70 WASHINGTON SQUARE EAST - BUILDING INSPECTION DATE:_
�itp Dfarm, aactu �tt
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building
Building Permit Application For: S�
"(Circle whichever applies) Roof, Reroof, Install�onstructDeck, Shed Pool
Addition, Alteratiooundation Only, Wrecking
Other: l
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:'gp eLLUI AWI t2)�yte, U.E Contractor: ChristnnhPr Znrw
Street inMnr S-I City ,'�/j jr-jn Street 11 5 North S t X. City_S Lem
State.. MM Phone (g78g_'7,r1 - 7HHi-1 State MA Phone (978) 741 -0424
Architect: City of Salem Lic# 14 0 5
Street City State Lic#057733 H7P# 101609
State Phone ( ) Homeowners Exempt Form yes /no
Structure: (please circle) Single Family Multi Fami y Other
Estimated Cost of job $_aiSlll)D, (—0
Will building confirm to aw? yes no
Asbestos?_yes2no
Description of work to be done:
_,Tnsfdll !seza(r6j- L r l r7H) Inul ronla(-o rnv�l iy, -)dw�
Drawing ub rifted:_yes no Mail Permit to: 215 NORTH gTEREET
% aer.FM It�4-Ai8�o--
X - ,. .
Signature of Applr tion,SIGNED UNDER THE PENALTY OF PERJURY --r
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6) MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning Map/Lot f
Permit fee$
CONMENTS
}
! } i
i
♦' Y rl
f44�_�y
' •' {:.'' n e - ;,.i 1Teif.�.. , ', e5:."..'-. �t I � . -'i 'a Jv ..�.`. T Ft ,$
`Jlttd icl']7J'.C7;4ffY 9!IGT .
No
79917<'
. - Is9v2
7009�'<.`l° iT�'3SS �1
<..,......N........_.. ._...,-.,., _,. . _. ,.:�......, _ . ._.._.�....................__._._..._....�....._... _.... .., tT .•�.l'+?:4,k:V }J t4;a9'f'1i923� '+ ..
0•f Ar �.� YJU 0. �C"` 51'�E} f i, I i� E! .�13.I'3+wrillJ
C p
CD W
s- z
O : Im cl
LL
(\�\
LL
p
-4 Q �... _ ...
CL Lstl p=
(IT-t T III �ZIlEni, 4 H aEsz[rjiuEE
- ,�uniit �rap<zrtg Qzuhr�tt�i
Leas aatrt 6rsza _
Sn8-7-45-S535 Ext. 3HD
DIS?DSAL Or Dc3.'.IS AFFIDAVIT
In accordance with the provisions of MCL c 40 , 554, I acknowledge that as a
condition Oi .Building Permit f all debris resulting from the
construction activity-governed by this 3uilding Pe=_t shall be disposed of i
a properly licensed solid waste disposal facility, as defined by MCL c III,
5 150A. Salem Transfer Station owned by:
The debris will be disposed of at: Northside Carting
location of iaci_ity
Signature of ? r—�t Applicant Date
Fully complete the following information:
(?lease print clearly)
Chkibt0phetcSotiyc. f
Name of Permit At);)-;-;cant
A & A Services, Inc .
Firm Name, if any
115 North Street , Salem, MA 01970
Address . City d State
The above statute 7e7ulre5 that debris from the demolition. renovation. reha'
or other alteration of building or structure be disposed of in a properly
licensed solid waste disposal facility as defined by MGL cIII . S150A and t,
building permits Or licenses are to indicate che• location a-. the facility at
The Commonwealth ofMassaehusetis
Department of Industrial Accidents
Office 0/I8"sU08d00s
600 Washington Street
Boston,Mass. 02111
Workers'Compensation Insurance Affidavit
name:
location•
city nhone H
1 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 thisjob.
comhanrname; A & , A.SerViCes , Inc. + ;,
address: 115 North Street
city: Salem 'MA 01970 ohoneM 978-741=04241
N f 'tJ..l1l"lrtq\Y\Lri 17f its.
MA r\ L
iaauraneeco. The Travelers oolicx# WC939X1256 "rS J i '''
LJ 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 . '
h
address: .+ f
hone k trey
insurance co:, Dollev tl
1 t ;
Company name 's
address• ..:. .. ,r RtSn,... ,. .. ..� :. •
city: .. w' to,
Insurance ca.
201k q
Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a nut up to S1.S00.00 and/or
one years'Imprisonment as well as civil penalties in the form of STOP WORK ORDER and a floe of SI00.00 a day against me. f understead that e
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify u de the pains and penalties of perjury that the information provided above Is true and correct.
Signature Date �ill 7ZO�S-
Printname Christooh r 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: permithkense 0 rlBuilding Department
❑check if Immediate response is required OUeensing Board
QSeleetmen's Oats
eonlacl person: phone N• OHealth Department
110tder
Ntlipulfaemetlm
�"°`°'d HARVEY IN�USTR/ES �
G2
am III
IS09001
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 quality for the Energy Star program REV 5/1/00
HARVEY MANUFACTUREDD• DOORS
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 2.86
•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
•Vioon 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
•Vioon 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
f'
i;
C � � �i{e 'foomvrxooerirea� o�./�aaaac�i%rJelld `
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
' NurnberlS 057733 A
•Bart �_ \� 958 Y :
Tr.no: 12633
C.
Re 6
CHRISTOPHER
115 NORTH ST
rq SALEM, MA 01970
Commissioner
v <
r
t r
is
is
rpe9C71 -Board of Building Regulations and titandards
HOME IMPROVEMENT CONTRACTOR
`.
-
Registration:, 101609
Expiration:6126/2006
Type: Private Corporation. -
i A&ASERVICESDNC
Christopher Zorzy
f [' 115 North Sir at
t q Salem,MA 01
Administrator
Commonweakh of Massachusetts
Division of Occupational Safety
r Robert J.Prezloso,Commissioner '
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 01/14MS
r D 01I13J DC 06 0 _
- DC0004444 0
Meador of C O.N.E.S.T.
BO
I�I�BIII�B�II�I�IA�uIIIIBI�
BOSTON-RENEW