29 NURSERY ST - BUILDING INSPECTION (2) DATE: /O- 27 - D'7
Citp Of "D' a pm, 4T1ae!5a rbugPtt5
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED L
Location of Building 03%
Building Permit Application For:
Circle whichever applies) Roof, Reroof, Install Si ' ct Deck, Shed, Pool
Addition, Alteration, epair/Replac 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:
OwnersName:J KDZIDIU.Jf�11 Contractor: C.hristnp'nar 7,nr7.
Street ej' 1 '04_ CityS P{n Street 11 5 North StrPPt City Sa1Pm
State. MA Phone (CM)"jHJA - RlqI 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 Form_yes_�./no
Structure: (please circ ) Single Fami Multi Family# Other
Estimated Cost of job$ U 71/, 6D �
Will building confirm t law?z yes no U
Asbestos?_yes V no ,., I
Description of work to be done: j t�.4n pn _ ( l VI n(1� rz a QC DIN101 1l' w 1 Dui
-�BI i IC I IH' X H I C�er'K rPiQ_ICK-0 ZX I,hncr CgCct) or IL
SERVICES
Wature • d: es no Mail Permit to: 1,16 NORTH STREET
X IRAI 1LH K�4
SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (O MONTHS OF PERMIT ISSUED DATE
Department use only: Permii# ) V Zoning Map/Lot
Permit fee$
CON ENTS:
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The Commonwealth of Massachusetts
Department of Industrial Accidents
' OJ//CO 0//OYOSd08tl00S
600 Washington Street
Boston, Mass. 02111
Y
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.
comoanrname A & , A-•Services , Inc. + z L . .a t ;>• ,-
address: 115 North StreetRtFT " �;,;ei
city: Salem, 'MA 01970 Phone#: 978-741 '0424'':r' "G
! r
insuranceco. The Travelers Policy# WC939X1256
❑ 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:
company name: }t ^N
address tet a;)tals: wa!a
city: r , hone#•
'' r,�l• M
r.
insurance to; policy#
company name
address: ot
..� ':t `�' to �.IF j•`ihy
city: hooe0::,. ..-%.V3•A'a �`"•s�r.F :ti:�;
insurance co. oolfev# v � iln1
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. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby cerrljy nder the palms and penalties of perjury that the Information provided above Is true/and correct.
Signature Date I f� .Th�
v 1
Printname Christopher Zorzv, President Phone# 978-741-0424
oaldal use only do not write in this area to be completed by city or town official
city or town: permit/license# rlBuilding Department
❑Lkeasing Board
❑check if immediate response is required ❑Selectmen's Ofiiee
[]Health Department
contact person: phone a; 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 -
�Y
ture of P rmit Applicant
►a1��loN
Date r
Christopher Zorzy
Name of Permit Applicant
A &A Services, Inc.
Firm Name
115 North Street, Salem, MA 01970
Address, City, State, Zip Code
U-VALUES AND R-VALUES ( �i
) •�� ENERGV STAR
HARVFY INDUSTRIES Harvey Manufactured PARTNER
ff ff. Windows and Doors
WHOLESALE PRICING
- 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 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.` 15090°'
Clear Insulated Low-E* 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 Deadlite 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 1 0.33 3.03
Clear Insulated Low-E* Low-E/Argon*
VINYL NEW CONSTRUCTION WINDOWS(pg190-231) U-Value R-Value U-Value R-Value U-Value R-Value
Vicon 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
Moon Classic Double Hung (Welded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Vicon CasemeptlAwning 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/Argon* 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) 0.34 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. m.harveyind.co
Effective 3/17/03 256
.. ✓/ea, 6auisro,ur�ea!!/e o`;il�ra,ar/uweda
+u� Board or Building We ulations and tiLmdnrJi
HOME IMPROVEMENT CONTRACTOR
Registration: 101609
Expiration: 6/26/2006
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy
. _ 115 North Street -- -.r-
Salem,MA 01970
Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Robert J Rezioso,Deputy Dad, Q'
Deleader-Contractor
CHRISTOPHER ZORZY
ER.Date 12119/03
Exp.Date 1220/04 :F
DC000440 ,
Memberof C.O.ME.S.T.
130
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�/te T069,VI,[OON( � O�✓N.a4Ja/.�tUde�d
BOARD OF BUILDING REGULATIONS i
'.� License: CONSTRUCTION SUPERVISOR {
Number: CS 057733 c'
i
Birthdate: 0526/1958
Expires:05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH STD
SALEM, MA 01970 Administrator