6 RAVENNA AVE - BUILDING INSPECTION ArPLICA ION FOR
' PER To
LOCATION `
PEIMIT GRANTED
• � 30 � s -
APPR p
INSPECTOM Ofe BUILD NGS
CERTIFICATE OF OCCUPANCY
YES
NO
f
DATE: //- 1-6 (�zl
Cl itp of �arrrr, a� aLfju �tt
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED -
Location of Building(o /0yP! oa Av e nV�
Building Permit Application For:
' Circle whichever applies) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool
Addition, Alteration, a air lac 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:
OwnersName�g{hl ) �F�1,p,� jmy 2 Contractor: Christn nher Znrzy
Street (D i�YL\/P,YWI�J / flP2 . Cit} Street 11 5 North Straat City Ralam
State_HP) Phone 01S) 7,9H - IW55 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__I/ no
Structure: (please circl )LSingleFamily, Multi Family# Other
Estimated Cost of job $_ !, /9 7,
Will building confirm to law? yes no
Asbestos?_yes_,Lno . 1
Description of work to be done:-Tn40 LI or)P ( I VIn(J ro ' 1'Y1PM re IGCPlvw-oI
WIrydC)W.
SERVICES
Drawing b itted: es-4-L no Mail Permit to: 115 NORTH STREET
X
Signature of Applica ' n, 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 $
COMMENTS:
The Commonwealth ofMassaehusetts
Department of Industrial Accidents
offleo OIISYOSBDSBOSS
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city nhone q
❑ 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.
comoanvname: A & , A•.Serviees , Inc.
address: 115 North Street
city: Salon% MA 01970
ohoneq• 978-741 '04241iOf
,
Insurance co. The Tra elers policy# WC939X1256 ' tft'+
❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
the following workers'compensation polices:
J)ti T" 1
company name:
address: - Ki{,I�4j'Jf{,Q.9trF N
city:
insurance co: Y,
olio q .`F'S�i'dk.,,,.'
'\
com an name ` '
address.
city:insurance co.
D0116 q
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 s1,500.00 mad/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 agalast me. I und40.00erstand that a
copy of this statement may be forwarded to the Omer of Investigations of the DIA for coverage verification.
l do hereby certify r e patns d pe allies of per)ury that the Information provided above Is trueand correct.
f
Signature Date '/`•t�7b
Printname Christopher Zorzv, President Phone#478-741-0424
official use only do not write in this area to be completed by city or town official
I
city or town: permit/license q Building Department
QUcensing Board
Q check if Immediate response is require) Qseleetmen's Office
QHnJut Department
contact person: phone p; - mother
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 Carona -
tA nL
Signature of Permit Applicant
y - � 7, 0''�
Date
Christopher Zorzv
Name of Permit Applicant
A &A Services, Inc.
Firm Name
115 North Street. Salem, MA 0, 70
Address, City, State, Zip Code
U-VALUES AND R-VALUES
fr � ENERGY STAR
HARVFv INDUSTRIES Harvey Manufactured PARTNER
�• Windows and Doors
i WHOLESALE PRICING
i' • 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 l
Low-E/Krypton qualify for the ENERGY STAR® program throughout the U.S.' xoeoal
Clear Insulated Low-E* Low-E/Argon*
VINYL WINDOWS U-Value R-Value U-Value R-Value U-Value R-Value
a; 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 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(Welded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Vicon Casemept/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 1 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.
Efleclive 3/17/03 For current pricing, call your local branch or visit www.harveyind.com.
256
... ��w, iJonviiwmarra`!� of✓�,na�a��uae!!a �
- i BOARD OF BUILDING REGULATIONS
Jcense: CONSTRUCTION SUPERVISOR
Number: CS 057733
Birthdate: 05/26/1958 0
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH ST
SALEM, MA 01970 Administrator
921 '6anisiwnme�xl�. o� �.uauir/uroeL/u
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 re
Salem, MA 01970 —
Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Robert J Prezioso,Deputy Director W
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 12119/03
Exp.Date 1220/04
DC000440 04
Member of C.0 N.E.S T.
H0 -
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