15 POPE ST - BUILDING INSPECTION (2) The Commonwealth of Massachusetts IN SP RE El
s$ �, Board of Building Regulations and Standards ECrI NAL
1
Massachusetts State Building Code,780 CMR IISS ������rr.. �;E$
Building Permit Application To Construct,Repair, Renovate Or De�DbYis'INdr 5 RAW� t
One- or Two-Family Dwelling p '
This Section For Official Use Only
Building Permit Number: Date Applied:
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property
,,,Addre s: 1.2 Assessors Map&Parcel Numbers
Ir
1.1 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 ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G_L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public❑ Private❑ Check if yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP[
2 Owner of Re rd:
tch'R. �Ilzv, S1Odrnt1'nA o197o
Name(Print) City,State,ZIP
1 popq 5+4 !eLc ar-q - '69 W7 thIVe.Q-Q ItonsrnaKe.0 Wi
and Streit Telephone Emad Address
SECTION 3:DESCRIPTION OF PROPOSED WORKz(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work': n S tj ) ]l (Q
LJ th��
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 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 (HVAC) $ List:
5.Mechanical (Fire $
Suppression) -Total All Fees: $ - -
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ 2 0 Paid in Full 13 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.11 IC,,onstructtioonSuuEmailaddress
e(CSL) CS — C� 3L nsf V License Number Expiration Date
Nameof CSLCMocytList CSL Type(see below)
No.and Street ,Y� Type Description
M U Unrestricted(Buildin s u to 35,000 cu.ft.)
IR Restricted 1&2 Famil DwellinCity/Town,State,ZIPM Masonry
RC Roofin CoverinWS Window and SidinSF Solid Fuel Burning Appliances
Ct,'CISC(Q\� I Tele honemail address D Demolition
5.2 Registered Home Improvement Contractor(HIC) r^ ,r ,t I
--A L HIC Registration umber Expiration Date
HI 15m�n�'1'I1S [��istrant Name
I CJnr> 4 Ci-as Vices
No.and Street Email address
,�5&`2 xtn,M A
City/Town, State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.4 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 Issua,pte of the building permit.
Signed Affidavit Attached? Yes .......... 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_ ( / ✓mot S -Tc ru
to act on my behalf,in all matters relative to work authorized by this building permit application.
s.�g
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
containWnthr, application is true and accurate to the best of my knowledge and understanding.
(Print=O udioriz Agent'_s-Name=(Electronic Signature) Date),
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.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/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 halfibaths
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"
+ AG tl
'� smelas, A & A SERVICES, INC.
115 NORTH EFaAAAvERVICES Telephone: (98)7441-024 :(978)741 2012
• "a •
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No. CS057733
WINDOWS AND STORM PRODUCT SPECIFICATION SHEET
Buyer(s)Name Date of Contract
F-MI Kc t mlaQlq PL-Geiii 1 7- 25-/.S
Buyers)Street Address,City,State and Zip Code
is POPE sT 54L.0" mft? 0/470
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
976-8977- 0'74
The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance won 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 pan.
WINDOW REPLACEMENT
f'O Remove and dispose of# ' existing windows.
�t Install # new �NAl LSa��turer) C1-/ O windows:�t linyl t Wood
(Manufacturer)
Options: Style 3-LI TLSCA_&CV"Vyy7_ Grid pattern IUO?/li
Color Interior W 141 7V- Color Exterior U/Id r 71 Glass Type OW/s" 7%W6, LOW S
® Wrap exterior trim with aluminum: Style F//b L. L(/164:3e Color k1 p, —7�7 An,4 ty�!ws
All windows will be installed according to the installation procedures in the portfolio.
Caulk all interior and exterior edges.
4 Insulate where passible around new units.
Insulate window weight pockets if exist,and around new window units where possible.
Included in this proposal are set up,clean up,Helps vacuum and cleaning windows inside and out.
Building permit included.
BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS
t Create new window opening by cutting through existing home and framing in opening.
If Remove and dispose of existing unit(s)in its entirety.
Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with.
t Install window(s)into opening(s).
Note: If Bay or Bow installation to include cable support system,new roof system(matching color as close as possible)
or tie into existing soffit system.
If Bay If Bow If Casement If Other window(s)to include new interior style trim and new exterior style trim and head
flashing as needed.
Note: Painting and staining not included.
