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34 NORTHEY ST - BUILDING INSPECTION (2) r n-14-U10 PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building 3)A Building Permit Application For: ' Circle whichever applies) Roof, Reroof, Install Si ct Deck, Shed,Pool Addition, Alteration a atr/RePla , Foundation 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:D241O5 1�5hhtn Contractor: _t;hri srnphar Znrw Street_, >H KDU� ram' T8Cf Cia• ,')Q1Pm Street I1 5 North Straar City__SaIem State.MA Phone 0%) 7N5- ;�Z6n5g State MA Phone(978) 741-0424 Architect: City of Salem Lic#, 14 0 5 Street City State Lic#0 5 7 7 3 3 HIP# 101609 State Phone ( ) Homeowners Exempt Formyes__11 no Structure: (please circle) Single Family, Multi Family Other Estimated Cost of job$_ 3&o% , DO Will building confirm to law? yes no Asbestos?_yes ✓ no Description of work to be done: zns( t�ll 5bc ( LD) yinial yr-Pnin( o U)inrlrnL15 Drawin ub itted:_yes no Mail Permit to: 115 NORTH STREET X % OAT.F rr ARt4 9i87"o--- Signature of Appli ation,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 S COMMENTS: APPLICATION FOR ' PERW TO , Sri Grnpl�e;�� . LOCATION PEgMIT GRANTED `pl �I'M 19 APPROV INSPECTon OF 6 LDINGS CERTIFICATE OF OCCUPANCY YES NO _. i The Commonwealth ofMassachusetts Department of Industrial Accidents 0///CB 0//OYOSU08tl00S 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. comoanv'name: A & • A-Services , Inc . address: 115- North Street city: Salem; 'IfA 01970 phone# 978-741 0424 r':rF " w.�l= writ1l31' yj insurance co. The Travelers politiv# 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: comoanvname: 3rr. A city: phone#: r+ 'Ya insurance cm DOIICV# �i company name• address'- t '; 4�, �I r'aa`' fn t•'+� city: hone# �. 173� ,V insuranco-eo:: D61iiV# {� „yukUt T • Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties arm fine up.to$1400.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Omce of Investigations of the DIA for coverage verification. I do hereby cerrryy u r f pal s an penalties of perjury that the Information provided above is true and comM. Signature T Date Prininame_ Christopher Zorzv, President Phone# 978-741-0424 olfitlal use only do not write in this area to be completed by city or town official city or town: permitAicense# flBuilding Department ❑Licensing Board ❑check if immediate response is require) ❑Seleetmen'a Office ❑Health Department contact person: phone p• 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 Carting i8ign"atureofit Applicant 5-Iq Date Christopher Zorzv Name of Permit Applicant A &A Services, Inc. Firm Name 115 North Street Salem MA 01970 Address, City, State, Zip Code �'/ee iJo�nmwnure� a�./�aaaa�/eu�Q2 BOARD OF BUILDINGG REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS 057733 Birthdate:05/26/1958 ^" Expiresi'05/26/2007 Tr.no: 12633 Restricted: 00 CHRISTOPHER ZORZ_Y" 115 NORTH S 0G- SALEM, MA 1970 Commissioner � ,o.