51 AURORA LN - BUILDING INSPECTION (2) Z� GK Zt83
The Commonwealth of Massachusetts INSPECT ON
it 13
Board of Building Regulations and Standards A1C6&R_VCES
Massachusetts State Building Code, 780 CMR SALEM
n .p►a OCT Lirris;6111 2fII
Building Permit Application To Construct, Repair, Renovate Or Demolish a r
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date pplied:
106-il
Building Official(Print Name) Signature Da
SECTION 1: SITE INFORMATION
1.1 Property Address: Q 1.2 Assessors Map& Parcel Numbers
C,
--' L l a Is this an accepted street?yes no Map Number Parcel Number
y 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❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
'S ,_ 0
Name(Print) City,State,ZIP
.51 rQvtro v-o Uck..e 978 Sa f la 5--
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work 2: AA CL ✓�i--
��d ;. i Ow L
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Labor and Materials Official Use Only
1. Building $ 1 0`4 � 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2. Electrical $ s
❑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: $
t � O`� a- ❑ Paid in Full ❑ Outstanding Balance Due:
S(E�U-s Tc) A it 3
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 8��'7
i //
A//Nri$ 2oYz License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)___AA
No.and Street Type Description
5Ql e m m „t O'��O U Unrestricted(Buildin s u to 35,000 cu.ft.
'T R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
U / SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Ad A' e -V,-� HIC S lrtc. o l (�c,9 lo`� o'C Registration Number Expiration Date
HICI T No J my NamTHI�C Registrant Name
No Sand Street 0 1(9�0 Email address
hc.er,.; IMF 0
City/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 .......... No...........❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize Yi 5 2 O�z�/
to act on my behalf,in all matters relative to work authorized by this building permi application.
i—Q-� co[r E ro c 1 1 b `3 9
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
containe 'n thi ap lication is true and accurate to the best of my knowledge and understanding.
C tt) — 19
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. 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.eov/oca Information on the Construction Supervisor License can be found at www.mass.gov/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"
The Commonwealth ofMassaehusetts
Department of Industrial Accidents
Office oflnuesfigafions
Floor
p 600 Washington Street,
ea
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors
Ant) icant information:: t�n �
Please PRINT legibly.
name: - /Ch L�, _t �'p S lrf C1�C�1Z1�.
address I J
/ f
city , Lk I-e /n state: [�11 {4,,,, zip: II D l 97b phone# ?77--7 s//-oa Y y
work site location(full address): S j A-,N tr0✓.'l l h� Sod e rsr, M-R- o ( r 7(5
❑ I am a homeowner performing all work myself. Project Type: ❑New Construction ❑Remodel
❑ I am a sole proprietor and have no one working in any capacity. ❑ Building Addition
[6 1 am an employer providing workers' compensation for my employees working on thisjob.
comnanv name: A '/tt- 4 SQ.e—V
address: I i /,/.5- O nn /� S 4—' (] p [ /5+ / �7 ` /
city: So, i ee((M�r /r�L rl phone#: r—�t 70 — 7�n7 I —/V Y O"7
insuranceco. I -q ( ;-aye t-e r- '5 policy ll�q 3 AA t� /
❑ 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:
city: phone#:
insurance co. policy#
com ilov name: _
address:
city: phone#:
insurance co. policv#
Attach additional sheet if necessary
Failure to secure coverage as required under Section 25A of VIGL M can lead to the Imposition of criminal penalties of at fine tip to S1,100.00 imdlor
one years' imprisonment its well its civil penalties in the form of a STOV WORK ORDER and a fine of S100.00 a day against me. 1 understand that a
copy of this statement may be forwarded to the ffice of Investigations orthe DIA for coverage verification.
t no hereby/certify urtr a th pains and p nalties of perjury that the information provided above is true curd correct.
Sianati Date 1�p�
Print name LA if -J'DD l ZO L'2� Phone# 7 O �7 ,y�YP-
official use only do not write in this area to be completed by city or town official a
city or town: permit/license# ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
(revised Sept 2001)
Control No: 33262
THE COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF LABOR
DIVISION OF OCCUPATIONAL SAFETY
19 STANIFORD STREET, BOSTON, MASSACHUSETTS 02114
LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER
A & A Services,Inc.