STORM PRODUCTS
If Remove and dispose of# existing storm window(s).
If Install new storm windows# Manufacturer
Style Color Option
f Remove and dispose of# existing storm door(s).
f Install new storm doors# Manufacturer
Style Color Type: f Aluminum If Solid Core
SPECIAL INSTRUCTIONS: '5,4VZ;r- �i X'LS 7Nh W/NDt3vxJ -(N9�1/KS Fov2 J -KtTD7^�W2'✓✓\
j IYS nei"_ /a�erLcv>z SeL Pz/v s s a�S & /7/v S z rU7&yz it_
772-/n , Tn 2owzt9-,n/ f,vs x Kn f6i'X76-124 li S c,L
2`` /nits i.vs7n-tz FVLA—
fiLi.,M/n� Wr2jt ,eO 727 I7b✓tu//L 7>7-//"
It Is agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes
the entire understanding between the Parties,and there ere no verbal understandings changing or modifying any of the terms. This contract may not be changed or its
terms modified or varied in any way unless such changes are in writing and signed by both the Buyer(s)and Me Contractor. Buyer(s)hereby acknowledge lM1 tBuy ns)
has read this Specification ShellCC,,..11��__ t�
Contractor Initials: i15 Date: 7-25-�-+ Buyer's Initial Dater ! I'
��,,�� //�� c �/ / =.icr A & A SERVICES, INC.
ji&A JMy CES 115 NORTH STREET, SALEM, MA 01970
•I&I=11 V11:11.1-62MITAMNE Telephone:(978) 741-0424 Fax: (978) 741-2012
Contractor Registration No. 101609
Construction Supervisor No.CS057733
Federal EN: 04-3090162
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
eu er s Name ..�/ Date of Contract
♦� ti 1,9 1 - ZS IS—
Bu e s Street Atldrader City,State and Zip Code Aw elf-7ilf
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
978-80 -D797 KE Yt77 foNS noKi,
The Buyers)listed 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 Buyers)have requested
that such goods or services be installed or provided:tat Buyer's address listed above.A&A Services,Inc.('Contractor'),hereby agrees to install or cause to be installed
the products or services listed in this Agreement at the Buyers)address written above.This Agreement represents a cash sate of goods and services.The Buyers)
agree to pay in cash the Cost of me goods and services purchased as described herein,regardless of timing or approval of any financing Buyers)may seek for their
purchase.
Purchase Price: 31102, Est.Starting Date:B-331 9-
Down Payment: / 0-50r Est.Completion Date'
Cash
Amount Due on Stad of Job: Check
f Credif Card
Amount Due on of Completion No.
Amount Due on_of Completion: Expiration Date'
Balance Due on upon Completion: 7' 1 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 pa ging or m parties, and there are no verbal understandingschanodifying any of the terms of this Agreement.Buyerls)
hereby acknowledge that Buyar(s)has react the front and the reverse of this agreement and has received a completed,signed and dated copy of this
Agreement,including the two attached Notice of Cancellation forms,an the date first written above.Buyerls)also(i)acknowledge that they were orally
informed of their right to cancel this transaction;and(if)request that they he contacted via their telephone numbers or email,as listed above,in the event
Contractor believes Buyerls)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 Service nc rBuyer(S6
By
oaj
Signatur
Signaler
l�v2ye� ltil��t �
Print Name Print Name
Signature
Print Name
You,the Buyerls), may cancet this transaction at any time prior to midnight of the third business day after the date of this
transaction. See the following Notice of Cancellation form for an explanation of this right.
