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8 NAPLES RD - BUILDING INSPECTION (4) a-u G1G 2Z (v2 Lf Z The Commonwealth of Massachusett}NSPECTIONAL SE VICFATY OF I Ai Board of Building Regulations and Standards SALEM �i Massachusetts State Building Code, 780C � DEC � � 6,0d11aY2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a ( One-or Two-Family Dwelling N This Section For Offs ial Use Only (� Building Permit Number: D e Applied: - Building Official(Print Name) Signature ate SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map & Parcel Numbers A/ra,01-es rf-C✓ l I.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (bI G.I,c.40,§34) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private ❑ Zone: _ Outside Flood Zone? Check if yes❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP[ 2.1 Owner of Record: 9� ftiwl i�P I�-rho�/C✓ J_2 ( `l 7n Name(Print) City,State,ZIP g Net n( 2S Qc( 9 7 E- 7`/_Sj No.and Streeter Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) IFTAddition ❑ Demolition ❑ Accessory Bldg. ❑ NumberofUnits Other ❑ Specify: Brief Description of Proposed Work': ,i r 14 ,ILCI&w wttt, a G c-rcjp n to i r\ C-o uJ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only I. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ r, a 1 $, 0 Paid in Full ❑ Outstanding Balance Due: — SECTION 5: CONSTRUCTION SERVICES v o v'e tom 5.1 Construction Supervisor License(CSL) (fl)✓-, S- 2o-trz�/ License Number Expiration Date Name of CSL Holder ' r I F / S Nd/ 5� List CSL Type(see below) `-'1 No. and Street Type Description .7 U Unrestricted(Buildings u to 35.000 cu. ft.) 0 ! R Restricted I&2 Family Dwelling C ty/Town, State,ZIP M Mason ry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) A" E4t �t/ /i �S /nG , !Dfi00q l R HIC Company Name or HIC Registrant Name tBC Registration Number Expiration Datc // , njof No. nd Street o ck_1 Email address 0. � City/Town, State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L, c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... [3 No ........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES SS7FOR BUILDING PERMIT I, as Owner of the subject property,hereby authorize C-A y r S L O✓2 to act on my behalf, in all matters relative to work authorized by this building perm/it application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNERS OR AUTHORIZED AGENT DECLARATION By e ring my name below, I hereby attest under the pains and penalties of perjury that all of the information cont ' d this a Ev,\ cation is true and accurate to the best of my knowledge and understanding. 1a - ( I - ( L/ Print Owner's or Authorized gent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC) Program),will not have access to the arbitration program or guaranty fund tinder M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dlm 2. When substantial work is planned, provide the information below: Total floor area(sq. ft.) (including garage, finished basement/attics, decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost' 1 �+ se , A & A SERVICES, INC. 115 TH STET,SALEM,MA 0197 A&A Sw10ES Telephone: (978)74�1'--0424 Fax:(978)741-20012 Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No. CS057733 WINDOWS AND STORM PRODUCT SPECIFICATION SHEET Buyers)Name Date of Contract LA1zveh�-rz_ -i vo7v w,i�w_k Buyers)Street Address,City,State and Zip Code Rt Q O 54Zia4-L1 /l-I! O!j7Q Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address 97�'-��S-9i90 The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification Sheet is a part. WINDOW-REPLACEMENT nRemove and dispose of# l existing win Install # new S✓N/2-l:Sr� windows:Of f Woad /� (Manufacturer) ,r Options: Style Grid Grid pattern /Ud1Vc Color Interior L /✓�? -"" C Exterior kl ]jam Glass Type (1d'Vfi 6c71Aro't1 Ilk.'- t Wrap exterior trim with aluminum: Style "1-:il °lJ/2�r`�-�� Color LfV1'f17� _ [ � t All windows will be installed according to the installation procedures in the portfolio. t Caulk all interior and exterior edges. 