63 PROCTOR ST - BUILDING INSPECTION (4) No.� d�J
APPLICATION FOR
'PERwrr TO ' " '
LOCATION
L7
PEgMI"I' GRANTED
1s
APPRO�p
„/
INSPECTOP Ole BUILDINGS
CERTIFICATE OF OCCUPANCY .
YES
NO ,
• ' i4 • • Y -.t
l
V-) V�\V \` I \ C DATE:
Citp D� ArPTTi, aaLUQtt
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED �L
Location of Building(03 � ) In + 1-
Building Permit Application For:
Circle whichever applies) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool
Addition, Alteratio epau R acpl Foundation Only, Wrecking
Other:
PLEASE FELL 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:\,Sulvla GUerre-tte, Contractor: Chr; sronAar Znrzy_
Street !Q�3 street115 Nnrth 4traat City
_Salam
State.MA Phone A7$) 1�(,�j -D(D7�' State MA Phone(978) 741-0424
Architect: City of Salem Licl( 140 5
Street Cit". State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form_ yes ✓ no
Structure: (please circle) Single Family, Multi Family# Other �l()nl f &t.c: WV-U C COMIC(e/
Estimated Cost of job$ 714, no
Will building confirm tg law? ✓yes no
Asbestos?_yes ✓ no /
Description of work to be done: Taz)� r fen 60) y1f?44YP n�QCe/T/e/7T
7U V
olndl)a)S ` lmk(ll oz2e-L) rP nla ei-nvn-1 42 Lin raa
SERVICES
Drawings m' ed:des no Mail Permit to:0 115 NORTH STREET
X
Signature of XpplicaAon, SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning i_ Map/Lot
Permit fee S
C014IMS:
The Commonwealth of Massachusetts
Department of Industrial Accidents
O///CO O//OYOSU081/OOS
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.
comoanrname: A & , A: .Seryiees , Inc. t , yt. 1y1r
address: 115 North Street M3taaxf>"prti
city: Salem MA 01970 ohone#.
978=741 0424 "f.
insurance co. The Travelers oolievp 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: ,
4
address:
ci hotieq•
insurance co: Doliev,N N '
Company name: '
address. .
�•y
city* hone#•,.
insuranceco.-.. - olio :#
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 aatUor
one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a flue 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 certify r th pains a penalties of perjury that the Information provided above is true and correct.
Signature Date - 3�0 L
Printname Christopher Zorzv President Phone#978-741-0424
0Mtlal use only do not write In this area to be completed by city or town official
city or town: permithicense# nBuilding Department
❑Licensing Board
cheek if immediate response is require) []Selectmen's Office
[]Health Department
contact person: phone#• 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. 11J. Sec.
150a.
The debris will be disposed at: Salem Transfer Station
owned by Northside Cardna -
SiWaMrg of PerrrM 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
U-VALUES AND R-VALUES
rNUVSTRIES Harvey Manufactured ENE PARTNER
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.' isosom
Clear Insulated Low-E* Low-E/Argon*
VINYL WINDOWS U-Value It-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 CasemenUAwning 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 0.33 3.03
Clear Insulated Low-E* Low-E/Argon*
VINYL NEW CONSTRUCTION WINDOWS(p9190-231) 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
Vicon Classic Double Hung(Welded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Vicon CasemeAVAwning 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) Maim 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 CasemenUAwning 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.
EHecdve 3/17103 For current pricing, call your local branch or visit www.harveyind.com.
256
. - ✓die l/lommo9ulieall�i o�'✓j'laa�ac�eude7G...�.
BOARD OF BUILDING REGULATIONS is
Jcense: CONSTRUCTION SUPERVISOR
Number: CS 057733
Birthdate: 05/26/1958
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH ST ,,,y
SALEM, MA 01970 Administrator
. _ u� ✓/re Gim�wna'wieall� o`'✓Lladiac�ar+dv./I4
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 101609
Expiration: 6/26/2004
Type: Private Corporation
- - A&A SERVICES, INC
Christopher Zorzy
115 North Street ,
Salem,MA 01970 —
Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Robert J Prezioso,Deputy Director >
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 12/19/03
Exp.Dale 1220/04 ®�
DC0004C0 '
Ylember of C 0.KES T. 1 .t
RO
IIII�IIIII IIIII IIIII III IIIu IIIII III IIIII IIII IIII BOSTON-RENEW.