115 NORTH ST - BUILDING INSPECTION (6) .L
APPLICATION FOR
' PEAW TO
. a
LOCATION
PE MIT/GRANTED
( of 9 -
APPR p -- -
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INSPECTOp BUILDINGS ll/ ;
CERTIFICATE OF OCCUPANCY ;;- .
YES
NO t ,
DATE: yInIl
Cl ftp Df 'r2patem , fi a aL ju �tt5
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED /
Location of Building 7 ganolp// ,SYreP 7�
Building Permit Application For:
' Circle whichever applies) Roof, Reroof, Install SidlDgXonstruct Deck, Shed, Pool
Addition, Alteration, epau•/Replace, oundation Only, Wrecking
Other: t
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: h(wo � M(alJ Contractor: Ohristnnher 7,nr7.g
Street f lQ{Y all ,(4 City%pfn Street t 1 5 North Straat City Aar am
State•Y�I. Phone 01) -7.q5 - 0,;W5 State MA Phone(978) 741-0424
Architect: City of Salem Lic# 14 0 5
Street Citv State Lic#O 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form __yes_ V_no
Structure: (please circle agau, ulti Family � Other
Estimated Cost of job $ ' P41, DO
Will building confirm to law? yes no
Asbestos?_yes V no
Descriptionof workto be done: lh`>��II 4k1A4-kL (1!� '50uarn
I nlnP (I-) I��,Ps nP P.r4nT11(y)( 1n51d ll - or /1 ) vlri4l
�0 n, 100M�l+ h(SOYYIPl){ 1All(-(Jt)Un . -.
SERVICES
Drawings ubmitted: es no Mail Permit to: 115 NORTH STREET
% $AT EM MA L+IJ97®
X
Signature of Applicatio SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit Zoning Map/Lot
Permit fee$
COMMENTS: J
The Commonwealth ofMassaehusetts
Department of IndustrialAccidents
excealffind081/OOs
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.
A 6 , A 'Services , Inc . „comoanvname• "
address: 115 North Street
V. kl}aTN fc tip,;.
city: Sal em% `MA 01970 ry1 YrrrS; p"use �,'
phone a• 978-741 "0424%�, w •fma��lKrS�,ti+ � '
insurance co. The Travelers policy# WC939XI256
❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
the following workers'compensation polices:
con many name• `.�,'3'gr,,, It+,� " P
�.w 4 ra .
address:. ;�Si(If a
city: .. ..-.. hone#:
i-i{ fri "T cti
insurance co: .
policy N
company name "i'
address r
city: hone#:
insurance co.
nofliev# r r %nTMarbt
Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of•no,up to 51,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a riot of SI00.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certtiy er e palnsand p allies of perjury that the Information provided above is true and correct.
Signature— Date
Print name Christopher Zorzv President phone#978-741-0424
Official use only do not write in this area to be completed by city or town official
I
city or towit permittlicense# r iBuilding Department
❑ ❑I/eeaaing Board cheek if immediate response is required ❑Stleetmtu'a Office
[]Health Department
contact person: phone#; Other
i
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. 119, Sec.
150a.
The debris will be disposed at: Salem Transfer Station
owned by Northside Carting -
ii
Signature of Permit pplicant
Date
Christopher Zorzy
Name of Permit Applicant
A &A Services, Inc.
Finn Name
115 North Street. Salem, MA 01970
Address, City, State, Zip Code
U-VALUES AND R-VALUES
.�o�,SrR.Es Harvey ManufacturedAr ff. ENERGVRTNER
Windows and Doors
WHOLESALE PRICING
• U-Values in accordance with NFRC-100 • Based on residential sizes elk
• U- and R-Values are subject to change without notice • Whole window Values s
All Harvey vinyl windows with Low-E/Argon and all Majesty double hung windows with �®
Low-E/Krypton qualify for the ENERGY STAR® program throughout the U.S." isoeom
Clear Insulated Low-Es Low-E(Argon'
VINYL WINDOWS U-Value R-Value U-Value R-Value U-Value R-Value
Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94
Classic Double Hung (Welded Sash) 0.50 2.00 0.36 2.78 0.33 3.03
Classic Double Hung (Welded Sash & Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Classic Acoustical Double Hung STC40 0.23 4.35 0.18 5.56 0.17 5.88
Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 �0.34 2.94
Signature Double Hung (Welded Sash) 0.50 2.00 0.37• 2.70 0.34 2.94
Slimline Double Hung (Welded Sash) 0.51 1.96 0.38 2.63 0.34 2.94
Slimline Double Hung (Welded Sash & Frame) 0.50 2.00 0.38 2.63 0.35 2.86
Slimline Single Hung (Welded Sash & Frame) 0.50 2.00 0.38 2.63 0.35 2.86
Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23
Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24' 4.17
Vinyl Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33
Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13 {
Vinyl Picture Window 0.46 2.17 0.31 3.23 0.28 3.57
Vinyl Welded Oeadlite 0.50 2.00 0.34 2.94 0.31 3.23
Vinyl Roller- 2 Lite and 3 Lite 0.50 2.00 0.36 2.78 0.33 3.03
Clear Insulated Low-E* Low-E/Argon•
VINYL NEW CONSTRUCTION WINDOWS(p9190-231) U-Value R-Value U-Value R-Value U-Value R-Value
Voon Double Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.34 2.94
Vicon Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.34 2.94
Vicon Classic Double Hung(Welded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Vicon Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23
Vicon Picture Window 0.47 2.13 0.32 3.13 0.28 3.57
Vicon Designer Shapes 0.48 2.08 0.32 3.13 0.29 3.45
Temp.Clear Temp Low-E Temp.Argon
PATIO DOOR (pg 257-260) U-Value R-Value U-Value R-Value U-Value R-Value
Harvey Solid Vinyl Patio Door 0.49 2.04 0.40 2.50 0.37 2.70
Low-E/Argont Low-E/Krypton'
WOOD WINDOWS (pg 261-270) U-Value R-Value U-Value R-Value
Majesty Double Hung N/A N/A 0.35 2.90
Majesty Fixed Casement (PW) 0.37 2.70 N/A N/A
Majesty Casement/Awning 0.42� 2.38 N/A N/A
Majesty Picture Window (DH) a ""0.344 2.94 N/A N/A
'The use of tempered Low-E glass may effect ENERGY STAR®qualification in your region.
U- and R-Values are subject to change without notice.
Not all products stocked at all locations. Call your local branch for availability.
Pricing and information are subject to change without notice&may vary from region to region.
For current pricing,call your local branch or visit www.harveyindcom.
�Ilective 3/17/03 756
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Board of Building Itcgulatioos and Standards
i _ HOME IMPROVEMENT CONTRACTOR
Registration: 101609
Expiration: 6/26/2006
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy
115 North Street
Salem, MA 01970
Administrator
Commonwealth of Massachusetts~ _
Division of Occupational Safety
Robert J Rezioso,Deputy Director Q
Deleader-Contractor plUfi�tdp
CHRISTOPHER ZORZY
Eff.Date 12/19/03
Exp.Date 12/20/04 y
' DC000440
NEmberc/C.O.N.E.S.T. 04' '
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BOARD OF BUILDING REGULATIONS {
License: CONSTRUCTION SUPERVISOR t
{ Number: CS 057733 '
i
Birthdate: 05/26/1958
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
d CHRISTOPHER ZORZY / -
115 NORTH ST ( ,�+
SALEM, MA 01970 Administrator -