ARPTRATIOM The mntrauar and the tarreowner hereby Moselq agree in aawnce that in the event Milner pent he puts r¢mine tone cuyrad,,eilnerpam maY aunmt Much dispute toe
private aNitrabon sernce whirf�M1as been appovM oy Ilia 5eptryol ln¢E,eculiva Ofireot Consumer Malls d egNatiors a.tl lbCONer party shall be required to suonul to aunt
ihit2um s proved in MG.L c1iPA. X
Conrounri riots: V6 unions Initials:
NOTICE OF CANCELLDT ON ✓NOTICE OF OANCELLAT ON
Date of Tmnssmon / S-/ .You may formal all trenwom.vnlnoul any penalty or Date Of Tranaaria —2 -/ .You may form this traneae4on.unman any penalty or
olestrogximm mrea busineas Mays ken the be.debt a you Cancel,any uncerty traded ln, oblibodsc vnmm.11 business it.,mom ine above dale.Ity ran¢anceL any proper,pedM in
any µ yments matle by you under Me CMtre¢t or Sale,and any negotiable Insbument exewted any payrrenls made by you under Me Contract or Sa@,and any negotiable instrunent exevu
by you will be retumatl withe 10 Mays IOamvirs receipt by the Seller of your wnsellabon proms by you rill be retuned burin 10 it.,IWloeing receipt by Me Seller al year GnMdolon nod ie,
ants any s¢cunty interest arising out Of the yrMr lion vnll be mnaelled.It you wnwl,you must and any wwnty interest arising out of as serh s lfun unit be cancelled ll yW Cancel,you meet
hake available to the seller at year eydence,and substantially in as good condition as wren make available to me Seller at Your residers,and substantially in as geW wndWon as rMen
vent,an,g-do aNivered to yqa under Mis Contract or Sale;or you troy,If yen Irish,¢reply ved,any guests drodybred to yen under the Contract or Sale:or you may,also at a Soler:
ep me instructions of the Seller regarding N¢re m shipment of dtt a Sell at Me Sellers wits Ma mountainspaI of the Seller regarding the return shipment o1 the a Sol al Me Seller s
¢✓yens¢and oak,11 you do make the Itygeods available to c the Seller and the Seller does rid plek expense and n rin 20 d ys do nab the pours available to me al and Me Seller.1 d not pick
tramup mour any further
the nine porifoer You
ofCoMake Meo goon,roe may ras thereller.or if
them up avothut days of Johne orMetion,yoamay retain or diapme at
grosyme W returour any lgoods obligation.If you fail b make Men you person
ens nliaable as the pellecorilyaf In.goods wlNout any gunner in ie Sal 11nd aalhedoso hen Eye andinableblr pert egoril
agree tpp velum index Me totr Seller and concellto Mono,thenyprd 6,inliver far pedgned and
reance nddted Wall
obligations
bons Me guess nder e ConrdS ovinedhandunarsgtoen you orrNinliadelored aWall dated
appy of thonsuntlerNe name
any
wheel Mmncosetranuarr preardifeforprn toodDSentated mpy obligatiM theme Conrad, Other elMis dal orsend blegram signed and dated
copy.ine cancellation LIA 0 Or any otherI- TER T hate,or CH a telegram to ASA Sernws, wpy o1 the can Seen
ne ce a any Wrier TER IIAN Mo Isenth telegram,to ASA$¢rvicee,
115 NOM Srcel,Salem MAo19]O,NOT LATER TXAN MIDNIGHTOF�—ZQ f� 115 North 5vttL Salem MAlllg]O.NOT LATERTXAN MIDNIGXTOFa=2,.,J1
malty
I HEREBY CANCEL THIS TRANSACTION I HEREBY CANCEL THIS TMNSRCTIOX
consumer':denature Date: consumers Signs Dare:
Certificate Na. A044298
THE COMMONWEALTH OF MASSACHUSETTS
ExECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT
DEPARTMENT OF LABOR STANDARDS
19 STAMFORD STREET,BOSTON,.MASSACHUSETTS 02114
DELEADER CONTRACTOR LICENSE
A&A SERVICES, INC.
115 NORTH STREET
SALEM MA 01970
LICENSE: DC000440 EXPIRES: Saturday,June 25,2016 i
IN ACCORDANCE WITH M.G.L.CH. 111, § 197B(b)AND 454 CMR 22.03,THIS LICENSE IS ISSUED BY
THE DEPARTMENT OF LABOR STANDARDS TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF
ENTERING INTO OR ENGAGING IN DELEADING WORK.
THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR.
THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADING
WORK IN ACCORDANCE WITH M.G.L. CH. 11 I § 197B(b)(2)AND 454 CMR 22.03.
W ILLIAM D.MCKINNEY,DIRECTOR
Massachusetts -Department of Public Safety
���C. It(+U[urnRruPall�n/r!'�rrJJtr[�rr.fC//J +
i7 iL�—- Office of Consumer Affairs&Business Regulation ! Board of Building Regulations and Standards
i -"e"1I.OME IMPROVEMENT CONTRACTOR Construction Sunercicr.r
± _ egistration 101609 Type: I License: CS-057733
Private Cor oratio
Expiration:
iration 6t2612016 P
CHRISTOPHER 7,16RZi,.
