17 PLYMOUTH ST - BUILDING INSPECTION (2) RECEIVED
The Commonwealth of Massachusetts
Board of Building Regulations and Standard CITY OF
Massachusetts State Building Code, 780 CMh1b JAN 2b A � CALENI
,,Ys d ildar 2011
r Building Permit Application To Construct, Repair, Renovate Or Demolish a
One- or Two-Family Dwelling
This Section For Official se Only
n Building Permit Number: Date plied:
nA .
1 Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address•7U 5+.
1.2 Assessors Map& Parcel Numbers
pl A d
1.l a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq fin Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (MG.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone?
Check if yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
. la✓�rEi� eQn MAC-4Ef-L)M 5alef�-t M/� 019 -70
Name(Print) City,State,ZIP
I'1 Pl�l�
No.and treet Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work': vt (( D n,2_ 1 /1,2.C�) a55
Cs-1 -f-r,l �-0 6 e
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
Labor and Nlaterials) Official Use Only
L Building S g 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2. Electrical $ ❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (IiVAC) $ List: -
5. Mechanical (Fire $
Suppression) Total All Fees: $
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ t�s° ❑Paid in Full ❑ Outstanding Balance Due:
m12�A lip 1/2Fs ra lsed� /�
K
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License (CSL)
�7 0S-r-114�
to,zl rt s Gc�✓C�1 License Number Expiration Date
Name of CSL Holder '
/,5- /Vo/th 54 List CSL Type(see below) U
No. and Street Type Description
� -� U Unrestricted(Buildings R Restricted 1&2 Family Dwelling
City/Town, State, ZIP M Mason
ry
RC Routine Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) LD( 6O C( ?_
A +- 4 t �trv) r /n G - HIC Registration Number Expires V iation Datte
HIC Compan�Name or HIC Registrant Name
�F i\la f L
No nd Street
�a C`vy ' nn �.. C) lei_J U Email address
City/Town, State,ZIP�I Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes .......... 19/ No ... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property, hereby authorize (��t y S Zo✓2-
to act on my behalf, in all matters relative to work authorized by this building per it application.
JNN
Print Owner's Name(Electronic Signature) 20204
SECTION 7b: OWNERS OR AUTHORIZED AGENT DECLARATION
Bye ring my name below, I hereby attest under the pains and penalties of perjury that all of the information
tort ' d this application is true and accurate to the best of my knowledge and understanding.
r�
Print Owner's or Authorized gent's Name(Electronic Signature) J e
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC) Program), will not have access to the arbitration
program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at
www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dos
2. When substantial work is planned, provide the information below:
Total floor area(sq. ft.) (including garage, finished basement/attics, decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage" may be substituted for"Total Project Cost"
Uv e.'. A & A SERVICES, INC.
A&A SER ICES 115 NORTH STREET,SALEM,MA 01970
.•� Telephone: (978)741-0424 Fax: (978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No.CS057733
ENTRY DOOR SPECIFICATION SHEET
Buyer(s)Name Date of Contract
i6t WAf-A �1`I�ziv �l fl Y 21 1 w1
Buyer(s)Street Address,City,State and Zip Code
i R- s r o 7a
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
q 7�- Y—
The Buyers)listed above hereby jointly and severatly agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on
this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification
Sheet is a part.
ENTRY DOOR
4-Re/mov nd dispose of# Ci�/� _ existinq entry door u-nits.. I,
nsEYf tall new entry doors# OlVe— Manufacturer /series
Location -40yrIy. 'fl7 84 ?A1+ 4/
Type: ❑Steel UtIrperglass ❑Sliding Patio Door ❑French Hinged Patio Door
s Model# /rv�� . Sidelighl(s)# Sidelight(s)type/model#
OPTIONS: /Nlilf'i Nish
Adjustable threshold for door. ❑ Grids for patio doors: Style:
Prefinished ❑yes ufio color: interior exterior_
❑ Expand or shrink the size of the opening Details
❑ Cover exterior trim with aluminum cyil stock: Style Color
Hardware: Wtockset U eadbolt ❑ Footbolt ❑Mail Slot ❑Peepsite Detail l h 2 M um 6/1',eBr z:
p_ Re lace interior trim ae-Reedl Details e
Replace exterior trim a:aseedeel- Details :7VG X nPyIf —, $efl 6-1
r
❑ Install oak strip at floor as needed.
fa—Cau/lk interior and exterior edges.