0 Insulate where possible around new units. at Insulate window weight pockets if exist,and around new window units where possible. t Included in this proposal are set up,clean up,Hepa vacuum and cleaning windows inside and out. &Building permit included. BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS \ ®Create new window opening by cutting through existing home and framing in opening.CSP777� � y--P# 7Z- t Remove and dispose of existing units)in its entirety. Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with. �install windowill into opening(s). Note: If Bay or Bow installation to include cable support system,new roof system(matching color as close as possible) or tie into existing soffit system. 3� t Bay t Bow t O Casement Oth r windows to includ flashing as needed. © S^ . new exterior style trim and head inJ7L7L!!c-rL 1772-/ivl ® Note: Painting and staining not included. STORM PRODUCTS t Remove and dispose of# existing storm window(s). t Install new storm windows# Manufacturer Style Color Option t Remove and dispose of# existing storm door(s). t Install new storm doors# Manufacturer Style Color Type: If Aluminum It Solid Core SPECIAL INSTRUCTIONS: J.-J 771;4Is ./9n-oe�✓ �1/i�yocfni C2� �'L.N�'S �cYz-wreeF} Se�,• It is agreed and understood by and bebveen the Parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms. This contract may not be changed or its terms modified or varied in any way unless such changes ere in writing and signed by both the Buyerts)and the Contractor. Buyers)hereby acknowledge that Botanist has mad this Specification Sheet. q " \ a' Contractor Initials: yy� Date: j 2-Y y Buyer's Initials: Date:" -� 30~ _ A & A SERVICES, INC. A&A SEEM 115 NORTH STREET, SALEM, MA 01970 • • • Telephone:(978) 741-0424 Fax: (978) 741-2012 Contractor Registration No. 101609 Construction Supervisor No.CS057733 Federal EIN: 04-3090162 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Bu er s Name Date of Contract IwAlc- ftdMaw Hcovo?,.±Mari/ tt,,/yi2 �/- Bu r s Street=Cite State and Zip Code Da ime Tele hone Number Evenin Tele bone Number Mobile Teis one Number E-Mail Address &/-<z2oun.aruz "y��,c� The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying Specification sheets,in accordance with the prices and terms described on the front and the reverse of this agreement and any specification sheets(this'Agreement").and Buyers)have requested that such goods or services be installed or provided at Buyer's address listed above.A&A Services,Inc.("Contractor),hereby agrees to install or cause to be installed the products or services listed in this Agreement at the Buyers)address written above.This Agreement represents a cash sale of goods and services,The Buyers) agree to pay in cash the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyers)may seek for their purchase. p Purchase Price: 52 I Sr Est.Starting Date:/ 7 is-2X /J Down Payment :1 YO Est,Completion Date —ZQ-ff Cash Amount Due on Start of Job' "Check Credit Card Amount Due on of Completion No. Amount Due on of Completion: Q Expiration Date: Balance Due on Upon Completlo 7"t CVC Code: It is agreed and understood by and between the parties that this Agreement, front and back and any addendum, constitute the entire understanding between the parties, and there are no verbal understandings changing or modifying any of the terms of this Agreement.Buyers) hereby acknowledge that Buyers)has read the front and the reverse of this agreement and has received a completed,signed and dated copy of this Agreement including the two attached Notice of Cancellation forms,on the date first written above.Buyer(s)also(i)acknowledge that they were orally informed of their right to Cancel this Transaction;and(if)request the they be contacted via their telephone numbers or email,as listed above,in the event Contractor believes Buyers)would be interested in any additional quality products or services of Contractor. