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22 WILLOW AVE - BUILDING INSPECTION (2) DATE: /l//7�Q5 Citp DfaY�rn, a �Lfju�Ett PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building ova IN I IoK Ave, 09 �. Building Permit Application For: '(Circle whichever applies) Roof, Reroof, Install ct Deck, Shed, Pool Addition, Alteratio Repair/Replace, 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: OwnersName..—La )rle, -HmVer Contractor: Chr; Gronhar Street aa Widloul h n ff City Street 11 5 North Straat City_ Salam State-MR Phone 01i) State MA Phone(978) 741 -0424 Architect: City of Salem LicA 14 0 5 Street City Siate1.ic#05773'' HIP# 101609 State Phone ( ) Homeowners Exempt Form es no Structure: (please circle) Single Fami Multi Famil # oZ Other Estimated Cost of job $ � a$ , p(D Will building confirm to law?. yes no Asbestos?_yes/no Description of work to be done: �,vnla n nnP ' t` t ) tLn Ad-7 oasp"k-)+ laryllntf 1 u I -1 rg,Qlac'Dvil,o.r* A )lidoir ) ERVICE3 Drawings m'tted: _yes_Z no Mail Permit to: l,lb NORTH STREET % cer.Fn-r AAA=876 X 01 Signature of Applicafion,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 COMKMS: } t..l A r 9 a! h . . + ., - ... _. ��n",t?;1? ix : :`?� ,i+ Y� ._...',i• ��:atl@aa'fr 9j e:::� ." tt;; . r `..L. :�:+.3 .➢ � :aafr) ..f iUO ' - .. . . '. y � ,i ;,I, '.•. 7r` .. tJ ;. .r '!::l tr :.i:t A' tia,�. :S+6C'u`Tla 917.j , i 1-1711 G , , . ;t.r:9id2't�Pi 2 . b c341: L3�?• .? �7aiW1S¢PBGnd.'�, f .i ::; 7Jy :.i.d; i !` , . . . .... , ;••x a. 3;?ttt:ajt t- :': e,�Y`,PIIi;a� S v ^3 J. .t:i is f11 � ,4:6 flY 1, r. ^y I x :,aA6= :�.t, 4-11'II\i O{ y11i i0� F �:J/YY I•'Y LIIJ p:rr•+°d 7Y;+s.� a;•t� .fi7iY2PFf3C;9C.j _ C W L.L Z o ra z PR _m F v a:.:. a >z �.�.. o- c7. U. p._.._ U LIIU III �l�ui, a��ar�ru�� : . �`�� uaiit �ra�sig �zunrau�ti ��- rtiuil�inn ��rnrzni tin: liztf, 6r=n _ 5D8-:J5-7555 E=. 3HD DIS?OSAL 0: DEBRIS AFFIDAVIT In accordance with the provisions of MCL c 40, S54, I acknowledge that as a condition of Building ?emit G all debris resulting from the construction activity governed by this Building ?er'_t shall be disposed o: disposal facility, as defined by MGL c III, a properly licensed solid waste S 150A. Salem Transfer Station owned by: The debris Fill be disposed of at: Northside Carting location of facility Signature of Ve r,L.ct Applicant Date Fully co=plete the following information: (?lease print clearly) ChtiAt6phetcSo;iye. Name of Permit ADD--'rant A & A Services, Inc . Firm Name, if any 115 North Street , Salem, MA 01970 Address, City 1, State The above szzz=a :equir55 that debris from the demolition. renovation, refta' or other alteration of building or structure be disposed of in a properly licensed solid waste disposal ;acility as defined by PSGL cIII. S150A and tha building permits or license's are to indicate the* iocation of the facility at The Commonwealth ofMassaehusetts Department of IndustrialAccidents 0//%BO/%Yesap8U90s 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone# ❑ I 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 