71 SUMMER ST - BUILDING INSPECTION (3) DATE: lu' A To -I
Citp of �a['Plm, 1A!�! Harbu5Ett!5
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building T SVl 4Wif 5+, u(M
Building Permit Application For:
'(Circle whichever applies) Roof, Reroof, Install Sid' ct Deck, Shed, Pool
Addition, Alteration, epair/Replao Foundation 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..—",)1q in 1Ma Contractor: Christopher Zorzy
Street�� �[(VYjVY1Q( ����{�11 ity �d D A4 Street 11 9 Nnrth Slraat Cily_Galam
State Phone (17a -7qq-1 State MA Phone(97g) 741 -0424
Architect: City of Salem Lick 1405
Street City State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Formes no
Structure: (please circle) Single Family, Multi Family# Other
Estimated Cost of job $ le
- p O. ((D
Will building confirm to w? yes no \ J
Asbestos?_yes no /r l
Description of work to be done:��
ERVICES
Drawi S bmitted: es no Mail Permit to: 1115 NORTH STREET
% Jj-AT FM KA-9�87A
X
Signaturiot Applica ' n,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6) MONTHS OF PERMIT ISSUED DATE
Department use only: Permit X\'�- " Zoning Map/Lot
Permit fee$
COM1IMS:
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The Commonwealth of Massachusetts
Department of Industrial Accidents
0///ce 011finstl88U08S
600 Washington Street
Boston, Mass. 02111
Workers'Compensation insurance Affidavit
name:
location:
city phone#
❑ I am a homeowner performing all work myself.
❑ 1 am a sole proprietor and have no one working in any capacity
❑ 1 am an employer providing workers' compensation for my employees working on this job.
companyname• A & , A�'•Services , Inc. fe„IYt.r. �ti.
address: 115 North Street
city. Salem, e MA 01970 '°'`«c
phone# 978=741 0424`>, s i' rJ�rr
insurance co. The Travelers policy WC939X1256
❑ 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:
company name
address:
sit : ,,:., Phone#
insurance cm policy# �•:'f lfdl v t
Company name:
address,:'
city: r : "hope#:
a�hti��l,
insurance co.'. OII• #'
Failure to secure coverage as required under Section 25A of MCL 151 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/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. I underlined that a
copy of this statement sy be forwarded to the Omce of Investigations of the DIA for coverage verification.
l do hereby certi y e the p ins a d penalBes of perjury that the information provided above is true and correct
Signature - ` Date
Printname Christopher Zorzv, President Phone# 978-741-0424
omeiel use only do not write in this area to be completed by city or town official
city or town: permitAicense N rlBuilding Department
❑Licensing Board
❑cheek if immediate response is required ❑Selectmen's O(Bee
❑health Department
comet 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. 111, Sec.
150a.
The debris will be disposed at: Salem Transfer Station
owned by Northside Cartina
Signa ure of Pe it Applicant
IDa7-ay
Date
Christopher Zorzy
Name of Permit Applicant
A &A Services, Inc.
Firm Name
115 North Street. Salem. MA 01970
Address, City, State, Zip Code
i
U-VALUES AND R-VALUES ( d
ENERGV STAR
�RV • INUUSTRIES Harvey Manufactured 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 3�
Low-E/Krypton qualify for the ENERGY STAR® program throughout the U.S.* �soeoo,
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(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 CasemepUAwning 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-FJKrypton*
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.
EHective 3/17/03 For current pricing,call your local branch or visit www m harveyind.co .
256 I
1
Board or Building Regul aWms and tit mdards
HOME IMPROVEMENT CONTRACTOR
Registration: 101609
Expiration: 6/26/2006
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy -
115 North Street--'r—
Salem,MA 01970
Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
RoWJ.Prewsn,DeputyDredor Q'
Deleader-Contractor
CHRISTOPHERZORZY
Eff.Date 12/19/03 '
Date 12/20/04
DC
' DC000440
ktmberd C.O.N.E.S.T.
BO
. u4IIIIIIII IIIII IIIII IIIIIIII BOSTON-RENEW
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BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 1
Number: CS 057733 x
Birthdate: 05/2611958 is
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
- 115 NORTH ST
SALEM, MA 01970 Administrator