168 WHALERS LN - BUILDING INSPECTION m mM to
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`� � \ I `-• V �1�� 1 J ) � DATE: T:0 a'/ - -
Citp ]if =4q)a1'PM, 1.&SE;aLbU!5Ptt!5
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building /&,? kha lex—) '4a/7P
Building Permit Application For:
'(Circle whichever applies) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool
Addition, Alteration, Repair/Replace, Foundation Only, Wrecking
Other: 1
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:eQ lhetln P. . �CA1 J11)aP) ' Contractor: C n r i s t o n n p r z n r z y
Street z City Street Ci 11p� {'✓l'�t.lPl.� /?.� .� lvm 115 North Ctraat ty__9alam
State Phone q�8) •NH-i?A State MA Phone(97g)Z41-0424
Architect: City of Salem Lic# 14 0 5
o
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#_ _ Other ( •/)/)(gyp
Estimated Cost of job S /n,4,9-?•f Jn
Will building confirm to law?_yes no
Asbestos?_yes-V—/ no /
Description of work to be done:-Ins to 41
--pall-la ntwgcS .
Draw Submitted:_yes no Mail Permit to: 1.15 NORTHTREET
% Rer-rsa b g:879—
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# Zoning. Map/Lot
Permit fee S
CO1NlfMS:
j The Commonwealth of Massachusetts
Department of Industrial Accidents
0/fl000//BYOStl08tl00S
600 Washington Street
Boston,Mass. 02111
Workers'Compensation Insurance Affidavit
name: _
location:
city phone#
❑ 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 this job.
r
comoanrname: A & , Att$eryices, Inc. k�. ,id`y 'N
115- North Street
address: ' ,u.•�t•�'�({1'�;ic�✓s'lf +^
city: Salem, MA 01970
phone N: 9 7 8—7 4 1 0424'�
insurance co. The Travelers policy WC939XI256
❑ 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:
wT
com an name:
address u1 +19f6Isi^•�7t �7�^
city: honeN: '`Y tr7�i'rt.
insurance co: policy N
company name.
address:
city: + 'hone#:
insurance co:-. V,, oli' N
Failure to secure coverage as required under Section 25A of MGL 152 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 One of$100.00 a day against me. 1 understand that a
copy of this statement may be forwarded to the Office or Investigations of the DIA for coverage verification.
too hereby ceZV
e pains d pe Iles of perjury that the Information provided above is true and correct.
Signature---� � Date iI"1 7-Q
Printname Christopher Zorzv. President Phone# 978-741-0424
oMetal use only do not write in this area to be completed by city or town official „.
city or town: permittlicense N rlBuilding Department
❑Lleensing Board
❑check if immediate response is required ❑selectmen's Omee
❑Health Department
contact person: 4 phone N; nOther
T
Liiti IIr �aJEnz, : aEsazjruBEtfE
n s:
-` � a J <� �1I2112L �III�ZZYil `-•'ZIi:�r27II�ii
�'�,,,.6 F tillIl�liILI aL�l'12'III;ZI32
(*nt i4slr= 6=- -
51313445-5555 ZZ. 33D
DI5?OSAL 0= DEBRIS A7 7DAVII
In accordance with the vrovisions of MCL c 40 , S54, I acknovledge that as a
condition of Building ?eI-1 L G' all debris resulting from the
construction zcriviry governed by r,'iis Building ?er _r shall be disposed of
a properly licensed solid vante disposal facility, as defined by MCL c III,
S 150A. Salem Transfer Station owned by:
The debris Fill be disposed of at : Northside Carting
location of fact_=ty
^ Sigazture of ?et applicant Date
Tully co=olete the following inior=ation:
(?lease print clezrly)
ChbiAt6phercZo;tyc .
Name of ?e r_it Appiicanc
A & A Services , Inc .
Firm Name, if any
115 North Street , Salem, MA 01970
Address , city L State
The apOVe stat l'te 7.equ;-=s that debris iron the demolition. renovation, reha'
or other alteration of building or structure be disposed of in a properly
licensed solid Taste disposal facility as defined by MCL cIII . 5150A and tha
building Der=its or licenses are to indicare the, location of the Iacility at
_X Bo:u'd of Building Regulations and Standards
U 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
Commonwealth of Massachusetts
Division of Occupational Safety
Robert J Prezioso,Deputy cued, p
Deleader-Contractor ppUf�l7
CHRISTOPHER ZORZY
Eff.Date 12/19/03 ''�
Exp.Date 1220/Oq
DC000440
M er of C.0 N.E.S.T.
0NO
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(IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIII(III BOSTON-RENEW
4. L6n nta9u M,al[/L o�✓brad a�u/dir�d
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR I
Number: CS 057733
Birthdate: 05/26/1958 �
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY /
115 NORTH ST a.u.b
SALEM, MA 01970 Administrator
U-VALUES AND R-VALUES
ENERGY STAR
'o HARVFv/N�USTRIES Harvey ManufacturedX Air.
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 AM
Low-E/Krypton qualify for the ENERGY STAR® program throughout the U.S.' isosool
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
v Vicon Casement/Awning 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-E/Krypton*
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 CasemenUAwning 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.
Effective 3/17/03 For current pricing, call your local branch or visit wwwharveyind.com.
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