thisjob. coinm n■mc• A &, A '•$ervices Inc . J address: 115 North Street Al ! city: Salem MA 01970 rilia?ir wt ciah ' tic phone# 978-741=9424 Inuranceco. The TraVeler'S oolit:v# WC939X1256 ❑ 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 address: p ' city: hone If: rf insnranceco: ,+ vy ?'k coin sin name address' F�' s city: 'hone#.: insurance co. oli'�:#:_; 7 w•tcS Failure insecure coverage as required under section 25A of MCL 152 can lead to the imposition of criminal penalties Millie fine up to SI,S00.00 aadior one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statemen ay be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cerd er hev entries o P jper)ury that the Information provided above is true and correM. Signeturc _.• . Date /�/7hal- Pdntriame_Christooher 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: permit/license# f•1Building Department ❑check if immediate response Is required QUccusing Board QSelectmeo,s Office contact person: QHealth Department phone#• f'IOther j S• BOARD OF BUILDIN REGULATIONS License: CONSTRUCTION SUPERVISOR 1 I NumberZ S 057733 j ' BI _ ll5i28/-958 _ •" I _ S 667 Tr.no: 12633 CHRISTOPHER 115 NORTH ST �? .I E SALEM, MA 01970 ' I { commissioner O j , •a D12X Board of Building Ru gulations and Standards S 6 6 A HOME IMPROVEMENT CONTRACTOR 3 Registration: 101609 Expiration: 6/26/2006 ;# Type: Private Corporation A&ASERVICES, INC i . Christopher Zorzy 115 North Street Salem,MA 01970 Administrator - Commonwea/thyof Massachusetts D/V/slon Of OCCUP06ona/Safety Roberti Prezioso,Commissioner Deleader-Contractor CHRISTOPHER ZORZY Ell.Date 01/14M5 Date Ot/13/OB DCO 0 DC0004g0 ` IM01*01C.O.N.E.S.T. pl BO III�aI�iI�0lapl�ll�fl��llll��ll�l sos< Seabrooke GREAT 1 . .._ WINDOW NFRC Certified Solar Heat Energy Product Directory Gain Visible Light Condesation Star Product Type/Popular Glazing Options Number U-value Coefficent Transmission Resistence Approved Report# Expiration Date All Grids <l' 0.21 0.25 0.44 65.00 Yes All Grids >t" WA WA WA WA WA Casement GLW-N-033 ETG-02-552-12497 11/7/2006 Clear IGU GLW N 033 001 0.45 0.51 0.54 No Al Gdds <1" 0.45 0.47 0.49 No All Grids >1' 0.45 0.43 0.44 No Hi-R Plus Low E Argon IGU GLW N 033 083 0.30 0.27 0.47 Yes Ail Grids <1• 0.30 0.25 0.43 Yes All Grids >1" 0.30 0.23 0.39 Yes Fixed 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 <i' GLW N 001 002 0.50 0.57 0.60 No All Grids >I' 0.50 0.52 0.54 No Hi-R Plus Low E Argon IGU GLW N 001 005 0.31 0.33 0.59 Yes All Grids <I' GLW N 001 006 0.32 0.30 0.53 Yes All Grids >I' 0.32 0.26 0.41 Yes Awnin GLW-N-034 ETC-02-552-12497 I If7/2006 _ Clear IGU GLW N 034 001 0.45 0.52 0.54 No All Grids <1' 0.45 0.47 0.49 No All Grids >1' 0.45 0.43 0.44 No Hi-R Plus Low E Argon IGU GLW N 034 083 0.30 0.27 0.47 Yes All Grids <7• 0.31 0.25 0.43 Yes All Grids >I" 0.31 0.23 0.39 Yes Slidina Patio Door Premier(caD) GLW N 062 ETC-04-552-15098 - 5/27/2008 Clear IGU GLW N 062 0001 0.43 0.52 0.56 43.00 No All Gdds GLW N 062 00001 00001 0.43 0.46 0.48 43.00 No Hi-R Plus Low E on IGU GLW N 062 00003 0.29 0.27 0.48 56.00 Yes All