115 North Street
Salem, MA 01970
WAIVER: LW 000318 EXPIRES: February 12, 2015
IN ACCORDANCE WITH M.G.L. C. 111, § 197(B)(b) AND 454 CMR 22.03(3)(b),
THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER IS
ISSUED BY THE DIV. OF OCCUPATIONAL SAFETY TO THE CONTRACTOR
ABOVE FOR THE PURPOSE OF PERFORMING LEAD-SAFE RENOVATION
WORK.
THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER MUST
BE MAINTAINED BY THE CONTRACTOR IN ACCORDANCE WITH M.G.L. C.
111, § 19713(b) AND 454 CMR 22.04 WHEN PERFORMING LEAD-SAFE
RENOVATION WORK.
HEATHER E. ROwE,ACTING COMMISSIONER
Massachusetts - Department of Public Safety k� ,
Board of Building Regulations and Standards if7 C
Advanced ..__ .
Cirnstruction Supervisor Programn.
License: CS-057733 e
CMUSTOPHER ZORZY115 '
Salem 0t970 'RTH ChristopherZorzy azolzoa2s000aao
A&A Services Inc Exp 4262017
115 North St '
' Salem, MA 01970
Expiration
Commissioner
05/2612015 Matthew J Gibson I
AYaJp'Cwva4 R.gyrs '
Administered by DataWoft International,Inc. }
•�,=' Office nCCon,aumer Affairs '& Business Regulation
®.
s�""'m'HOME IMPROVEMENT CONTRACTOR
Registration: 101609 Type:
-Expiration: 6/262016 Private Corporatic
A&A SERVICES, INC
Christopher Zorzy
115 North Street
Salem, MA 01970 Undersecretary
VBISTUDSAL off
ti� a��9P5�Pe�a Vvi-th the provislor,s 9f Me C, L c. 40, Sec, 54o.a coSo.ftlon 6
B ding Pat i nig Number is that the dobOs resulting from this€410't Sn
pia dispo,ad ®a tin a pPopaPty.Iiceasad facility as definAd.by?4 0. L. co I
v B
e �ebrM Vlsf! ba ®s���Sad 2-g, gn-&an kFabb ae
awgiod by Mork �q6�e �� dePQ
ld ' 2--y —iy
Date 7
Nearna Of ParM!t Aoplicarnt .
A & A ��P�a��a, @av,
TIM h°ar-sr
Address, 01ty, Sgggd, Zip Code
//��,,, � ce�pp /�3�0�+ A & A SERVICES, INC.
AAA SER CES 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(s Name Date of Contract
M M 7- W19MO
Bu er s Street Address, CityState and ZipCode
S/ 4 vRoP,<I L SriL&Y" MF} 0/97o
IDaytime Telephone Number Evening Telephone Number Mobile Tele hone Number E-Mail Address
978-8zS-/2ys MVBv�/sff caygcg,T�
The Buyers)listed above hereby faintly and severally agree to purchase the goods and/or services listed on the accompanying specficaton sheets,in accordance
with the prices and terms described on the front and the reverse of this agreement and any specification sheets(this'Agreement"),and Buyers)have requested
that such goods or services be installed or provided atat Buyer's address listed above.ASA Services,Inc.('Contactor'),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 Buyer(s)
agree to pay in cash the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyer(s)may seek for their
purchase. �/
Purchase Price: O y z Est.Starting Date:/ —
Doom Payment' 3vs, Est.Completion Date:/
Cash
Amount Due On Stad of Job k1l Check
Credit Card
Amount Due on of Completion: No
Amount Due on_of Completion: Expiration Date:
Balance Due on Upon Completion: ��' CVC Cotle:
It is agreed and understood by and between lure parties that this Agreement, front and back and any addendum, constitute the entire
understanding between the parties, and there are no vertal understandings changing or modifying any.of the lends of this Agreement-Buyers)
hereby acknowledge that Buyers)has read the front and the reverse of this agreement and has received a completed,signed and dated copy of this
Agreement,including the two attached Notice of Cancellation forms,on the date first written above.Buyli also(i)acknowledge that they were orally
informed of their right to cancel this Vansacdon;and(it)request that they be contacted via their telephone numbers or small,as listed above,In the event
Contractor believes Buyers)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 Sel! I Buyell
Signature
Signature
x Print Namef/ !� C ��J�/ � �/A'
Print Name
Signature
Print 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 fond for an explanation of this right.
