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102 TREMONT ST - BUILDING INSPECTION r dX a( h2P RECEIVED rti � The Commonwealth of Massachusetts` SEF VICES CITY uf Board of Building Regulations and Standards SLEOI Massachusetts State Building Code, 780 cM DEC 28 A SALEM 20/1 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Officipl.Use Only Building Permit Number: Date applied:., eN Building Official(Print Name) SignatureDafevio SECTION L•SITE INFORMATION 1.1 Pro rt.�dress: 1.2 Assessors Map& Parcel Numbers 1 �0 / i ,e o l Lla Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L a 40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Cl Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes[] SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner of Recor Do u q (C�Sd �fi�Q Sm t Sa 1 e w X11 o I G "7 6 Name(Print) City,State,ZIP 10a Trevv�o �� c C7 ??—TY(- OYa $ No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) Addition ❑ Demolition ❑ Accessory Bldg. ❑ 1 Number of Units Other ❑ Specify: Brief Desert ptionofPoposedWork': /l. 1at0 J. S 5 wI r'bfJ - S ra "„ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and N[aterials) Official Use Only I. Building $ 3 c( / Si I. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ �I p( � 13 Paid in Full ❑ Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) �/ 6q-r-7&G � e� '-f S- GO✓2 License Number Expiration Date Name ofCSL— Hold List CSL Type(see below) 1/5— IVO%th 51 No. and Street Type Description �, -76 U Unrestricted('Buildings u to 35.000 cu. ft.) a. R Restricted 1&2 Family Dwelling City/Town,State,ZIP NI Masonry RC Roofin Covering WS Window and Siding G �r� SF Solid Fuel Burning Appliances ( (p' 74/ I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Se✓� c �_S' Inc. , L,91 bo 6-1k HIC Registration Number F",xpiration Date HIC Company Name or HIC Registrant Name LS 11io /f12. 5-F- No nd Strezt Email address a Sal, M Ci /Town, State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... 13'/ No ........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property, hereby authorize_rll ✓r S Z0 rl2 to act on my behalf, in all matters relative to work authorized by this building pe it application. �law2si rL�o� 'D--C3— ) Y Print Owner's Name(Electronicc Sig Signature) Date SECTION 7b: OWNERS OR AUTHORIZED AGENT DECLARATION Bye ring my name below, I hereby attest under the pains and penalties of perjury that all of the information cont d this artr lication is true and accurate to the best of my knowledge and understanding. (a - a-3 -/ s- Print Owner's or Authorized gent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC) Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dos 2. When substantial work is planned, provide the information below: Total floor area(sq. ft.) (including garage, finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" Certificate No: A044298 _\ THE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT DEPARTMENT OF LABOR STANDARDS 19 STANIFORD STREET BOSTON MASSACHUSETTS 02114 i DELEADER CONTRACTOR LICENSE A& A SERVICES, INC. 115 NORTH STREET SALEM MA 01970 LICENSE: DC000440 EXPIRES: Saturday,June 25,2016 IN ACCORDANCE WITH M.G.L. CH. I 11, § 197B(b)AND 454 CMR 22.03,THIS LICENSE IS ISSUED BY THE DEPARTMENT OF LABOR STANDARDS TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF ENTERING INTO OR ENGAGING IN DELEADING WORK. l i THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR. I THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADING WORK IN ACCORDANCE WITH M.G.L.CH. 111 § 197B(b)(2)AND 454 CMR 22.03. /JJ WILLIAM D.McKNNEY,DIRECTOR T- Massachusetts Department of Public Safety A office of Consumer Affarrs& Business Regulation t Board of Building Regulations and Standards r ay yOME IMPROVEMENT CONTRACTOR 9 'otRegistration: 101609 Type: j License: GS-057733 ! r � Expiration: 6/26/2016 Private Corporatioj Niel CHRISTOPHER 7,0 PIe, 4&A SERVICES, INC t/f 115NORTHST ` JJMP 1 8 Salem MA 01970! Christopher Zorzy �®�:�j • " 115 North Street /���6.