63 PROCTOR ST - BUILDING INSPECTION (5) No.
APPLICATION FOR
'PEpMf TO
LOCATION
PEgMIT GRANTED
19
APP,RQVfp
SPECTOP. F BUILDINGS
CERTIFICATE OF OCCUPANCY .
YES
NO � ' �
DATE:
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building 1)7 �rnr fly SFrnP (�(JI
Building Permit Application For:
Circle whichever applies) Roof, Reroof, Install S' ' nstruct Deck, Shed, Pool
Addition, Alteratio Repair/Replace oundation 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: Contractor: Q h r i a t n n h P r 7.o r z g
Street (o� City Q2 Street 11 5 Nnrth (;trPPt City .Ral Pm
State_MP Phone 079) 7141- 317q State MA Phone(978) 741-0424
Architect: City of Salem Lic# 1405
Street Cin• State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form_ yes_,,Z no
Structure: (please circle) Single Family, Multi Family# Other J-J-Ur)/ 1-
Estimated Cost of job $_J, 2 05, (r()
Will building confirm to law? yes no
Asbestos?_yes / no
Description of work to be done:
;�,><aall ,sik ( b ) vinul rn„ola(zrned z.)1ry-J0U-)5 .
SERVICES
Drawin Submitted:_yes no Mail Permit to: 115 NORTH STREET
X SALEM XA 81B78
X
Signa ire of Application, SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning Map/Lot
Permit fee$
COMNENTS:
r U-VALUES AND R-VALUES
ENERGY STAR
HAgVEVINpUSTRIES Harvey Manufactured PARTNER
0• Windows and Doors
I 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 quality for the ENERGY STAR® program throughout the U.S.* go-
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
ji 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 CasemenUAwning 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 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
Vicon Classic Double Hung(1Velded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Vicon Casement/Awning 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 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.
Effective 3/17/03 For current pricing, call your local branch or visit wwwharveyind.com.
256
The Commonwealth of Massachusetts
Department of Industrial Accidents
0/1/000//OYOStl080005
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city phone a
❑ 1 am a homeowner performing all work myself.
❑ I am a sole proprietor and have no one working in any capacity
❑ l am an employer providing workers'compensation for my employees working on this job.
q
comfianyname• A & , A: Services , Inc,
address: 115" North Streetr '
city: Salem, 'MA 01970 uhooea 978-741 0424%;!wit " "� "' "° E''`
insurance co. The Travelers ooIlcvk 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: new.
company name:
address:
city:
hone a
insurance co: " r' rQ
olity q
�:..
company name: N1, .
address. °, x,.••:;1x�AJ ' - .,
cit :
r it 7* 4br v
insuranceco. .
nolkv a ye•r . ^4itk
Failure to secure coverage"required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. 1 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 it cr t pains and penaUles of perjury that the Information provided above is true and correct.
Signature' , Date b1 •-47--01J
Printname Christopher Zorzv President Phonea978-741-0424
a ficlal use only do not write In this area to be completed by city or town official
I
city or town: permittlicense N I1Building Department
❑cheek if Immediate response is required ❑Licensing Board
❑selectmen's Me
contact person: Qllealth Department
phone e• 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. 119, Sec.
150a.
The debris will be disposed at: Salem Transfer Station
owned by Northside Cardna -
ignature of Permit Applicant
Date
Christopher Zorzy
Name of Permit Applicant
A &A Services, Inc.
Firm Name
115 North Street, Salem. MA 01970
Address, City, State, Zip Code
...✓die toonvrieo-rwie� o�✓Cl�uaeAd ..�.
i BOARD OF BUILDING REGULATIONS is
Jcense: CONSTRUCTION SUPERVISOR
Number: CS 057733
Birthdate: 0 512 6/1 9 5 8
Expires: 0 512 6/2 0 0 5 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH STa,y—�
SALEM, MA 01970 Administrator
. _ ��.\ ��ie �ancziwsuUea� o�:i`laatac�rrJel/a
v 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 Commonwealth of Massachusetts
Division of Occupational Safety
Robert J Prezioso.Deputy DPedor
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 12/19/03
Exp.Date 12/20/04 0�
DC000440
Menbuol C O.BE.S.T. , t
130
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