InB� sul d new door unit where possible.
_ In�Painti 'e-not included. Details
in this proposal are set up and clean up.
2fNtri t' i nc%uded STORM DOOR
❑ Remove and dispose of# existing storm door(s).
❑ Install new storm doors# Manufacturer /series
Style Color Type: ❑Aluminum ❑Solid Core
❑ Location:
❑ Hardware style Color
SPECIAL INSTRUCTIONS:
m Win/ lvouSc creW o U U4 z7 stir Lj�r�t/fc�
P yi17 if/ C 14 life Tit/.1P-3 .
It Is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,consti-
tutes the entire understanding between the partles,and there are no verbal understandings changing or modifying any of the terms. This contract may not be chr.,dd
ranchland its termsranchland or varied in any way unless such changes are in writing and signed by both the Buyers)and the Contractor. Buyers)hereby acknowledge that
Buyer(a)has read this epaellfleetlan She..
Contractor Initials: _SL— Date: L l0 Buyer's Initials:j/ L Yv, Date: I I I(9
/{.� /� Q�p`, /►*)e A & A SERVICES, INC.
AAA� ERVICES 115 NORTH STREET, SALEM, MA 01970
•1 LTA I=1 LTA 1:11:14111VA a LyArdNm Telephone:(979) 741-0424 Fax: (979) 741-2012
Contractor Registration No. 101609
Construction Supervisor No.CS057733
Federal EN: 04-3090162
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Bu eels Name Date of Contract
wnwfd r r P
Buy gal Street Address,City,State and Ze Code
c a S'f- .erti O/
Da Iona Telephone Number Evening Telephone Number Mobile Tale hone Number E-Mail Address
3
The Buyerls)fisted above hereby Jointly and Severally agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance
with the prices and terms described on the front and the reverse of this agreement and any specification sheets(this'Agreement"),and Buyerls)have requested
that such goods or services be installed or provided at Buyer's address listed above.ABA Services,Inc.('Contractor'),hereby agrees to install or Cause to be installed
the products or services listed in this Agreement at the Buyerls)address written above.This Agreement represents a cash sale of goods and services.The Buyerls)
agree to pay in cash the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyerls)may seek for their
purchase. p
-grail Purchase Price 07J --- Est.Starting Date 7— /-
Down Payment:�,�_ L.((�7e �7�p!7,,/ Est.Completion Date:
GfllTtlaf !7`c�Jy Amount Due an Stan of Job: Check
D.._L "'t �O�
Amount Due on li of Completion: S�"�T �rJ. 91,Credit CardNo
Amount Due on_of Completion:----------;77— Expiration Date:
Balance Due on Upon Completion: CVC Code'
It Is agreed and understood by and between the parties that this Agreement, front and back and any addendum, constitute the entire
understanding between the parties. and there are no verbal understandings changing or modifying any of the terms of this Agreement.Buyerls)
hereby acknowledge that guitarist has read the front and the reverse of this agreement and has received a conlpleaud,signed and dated copy of this
Agreement.including the two attached Notice of Cancellation forms,on the date Post written above.Buyerls)also(1)acknowledge that they were orally
informed of their right to cancel this transaction;and(11)request that they be contacted via their telephone numbers or email,as listed above,In the event
Contractor believes Buyer(s)would be interested In any additional quality products or services of Contractor. 00 NOT SIGN THIS CONTRACT IF IT
CONTAINS ANY BLANK SPACES.
A&A Servic s,Inc. Buyer(s)By,
Sign lure
Signature �—
x CILttT1 Mh2GcRUM
Print Name�— Print Name
Signature
Print Name
You,the Buyer(s), may cancel this transaction at any time prior to midnight of the third business day after the dale of this
transaction. See the following Notice of Cancellation form for an explanation of this right.
