41 BELLEVIEW AVE - BUILDING INSPECTION (2) 1 y rs
r i .. . .. .. r .I r.. ?Ir ,fit. h!^1f'rr 9fJ.•_.`�
,._. .._.. . .. . .. ._...... . .. .. _. .._ . .. =t:, ....'rt . , i3ozi'ry'BT 3Y.3kt1
. r <,'..�i.:,. _• 'i';., 1 :j`.: : :. 4✓,!._ is 'S�x7 t, ttY ?..•.� tf�f�1(1 i13`f fl4�'�RwJ�/)..
-r:•i ,. ,'.. .` {3� ;f ' N:ffflz - i:'i t3Tv7<t." � r 1177k. 6!0 )
C7 W
s= n
LL
Z� L m w x
_
mF
W
31 Z. CYT M. cA
kf O 0 C ~
p w
o p L a
DATE: 11- /7 D V .
Citp of �aY'Em, 1Ea!�.E;arbUE;Ptt5
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED �1
Location of Building �1 601eiV1 cai ki-
Building Permit Application For:
(Circle whichever applies) Roof, Reroof, Install Sidino rt Deck, Shed, Pool
Addition, Alteration eparr/ReplaSS, Foundation 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:W(Y-, 0, pn4l 1anVP_e, Contractor: Chr; stnnnar 2nrzy
Street )-4) JUQe1, \e1k.) lC. CIlf'2IPm Street115 Nnrth StraatCity Calam
State MA Phone 0n)24H-OIDOI State MA Phone(978) 741-0424
Architect: City of Salem Lic# 1405
Street City State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( )_ Homeowners Exempt Form yes__Ilno
Structure: (please circle) in le Fa Multi Family ly# Other
Estimated Cost of job $ 9J,& oz) \ \�
Will building confirm to)aw? es no
Asbestos?
_yes 1/no
Description of work to be done: Tl') n /_,�/ V111 U 4 r ,L C�6el) 6'112
SERVICES
Drawin bmitted:_yes no Mail Permit to: 115 NORTH STREET
X
g $AT.FMn�
Signature ot Application, SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning h4ap/Lot
Permit fee$
coblims:
The Commonwealth of Massachusetts
Department of Industrial Accidents
O///COO//OYOSU�80005
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 —
1 am an employer providing workers' compensation for my employees working on this job.
comaanvname: A & , A=;•Services , Inc.
address: 115 North Street
tier: Saletu, MA 01970 " ° a'
phone 978-741=Q424 w ,,,,y:r,%ztv�r"
insurance co. The 'Travelers oolievq WC939X1256
❑ 1 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: 4
address: s,7
city: phone q:
insurance cm policy p ',: '•f ht'tl.,{;k.'1� '�
company name. -., •4J � ,,
address"'
city: r "honeq:
insurance co. polkv#-
Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to$I,500.00 sad/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. 1 understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certVyiur e pains and penalties of perjury that the information provided above is true and correct.
Signature \ Date
Printname Christopher 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# nBuilding Department
❑Licensing Board
check if immediate response is required g ^t QSelectmea's Office
OHealth Department
(contact person: phone#; nOther
(�IIU
Nuniit Prn;rsig Qza:�r�mzn;
s� iuilhing az.p=rsa;zn1
(gar inir--+ romm -
Sn8-7is-7 55 =z:. 31313
DIS?OSAL 0: DEBRIS AFFIDAVIT
in accordance with the provisions of i?CL c 40 , S54 , T ackno::ledge that as a
condition of Building t?era' S all debris resulting frog the
construction 2ct1'lity gOverned by this Building ?er :t shall be disposed of =:
a properly licensed solid waste disposal facility, as defined by MGL c III ,
5 150A. Salem Transfer Station owned by:
The debris u•il! be disposed of at: Northside Carting
ac2t on of fzc_`_;ty
//-/ 7-D N
.. iicznt Date
Signatur.e, of ?e_ = p
sully coc?leze the folloc:ing iniorztion:
(?lease print clearly)
ChribtbphercZopiyc .
Name of ?ermit Appiicanc
A & A Services , Inc .
Firm Na_e, if any
115 North Street , Salem, MA 01970
Address . City 6 State
The move statute -=_pu'r=_s that debris from the demolition. renovation, reha'.
or other alteration of building or srructure be disposed of in a properly
licensed solid -aste disposal facility as defined by MGL cIIT . S130A and tha
building permits Or 1_censes are to indicate the' loca7ion of the 22cillty at
L
�09IL)/WYNIM�UL O�/�IAItU(6CIIIJP,I�d
+� Board of Beilding W911111tions and Standards
l tiu HOME IMPROVEMENT CONTRACTOR
Registration: 1609
Expiration: 6/26/22006
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 Prewso,Deputy Diredor Q
Deleader-Contractor Ulydp
CHRISTOPHER ZORZY
Eff.Date 12/19/03
Date 1220/O4
DC
DC000440
WITINK of CONES T.
HO
IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII BOST0 RENEW
/toV/NnilKavu(�va.�.�� o�✓ .�ttde(�d r..
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR t
Number: CS 057733
Birthdate: 05/26/1958 a
Expires: 0 512 6/2 0 0 5 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY 115 NORTH ST /1
SALEM, MA 01970 Administrator
_ 1. _
U-VALUES AND R-VALUES A%
Harvey Manufactured ENERGVSTAR
RV�/NOUSTRIES PARTNER
4 Windows and Doors
WHOLESALE PRICING
C
o:
• 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 quality for the ENERGY STAR® program throughout the U.S." Mal-
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(pg190-231) 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
Vicon Casemept/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 CasemenVAwning 0.42 2.38 N/A N/A
Majesty Picture Window (OH) 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.coin.
Efleclive 3/17/03
256 i