11 CHURCH ST - BUILDING INSPECTION (37) DATE: a�
�itp of '8)afe TY, A dL U Et
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED ` ' t
Location of Building_I j hor(� UNIT -3Dq
Building Permit Application For:
JCircle whichever applies) Roof, Reroof, Install Si ' t Deck, Shed, Pool
Addition, Alteration, epa IReplac oundation Only, Wrecking
Other: 1
PLEASE FELL 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:_{ .J o CIA ?011 1 O_ Contractor:
Street II No M Street 11 5 North Straat City_ Cal am
State.MrA Phone (['7g) 7�1 . 972Q State MA Phone(978)741-0424
Architect: City of Salem Lic# 14 0 5
Street City State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) _ Homeowners Exempt Form_yes_no
Structure: (please circle) Single Family, Multi Tamil er ��t y�l
Estimated Cost of job $_.�,7gn_
WiB building confirm t law?_Zyes no
Asbestos?_yesno
Description of work to be done 1 f t`�Fn 11 �W,(�(9> VNU A,
a
cda te, Uu r^ Tic o tynoYA� (,t)it- drx-aaS naui4�n1
-QcAP:�hQ >' (a.5- DAP (_t U/1t .. ... .w
Drawing S b ifted: es ERVICE$
no Mail Permit to: 1.15 NORTH STREET
Signature of Applicati5n,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# l� ��oning Map/Lot
Permit fee$
CO)`@IENTS:
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(ant 1 auiz i 6r=n
5u6445-7535 Ext 3313 -
DIS?05AL OF DE3.'.IS AFc DAVIT
In accordance with the provisions of MGL c 40 , 554 , I acknowledge that as a
condition of a3 uiId1ng Oe r3+ t all debris resulting :rom the
construction activity governed by this 3uilding ?er_t shall be disposed oa
a properly licensed solid waste disposal facility, as defined by MGL c III,
S 150A. Salem Transfer Station owned by:
The debris will be disposed of at: Northside Carting
location of fac___ty
Signu.e of ?e_ - ApplScant Date
Fully complete the following _nforaation:
(?lease print clearly)
Chi•iAtBpheicZo;zyc .
Name of ?ertut ADDiiCant
A & A Services , Inc .
Firm Name, if any
115 North Street , Salem, MA 01970
Address. City 6 State
The above stazu!:e -ebuir_s that debris troll the demolition, renovation, rehab
or other alteration of building or structure be disposed of in a properly
licensed solid waste disposal facility as defined by MCL cIII. S150A and tha
building perils or license's are to indicate rhe, location of the facility at
,per
�\ The Commonwealth of Massachusetts
M. Department of Industrial Accidents
0///C8 0//OYOSU08UOOS
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city nhone 0
❑ 1 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.
company name: A & , A Services , Inc .
address: 115 . North Street r;
city: Salem, F MA 01970 �''`
phoneq 978-741 0424''
insurance co. The Travelers policy WC939XI256
❑ 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
� � t
c ,
city- phoneq• yrh� (n•i;`
insurance co; ,,. r;,.. olie q ;. .f,5l.di,;••,, .,
Company name
s ldressi
city:
insurance co. ' oil' :q-:
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$1,500.00 and/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 or this statement may be forwarded to the Office of investigations of the DIA for coverage verification.
1 do hereby certify nvrle pales and pe allies ojperjury that the Information provided above Is true and con-eel.
Date CX L,L
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: permithieense q f'IBuilding Department
❑Licensing Board
❑check it immediate response is required ❑seieetmen's Office
❑Health Department
contact person: phone k; flOther
l
U-VALUES AND R-VALUES
ENERGY STAR
HARVFVINOUSTRIES 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." isosom
Clear Insulated Low-E* Low-E/Argon*
4
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-ElArgon*
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 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 A may vary from region to region.
For current pricing, call your local branch or visit www.harveyind.com.
ENactive 3117/03
256
• ✓�l9 I�JOfINItOIHt�[/L O�/�
Board nl Building Regulations and Standards
E HOME IMPROVEMENT CONTRACTOR -
Registration: 101609
Expiration: 6/2 612 0 0 6
Type: Private Corporation
ABA SERVICES,INC
Christopher Zorzy
115 North Street _-
Salem,MA 01970 Administrator^Y
�commonw�of�yassachusetfs
Division of Occupational Safety
Robed J.
Pre 'ms 0
D'
De P AY
vector
Deleader-Contractor
CHRIST OPHERZORZY .,•Y
EB.Date 12119/03 +
Date 1220/04
DC
� . . DC000440
Memberd CO RE.S.T
BOB ON-RENEW
OST
1
IIIIIIIUIII�I���lll��llll�nl�llllllli�lllll
BOARD OF BUILDING REGULATIONS t
.'� License: CONSTRUCTION SUPERVISOR 1
Number: CS 057733 t'
i �
Blrthdate: 05/26/1958
Expires:05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH ST
SALEM, MA 01970 Administrator