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202 NORTH ST - BUILDING INSPECTION (2) I � DATE: Citp of a`��YP7YC, �S �LUPtt a PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED cc / Location of BuildingdQ2 Ahj(>h Building Permit Application For: '(Circle whichever applies) Roof,Reroof, Install Deck, Shed,Pool Addition, Alteration, epair/Replace, 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: Contractor:. t1hr; atnnhar Znrz e Street # Cit}' a�i{77 Street 17 5 Nnrth RtrPat Ci ty Salom State Phoneft) ` State MA Phone(978) 7 1-04 .4 Architect: City of Salem Lic# 1405 Street City State Uc#0577__ 33 _HIP# 101609 State Phone ( ) Homeowners Exempt Form_yes_.,/ no Structure: (please circle) Single Family, ulti Family Other Estimated Cost of job S //g, //Q ,6/) Will building confirm to w?, yes no Asbestos?_yeso I Description of work to be doae:�,?SJ71// 'fiA�y hj- At-,aP j2 !2/a(yj-»Pr,� �ouz5 �mrniv Drawi gs'S b fitted:_yes no Mail Permit to: 1'15 NORTH ST X Sign re o Applicati ,SIGNED UNDER THE PENALTY OF PERJURY CONSTRUCTION TO BE COMPLETED WITHIN SIX(6) MONTHS OF PERMIT ISSUED DATE Department use only: Permit#265—2-AS?�1ing Map/Lot ay Permit fee COMONNTS: 9 O Z cn -0 _ O o -0 - 01 � { f /7. �3ipOlijOtt- Fi?�E•,r _'.1 ii ,�' „ „ ,,-f': . • - W '.I �4 !/ta/:S .j lri il:4i.. _. . . ,.f .. :j•1� Y�t� �!•fL • . 1...;1'..;, PA!jlapuft'1°,a P,x�r:it• :.r�r: ='..t ! S!, .... .._ .. .. . _... tiil-C(r.:N:(ftc;per:c+ sTtll(t�ik7 Y' ::1_ifr,� n '.r r1Tt' 4:•ILjjj r h 1 avp 1,- r 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 Cardna Signature of Permit Applicant Date Christopher Zorzv Name of Permit Applicant A & A Services, Inc. Firm Name 115 North Street, Salem, MA 01970 Address, City, State, Zip Code The Commonwealth of Massachusetts Department of Industrial Accidents 0///CO O/19YOSHI RMONS 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone# ❑ 1 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. v company name: > 4 , address. 115; North Streets city: Saleln MA 01910 phoneq: 978-741-0424 insurance co. The Travelers policy# WC939X1256 ❑ 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: *iv " rr address V [;•` city: hone N: a insurance co:'.' policy,# ' company name „+} 'bht�xrx address..:.. fix t r city. ohoae#: insuranceco.'.. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify an er he sins and penalties of penury that the information provided above is true and correct. Signature & Date Printname Christopher Zorzv. 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# FIBuilding Department ❑Licensing Board ❑check if immediate response is required []Selectmen's Once ❑Health Department contact person: phone#; nOther Nb�1AM rLD �' HARVEY INDUSTRIES N 07M ®� 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 HARVEY MANUFACTLJ�`ED WINDOWS AND DOORS 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 2.88 •Classic Double Hung(Welded Sash) 0.51 1.96 0.39 2.56 0.35 '. 2.88 •Classic Double Hung(w/ProWeld Technology) 0.49 2.04 0.38 2.83 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 2.56 0.35 2.86 •Signature Double Hung(Welded Sash) 0.50 2.00 0.39 2.56 0.35 2.86 •Slimiine Double Hung(Welded Sash) 0.52 1.92 0.40 2.50 0.35 2.86 •Slimiine Double Hung(w/ProWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.66 •Thermal One Single Hung 0.53 1.89 0.40 2.50 0.36 2.78 •Majest�_Double Hung 0.54 1.85 0.44 2.27 0.40 2.50 •Majesty.Fix"sement(PW) 0.53 1.89 0.40 2.50 0.37 2.70 •Majesty CasementlAwning 0.86 1.16 OAS 2.22 0.42 2.38 •Majesty Picture Window(DH) 0.53 1.89 0.43 2.33 0.38 2.63 •Vinyl CasemenVAwning 0.47 2.13 0.36 2.78 0.33 3.03 •Vinyl CasemenVAwning&Thermal Panel 0.32 3.13 0.26 3.85 0.25 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 Deadlits 0.61 1.96 . 0.37 2.70 0.33 3.03 •Vinyl Roller-2 Us&3 Lite 0.50 2.00 0.38 2.83 0.35 2.68 VICON SERIES New Construction Vinyl Window •Moon Casement/Awning 0.47 2.13 0.36 2.78 0.33 3.03 •Vloon Picture Window 0.46 2.17 0.33 3.03 0.30 3.33 •Moon 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 •Vicon Designer Shapes 0.49 2.04 0.34 2.941 0.30 3.33 Temp.Clear Temp Low-E Temp.Argon HARVEY PATIO DOOR u Value R-Value U-Value R Value U-Value R-Value •Solid Vinyl Patio Door 0.60 2.00 0.41 2.44 0.38 2.63 r✓ BOARD OF BUILDING REGULATIONS .icense: CONSTRUCTION SUPERVISOR 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.Preiioso,Deputy Deedor » Deleader-Contractor CHRISTOPHER ZORZY Eff.Date 1121/02 Date 1120/03 DC O ' DC000440 Memberof C.O.RE.5 . BO III IIIIIIIIIII IIII III IIIIIIIIIIII III BOSTON-RENEW . r��¢ C/OUFI/fOMlP??1�� Iw��I0.N[C/ltlJC(�q II ij1 ; Board of Building Regulations and Standards HOME OVEMENT CONTRACTOR Registration: Expiration: 6/26/2004 Type: Private Corporation A&A SERVICES, INC Christopher Zorzy 115 North Street Salem, MA 01970 sU^- Administrator