35 NICHOLS ST - BUILDING INSPECTION DATE:
Citp of '"&ALIM' JRaE;5arbU5Pttq
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
f
Location of Building ` /V J7/P
Building Permit Application For: l chO jS
'(Circle whichever applies) Roof, Reroof, Install S in , Construct Deck, Shed, Pool
Addition, Alteratio eparr/Rep ac , oundation Only, Wrecking
Other:
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
To the Inspector of Buildings:
The undersigned hereby applies for a permit to build according to the following specifications:
Owners Name: LQQP r--Re ( nQto Y' Contractor:�hY16-kP er �iDa u
Street_ 3� t\ I(',ho S ,3i. cin S3 lew Street n A16)* 5kOe-� City .1Ijin,
StateM P Phone 61g) Q,G{(p7j State Phone() bj o;0/
Architect: City of Salem Lic$ y/)15
Street City StateLic#L0z'y HIP# 10/&0q
State Phone ( ) Homeowners Exempt Form_yes-,Z—no
Structure: (please circle, Single Family, ulti Family# Other
Estimated Cost of job S— 9�p , Q�
Will building confirm to law? / yes no
Asbestos?_yes—Zoo I
Description of work to be done: zln,5TCllI one /) Ye'1910cf- I nI
Qla_,'s darn- rj vin a) a r6,e)l
wl,�'oul.
Drawin bm' ed- yes no Mail Permit to: 115 NORTH STREET
X SALEM MA 01970
X
Signature of pplicati n, SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6) MONTHS OF PERMIT ISSUED DATE
Department use only: Permit '—? b- Zoning Map/Lot
Permit fee$ g Z G I
COMMENTS:
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APPLICATION FOR
pBRW TO
LOCATION
PE - MIT GRANTED
j
API' D
INSPECTO OF BUILDINGS
CERTIFICATE OF OCCUPANCY
YES
NO
4
The Commonwealth of Massachusetts
Department of Industrial Accidents
oficeel/sresyssUeas
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city phone#
❑ I am a homeowner performing all work myself.
❑ 1 am a sole proprietor and have no one working in any capacity
❑ I am an employer providing workers' compensation for my employees working on this job.
comoanvname• A & , A-'.Services, Inc .
address: 115 -North Street e"vI IV
r,ay
city: Salem, MA 01970
phoneN• 978-741=0424�.
insurance co. The Travelers policv# WC939XI256 '•�'"" $`
❑ 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:
full
company name „
address:
city: phone
insurance co;,
policy# . lei
'
company name
address: a
ufK Jr ?`Si� .
city: U• ;Dhone
g:
Insuranc&co::i.
Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to SI,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. 1 understand that a
copy of this statement m be forwarded to the Office of Investigations of the DIA for coverage verification.
/do hereby certify de !h pains d pe aloes ojperjury that the information provided above is true and correct.
Signature Date
Print name Christopher Arzv, President Phone# 978-741-0424
official use only do not write in this area to be completed by city or town official - .
city or town: permit/license# 11Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; v flOther
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of M. G. L. c. 40,.Sec. 54, a condition of
Building Permit Number is that the debris resulting from this work shall
be disposed of in a properly licensed facility as defined by M. G. L. c. 111, Sec.
150a.
The debris will be disposed at: Salem Transfer Station
owned by Northside Camino -
/V
Signature of Perinit Applicant
Date
Christopher Zorzy
Name of Permit Applicant
-
A &A Services, Inc.
Firm Name
115 North Street, Salem. MA 01970
Address, City, State, Zip Code
✓Ite lJ� /I, o�✓l�llldlOCltfta� f..
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BOARD OF BUILDING REGULATIONS
.icense: CONSTRUCTION SUPERVISOR t
Number: CS 057733
Birthdate: 05/26/1958
Expires:05/26/2005 Tr. no: 12224
Restricted: 00
CHRISTOPHER ZORZY �
115 NORTH ST ! �
SALEM, MA 01970 Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Robert J Prez o,Deputy Dueofor
Deleader-Contractor
CHRISTOPHER ZORZY
Eft Date 11/20/0 O
Exp. Date 1120/03
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DC000440er of Wmb C.O....E..T.
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III IIII III III IIIIIIIIIIII III III BOSTON-RENEW
'..\ ✓Ile �inntutoituwr<l/�. ��t.,�t+nrx�r�tiJe�/4
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 101609
4 Expiration: 6/26/2004
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy
115 North Street
Salem, MA 01970s�-
Administrator
.=.OwdHARVEY /NOUSTR/ES
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U-Value and R-Value Test Results
• U-Values in accordance with NFRC-100 • Based on residential sizes
• U-and R-Values are subject to change without notice •Whole window values
All windows with a U-Value of.35 or less qualify for the Energy Star program REV 511/00
Clear Insulated Low-E AdvantEdge
WINDOWS U-Value R-Value U-Value R-Value U Valui R•Value
•Classic Double Hung(Mechanical) 0.51 1.96 0.40 2.50 0.35 2.86
•Classic Double Hung(Welded Sash) 0.51 1.96 0.39 2.68 0.35 2.86
•Classic Double Hung(w/ProWeld Technology) 0.49 2.04 0.38 2.63 0.34 -2!94 .
•Classic Plus DH W/CFW 0.33 3.03 0.28 3.57 0.27 3.70
•Signature Double Hung 0.51 1.96 0.39 2.66 0.35 2.86
•Signature Double Hung(Welded Sash) 0.50 2.00 0.39 2.56 0.36 2.88
•Slimline Double Hung(Welded Sash) 0.52 1.92 0.40 2.50 0.36 2.86
•Slimline Double Hung(w/ProWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.86
•Thermal One Single Hung 0.63 1.89 0.40 2.50 0.36 2.78
•Majesty_Double Hung 0.54 1.85 0.44 2.27 0.40 2.50
•Majesty.FWE44 sement(PW) 0.53 1.89 0.40 2.50 0.37 2.70
•Majesty Casement/Awning 0.86 1.16 0.45 2.22 0.42 2.38
•Majesty Picture Window(DH) 0.53 1.89 0.43 2.33 0.38 2.63
•Vinyl Casement/Awning 0.47 2.13 0.36 2.78 0.33 3.03
•Vinyl Casement/Awning&Thermal Panel 0.32 3.13 0.26 3.85 0.26 4.00
•Vinyl Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33
•Vinyl Hopper 0.47 2.13 0.36 2.78 0.33 3.03
•Vinyl Picture Window 0.46 2.17 0.33 3.03 0.30 3.33
•Vinyl Picture Window Deadlfte 0.51 1.96 . 0.37 2.70 0.33 3.03
•Vinyl Roller-2 Lke&3 LRe 0.50 2.00 0.38 2.63 0.35 2.86
VICON SERIES
New Construction Vinyl Window
•Vleon Casement/Awning 0.47 2.13 0.36 2.78 0.33 3.03
•Vioon Picture Window 0.48 2.17 0.33 3.03 0.30 3.33
•Vicon 1000 Single Hung 0.53 1.89 0.41 2.44 0.37 2.70
•Vicon 2000 Double Hung(w/ProWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.86
•Vicon Classic Double Hung 0.51 1.96 0.40 2.50 0.35 2.86
•Vloon Designer Shapes 0.49 2.04 1 0.34 2.94 . 1 0.30 3.33
Temp.Clear Temp Low-E Temp.Argon
HARVEY PATIO DOOR u Value R-Value U-Value R Valus U-Value R-Value
•Solid Vinyl Patio Door 0.50 2.00 0A1 2.44 0.38 2.63