57 BARSTOW ST - BPA-2005-904 WINDOWS cv-)y -�5
rl1( 1 Z5
DATE:
Citp ]if a�&YPTTi, �S �tLU�;Qtt
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
,f +l Location ofBuilding.61 bogr4L.c) -Six-net
Building Permit Application For:
(Circle whichever applies) Roof,io Alt Install S eck, Shed, Pool
' Addition,
, Alteration, epau/Replace, undation 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:
Owners Name-."Susnn n._M f)r-fa ) Contractor: C n r i a t n n n e r z n r z.;
Street ,6rl City !SKI1CM Street115 North StraatCity Salam
Stater A Phone RIM *7H1 -`�3J1 State MA Phone(978) 741-0424
Architect: City of Salem Lic# 14 0 5
Street Citv State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form yes t/no
Structure: (please circle) mgle Family, ulti Family# Other
Estimated Cost of job $
Will building confirm to law?—Z--yes no I W
Asbestos?_yesVno
Description of work to be done:
�1t� Fizl► -��ir�.c 41 �ilv,t , i rv �l�rc_nrrhr,4 Iut �P c1�
SERVICES
Drawin b itted: es_Z no Mail Permit to: 115 NORTH STREET
x_
Signature of Applicati ,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (� MONTHS OF PERMIT ISSUED DATE
Department use only: Permit#G j Zoning Ntp/Lot
Permit fee$
col*EN'PS: !
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5IIH-735-3�55
DISPOSAL 0: DE-3— A=FIDAVIT
In accordance vith the provisions of MCL c 40 , S54 , I acknowledge that as a
condition Oi 3U=1d_ng ?e r3' L all debris resulting from the
construction zcL_rity
governed by this 3uilding Permit shall be disposed of c:
a properly licensed solid waste dlsvOsal facility, as defined by MGL c IZI,
S 150, . Salem Transfer Station owned by:
The de is will be disposed of at: Northside Carting
location of I2c1:1ty
?e:- ;,p iicznr Date
Signature of P
Fully co_plete the following information:
(?lease print clearly)
ChiiAtBpheicSo;iyc.
Name of Permit Applicant
A & A Services , Inc .
Firm Na_e, if any
115 North Street , Salem, MA 01970
Address . City d State
The above Statute 7e?uir=5 that debris fro-m the demolition. renovation, reha`
or other alteration of building or structure be disposed of in 2 properly
licensed solid waste disposal facility as defined by MGL cIII . S150A and tha
building permits Or licenses are to indicate the, location o-a the facility at
The Commonwealth of Massachusetts
Department of Industrial Accidents
O///000/%YOStl000005
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
❑ 1 am an employer providing workers' compensation for my employees working on this job.
companyname; A & A•Services , Inc .
address: 115 . North Street
city: Sal'"'j""3A 01970 q rK 1pl+'t •ht� waa .t,)?c
phone#• 978-741= 424 p ; «
Mi1�1..r�.ft
insuranceco. The -Tradelers policy# 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:
com an name
address
city. .:,:.: hone#:
!-Y,
insuranceeo: Policy#
company name
address:. w-`::1 Rtre�:r. . . � • �
A.
city- Oboe#.:. t.Yda w •. .tu;:
insurance co. olit .N t +d h".,5r.'.
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 f1,500.00 and/or
one yeah'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that it
copy of this statement m be forwarded to the Office of Investigations of the DIA for coverage verification.
f do hereby i I u d e Ins a penalties of perjury that the Information provided above is true and correct.
Signature Date
Printnamc_Christopher Zorzv, President Phone# 978-741-0424
official use only do not write In this area to he completed by city or town official .
city or town: permit/l(cense# rIBuilding Department
❑Lieealog Doard
❑check if immediate response Is required ❑Selectmen's Office
❑Health Department
contact person: phone N; nOther
BOARD OF BUILDING REGULATIONS �-
I License: CONSTRUCTION SUPERVISOR
i Number: CS 057733
}I Birthdate: 05/26/1958
q.
L+
Expires: 0512612005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH ST "'6
SALEM, MA 01970 Administrator
- ✓�re l0onvma�wrnm a�✓�aarachugeuo
-� Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 101609
Expiration: 6/26/2006
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy
115 North Street zw -,
Salem,MA 01970 Administrator
C0
t1 MOJ?Wealth of Massachusetts
Division of Occupational Safety
Robert J.R'ezioso,Commissioner
Deleacler-Contractor _
CHRISTOPHER ZORZy
Eff.Date 01/1, 05
-' Exp.Date 011IN06
DC0004Q r.
e
.` MemterofCCNES.T.
06
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U-VALUES AND R-VALUES
ENERGY STAR
HARVFv/N�USTRIES Harvey Manufactured 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
Low-E/Krypton qualify for the ENERGY STAR* program throughout the U.S.' isoeoal
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
jr 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
f 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
r Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13
a 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(pg190-231) U-Value R-value U-Value R-Vatue 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
Vicon CasemepUAwning 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 Casement/Awning 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.
For current pricing,call your local branch or visit wwwharveyind.corn.
Effective 3/17/03 256