4" 3/4" I I NORTHAMPTON our 0 5 Samuel Barnet Boulevard Q 0 New Bedford,MA 02745 800.544.0961 I poyantsigns.com %' DUNKIN ! 132 King Street Northampton,MA 01060 O Sign Elevation-Front View O Sign Elevation Side View Project: 20915 Scale: 1"=1'-0" Scale: 1"=1'-0" Dunkin' Sign Code: DD-BS-05-Md Sales:Bill Gavigan Jr. Date:3.25.22 Designer:RMA Specifications Note: Colors&Materials This is an original unpublished Qty: 1 12.18 Sq Ft drawing created by Poyant Signs, Paint Inc.It is submitted for your Dimensional Graphics Paint to Match PMS 219C;Gloss Finish personal use in connection with a project being planned for you o -3/4" deep routed white PVC Paint to Match PMS 165C;Gloss Finish by shownPoyant oSigns,nyone.It is not o -"Dunkin"to have face and returns painted PMS 165C ber a to anyone outside your -All other graphics to have faces and returnspainted PMS 219C organization,nor is a oro be 9 p reproduced,copied exhibited -0 to be 1/2"white PVC with vinyl applied to face; in any fashion until transferred. blind stud mounted flush to wall(with 1 stud on back) Revisions: 3/4" Y © 0 OThis sign a Intended to be installed In accordance ©A 3/4"Thick White PVC .. ,.,.,.„. ° with the requirements of Article 600of the National FElectrical Code and/or other appicable local codes. OThis includes proper grounding and bonding of the sgn © Face Painted •3`T'r'� YLAR• © Threaded Nutsert to Receive Threaded Rod ''`®"' All Signage Shown is Covered by Poyant's Exclusive DD Franchisee OD Returns Painted 3 Year Brand Identity Warranty Program 0Long 1/4-20 Stainless Steel Threaded Rod Approved By: for Installation; Drill Hole in Wall&Fill with Silicone yay.ezda.e.• Date: © Dimensional Graphics ©Construction Detail-Side Section View © Option A Not to ScaleV\----- , 3A.1 Sign Type 20915.3A of 1 . • 13'-2"Cabinet Specifications Qty= 1 P,� ant 1 1 1 1 I I I I I I I I Builtling Your Braid Retrofit Existing Pylon II I I I I I I I I I I I *Remove and dispose of existing lamps and ballasts 125 Samuel Barnet Boulevard New Bedford,MA 02745 I I I I I I I I I I I I A rox-Qty 13 Rows of GE Tetra Snap LED Illumination 800.544.0961 I poyantsigns.com Green Represents � PP Y ) p ' ' ' I I I I ' (Qty: 13 Rows-Approx with corresponding power supplies 8 Modules per row) c GE Tetra Snap LED Illumination O �'�, I I I I I I (High Output)with 00I I IIII Corresponding Power 0 Supplies 132 King Street Z° I I I I I I I I I I I I I Northampton,MA 01060 I I I I I I I I I I I I Project:20915 Dunkin' I I I I I I I I I I I I I Sales:Bill Gavigan Jr. Date: 1 I ! I I I ! I I I I Isi 3.25.22 n Deesigner:RMA OA Sign Elevation-Front View Note: Scale: 1/2"=1'-0" Thisis an original created byPoyant Signs, ns, drawing Y 9 Inc.It is submitted for your personal use in connection with --- a project being planned for you by Poyant Signs,Inc.It is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited y in any fashion until transferred. Revisions: DUNKIN' ,:::,,,1 _ . . . . 0-,, . .„ , . . ..„ . , . ._,_. ,r-.4. . .. ,... .,„,. . IE. ,.---,04.4.,a. c.,..y. (ii) This sign is Intended to be installed h accordance i!S!aF I = with the requirements of Article 600 of the National V� M �, ThisSectrcel Code and or other applicable local codes. IG FORS,- - Y"/ This includes proper grounding and bonding of the sign Nsr .H..' V ®'� �" TO APPLY TEXT 4. ''' - TO APPLY TEXT •3 YEAR• „DD" • "OD" '®�' t i� ,'t �„ AN Signage Shown is Covered by 611-858-8336 ` f Y ,, '617-858-8336 Poyant's Exclusive DD Franchisee 3 Year&and Identity Warranty Program r I • Approved By: /7_1.-• - ••• --AININIMMIIIIIII k * / .416....nlimmill 1 - _.-- -9,,, iyav-ifftiof. F,•• Date. �. Zip Retrofit Existing Pylon Option A - ©Photo Comp-Existing Photo Comp-Proposed 5A.1 Not to Scale O Not to Scale Sign Type 20915.5A 1 of 1 13'-2°Cabinet Specifications i 12'-10 1/2'Cut Size Qty = 1 79 Sq Ft 12'-8"VO y Poyant Refurbish Existing Pylon �a1 1 1 *Remove and dispose of existing Pylon Faces `'i1tliF g °u`r.aoii *Cabinets, retainers and poles to be sanded, primed and painted Westcott Navy 125 Samuel Barnet Boulevard New Bedford,MA 02745 i -(Qty: 2)Faces to be flat clear solar grade polycarbonate; 800.544.0961 I poyantsigns.com 'DUNKIN"'to be embossed 1/2"(returns of letters to also have appropriate color-orange, magenta, pink or blue) N Drive Thru to be translucent graphics applied 2nd surface 1v DUNKIN' c m 3 Retainer U , o-- , Colors&Materials 132 King Street Zo Graphics Northampton,MA 01060 To Match PMS 165C Project:20915 To Match PMS 219C Dunkin' White Sales:Bill Gavigan Jr. Date:3.25.22 Paint in Field Designer:RMA Westcott Navy; Satin Finish OSign Elevation-Front View Benjamin Moore 1624 Note: Scale: 1/2"=1'-0" This is an original unpublished drawing created by Poyant Signs, Inc.It is submitted for your personal use in connection with — - — -- a project being planned or you by Poyant Signs,Inc.It is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: DUNKIN' ,.. . is , (2) a.. Ewcs sigthe 5 rdrended to be erstelied Nl Z Nation • with the requirements of Aticle 600 of the National kirElectrical Code end/or other appficeble bcal codes. kW ...,-- : This includes proper grounding and balding of the sgn • .. .. -r--.',. i i --F/ 14 TO APPLY TEXT- -_- TO APPLY TEXT ;®; „pp„ f .."'' !kg/ lCl • -617-858-8336 -611-858-833b AD�9�9e Shown is tl by Poyant's Exclusive DD Franchisee - - _ _._ .— —-- =-- _ „x, - 3 Year Brand Identity Warranty Program .-' Approved B ;�. � PP Y 7' ----- 1111111111111A1 k * ' lamil. 1:-:.'i * ..!-' - .' Date. s. — -- `� — " (:r ""=+ • �> Refurbish Existing Pylon - • : :or" - s..o Option A i ©Photo Comp-Existing O Photo Comp-Proposed Sign Type 20915.4A 4A.1 Not to Scale Not to Scale of 1