ARBITRATION:The contractor and the homeowner hereby mutually same In advance that in Me event come paM he.a ming.mnceming Iris ennead,eitM1er party rosy wbrrit surA Elspwe to a
a-,.manages
se in s,G Lc as been apyowtl Ey Me scra aryot Me Eaeculiva OH¢et Consumer Maim and Business Regulations and 1M other peTy shall be re0ulred to sunrrvt to sucM1
ar Canlmarb,milyng� Bays.Inik Ir —
Date: Oahe: f f a 1 b
��) NOTICE OF CANCELLATION NOT/ICE nE CANCELLATION
Otte of Tombec4on_r�c,/!la YW may cancel this tienYNon.without any—.try or Dale o1 Transaction tl You—'cancel Inis Iransallon whirne any hationY or
onggation,ems lnraeF✓us'ne¢(Eerslmm the move dust ll you darval.any p,olenylrWcd in, obhuiuon,WMln Mree vWnun inr ,mlM1aeEovne.m.lfywcancel,anymermytraemeln,
any payments made by You under In,contract or sale,and any nomot a instrument execded any payments made by y don the Carmel or Sale,and any negotiable instrument eamemed
by You erg be retuned Metier 10 days frbamit receipt by Me seat of your raocolumon notice. by you Cam be formed crown 10 days Havana modtr by In.seller o1 your car ourar-rwnme,
and any security named eosins out o1 Me uensadion sell be ceoccons if you cancel you must and any ssmmly intense rupee out of me sansecron Cam M eanceriad.it you cancel.you muss
make avar at e m the Seger at Your residence.and subscribers in as gone condition as when (rake available to the Seller at year re adence,and subs nbally in as good common us when
rvad.dry goods degvarea to you under Mh contract or sale:or You may.if you ssb.oealr ceived,any goods eaweres to You under Has Contact or sere',crywoury n Yrusrncornply
win Me mammoed of Me seller regarding Me form samem of no Cares at to sellers son the instructions of the seller regarding the room chanter r no goods at the savers
e:penm and risk.If you do make Ire goods evante.an Me saner end Me Seller does non pick Anence and ask It you do make the goods available to me setter and Me Eager does nor pick
come up slnM 20 data&Me date ofyour Notice of anscience Youmayrdoinordeposeaf Me them up Adman 20 days d Me data a Your Notice d eandelmon,you may,Can or disposer
9oMswnumilanyrunnerodinigon.If yuu tail r makelmessus—flabiatotM seller.wXyw b-ammuse Moa enyrrtia—b Motion.Herself to make Magwds syelieoio home Seller.nett
agree in return Me goods to theSawn and lal to do so then rain remain fraud he pedbrmane<o1 you egret,to return the goods to the Sells,and fail to do an.Men past remain lraise for penrrmanm
of odiganons under Me Contract.To tercel this uensec9m,mail m dNHer a signed and dated of m cdigagons under the Contract.Trained arm estimation,nail ordebu era sgned end dated
mpY of am canMlabon notes or any other wnllen noere,n¢eM a leIeg,m. Afl copy o1 Is canden ors-am or any Orson vrtMan notice,or sand a telegeem h ABA 5
Its North street Seem M 01970,NOT IATER TIUW MIONIGXT OF n �rcee, 115 NOM Stress,Set..MA 01970.NOT LATER THAN MIONIGXTOE 7, 9
I HEREBY CANCFLTHIS TRANSACTION IXEREOy CANCEL THIS TRANSACTION
Conwrrer'a Signs Oat.: consumer's Signature Dale:
ADDITIONAL TERMS AND CONDITIONS -
Contractor Responsibility.The Contractor will issue its formal warranty upon full payment,which shall constitute the
Contractor's warranty for the labor and materials provided to the Buyer.Contractor agrees that all work done pursuant
to this contract shall be of a workmanlike manner using professional quality materials and supplies.Warranties are '
available for inspection at the time of signing of the contract.Contractor accepts no responsibility for any damage
resulting from structural or other defects in the property at which the installation is carried out.Buyer acknowledges
Contractor's products do not correct or cure structural problems.Contractor shall not be responsible for(a)any
damages arising in whole or in part from strikes,fires,accidents,floods,governmental actions or any other causes
beyond control of Contractor or(b)any damages including without limitation,lost profits or reduction in value of Buyer's
property,arising from Contractor's delay in performing under this Agreement or due to its breach of this Agreement. -
Condensation/Mold:The contractor is not responsible for conditions beyond its control,such as condensation which
may form on or within a window or between windows resulting from pre-existing conditions in the Buyer's home and
external temperatures.Some condensation may also form on the frame or portions of the roof.Reducing the humidity in
your home will often remedy any condensation problems.The Contractor is also not responsible for existing or
developing spore or mold growth.Mold may be due to condensation which may form on or within walls or other surfaces
resulting from[pre-existing conditions in the Buyer's home and internal or external temperatures.Buyer indemnifies and
holds Contractor and its employees,authorized contractors and their subcontractors from any claims as to the
identification,detection,abatement,encapsulation or removal of mold,asbestos,lead based products or other
hazardous substances inside or outside of the structure being improved.
