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48 WEBB ST - BUILDING INSPECTION (2) �� - � S //i� f �� was s Sfi�,( �� 51 it DATE: Citp of urea, JRaE;!5arbU5Ptt5 PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building y j tl VV P, h VTrPP'i' Building Permit Application For: '(Circle whichever applies) Roof, Reroof, Install Siding, Construct Deck, Shed,Pool Addition, Alteration, PEgair/Refralej Foundation Only, Wrecking Other: PLEASE FELL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING To the Inspector of Bt ildings: The undersigned hereby applies for a permit to build according to the following specifications: Owners Name: h V14 ) Contractor: C h r i s t n n h a r Z n r 7.v Street 5YQDA Cit,,'n l ') street I15 North strPPrCity .Calam State Phone t�"I� 7H�-_'i �iD State MA Phone(978) 741-0424 Architect: City of Salem Lic$ 1405 Street City State Lic#0 5 7 7 3 3 HIP# 101609 State Phone ( ) Homeowners Exempt Form_yes_),/ no Structure: (please circle) Single Family, Multi Family Estimated Cost of job $ �J i G i ,j (n Will building confirm to law?—\Z—yeS no Asbestos?__yes V/ no Description of work to be done: AtI4 t_J It P,i P,VPY1 11) c(W 10 f' �11 lVNQ SERVICES Draw. Su miffed: es no Mail Permit to: 115 ^ NORTH STRE E1 X Signature of Appli ation,SIGNED UNDER THE PENALTY OF PERJURY CONSTRUCTION TO BE COMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE Department use only: Permit# � `Eoning Map/Lot Permit fee$ CONKENTS: LIT-tU IIi Sal�nz. 4, aEsarhuEE� 'b,��sr iruil�inu ?t�rm;tni Onr Dutz:+ turn - irM-745-7777 Er.. 3813 DISPOSAL OF DE3—S AF IDAVIt In accordance with the provisions of 14CL c 40 , 554 , I aCknowledge that as a condition 01 Building ?erm' t L' all debris resulting front the construction activity governed by this Building ?e iz shall be disposed of ail a properly licensed solid waste disposal facility, as defined by MCL c III, S 150A. Salem Transfer Station owned by: The debris will be disposed of at: Northside Carting location of iaca_aty Sigaatu.e of ? _mot Applicant Dat Fully co=lete the following information: (?lease print clearly) 6hi1iAt5pheic8o;iyc. Name of ?emit Applicant A & A Services, Inc. Firm Name, if any 115 North Street , Salem, MA 01970 Address. city L State The above statLj:e -equir=s that debris iro:t the demol'_tion. renovation. reha7 or other alteration of building or structure be disposed of in a properly licensed solid waste disposal facility as defined by MCL cIII. S150A and tha building permits or latenses are to indicate rhe' 1ocatl0n Oi Lhe fzcility at The Commonwealth of Massachusetts Department of Industrial Accidents OmcOo//ares00atloas 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 ❑ I am an employer providing workers' compensation for my employees working on this job. A & A Services , Inc. companyname: address: 115 . North Street xu 'taAt'u'p+.- city: Salem `MA 01970 , u ohoneq• 978-741=94.24 rKlk�l''f',at«h;��tl��`r',�` . insurance co. The Travelers oolicvq WC939X12$6 ❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: r,A J F company name: r�• Li,,,�. ,�isk n ?m �l,I NA N address: fr #r{ Sk` f city: hone q: nr�rr a° insurance cm policy q co em an nam oddresli' �. "hone q• cit : P,Y1 aPi'1 J. �y: . , insurance co " Policy.q Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fiat up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of STOP WORK P p K ORDER and a fine of SI00.00•day against a{mt me. 1 understand that■ ropy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby eerdjy r th pains a,,nd/$enalties ojperJury that the information provided above Is true and correct. Signature �� ' '1/ Date S� 11�05 Printname_Christopher Zorzv. President —Phone#978-741-0424 official use only do not write In this ores to be completed by city or town official city or town: permit/Ilcense# Building Deportment ❑I.leensing Board ❑cheek if immediate response is required ❑Seieetmea's Office Qtlealth Department contact person: phone a; f 101ber BayShore GREAT LAK INDO NFRC Certified Solar Heat Product Directory Gain Visible Light Condesation Energy Star Product Type/Popular Glazing Options INumber U-value I Coefficent Transmission Resistance Approved Report# Expiration Date Double Huna GLW-DH-131 ETC-04552-15669.0 11/30/2008 Clear IGU 0.47 0.59 0.62 42.00 No All Gnds idth<T 0.47 0.53 0.55 42.00 No Hi-R Plus Low E Argon IGU 0.31 0.30 0.55 53.00 Yes All Grids idth<i" 0.31 0.27 0.49 53.00 Yes Maxuus Double Low E Argon IGU 0.31 0.28 0.49 53.00 Yes All Grids idth<l" 0.31 0.25 0.43 53.00 Yes Slider GLWSL-131 1 ETC-04552-15791.0 12/28/2008 Clear IGU 0.47 0.56 0.59 42.00 No All Grids idth<1" 0.47 0.50 0.52 42.00 No Hi-R Plus Low E Argon IGU 0.32 0.28 0.52 54.00 Yes All Gnds idth<l") 0.32 0.25 0.46 54.00 Yes Maxuus Double Low E Argon IGU 0.31 0.26 0.47 55.00 Yes All Grids idth<i' 0.31 0.24 0.41 55.00 Yes Picture GLW-PI-131 ETC-04552-15753.0 12/10/2008 Clear IGU 0.47 0.66 0.69 44.00 No All Grids idth<i' 0.47 0.59 0.52 44.00 No Hi-R Plus Law E Argon IGU 0.30 0.33 0.61 56.00 Yes All Grids idth<l" 0.30 0.30 0.55 56.00 Yes Maxuus Double Low E Argon IGU 0.29 0.31 0.54 57.00 Yes All Grids idth<l" 0.29 0.28 0.49 57.00 Yes Casement GLW-N-033 I ETC-02552-12497 I U712006 Clear IGU GLW N 033 001 0.45 0.51 0.54 No All Gdds idth<l" 0.45 0.47 0.49 No Hi-R Plus/ Low E Argon IGU GLW N 033 083 0.30 0.27 0.47 Yes All Grids idth<i' 0.30 0.25 0.43 Yes Pixel Casement GLW-N-001 ETC-02-552-12499.0 11/8/2006 Clear IGU GLW N 001 001 0.50 0.63 0.67 No All Grids idth<i' GLW N 001 002 0.50 0.57 0.60 No Hi-R Plus Low E Argon IGU GLW N 001 005 0.31 0.33 0.59 Yes All Grids idth<i") GLW N 001 006 0.32 0.30 0.53 Yes Awnin GLW-N-034 ETC-02-552-12497 11/7/2006 Clear IGU GLW N 034 001 0.45 0.52 1 0.54 No All Grids idth<t" 0.45 0.47 0.49 No Hi-R Plus Law E A on IGU GLW N 034 083 0.30 0.27 0.47 Yes BayShore Ba Shore GREAT L&KE r._ WINDOW NFRC Certified Solar Heat " Product Directory Gain Visible Light Condesation Energy Star Product Type/Popular Glazing Options Number U-value Coefcent Transmission Resistance Approved Report# EzplrafionDate All Grids idth<l' 0.31 0.25 0.43 Yes Slidin Patio Door New Construction Door tAPDI GLW N O50 ETC-03552-144613 11/18/2007 Clear IGU 0.47 0.62 0.66 46.00 No All Gdds idth<i- 0.47 0.55 0.58 46.00 No Hi-R Plus Low E Argon IGU 0.30 0.32 0.58 58.00 Yes All Grids idth<1' 0.30 0.29 0.51 58.00 Yes V FIIG Footnotes: Residential values single strength glass U-values w/o gdds total unit values DS or TS worst U-value w/adds BayShore BOARD OF BUILDING REGULATIONS t; License: CONSTRUCTION SUPERVISOR G; Number: CS 057733 1 !Birthdate: 05/26/1958 Expires:05/26f2005 Tr.no: 12224 Restricted: 00 CHRISTOPHER ZORZY 115 NORTH ST SALEM. MA 01970 - Administrator �II /re -�omvinmu�ea� al'✓�.�raoac/umelta Board of Building Regulations and Standards a HOME IMPROVEMENT CONTRACTOR Registration: 101609 Expiration: 6/26/2006 Type: Private Corporation A&A SERVICES, INC . Christopher Zorzy 115 North Street ��-� ,✓ Salem,MA 01970 Administrator Commonwealthof Massachusetts Division of Occupational Safety Robert J.Pmzw"Comm;ssioner Deleader-Contractor CHRISTOPHER ZORZy Eff. Date 01/14/06 - Exp. Date 01/13/G6 O6 - - ... DC000440 Wmbefof C.O.N.ES.T. 1 BO C IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 1� > BOSTON-RENEW