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES. A&A Serv'c I Buyer(s By: Signature Si ure L''12C�LS t Name 6V/e� L Prin Print Name `Signature t Print Name You,the Buyers), may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the following Notice of Cancellation form for an explanation of this right. ARBITRATION:Tre COnueCbrdne Ble llomequner hereby mulOally egre¢in ativanm thou in me¢vent eas' act tlisWle mn[eming this Contract,either party m9y Sulam such enable ba Most,ardt24on service o hich has been comment by me sxrelary on ha Evew4ve gm of Consumm AXairs R' Waaom and tM other pact shall re mqulmd W sudnt to math publication as proved in M G L c142A. f?,,' cdanna lariniliats v� Buy Ys mlimly: Dale DyeNOTICE OF CANCELLATION r ((((ssLrrL NOTICE OF CANCELLATION Dale of Tymdm do [����O��sss��� //////��'��' ,You ure,Cancel rats Transaction,vnmOW any penaey w Oale W Transaction.Vou may wnml Nis nenseclion,vnthout any penalty ar any co ents n/Mee you under the Contract o me aor pay. n Iany ne ono am pnneral tlbu in any a yin Wsmore b you under the opered,or Sale, tlale.g you w icamo mpmp¢ny executed any payments made by you underme.,, a,mSale,antlanyller&youinatrvhBntmnoWM any Payments more youa under Ilse COnVag m Sale.andanyneg oti you i nsW/Rntexecute, My you rill be ry nameverval wi pea out 0Ithe tMg receipt by me Seller of your Gnmlla4on a must an you MII be rewm¢e arri 10 days lMe miim receipt by be omest of yWr u cards, n notice, antl any setvery named Seller ad aW W the commtranence. andsction MII be allycan in as it youa cet you th and any semny interest arming our Ol me real and s WII be canaellea.If you Cadet you must make available m me Seller pl your reddenm,and subslanYally in as gcpe mntlNan as athermmy mshe available o s delivered seller al your under to antl substantially it as naotl Coeeiuon as¢Ten ea Me.any goWsdoftheeae yasumingitereopen Or Shce:t youeg dsaMhe selryly th theed.enygoonsoftheSm I Mm ma fnaTmmtima of the solar ram me rewm sniplmmmme you under to eontraatmsale:or you may,dyou Msn.mmply assuming grate at es of pis Mth the m d mr,,If of me mallet memory,osme return thmmenl m the a ell m deep et pick _ themexpe up and dst.g you do date ma grads available m the suer and the senor doom not pie themdefense up and rise.d you f mpha me goon oteis,0 tome serer and me seller aces net emh them up MTnm20 days ubber medawor Your Notedofmkethe good you may retain oth oreilWae of Me them up Mmmut days of ma data of your Nm�m m eammia9on,roe star ream or aispma d OROaso,ew theny g nstotgsdo randIf you Miillomahe lnenywmvailablathrforp Seller,or N Youcea me agWS Without the goods obhg mim.aymlailwrtakeme gmdappeneblemme Seller or erformnce agreewrewmindrthe contra SH kr specom this ammo,lbenywre or in/Togaw,badormanced 0 all ophermongree um the the Coothe ard,To Lader hiwdasctnen are re defiveaa sled and copy of dermacome or any cancelmis transaction,mall or eeliv¢re sigMASad dale of ellobbge nwiabome ComR¢Tordncml transaction irsend thriven,WAS Smose. copy of Me enset Sou-no,0 or eny Omer written nolim.Or eentl a letega w PBA me c copy is the Cancellation notice or any other unMn notice,or send a @ /7—wop Gervices, 115 NOM$pael,melem MA 019]O,NOT tATER THAN MIDNIGHTOF(2-/-y�B6 t15Nonn 5nee($alem MA 019]O,NOT LATER THAN MIDNIGHT OFY In�ral Inalnl 1 HEREBY CANCEL THIS TRANSACTION r HEREBY CANCEL THIS TRANSACTION con mrer55ign thom Date: Lonsulrers sOcame Data: Certificate No. A042247 r_ THE COMMONWEALTH OF IMASSACHUSETTS - - -!