ARBITRATION:The mntra¢mrandthe hurabbnrer hereby mutuallyagree a advance Nat in the event otherparryhasa mareadvand ing Nis doorectainorparenayatiam or.disputema
omen afters.n cervice Orch has been apposed by the SevetatyOfMe Essea a OMrvof Cmsu AXt,n and girsness Regulations end the other peat area be required m a..,dieter
amounted as proved in M G.L c.114A. 'z 1 d�
tun ial- lv'v/ au Yr Ini I
cammllO�� Did t IO /(/
NOTICE OF CANCELLATION NOTICE OF CANCELLATION
D.N s Trap da n 7-2/-/ .you may ran<H this Vamaallon.ones any penalty or Dam of rrenucum d-2/d .you may cancel this tramsaNm,omom am pmstr or
puligaOon.HNir three buyness days drum Me alsve dab.11 you ounces any proper,Vaded in. battered,bidoothree Ousnessda from Needaysioe.lfymr mi,anypppttivbadedin,
any payne ea nls made by you under Me Conceal or Sale,and any mankind inswrrent executed any paymenbre d w, de by you under Ne Conbe see, tia l and any nationals instrvm m ent eaned
by you sell be returned vntain 10 days mill receipt by Me Sam of your a ncellabon node, by You Will be reNmed Mtdin 10 data fdlOMng receipt by Me Seller o1 your rsncallation notice,
and any semdry interest adding out of me transaction Oil the remand,It you wncN,You most and any sedict l inmrest adds,Out of Me Mm Non yell be mncra d.if yeu once,your must
oaks availabe 0 the seller at your m dmca,and substanlialy In as goat mndidoo as and. trek.arablaWO to Me Boller at yW,read-do atW subamnUolly in as goo l Mndik n be..a
andarded.any goods delivered to you undermis Contract an Sam;or you may.if you son.mope rxeived,anygO sddimx to vu werthis COnbactwsale;or you may.d goods i osh,comply
WIM1 flonse in d PaulOna of Ne$situ re sabin9 ne remm TM1 sor o1 Ne goods m Ne seller's . Ne Ind...If al the Sella!reg ved the .a thiprent of theSaa1 Me Soler s
eardeMain u e and rtsk.If you tlo date of goats available tome an SHIM end Ne SNler Mims not plusea in up and risk.If you do a rat Na yours available m me Boller and Me sager has rot pick
them,ortannn handsays of Me released If
your Nil W of make Megaon you maYremior disease it you
Me go within sout apsanyssherbomted.If NNmof Cakethe goers amaY reside dismseN
,cods adiden do mnher N May ale Il you Nil m do INe you evion Ii Ne Soler or Me goods without any haterO the
Selor yout and
do so.hengadenden ldero Naseller.ord
agreemm under me
coma SHbnrglalm dmm,mmywreor ieliade(wredand nmof you agree toreNm Me goadstarns seller and Ical t ilmda¢tM1en you ordeliera acted auacted
alldisplaced,of
romkoe Contrnords or
Lny rayer NlsV=kfie, adead delivers r AAsnddated clap rabof the tandeamos under melds,orkTo Gmm�nhis nom,arotundl OrbWvereto and
spy OI Me Gn J aken nOaro O!any Other vntten mate,Or send a col I oPBA SeMmS, copy Of tM1a taki afam notice Or env Other wnben nonce,or ssnd a t¢I eyr�t0 A8 services,
115 NOM Sheet Salem MA 019T0.NOT LATER THAN MIDNIGHTOF X- — �( 115NMh sheet Salem MA m9T0.NOT LATER THAN MIONIGXT OF r' n�•r Y
I HEREBY CANCEL THIS TRANSACTMN rn I HEREBY CANCELTHIS TRANSACTmN Pe
COnwnpr's cannot. Oam'. Consumers Signature Dam'
aerada
sad A & A SERVICES, INC.
AAA SERVICES 115 NORTH STREET,SALEM,MA 01970
• • Telephone: (978)741-0424 Fax:(978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No.CS057733
WINDOWS AND STORM PRODUCT SPECIFICATION SHEET
Buyer(s)Name Date of Contract
MIMl V17,4 L-/.9N0 /0 -2/ -/IV
Buyers)Street Address,City,State and Zip Code
S/ 9v2o2/� LAJ 541-6r" "IIq 99 70
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
c/78- 92S--/7-vs—
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 part.
