1 UGO RD - BUILDING INSPECTION DATE:...g D
r
Cl itp Df '45
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PER UT BEING GRANTED , p
Building Permit Application For: Location of Building
"(Circle whichever applies) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool
Addition, Alteration air/Repla , Foundation Only, Wrecking
Other: 4
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�l�h�rd p4 / 'ln Contractor: C h r i 4 t nnh a r 2 n r y
Street l l Ori R(Y)CA City]leffl Street 1 19 No r t h 9=Q?.r City—Sa.
State.HA Phone (qqb) ?HHN0, State MA Phone (978) 741-0424
Architect: City of Salem Lick- 1405
Street City State Lic#057733 HIP# 101609
State Phone ( ) Homeowners Exempt Form_yes_�,/ no
Structure: (please circ ) Single Famil Multi Family# Other
Estimated Cost of job S { 0jF-P) , M
Will building confirm to law?�yes no
Asbestos?_yes.y/ no
Description of work to be done:
1S�ill reP ti Vlnrtl rvp Inroryoiry
Drawin u itted:_yes-1Z no Mail Permit to: 4 A SER
TIMET
g—T° h�ARA-Ai949
]i
Siguature of Appl ation,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6) MONTHS OF PERMIT ISSUED DATE
Department use o n"err 't Zoning Map/Lot
Permit fee Sri"'
COHEMS:
I
No. L2
APPLICATION FOR
' PPR CO
LOCATION t.
1 ln ` 1� A! (y
PEgqMIT GRANTED
gZ13/6S" 1s
APP OVPp
SPECTO� F BUILDINGS ` _: ,_�• .-
CERTIFICATE OF OCCUPANCY .
YES
N0 . . � ,
S
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 Northslde Cartina _
Signatur of Perfnit Applicant
�,�3o�OCo
Date
Christopher Zorzv
Name of Permit Applicant
A &A Services. Inc.
Firm Name
115 North Street, Salem MA 01970
Address, City, State, Zip Code
�\ The Commonwealth of Massachusetts
Department of Industrial Accidents
O///CO 0//8ItOSU880005
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
❑ l am an employer providing workers' compensation for my employees working on this job.
companvname: A & . h• Services , inc .
address: 115 North Street
tkv3 r}b+rylvi4t`-
city: Salem, " 01970 phone#• 978-741=0424
insurance co. The Travelers Dolicv# WC939X1256 " ' 'S• ` '`'
❑ 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:
tom an name:
Ila
address:
city: hone#:
Y
insurance co;
nollev# r k,Sykdi 1'
company name. "+
! V
addrus.
city: i .: "hone#:
insurance co. otic k
. 5 1 A,Ji 4HFuiSIA:`.
Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a Rae 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 Roe 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 u er he of and penalties of perjury that the information provided above Is true/and correct.
Signature Date
t
Print name_Christooher zorzv. President Phone# 978-741-0424
official use only do not write In this area to be completed by city or town official
(contact
ity or town: permit/license# flBuildiag Department
❑Llcewing Boardcheck ir{mmediale response is required ❑Seleetmeas ORite person• hone#; ❑Health Department
P flOther
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 057733
Birthdate': 05/26/1958
' Expires:'05/26/2007 Tr. no: 12633
Restricted: 00
CHRISTOPHER ZORZY, -
115 NORTH ST G-
SALEM, MA 01970
Commissioner
,r_ :�//rn 'l'nraraanrr,eall� r�..��u.'an�es�eCG
Board of Building Regulations and Standards
_.
HOME IMPROVEMENT CONTRACTOR
Registration: 101609
`\r+- Expiration: 6/26/2008
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy
115 North Street
Salem,MA 01970 Deputy Administrator
Commonwealth of Massachusetts
Division of occupational Safety
Roberl J Prezioso,Commissioner
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 02/09/06
!! Exp.Dale 02!08/07 `
DC000440
Member of C.O.RE S . 07
.�
BOIY�_�
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"�°�"' HARVEY INDUSTRIES �
-TM1309001
U-Value and R-Value Test Results ®®
• 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 windows with a U-Value of.35 or less qualify for the Energy Star program Rev 5/7/00
HARVEY • • CTURED WINDOWS AND -
Clear Insulated Low-E AdvantEdge
WINDOWS U-Value R-Value U-Value R-Value U-Value R-Value
•Classic Double Hung(Mechanical) 0.51 1.96 0.40 2.50 0.35 2.86
•Classic Double Hung(Welded Sash) 0.51 1.96 0.39 2.56 0.35 2.86
•Classic Double Hung(w/ProWeld Technology) 0.49 2.04 0.38 2.63 0.34 2.94
•Classic Plus DH W/CFW 0.33 3.03 0.28 3.57 0.27 3.70
•Signature Double Hung 0.51 1.96 0.39 2.56 0.35 2.86
•Signature Double Hung(Welded Sash) 0.50 2.00 0.39 2.56 0.35 2.88
•Slimline Double Hung(Welded Sash) 0.52 1.92 0.40 2.50 0.35 2.86
•Slimline Double Hung(w/ProWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.86
•Thermal One Single Hung 0.53 1.89 0.40 2.50 0.36 2.78
•Majesty Double Hung 0.54 1.85 0.44 2.27 0.40 2.50
•Majesty Fixed Casement(PW) 0.53 1.89 0.40 2.50 0.37 2.70
•Majesty Casement/Awning 0.86 1.16 0.45 2.22 0.42 2.38
•Majesty Picture Window(DH) 0.53 1.89 0.43 2.33 0.38 2.63
•Vinyl Casement/Awning 0.47 2.13 0.36 2.78 0.33 3.03
•Vinyl Casement/Awning&Thermal Panel 0.32. 3.13 0.26 3.85 0.25 4.00
•Vinyl Designer Shapes 0.49. 2.04 0.34 2.94 0.30 3.33
•Vinyl Hopper 0.47 2.13 0.36 2.78 0.33 3.03
•Vinyl Picture Window 0.46 2.17 0.33 3.03 0.30 3.33
•Vinyl Picture Window Deadlite 0.51 1.96 0.37 2.70 0.33 3.03
•Vinyl Roller-2 Lite&3 Lite 0.50 2.00 0.38 2.63 0.35 2.86
VICON SERIES
New Construction Vinyl Window
•Vicon Casement/Awning 0.47 2.13 0.36 2.78 0.33 3.03
•Vicon Picture Window 0.46 2.17 0.33 3.03 0.30 3.33
•Vicon 1000 Single Hung 0.53 1.89 0.41 2.44 0.37 2.70
•Vicon 2000 Double Hung (w/ProWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.86
•Vicon Classic Double Hung 0.51 1.96 0.40 2.50 0.35 2.86
•Vicon Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33
Temp.Clear Temp Low-E Temp.Argon
HARVEY PATIO DOOR U-value R-Value U-Value R-Value U-Value R-Value
•Solid Vinyl Patio Door 0.50 2.00 0.41 2.44 0.38 2.63