� c� �`. n.is ` Salem, MA 01970 J.G.• mi Expiration Undersecretary Commissioner 05/26@017 ; i A&A SERVICES, INC. 115 NORTH STREET SALEM, MA 01970 Phone: 978-741-0424 19e2-2012 Fax: 978-741-2012 i a — AV\ K 115 North Street o -� • Salem, MA 01970 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 property licensed facility as defined by M.G.L.c. 111, Sec. 150a. The debris will be disposed at: Waste Management 877-515-2845 c/o Melrose Transfer Station 740 Broadway Melrose, MA 02176 or Waste Management, Dumpster Service at 115 North Street Salem, MA 01970 Signature of Permit Applicant Christopher Zorzy, President Name of Permit Applicant Date A^ A A & A SERVICES, INC. A&A S�''p� 115 NORTH STREET, SALEM, MA 01970 -- Telephone:(978) 741-0424 Fax: (978) 741-2012 Contractor Registration No. 101609 Construction Supervisor No.CS057733 Federal BIN: 04-3090162 MISCELLANEOUS SPECIFICATION SHEET Bu r s Name Date of Contract Bu rs Street Address, City.State and Zip Cod e o Z 771-tS--M my s-T G Da Ime Tele hone Number Ewmmia Telephone Number Mobile Telephone Number E-Mail Address q78-7Y1 -G Z8 The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,In accordance with the prices and terms described on this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification Sheet is a pad. /_'Vj7��YL.-S 'f' S'La� .-T SPECIAL`INSTRUCTIONS A .--- k?bVIL4 OV?,— "� V/1 S�O cS Er OF PX I.S T/IV !ie5/Q IM/ �V ! —s N �� i Pry-�i1 ! r r %sus c, ✓� &"r J Tb &?v 7-1'-L s- N-e'- r L� //U,s� NVQ! . 03 ��i�4� �✓rte!vr�wr .Std �S Iii /N S Lt� NVW 3 K L( ©e u/ v S PZ,Govv S 7z� /U27N G/fvL,K &Q-ck- aF 7a NJin/ �-- 2, z55, 4VO777 oyv' ,eo'T 12 �ti 7L iii 0cfYV(9-- -2 S pc- o r (X! S 771,,_4� �L'r�ovt�J A/D 7 : /f 516&--:S ZCS TILC-- WILL I2e--7h 19!IJ /ry s S7� lti C�rj s-rte /car- 7b I N.S�C. NLSLII C e`r� t'h/i Pj2tr- �2r rv/L� /j L 17"1 =— It is agreed and understood by and between the polies that the Specification Sheet,aImmwith CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes the entire understanding between the parties, and there are no verbal understandings changing or modifying any of the terms. This contract may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both the Buyers)and the Contractor.Buyers)hereby acknowledge that Buyers) has read this Specification Sheet, Contractor Initials: ` Date: /Z—//�/� Buyer's Initials: IISADK5 Dater1('f5 ,03 A & A SERVICES, INC. A&ASERVICE'S 115 NORTH STREET, SALEM, MA 01970 • '• Telephone:(978) 741-0424 Fax: (978) 741-2012 Contractor Registration No. 101609 Construction Supervisor No.CS057733 Federal EIN: 04-3090162 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Bu er Date of Contract Buyers) Sheet Address. City Slate and Zip Code Da ime,¢¢Tele hone Number Evening Telephone NumberMobile Telephone Number E-Mail A..�ddd��rr/ess ZTl^ '0 7i th2--NH4A/NLf73 The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance vdth the prices and terms described on the front and the reverse of this agreement and any specification sheets(this"Agreagrok ,and Buyerts)have requested that such goods or services be installed or provided at Buyer's address listed above.A&A Services,Inc.("Contractor"),hereby agrees to install or cause to be installed the products or services listed in this Agreement at the Buyers)address written above.This Agreement represents a cash sale of goods and services.The Buyers) agree to pay in cash the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyers)may seek fortheir purchase. PCA,o e so- Purchase `5 ??