WINDOW REPLACEMENT
I- Remove antl dispose of# existing w. doves.
t Install # new S✓1V/L,r F(7i YS6�y i7�L,S windows:( /inyl t Wood
(Ma facturer)
Options: Style <b]D I AJ C) Grid pattern A/Ot/✓&'7_
I� )J� Color Interior tl 771 Color Exterior Ii/l Glass Type 1)t✓6l LSP/I'lUlg tow-u
/( ¢Wrap exterior trim with atuminum: Style Color if/1fFtYli!/S
Ot All windows will be installed according to the installation procedures in the portfolio.
of Caulk all interior and exterior edges.
bInsulate where possible around new units.
Insulate window weight pockets it exist,and around new window units where possible.
It Included in this proposal are set up,clean up,Hepa vacuum and cleaning windows inside and out.
t Building permit included.
BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS
t Create new window opening by cutting through existing home and framing in opening.
t Remove and dispose of existing unit(s)in its entirety.
Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with.
t Install window(s)into opening(s).
Note: If Bay or Bow installation to include cable support system,new roof system(matching color as close as possible)
or tie into existing soffit system.
t Bay t Bow It Casement t Other windows)to include new interior style trim and new exterior style trim and head
flashing as needed.
®t Nate: Painting and Staining not included.
STORM PRODUCTS
t Remove and dispose of# existing storm window(s).
t Install new storm windows# Manufacturer
Style Color Option
t Remove and dispose of# existing storm door(s).
t Install new storm doors# Manufacturer
Style Color Type: t Aluminum t Solid Core
SPECIAL INSTRUCTIONS:
IA137W A/ely //L-)VYL1aYL- L2G7Pn107? , �Q�—P//-/✓Yj6�
(ALA/v-1-coon, tWc.L✓Odd
It Is agreed and understood by and between the partles that this SpscRaidl..Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes
the entire understanding between the partles,and there are no verbal understandings changing or modifying any of the terms. This contract may not be changed or as
terms modified or Varied in any way unless such changes are in writing and signed by both the Buyers)and rho contractor. Buyerfs)hereby acknowledge that Buyerfs)
has read this Speenication Sheet.
-�j,(f y
Contractor Initials: V-'y Date: I0-Z/-/Y Buyer's Initials: Date:C\ J �y
30
• Phone: 978-741-0424
-2012
A� C� C Fax: 9vices. om
J J www.a-aservices.com
. . 115 North Street
Salem,MA 01970
October 24, 2014
City of Salem
Building Dept.
120 Washington Street
Salem, MA 01970
To Whom It May Concern: -
Enclosed please find the permit-application for Mimi Vitagliano, 51 Aurora Lane,
Salem, MA to replace a sliding t �
I have enclosed a check for$25 based on your fee schedule of$7 per $1,000.00
and a minimum of$25.00. The total for the job was $1,042.00.
Please send the completed permit it to At& A Services, Inc. at 115 NL Street,
Salem, MA 01970. i �--j
If you have an questions,please contact me at (978)741-0424.
Thank you/for your./assistance.
Sincerrely��,__
Barbara Zbrzy
Office Manager
Sanctuary Condominium Trust
clo Crowninshield Management Corp.
18 CrowninshieldStreet
Peabody,MA 01960
(998)532-4800
August 4,2014
Ms. Minn V-i'tagliano
51 Aurora Lane
Salem, MA 01970
RE: Replacement Windows—Sanctuary Condominiums
Dear Ms. Vitagliano:
Thank you for your inquiry regarding window/slider replacements at your unit. Please be
advised that the Board of Trustees for the Sanctuary Condominiums does not object to the
replacement of these windows/sliders providing that they match in appearance(no crank
outs or French doors,unless replacing a crank out, etc.) from the existing,they must fit in
the existing opening,molding size must remain the same and they will not allow grids etc.
s
We also require the pennits be:pulled in advance,and that a copy of the final approved
permit once completed is also submitted to our office. We also require that you hire only a
licensed contractor,with adequate insurance.
You will most likely need to show a copy of this letter to the Building Department in order
to obtain your permit.
Should you have any questions or require additional information,please feel free to call me
directly at(979)532-4800 ext#232.
sincerely,
Jill Fama
Jill Fama, CMCA.
Regional Property.Manager
Crowninshield Management Corp.
Managing Agent for the Sanctuary Condominiums
cc: File
E
6
t