- - ---E,CECUTWE-OFFICE-OF LABOR-AND WORKFORCE.DEVELOPiMENT_ _ DEPARTMENT OF LABOR STANDARDS 19 STANIFORD.STREET, BOSTON, MASSACHUSETTS 02114 DELEADER CONTRACTOR LICENSE A & A SERVICES, INC. 115 NORTH STREET SALEM MA 01970 LICENSE: DC000440 EXPIRES: Saturday,June 07, 2014 N ACCORDANCE WITH M.G.L. CH. 111, § I97B(b)AND 454 CNIR 22.03,THIS LICENSE IS ISSUED BY THE DEPARTMENT OF LABOR STANDARDS TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF ENTERING INTO OR ENGAGING N DELEADING WORK. THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR. THIS LICENSE MUST BE MANTATNED BY THE CONTRACTOR WHEN ENGAGED IN DELEADNG i WORK N ACCORDANCE WITH M.G.L. CH. I I 1 § I978(b)(2) AND 454 CM 22.03. I ! HEATHER E. ROwE, DIRECTOR. i`dassachu efts Department or Pub is Safety - Board o Building Regulations and Standards Office of Consumer Affairs&Business Re;ularbn C�n,trueti nSuprn +ipr 5 i HOME IMPROVEMENT CONTRACTOR --_ic>_nse. CS-057733 _Registration: 101609 Tj&e: 'Expiration: 15,2512016 Private C a ooratic CHRISTOPHER TORZY -.A "n 115 NORTH ST A&A SERVICES, INC e Salem NIA 01970 ; Christopher Zorzy North Street g—���= Salem, MA 01970 Commission=r 0512 6/2 0 1 5 Undersecretan ,n U1y pioV;sjors of M. G, L. �a =�, �yya dAo � ���11°i�n Pi - Building css�i B7Yumbe� - E� � l� N5� �yys'aS s'd`aa�s�i�� -'0 sfJ�S °s�M17�i s'e aC`1`l9 Sad of h a prop e d dye;l li1 � E, ds - 9 s y 'Sala' o �-a S—_ -in OWns`) bv1 Wd Ly Wda cafTnio ( 9 Data Wm A A A Sehuc:aR, Farman 1® 4 ddress, CR,➢, ��es�, dip code The Commonwealth of Massachusetts Department of Industrial Accidents - — — Office of lnvestigaffons— — 600 Washington Street, 7/' Floor Boston, Mass. 02111 Workers' Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors Applicant in y formation: Please PRINT legibly. name: _c /I�1�� p C�l�t)�1zy. address [l J` l V0 r f y Yt 7/ I�-EQ"� City SCn I t e,' state MA c 9 zip: D 1970/phone# 9`7?--7 Sri-o (Y y work site location(full addressl� / )q ,O�-� C A J eL l,-Q Nn M pT CJ I 1:0 ❑ I am a homeowner performing all work myself. Project Type: New Construction Remodel ❑ I am a sole proprietor and have no one working in any capacity. ❑ Building Addition 21 1 am an employer providin_g workers' compensation q for my employees working on this lob. company na ne• A :to— A "� AQ,—V I-(SAS 1L C - address: ( l yS tllo ✓ E In S"4-- n p -7 �[ �5+ / �7 l , city Sate t,' M'� Monte#: -( : 0 -r�/n�7 1Q'�/V `( O-7 insuranceco 0 I fQVk1 � '.S policv# C),-)-q _ AA Ct d ❑ 1 am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address' city: phone#: insurance co. policv# companv name: address: c'h^ phone#: insurance co. policv# Attach additional sheet if necessary - Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition ufcrimimd penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a S"rop WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded toXhe� 'I'ce of Investigations of the DIA for coverage verification. I do hereby/certify par th pains and es of perjury that the information provided above is true and correct. Signature/ Date J d' - 1( � 1 1 Print name�r�f t ��t1t7 l ZOYZ.�./ Phone# 7 e 7Y I v 7 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department [:]Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑nealth Department contact person: phone#; ❑Other oeetsed Sept 2001J - Phone: 978-741-042 4 Fax: 9 -2012 1SER J w .a-asecvices.com 115 North Street Salem, MA 01970 December 11, 2014 City of Salem Building Dept. 120 Washington Street Salem, MA 01970 To Whom It May Concern: Enclosed please find the permit,app 1 aclt acl tion for Laurette Hoover, 8 Naples Road, Salem, MA to replace an existing �window with a garden window. I have enclosed a check fo"r$42.00 based on your fee sched�of$7 per $1,000.00. The total for the job`was $5,218.00! f Please send the completed permit to A'& A Services, Inc. at l l�rth Street, Salem, MA 01970. �/ / I L If you have any questions, please contact me at (978) 741-0424. Thank you/for yourzassistanee. Sincerely, I I Barbara Zorzy Office Manager A&A SERVICES,INC. 2262 City of Salem 12/11/2014 5000 - Cost of Goods Sold:5115 - Permit Hoover Garden Window 42.00 ASA'Beverly Coop 63 Hoover Permit 42.00