� l��u: �nP9le vu6RaF2L/� n>�.- IGiJJaf�WIP,Lfi1 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR i-.-- Registration: 101609 _ Expiration: 6/26/2008 Type: Private Corporation A&A SERVICES,INC Christopher Zorzy 115 North Street C;�\, Salem,MA 01970 Deputy Administrator Commonwealth of Massachusetts Division of Occupational Safety Robert J.Prezioso,Commissioner Deleader-Contractor CHRISTOPHER ZORZY EB.Date 02/09/06 Exp.Date 02/08/07 s. DC000440 Member of C.0XIES T. 07 BO 111 oil 11111111111111IIIIIII11111111 BOSTON RENEW Ba Shore GREAT �� ' .L WIN NFRC Certfried Solar Heat Product Directory Gain Visible Light Condesation Energy Star Product Type/Popular Glazing Options I Number I U-value CoeKcent Transmission Resistence Approved Report rr Expiration Date i Double HunI GLW-DH-131 VNo TC-04552-15669.0 11/30/2008 Clear lGU 0.47 0.59 0.82 42.00 All Grids idth<1' 0.47 0.63 0.55 42.00 Hi-R Plus Low E n IGU 0.31 0.30 0.55 53.00 All Grids idth<7' 0.31 0.27 0.49 53.00 Maxuus Double Low E on IGU 0.31 0.28 0.49 53.00 All Grids idth<t' 0.31 0.25 0.43 53.00 Slider GLWSL-131 C-04-552-15791.0 12/28/2008 Clear IGU 0.47 0.56 0.59 42.00 All Grids idth<l- 0.47 0.50 0.52 42.00 No Hi-R Plus Low E n IGU 0.32 0.28 0.52 54.00 Yes All Gdds idtW" 0.32 0.25 0.46 54.00 Yes Maxuus Double Low E Argon IGU 0.31 0.26 0.47 55.00 Ves All Grids idth<7' 0.31 0.24 0.41 55.00 Yes Picture GLW-PI-131 EG T04-552-15753.0 12/10/2008 Clear IGU 0.47 0.66 0.69 44.00 No All Gdds idih<7' 0.47 0.59 0.62 1 44.00 No Ht-R Plus Low E Argon IGU 0.30 0.33 0.61 56.00 Yes All Grids idth<1' 0.30 0.30 0.55 56.00 Yes Maxuus Double low E n IGU 0.29 0.31 0.54 57.00 Yes All Grids idih<7' 0.29 0.28 0.49 57.00 1 Yes Casement GLW-N-033 ETC-02552-12497 1 11l7/2006 Clear IGU GLW N 033 001 0.45 0.51 0.54 No All Gdds idth<7' 0.45 0.47 0.49 No Hi-R Plus/(Low E Argon IGU GLW N 033 083 0.30 0.27 0.47 Yes All Grids idth<l' 0.30 0.25 0.43 Yes Fixed Casement GLW-N-001 i I I ETC-025 52-1 24 9 9.0 11/B/2006 Clear IUU GLW N 001 001 0.50 0.63 0.67MNn o All Grids idth<t" GLW N 001 002 0.50 0.57 0.60o HFR Plus Low E on IGU GLW N 001 005 0.31 0.33 0.59s All Grids itlth<7' GLW N 001 006 0.32 0.30 0.53s Awnin GLW-N-034 ETC-02552-12497 11r//2006 Clear IGU GLW N 034 001 0.45 0.52 0.54o All Gdds idth<l' 0.45 0.47 0.49 Hi-R Plus Low E n IGU GLW N 034 083 0.30 0.27 0.47s BayShore BayShore r .G r,LINDa m NFRC Certirred Solar Heat Product Directory Gain Visible Light Condesation Energy Star Product Type/Popular Glazing Options Number U-value Coefcent Transmission Resistance Approved Report# Expiration Date All Grids idth<7' 0.31 0.25 0.43 Yes Slidina Patio D r New Construction Door taro) 'GLW N 050 '-' ETC-03S52-144613 11/18/2007 Clear IGU 0.47 0.62 0.66 46.00 No All Grids id 0.47 0.65 0.58 46.00 No Hi-R Pius Low E Argon IGU 0.30 0.32 0.58 58.00 Yes All Grids idth<7' 0.30 0.29 0.51 58.00 Yes usx