Permits:In Massachusetts,the Contractor is responsible for applying for and obtaining any and all necessary
permitting.Homeowners who secure their own permits will be excluded from the guaranty fund provisions of
Massachusetts law.
Delay/Unknown Conditions:Events beyond the control of the Contractor,such as Acts of God,labor strikes,
inclement weather,material shortages,Buyer's inability to qualify or obtain financing,delays by local government
authorities in issuing or otherwise approving inspections,permitting or other required authorizations for the job,or other
events resulting in delays in performance of this agreement do not constitute abandonment and are not included in
calculating time frames for performance by Contractor.In the event the Contractor determines that this Agreement
cannot be performed as intended by the parties due,for example,to incorrect pricing,unforeseen structural defects or
pre-existing conditions to the Buyer's property,the Contractor may cancel this Agreement within30 days of its
execution,notify the Buyer of such a cancellation in writing and return all monies paid by the Buyer.The Contractor and
the Buyer(s)have determined that a definite completion date is not of the essence to this Agreement.Contractor will not
be responsible for any work not specifically listed in this Agreement or the Addendum.
Late Cancellation,Late Payment/Default:If Buyer attempts to cancel this Agreement at any time subsequent to
midnight of the third business day after the date of the Agreement,as more fully described on the Notice of Right to
Cancel form,and Contractor accepts such late cancellation,then Buyer agrees to pay Contractor a cancellation fee
equal to(i)15%of the Agreement's purchase price to offset Contractor's incurred labor,administrative fees and -
material costs;plus.(ii)thc-Contractor's costs for any specially orders or any custom manufactured items.BuyWagrees
to pay 1 %%per month on all amounts due and owing from the buyerto the Contractor accruing from the dale due and '
running to the date the payment is made.If Buyer is in default of this Agreement,Buyer agrees to pay Contractors
attorney fees equal to 15%of the defaulted amount or as otherwise allowed by applicable law.Buyer also agrees to pay
any other costs or expenses of repossession,collection,or realization on any security including court costs,to the
extent not prohibited by law.
Security Interest:This contract may result in a lien on or security interest on your residence.Buyer grants Contractor a
security interest under the Uniform Commercial Code and other applicable law governing security interests in the
property purchased pursuant to this Agreement,including a security interest in any proceeds from the sale of such
property.Buyer agrees that the property purchased under this Agreement is,and will remain,personal property,
regardless of the fact that said personal property may become attached to Buyer's real property.
No Set-Offs or Retentions. Upon substantial completion of the Contractor's performance,Buyer shall pay all amounts
due under this Agreement in accordance with its terms without any right of set-off or retention.Substantial completion is
defined as the job being materially completed,functional as intended,and a final inspection,permit or occupancy
certificate,as the case may be,having.been.obtained. If after making full payment,the Buyer alleges that the work is -
defective in any respect,the Contractor,without waiving any of its rights,shall cause an inspection of the premises and
perform any remedial work to the extent the Buyer is entitled thereto under this Agreement or the Contractors warranty
at no cost to the Buyer.
Buyer's Representations:Buyer represents and warrants that(a)any credit information furnished by Buyer in
connection with this transaction is true and complete;(b)no person has promised or offered to pay,credit,or allow to
Buyer any compensation or reward for the procurement of anAgreement with others as an inducement to enter into this
Agreement;(c)no person has offered,delivered,paid,credited,or allowed to Buyer any gift,bonus,award,money,
- merchandise,trading stamps,or cash,loan as an inducement to entering into this Agreement;(d)Buyer is the owner of
the property where the goods and services are being provided:
Miscellaneous:Problems and inquiries can be directed to the Contractor,who may be reached at the telephone
number on the front of this Agreement.In construing this Agreement,the gender and.number of words used may be
changed to meet the context.Any part of this Agreement contrary to law of this Slate shall not invalidate other parts of
this Agreement.This Agreement is to be governed by the laws of the State in which it is performed.All contractors
and subcontractors must be registered by the administrator of the.Massachusetts.Board of Building -
Regulations and Standards and any inquiries about a contractor or subcontractor relating to a registration
should be directed to the Director,Home Improvement Contractor Registration One Ashburton Place Room
1301, Boston,MA 02108 Tel:(617)727-8598;This Agreement and any accompanying documents represent the -
entire agreement between the parties and there are no prior or contemporaneous oral or written agreements or
representations on which either party is relying.Any modifications to this Agreement shall not be effective unless in
writing,signed by the Buyer(s)and a President or Vice President of Contractor.The section headings contained in this
Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this
Agreement.
