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23 SOUTHWICK ST - BUILDING INSPECTION (3) DATE: I/./ 7- © L/ Citp Df a`�AY�ITC, acaLUEtt PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED n Location of Building "aa S'nf JA&TL4 c 1 Building Permit Application For: '(Circle whichever applies) Roof, Reroof, Install Sid ct Deck, Shed, Pool Addition Alteration, eparr/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 C" /'/fUn T-ff r t?i J Contractor: C h r i s r o n�P r Z n r Street �,� , 71� A/.t� ,1 f City Street 1 1 5 North S t r a a t City_ C a 1 a m State Phone 070 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_.L-1 no Structure: (please circle) i�Fanffllti Family# Other Estimated Cost of job Will building confirm �i law?JLyes no Asbestos?--yesy no T� Description of work to be done:�r 1 t7d.[ I ! tJ211'hJ- ire Y ) V//7(O OnI�lD{'Y)pt'�'� it�ll'Y�6)i�15 SERVICES Drawio b fitted: es no Mail Permit to: 115 NORTH STREET % SAT.R K U.4 g:879 X ' Signature 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 S C0HNMS: " r3 _ do � -_z r O r aZ F �r . CC) : O I , - • . i'ii: iq:'f.. 'SPA:[.' '�i . r r l_ The Commonwealth of Massachusetts Department of Industrial Accidents AffefelIHNS918Uee5 600 Washington Street Boston,Mass. 02111 Workers'Compensation Insurance Affidavit name: location: city phone# ❑ 1 am a homeowner performing all work myself. O 1 am a sole proprietor and have no one working in any capacity Q l am an employer providing workers' compensation for my employees working on this job. comosisyname' A &, A•Services , Inc. address: 115 North Street city: Salem, MA 01970 phone#• 978-741=9424 „ insurance co. The Travelers policy WC939XI256 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: C address: �yulP)lkls`�Sa'a cif : "' hone q• t Insurance co: - policy# company name- address"' city! i + hone a:' insurance co. Policy N, Failure go secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to SI,500.00 sad/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 against me. 1 understand ghat a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify u d �tthh/j pains and pens/lies of perjury that the Information provided above is true an—d7 correct., Signature � /1 ✓ Date 11'1 / -o 1 Printname Christopher Zorzv, President Phone# 978-741-0424 official use only do not write in this area to be completed by city or town official city or town: permitAfeense# flBuilding Department v,r. . ❑Licensing Board []check if immediate response is require) ❑Seleetmen'a Office . ❑Health Department contact person: phone N;_ flOther LIIII III �zii n, : H rZIEBUTEIT BEttE a /� �Ltn1iL �III�SrSIiI �zIliIi711�Ii �„�,;�- iuili)inII at}rsr�mrni (gar r'eif, 6rzxa - 5D8-7J5-y=7� u:. 3313 DISPOSAL 07 D°33I5 A77IDAVIT in accordance with the Drovisions of f?GL c 40 , S54 , I acknowledge that as a condition of Building Permit [ all debris resulting from the construction acriviry governed by th_s Building ?e- _t shall be disposed 0- _ a properly licensed solid vaste disposal facility, as defined by MCL c III , S 150A. Salem Transfer Station owned by: The debris will be disposed of at: Northside Carting local:on of :aci_ity / Signature of ?e 0plic2nt Date Fully co=olete the following information: (?lease print clearly) ChriAtBphercZo;iyc. Name of Permit Aopiicanc A & A Services , Inc . Firm Name, if any 115 North Street , Salem, MA 01970 Address . City 6 State The above statute 'souir_s that debris from the demo-H- tion. renovation, reha' or other alteration of building or structure be disposed of in a properly licensed solid waste disposal facility as defined by t6GL cIII . 5150A and tha building Permits or 1=tenses are to- indicate the' loLatlon of the facility ar X Board of 1loilding 11C9111ations and Standards HOME IMPROVEMENT CONTRACTOR IIWCJ(',(J� Registration: 101609 - Expiration: 6/26/2006 Type: Private Corporation A&A SERVICES, INC Christopher Zorzy 115 North Street Salem,MA 01970 Administrator Commonwealth of Massachusetts Division Of Occupation/Safety Robert J Prezioso,Deputy Diredo• Deleader-Contractor CHRISTOPHER ZORZY Eff.Date 12/19/03 Date 1220/04 DC DC000g4p Member of C.O.KE.S.T. so (IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIII BOSTON-N-RENEW ' ✓�re VJ o9/vnrorel4a,6CUL o�✓�GndJa!'�udeud r. . BOARD OF BUILDING REGULATIONS Jcense: CONSTRUCTION SUPERVISOR t Number: CS 057733 Birthdate: 0 5/2 611 9 5 8 � Expires: 05/26/2005 Tr.no: 12224 Restricted: 00 CHRISTOPHER ZORZY 115 NORTH ST rz.n.6 SALEM, MA 01970 Administrator ` U-VALUES AND R-VALUES ( �i ENERGY$TAR HgRVEv INDUSTRIES Harvey Manufactured PARTNER �• Windows and Doors S. t 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.' isosoo, 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 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 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. Effective 3/17/03 For current pricing, call your local branch or visit www:harveyind.com. � 256