� �) / Purchase Price: J l oif Est.Starting Data-� / f'-;U Down Payment �>U� Est.Completion Date�'—�o' Cash Amount Due on Start of Job: 'Check FgSC(s}<Cyr✓77U'i- 8 U m Q�Credit Card m Aount Due an ,f 1-1etiom� f S No. 5"711 f crF IP �- /}rfel— Amount Due on oG.r' Nil r "{�oT Expiration Data 8So3 Balance Due on Upon Completion CVC Code: It is agreed and understood by and between the parties that this Agreement, front and back and any addendum, constitute the entire understanding between the parties, and there are no verbal understandings changing or modifying any of the terms of this Agreement.Buyerts) hereby acknowledge that Buyer(s)has read the front and the reverse of this agreement and has received a completed,signed and dated copy of this Agreement,including Ne two attached Notice of Cancellation forms,on the date first written above.Buyerts)also(i)acknowledge Nat they were orally informed of their right to cancel this transaction;and(it)request that they be contacted via their telephone numbers or email,as listed above,in the event Contractor believes Buyer(a)would be Interested In any additional quality products or services of Contractor. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES. A&A Se 'ce Inc. Buyer(s) �� By: x /YCG 9/Cj' ✓rte^-�' Signature �� ✓� �' Signature P >` Ak4 41/4 Print Name PrinLL4ame eioxx Pri Name You,the Buyer(s), may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the following Notice of Cancellation form for an explanation of this right. ARBITRATION:The clige-r r and Ne homeowner hereby mutually agree In advance Inst in the event chateaux has a dispute cVnceming this wnead a rearpOny tnHy submit such dispute to a priaate arbitration service whichnaw been appmveaoy Ne Sevebryol the Exacurve Olfideal consumer Xseand Business Reguletionsane Ma diner early shall be rcrireemit msubto seen arbitration as proved in M.G.L c lotA 11:5r� Con¢acmrlmdals: - ."a"Mlols. Dom:�Z—!I'LT� Dae: NOTICE OF OF CANCE"T ON NOTICE OF CANCELLATION Data of Transam —//'/rYoa may Centel this transacnon,wimow any penalty a, Data of Transaction/?—//—/5,You may reanrel this transaction schom any penalty or believer.within three buyneas daystrim the above date.N you rant.any pmgeM traded in, database,within three business days hom the above data N you cent any pbpeM traded in. any payments made by you under Ne Contrast or Bale.and any negotiable instrvmznt assured any payments trade by you under Ne Conrad or sale,and any negotiable insdumenl moused by you will be returned when 10 days following receipt by Me Seller 0 your c ncellaaon notice, by you will be returned within 10 dark following breach by he aeller al your rancellaon notice. and any seventy In sing out of the transaction will be cancelled.II you cancel,you trust and any w¢cudly interest adding out M Ne transaction will be cancelled.If youcancel,yds broad tread rd.any goods b and lieller to oursort 2s erfirs dna act or Suds m as said f youwas as when male ed,any g to me seer,at yam residerche this dna subslaSale; m as goodmy,fwehanded Os wneo preaIthe.ndpargdelivered oaWontlerin¢eono-urn orSudsshipment of Me gaits at the Damply sad the dnyaoingood 5 of theeebyoudanding ther0atl or Sale;or 0 M egoids at wash,Somp1a mere me and nolo It of he Solar the ler rbwm tnipmem al d t e aid al Ind Sellers calm me Ind cal, If a me 'a t re shot me rewm the Salle a1 Ne edits at es et pi s themsereup and nsk.a you do date me gores available d oars.he leryou dna me SNler ares e o pick he eckgrende p am r 2.N yds t I male me gores availa.1 m me Seller and ma s...anew nil pick mans p Mlnm Mdays one,beaalemydm Notiw s¢ethe gods au Tay rro the riser,rohne Nemddoimmao bysonneaaR of Fore Noticed,eakeellandn,yadmayrelain or awlsar. if goods e without any Nader obligation.Il you tail te make N¢g yotl ou concen liato lee 5ell¢r,orceyou f Ne aures ad retulthegods oblieSeller and far too to as lee you-do aven iiablbNe Ballerore allolaorelum lnder Me arthe,IOMofthis te oso,N¢n.rel or nliver for pedand died yWcause fladonum leegooasWlheS The l8tbrnsq Men ynrremghter.lefor p¢aadated all y oftamsuntlares nabob or Td cancel this trail or eeliv¢re signed dna dated stall oblige aoncelevenaide aaci.To cet this Pansection,n d ora¢INe r e togoad ad dated copy of Na COncellation notice or any other wnllan notice,or send a INa ram,to A8A$¢rvi[¢s, copy of Ne cancelUtOn nOli[e or B"0Ner wnllen nonce,ar 4¢ntl d I¢Iryr to ABA Bervices. 