F/e AAA SERVICES,INC 115 NORTH ST � %�F L
r fa Salem MA 0197N � )
Christopher Zorzy
1 115 North Street g <�•- �-�` ` �Yrsr,,.r ,�
Salem,MA 01970 Undersecretary "' Expiration
Commissioner 0512612017
111 ,
A&A SERVICES,INC.
115 NORTH STREET
SALEM,MA 01970
The Commonwealth of Massachusetts
DepartmetugfIndastrialAccidents
Office oflnvestigatfons
600 Washington Street 7l' Floor,
?' Boston, Mass. 02111
Workers' Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors
Applicant information: Please PRINT legibly
name C �;s
1� -pA �,—lLc:zy.
address: � NO✓wIYt :J CI i--ee �fx ` / `/
city 5-\ le state' /�{'� zirx ry/i����9170 phone!, / / J --77"/-z 7VgV
work site location(lii II address): I S Abe& S-h- 5d IQM, M A-- O / I y
❑ I am a homeowner performing all work myself. I Project ype: ❑New Construction ❑Remodel
❑ t am a sole proprietor and have no one working in any cupaciq'. ❑ Building Addition
[f] I am an employer providing�vvoikers' compensation for my employees working on this job`
companv name: A -f'
address: ( ( -5 00 city: � ✓�,/may phone#: ( 2L 7 `IQ'-t W-V
insuranceco. - ,c jaVe < r 'C policy# 3 �fy S p .5-
❑ I am a sole proprietor, general contractor, m homeowner(circle one) and have hired the contractors listed below echo have
the following workers' compensation polices:
company name:
address
city: phone#:
insurance co. policy#
company name. _
address:
city: phone#:
insurance co policy
Attach additional sheet if necessary
Failure to secure coverage as required under Section 25A of 31G1. 152 can lead to the imposition ofcrimimtf penalties of a fine up to S1,500.011 and/or
one years'imprisonment as well as civil penalties in the form of a STOI'WORN ORDER and a fine of S100.00 a day against me. 1 understand that a
copy of this statement may be fo ova riled to the trice of Investigations of the DI:\ for coverage verification.
/do hereby certify unr a th poiii and p natties of perjury that the information provided above is true
uy id correct.(/
Signamrcy/ Date
Print name ✓ I 1�D� r L0K--I- Phone# e�70 �77 l'G� T
official use only do not m,rite in this area to be completed by city or town official
city or town: permit/license# ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
f—ised sepi.Mimi
Certificate No: A044298
THE COMMONWEALTH OF MASSACHUSETTS
I� EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT
DEPARTMENT OF LABOR .STANDARDS
FG. 19 STANIFORD STREET,BOSTON,MASSACHUSETTS 02114
DELEADER CONTRACTOR LICENSE
I
A &A SERVICES, INC.
115 NORTH STREET
SALEM MA 01970
LICENSE: DC000440 EXPIRES: Saturday,June 25,2016
IN ACCORDANCE WITH M.G.L. CH. 11 I, § 197B(b)AND 454 CMR 22.03, THIS LICENSE IS ISSUED BY
THE DEPARTMENT OF LABOR STANDARDS TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF
ENTERING INTO OR ENGAGING IN DELEADING WORK.
THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR.
I
I
THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADING
WORK IN ACCORDANCE WITH M.G.L. CH. I I I § 197B(b)(2)AND 454 CMR 22.03.
WILUA-m D.MCKINNEY,DIRECTOR
Massachusetts - Department of Public Safety
Board of Building Regulations anc Standards
Office of Consumer Affairs&Business Regulation t
7— 1j1OME IMPROVEMENT CONTRACTOR
(a 'Registration: 101609 Type: License: CS-05733
7
/,.rExpiration: 6/26/2016 Private Corporation . '
CMUSTOPHER yb -
Pie 4&A SERVICES, INC - Ylf 115 NORTH ST = +§ _\'-
- 1 B Salem MA 01970
Christopher Zo¢y - -
115 North Street
Salem, MA 01970 undersecretary Expiration
Commissioner 05/26/2017
I
A &A SERVICES, INC.
115 NORTH STREET
SALEM, MA 01970
_��-•,gin � ,
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