33 WARREN ST - BUILDING INSPECTION DATE:
�t�p Df a�A.YEIU, �.S�ftL�U��tt�
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTDE,, �` /
Location of Building 93 WQYre f7 .S7/P_P_7'
Building Permit Application For:
'(Circle whichever applies) Roof,Reroof, Install Si ' , t Deck, Shed, Pool
Addition, Alteration, epau lace 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: 249-y/ gy m 11 h Contractor: C n r i s t o p h a r Z n r 7 g
Street_32 14 lrren 5h7e1 City Si km Street l 1 5 North StrPPt City Salem
State: MPr PhoneQ7?,)_7G{!/- 37a1 State MA Phone (978) 741-04Z4
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 4Zyes no
Structure: (pleas,circle) Single Family, .lulti Family# Other
` Estimated Cost of yob S glp95, 6-0
Will building confirm to law? ✓ yes no
Asbestos?_yes \/ no (
Description of work to be done: 1//04
Draw ng ubmi ed:_yes no Mail Permit to: 116 NORTH STREET
/ g ISATRIK 11�4
X x
Signature f Application, SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(O MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning NIap/Lot
Permit fee S ZC1 I — Z-Cru 50/
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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 Cardno
Si ur6 of Permit Applicant
9- l9-a.3
Date
Christopher Zorzv
Name of Permit Applicant
A &A Services, Inc.
Firm Name
4
115 North Street, Salem, MA 01970
Address, City, State, Zip Code
The Commonwealth of Massachusetts
Department of Industrial Accidents
&W0001INNS9180005
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
MIRM III
name:
location:
city phone#
❑ 1 am a homeowner performing all work myself.
❑ I 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.
A & ,.A•:Services v,
company-name: r Inc.
address: 115- North Street
city: Saleta, `'MA 01970 phone#• 978=741-0424'
insuranceco. The 'Travelers policy# WC939XI256 i ,V::
❑ 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: i
t ,
d-
.�-�ti,�F'+�--r
cf MY hone#•
insuranceco; Policy q fis ea,*'.,, A
company name:
address"
city:
insurance Co.
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$I,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. 1 understand that■
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby cnHfy r e pain an penalties of perjury that the Information provided above is true and correct.
Signature Date t•1'M�fJ
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: permittlicense# nBuildingDepartment
❑Licensing Board
❑cheek if immediate response is required ❑Selectmen's Offiee
[]Health Department
contact person: phone a• nother
�-= HARVEY /N�USTRIES
/ NTM ® [
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 511/00
HARVEY MANUFACTUREDD• AND / fad '
Clear Insulated Low-E AdvantEdge
WINDOWS U-Value R-Value U-Value R-Value U-Valui R Valus
•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 2.W
•Classic Double Hung(w/ProWeld Technology) 0.49 2.04 0.38 2.63 0.34 -2'
•Classic Plus DH W/CFW 0.33 3.03 0.26 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 2.86
•Slimline Double Hung(Welded Sash) 0.52 1.92 0.40 2.50 0.35 2.86
•Slimline Double Hung(w/PmWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.86
•Thermal One Single Hung 0.53 1.89 0.40 2.60 0.36 2.78
•Majes"uble Hung 0.54 1.85 0.44 2.27 0.40 2.50
•Majesty.Fixit .0 sement(PW) 0.53 1.89 0.40 2.50 0.37 2.70
•Majesty Casement/Awning 0.86 1.16 OAS 2.22 0.42 2.38
•Majesty Picture Window(DH) 0.53 1.89 0.43 2.33 0.38 2.63
•Vinyl CasemehUAwning 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 Lke&3 L8e 0.50 2.00 0.38 2.83 0.36 2.88
VICON SERIES
New Construction Vinyl Window
•Vloon Casement/Awning 0.47 2.13 0.36 2.78 0.33 3.03
•Moon Picture Window 0.46 2.17 0:33 3.03 0.30 3.33
•Vioon 1000 Single Hung 0.53 1.89 0.41 2.44 0.37 2.70
•Vicon 2000 Double Hung(w/PmWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.86
•Vioon 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 . 1 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
BOARD OF BUILDING REGULATIONS
.icense: CONSTRUCTION SUPERVISOR t-
s
Number: CS 057733
Birthdate: 05/26/1958
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH ST /.�
SALEM, MA 01970 Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
. Robert J.Prenoso,Deputy Dvedor .
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 1121/02
Exp.Date 1120/03 0
DC000440
Wmberof CAN.E.S.T.
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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