The Commonwealth of Mass
Department ofIndustrfal Accidents
Office Of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Amilicaut Information
Please Print Le ibl
Name(Business/Organization/individual): ( '
n� c .
Address: S i v 0.,t— S f p City/State/Zip: �C~ C w1 MU(9'U Phone#: (-7
Are you an employer?Check the appropriate boa:
1.[a'I am a employer with�_ 4. ❑ I am a general contractor and I Type of project(required):
employees(full and/or part-time).* have hired the sub-contractors 6' ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7. 2'Renwdeling
ship and have no employees These sub-contractors have
working for me in any capacity. workers'comp.insurance, g' ❑Demolition
[No workers'comp.insurance 5. ❑ We are a corporation and its 9. ❑an
addition
3.❑ required] officers have exercised their 10.❑Electrical repairs or additions
I am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions
myself. (No workers'comp. C. 152,§1(4),and we have no
insurance required.]t employees.[No workers' 12.❑Roof repairs
comp.insurance required.] 13.0 Other -
"Any applicant nut checks box#I must also fill out the section below showin their work
t OMMIO.eth who submit this affidavit indicating they nm doing all work am then hire outside contract.,mascy t submit aaam atfidavit indicating such.
tCon[ractms that check this box must attached an additional sheet showing the name oFthe subcontracrors and(heir workers'comp.polity inf.rmaduch
I am an employer that is providing workers'compensation information. — insurance for my employees. Below is the poliry and job site
y—
Insurance Company Name; ` �fl�U �� f S'
Policy#or Self-ins,Lic. #: r�}- 3 ('Vlg
Expiration Date: (02
Job Site Address: 17 P�ufyt 0 u I I/I �Attach a copy of the workers' �
City/State/Zip:_t;:a[e- Vt /Y�i'�619'7b
compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the fomr of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify n er he pains and penalties ofperjuy that the information provided above is true and correct
Signature,
Date:
Phone# -1-(��-�/- 0�{'a-�/
[6.Other
cial use only. Do not write in this area,to be completed by city or town official
or Town: PermttlLlcense#
ng Authority(circle one):
ard of Health 2.Building Department 3.Cily/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
act Person:
Phone#:
ON, Phone: 978-741-0424
"12-2012 Fax: 978-741-2012
A&A SERVICE 115 North
Street com
115 North Street
• . Salem, MA 01970
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 property licensed facility as defined by M.G.L.c. 111, Sec. 150a.
The debris will be disposed at: Waste Management 877-515-2845
c/o Melrose Transfer Station
740 Broadway
Melrose, MA 02176
or
Waste Management, Dumpster Service
at
115 North Street
Salem, MA 01970
Signature of rmit Applicant
Christopher Zorzv, President
Name of Permit Applicant
JAN202016
Date
Phone: 978-741-0424
1!159x2_,oi z Fax: 978-741-2012
fA�111 Ilk®Y rC// 1,1I 9_IL�� ies.com
115 North Street• . . Salem, MA 01970
January 20, 2016
City of Salem
Building Dept.
120 Washington Street
Salem, MA 01970
To Whom It May Concern:
Enclosed please find the permit application for Ed and Eileen Margerum,
17 Plymouth St., Salem, MA.
I have enclosed a check for $25.00 based on your fee schedule of $7.00
per $1,000.00 and a minimum of $25.00. The job was $2,850.00.
Please send the completed permit to A & A Services, Inc. at 115 North
Street, Salem, MA 01970.
If you have any questions, please contact me at (978) 741-0424.
Thank you for your assistance.
Sincerely,
Barbara Zorzy U 0
Office Manager
A S A SERVICES,INC. 301
City of Salem 1/20/2016
Margerum Entry Door Permit 25.00
A&A Beverly Coop 6 Margerum Entry Door 25.00