115NCMSeeeLSeler.Am9]O,NOTLATERTHANMIONIGHTOF 2z�� 115Norh Street,5alem MA01970,NOT LATER THAN MIDNIGHTOy2—ler—iS I HEREBYCANCELTHMTRANBACTON '� I HEREBY CANCELTHIS TRANSACTION Causunned a Signature pate Consumars signau Date: r Ac a //��,,,, A� �p �v8z A & A SERVICES, INC. A&A SERVICES 115 NORTH STREET,SALEM,MA 01970 • • • • Mg Telephone:(978)741-0424 Fax: (978)741-2012 Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No.CS057733 ROOFING SPECIFICATION SHEET Buyel Name Date of Contract SBuye�avL f- 1WP,7--TV1N SAei TH l z- /I - /s- Bal rs)Sheet Address,City,State and Zip Code Ii 2 71�arivt6rvT 9`70 Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address 978-711—Ol The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,In accordance with the prices and terms described on this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification Sheet is a pad. ROOFING SPECIFICATION Strip Roof of# LL layers of shingles r 11411L fc/f IS t Q/7704-4- Lai i Kil Vi, PWLLt Install 6'of ice and water shield at base of roof where $ nstall pee to roof. Cv possible. Install 18-24"of ice and water shield in valleys. Der jir�,euM°Yt_ 5111 Flash chimney as-Iaeedlikill repointing included). Install S'perimeter drip edge to rakes and fascia areas. Of Install vent pipe boots and seal as needed. I Ill$ Flash valleys as needed ST9'f t ' \ Install�e vel �Z 7 $ tanks/plywood replacement under 32 SQ FT included, "If more is needed there will be an extra charge of$�$. per hour for labor plus the cost of materials. Dumpster/Disposal Included: them. GyLCR4— fISirF12 qr," Location: Dn I ✓L>- 19-bl nstall new roof: Manufacturer 14 yl/` :7f Ii'f kyr Style/type / Included in this proposal are thorough cleanup, building permit,and company/manufacturer warranties. RUBBER ROOFING SPECIFICATION $8 trip Roof $ Not Strip Roof $ Install 1/2"High Density G1•epboard to existing roof using lash obstacles as needed. screws and plates. FGM $ Install .060 membrane EPDM (Black) rubber roofing to $ InstalL2 aluminum drip edge to perimeter of roof with fiberboards seam tape. 3n ! It $ Flash up sidewall as needed. Included in this proposal are thorough cleanup,building permit,and company/manufacturer warranties. SPECIAL INSTRUCTIONS: l�77 9yeggnoGQ�cS� /�2 5 //yGLvOc�•r 2o.1u— on�cl9 f3 r6/O do Fc- MWS 13 rr rS/ O>� /s T- L—c-ssr Orl ehedi i7DO / 7-7OYLI 'IGAr�iOcs Qvc lc�+�ar] I 1 w It is agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms.This contract may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both the Buyerls)and the Contractor eeyerob hereby acknowledge that Sorel has read this specification Sheet. xV1 l Contractor Initials: /� Date: /� //�/ Buyer's Initials: �ry S Dale: O Phone: 978-741-0424 �esz�xoi x Fax: 978-741-2012 A&A & ^ S E Re ,� - 115 North L/i�l fp�il \C// 115 North Street • • Salem,MA 01970 December 23, 2015 City of Salem Building Dept. 120 Washington Street Salem, MA 01970 To Whom It May Concern: Enclosed please find the permit application for Douglas & Martha Smith, 102 Tremont Street, Salem, MA. I have enclosed a check for $238.00 based on your fee schedule of$7.00 per $1 ,000.00. The job was $34,018.00. Please send the completed permit to A & A Services, Inc. at 115 North Street, Salem, MA 01970. If you have any questions, please contact me at (978) 741-0424. Thank you for your assistance. Sincerely, 1p O\ Barbara Zorzy Office Manager