Footnotes: Residential values single strength lass U-values w/o grids . total un' values DS or TS worst U-value w/qdds BayShore SeabrookeNVI R AT N NFRCCerUiled Solar Heat Energy Product Directory Gain Visible Light Condesation Star Product Type/Popular Glazing Options Number U-value Coetilcent Transmission Resistence Approved Report a Expiration Date Double HunaGLW-DH-135 - ETC-04-552.15675.0 72/182008 Clear IGU 0.47 0.57 0.60 42.00 No A0 Grids <I" 0.47 0.51 0.53 42.00 No M Grids >I- 0.47 0.45 0.47 42.00 No Hi-R Plus Low E Argon IGUI 0.32 0.29 0.53 52.00 Yes All Grids <1 0.32 0.26 0.47 52.00 Yes Ali Grids >t' 0.32 0.23 0.42 52.00 Yes Maxuus Double Low E Argon IGU 0.31 0.27 0.47 53.00 Yes All Grids <7' 0.31 0.24 0.42 53.00 Yes All Grids >7' 0.31 0.22 0.37 53.00 Yes Maxuus 7.8(Triple Pane Double Low E Argon IGU 0.26 0.25 0.43 60.00 Yes All Grids <1' 0.27 0.22 0.38 60.00 Yes All Grids >1 WA WA I WA WA WA Slider GLW-SL-135 ETC-04-552-15793.0 1/4/2009 Clear IGU - 0.46 0.56 0.59 42.00 No All Grids <1' 0.46 0.50 0.52 42.00 No All Grids >t 0.46 0.45 0.46 42.00 No Hi-R Plus Low E Argon IGU 0.30 0.28 0.52 55.00 Yes All Grids <I" 0.30 0.25 0.46 55.00 Yes AIIGrids >t' 0.30 0.23 0.41 55.00 Yes Maxuus Double Low E Argon IGU 0.30 0.26 0.46 55.00 Yes Ali Grids <t' 0.30 0.24 0.41 55.00 Yes All Grids >7' 0.30 0.21 0.36 55.00 Yes Maxuus 7.6(Triple Pane Double Low E Argon IGU 0.25 0.24 1 0.42 60.00 Yes All Grids <7 6.26 0.22 0.37 60.00 Yes All Grids >I" WA WA WA WA WA Picture GLW-PI-135 ETC-04-552-15755.0 12/11r1008 Clear IGU 0.46 0.66 0.69 43.00 No All Grids <I' 0.46 0.59 0.62 43.00 No All Grids >1' 0.46 0.53 0.55 43.00 No HFR Plus Low E Argon IGU 0.28 0.33 0.61 - 55.00 Yes All Grids <7' 0.28 0.30 0.55 55.00 Yes All Grids 1' 0.28 0.27 0.49 55.00 Yes Mazuus Double Low E on IGU 0.27 0.31 0.54 56.00 Yes _ All Grids <T 0.27 0.28 0.49 56.00 Yes All Grids >7' 0.27 1 0.25 1 0.43 56.00 Yes Maxuus 7.6(Triple Pane Double Lax E Amon IGU 0.19 1 0.28 1 0.49 1 65.no Yes v Seabrooke Seabrooke GREAT LAKE NFRC Certified Solar Neat Energy Product Directory Gain Wslble Light Condesadon Star Product Type/Popular Glazing Options Number U-value CoefRcent Transmission IRPsistence Approved Report# I Expiration Date All Grids GLW N 063 00001 00001 0.43 0.48 0.48 1 43.00 No Hi-R Plus Low E Argon IGU GLW N 06300003 0.29 0.27 0.48 56.00 Yes All Grids GLW N 063 00003 00001 0.29 0.24 0.42 +. 56.00 Yes MMUUs 7.8(Triple Pane Double Low E Argon IGU GLW N 063 00006 0.23 0.23 0.38 63.00 Yes All Grids GLW N 063 000016 0.24 0.21 0.33 63.00 Yes Hoover GLW-N-005 Old deli n not labe6n ,Not Tested new deli n 01-33259.01 Not Labelin Clear IGU Hi-R Plus Low E Argon IGU S ecial Shapes Clear IGU HI-R Plus Low E Argon IGU - - Footnotes: Residential values single strength glass U-values w/o grids total unit values DS or TS worst U-value w/grids Seabrooke �, � . „ . � �w, l �». . _ w �« � . � . ¥ � ��7�» . ��}�/� ��%