Grids GLW N 062 00003 00001 0.29 0.24 0.42 56.00 Yes Maxuus 7.6 (Triple Pane Double Low E Argon IGU GLW N 062 00006 0.23 0.23 0.38 63.00 Yes All Grids GLW N 062 0000% 0.24 0.21 0.33 63.00 Yes Premier with Euroglide(CPvo) GLW N 063 ETC-04-552-15100 5/27/2008 Clear IGU I GLW N 063 0001 1 0.43 0.52 0.56 43.00 No Seabrooke Seabrooke GREAT LAKE .. . .._ WINDOW NFRC Certified Solar Heat Energy Product Directory Gain Visible Light Condesation Star Product Type/Popular Glazing Options Number U-value Coeffrcent Transmission Resistence Approved Report u Expiration Date Double Hung GLW-DH-135 ETC-04-552-15675.0 12/18/2008 Clear IGU 0.47 0.57 0.60 42.00 No All Grids <1' 0.47 0.51 0.53 42.00 No All Grids >t" 0.47 0.45 0.47 42.00 No Hi-R Plus Low E on IGU 0.32 0.29 0.53 52.00 Yes All Grids <l" 0.32 0.26 0.47 52.00 Yes All Grids >I- 0.32 0.23 0.42 52.00 Yes Maxuus Double Low E Argon IGU 0.31 0.27 0.47 53.00 Yes Ail Grids 0" 0.31 0.24 0.42 53.00 Yes All Grids >i" 0.31 0.22 0.37 53.00 Yes Maxuus 7.6(Triple Pane Double Low E Argon IGU) 0.26 0.25 0.43 60.00 Yes All Gdds <I" 0.27 0.22 0.38 60.00 Yes All Grids >1" WA WA WA WA WA Slider GLW-SL-135 ETC-04-552-15793.0 1/4/2009 Clear IGU 0.46 0.56 0.59 42.00 No All Gdds <1") 0.46 0.50 0.52 42.00 No All Grids >i' 0.46 0.45 0.46 42.00 No Hi-R Plus Low E Argon IGU 0.30 0.28 0.52 55.00 Yes All Grids <i' 0.30 0.25 0.46 55.00 Yes All Grids >1" 0.30 0.23 0.41 55.00 Yes Maxuus Double Low E Argon IGUI 0.30 0.26 0.46 55.00 Yes _ All Gdds <1' 0.30 0.24 041 55.00 Yes All Grids >I- 0.30 0.21 0.36 55.00 Yes Maxuus 7.6 (Triple Pane Double Low E Argon IGU 0.25 0.24 0.42 60.00 Yes All Grids <i" 0.26 0.22 0.37 60.00 Yes All Grids >1" WA WA WA WA WA -- Picture GLW-PI-135 ETC-04-552-15755.0 12/11/2008 - Clear IGU 0.46 0.66 0.69 43.00 No All Grids <I- 0.46 0.59 0.62 43.00 No All Grids >I" 0.46 0.53 0.55 43.00 No Hi-R Plus Low E Argon IGU 0.28 0.33 0.61 55.00 Yes All Grids <1' 0.28 0.30 0.55 55.00 Yes All Grids >I- 0.28 0.27 0.49 55.00 Yes Maxuus Double Low E Argon IGU 0.27 0.31 0.54 56.00 Yes All Grids <I- 0.27 0.28 0.49 56.00 Yes All Gdds >7' 0.27 0.25 0.43 56.00 Yes Maxuus 7.6 (Triple Pane Double Low E Argon IGU 0.19 0.28 1 0.49 65.00 Yes Seabrooke s, Seabrooke GREAT LAKE' . .._ WINDOW NFRC Certified Solar Heat Energy Product Directory Gain Visible Light Condesation Star Product Type/Popular Glazing Options Number U-value Coefcent Transmission Resistence Approved Report# Expiration Date < All Grids GLW N 063 00001 00001 0.43 0.46 0.48 43.00 No Hi-R Plus Low E Argon IGUI GLW N 063 00003 0.29 0.27 0.48 56.00 Yes All Grids GLW N 063 00003 00001 0.29 0.24 0.42 56.00 Yes Maxuus 7.6(Triple Pane Double Low E Argon IGU GLW N 063 00006 0.23 0.23 0.38 63.00 Yes All Grids GLW N 063 000016 0.24 0.21 0.33 63.00 Yes Hopper GLW-N-005 Old design not labeling,Not Tested new design 01-33259.01 Not Labeling _ Clear IGU _ Hi-R Plus Low E Argon IGU i d S ecial Shaves v. Clear IGU Hi-R Plus Low E Argon IGU Footnotes: Residential values single strength glass U-values w/o grids total unit values DS or TS worst U-value w/grids Seabrooke