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18 FRANCIS RD - BUILDING INSPECTION Z r The Commonwealth of Nlassachusetts �� Board ofBuildino Regulations and Standards CITYOF Nlassachusetts State Building Code, 780 CNIR SALEM Revised,filar 2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Divelling This Section For Official Use Only Building Permit Number: Date pplied: v Buildin.-g02t-icial(Print Name) Signature - Date SECTION 1: SITE INFOJUMATION LI Ptrope�rt+w Address: EIAProperty rs Map& Parcel Numbers ' d '"0.YxGTK, I l.la Is this an accepted street?yes no Parcel Number 1.3 Zoning Information: Dimensions: Zonine District Proposed Use t) 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 c.40,§5T) L7 Flood Zone Information: LS Sewage Disposal System: Public ❑ Private ❑ Zane: _ Outside Flood Zone? Check if yes❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2 Owner of Record: II � 0Ira � t�bA _ �lcrh n iQ- a 19'I 0 Name(Print) City, State,ZIP 18 Co-V\-s 834—) 1a-a- No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Cl Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg. ❑ NumberofUnits_ Other ❑ Specify: Brief Dee cription of Proposed Work': In s{-Q(I g t Nj fig are S U� 0—SP kkL — �DInp SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Nlaterials) t. Building $ S 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Costs(Item 6)x multiplier x I Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) S List: 5. Nlechanical (Fire $ - — Suppression) Total All Fees: S Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ S ❑ Paid in Full ❑ Outstanding Balance Due: , I SECTION 5: CONSTRUCTION SERVICES 5.1 Construction SuperviF-7 ) r-h r, S- � -/ License Number Expiration Date Name of CSL Holder S 41,0/� �� List CSL Type(see below) L{ No. and Street Type Description U Unrestricted(Buildings up to 33,000 cu. ft.) City/Town, State, ZIP rl R Restricted I&2 Family Dwelling M Masonry RC Roofing Coverin WS Window and Siding G SF Solid Fuel Burnin_e Appliances ( - (—D�t�� I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company-Name or HIC Registrant Name L� n o lt[ L S--- No nd Street �a U Email address City/Town, State,ZIPS l l 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 .......... 19/ No........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES SS7FOR BUILDING PERMIT 1, as Owner of the subject property,hereby authorize 4 y r S C O /2 to act on my behalf, in all matters relative to work authorized by this building pe it application. C a (o e1- Co c+ 2-6-I 5— Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By ring my name below, 1 hereby attest under the pains and penalties of perjury that all of the information cont ' d this a lication is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized gene'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.gov/oca Information on the Construction Supervisor License can be found at www.niass.gov/dps 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" I �+ Phone: 978-741-0424 A G2de Fax: 978-741-2012 Above Sime 1982 www.a-aservices.com 1- A&A SERVICES 115 North Street . • Salem, MA 01970 Date: Work Specifications for Roofing Project Name: oh ��6a•p . Address: Ii�� Ni City: Shc State: Zip Code:--�� Areas to Be Re-Roofed: \Roof Areas Excluded from Re-Roofing: Pull Permit with Community as Required. [� Waste disposal is included using either dump truck or dumpster. If dumpster is utilized (site location: )Or.!! #', l' as agreed to by the home owner), it will have plank stock put under dumpster as property protection. Tarp house from fascia board to ground and beyond to protect house from falling roof shingles. A&A Services makes every attempt to protect home, decks, driveways, landscaping, and shrubs. Due to the heavy weight of roofing shingles coming off the home we cannot be responsible for damage to landscaping and shrubs. 1j Strip roof of t layers of roofing shingles. Inspect roof deck after removal of shingles for any rotted wood. If any replacement is needed, the first 32 sq.ft. is included. For any other repairs: 48 sheets of plywood removal and replacement will be billed at $-6�4— per sheet. The charge for resheathing deck with 1/2" of plywood (go over existing roof deck), if needed will be $ per sheet. Planking replacement is billed at $ per linear ft., and carpentry repairs at $ per hour. Install GAF storm guard leak barrier 6' up roof from edge of fascia board (code calls for 3'). A&A Services is dedicated to using extra ice dam protection in our unpredictable New England weather. GAF storm guard leak barrier/ice dam protection material is a flexible membrane that sticks to the roof deck to prevent it from moving when shingles are installed over it. This membrane self-seals when nails are driven through so water cannot leak through it. Install GAF storm guard leak barrier 18" in from edge of rake (eave areas of the home). This prevents wind-driven rain from penetrating the edge of your roof and causing leaks. Buyer Initials: Date: Z:\A&A Common Folder\Referrals\Referral Kits\Roofing\Roofing Specifications Sheet-Jan.201S(2).docx r� �+ Phone: 978-741-0424 AGrde Fax: 978-741-2012 Above Sime 1%2 www.a-aservices.com J A&A SERVICES 115 North Street . • Salem, MA 01970 Install GAF storm guard leak barrier 36" in valleys of home and at any roof penetration such as chimneys, exhaust vents, vent pipes and skylights for added protection against leaks. �l1 Install F-8" drip edge to perimeter of the roof deck. Drip edge helps support the roofing shingle at all edges of the roof, manages water flow off roof and into gutters, and also protects against wind-driven rain penetrating the edge of the roof. Available in 3 colors: Mill (Aluminum), Brown, and White. Install GAF deck armor to remaining area of the roof that is not covered with GAF storm guard. GAF deck armor adds another layer of protection against leaks from wind-driven rain. It being extremely breathable, lets moisture escape from attic space and helps preserve your roof deck. C Install GAF ProStart starter shingles at perimeter of roof. This is important because the starter shingle has additional adhesive which prevents the first row of shingles from blowing upward in heavy winds. Re-flash chimney: remove and dispose of old flashing, cut into mortar with grinder approximately 8" up chimney, feed new lead into newly cut mortarjoints, install lead in a step-flashing manner, and run approximately 4" onto roof deck. Seal all edges with Geocell sealant. Lead is used as a flashing material on chimneys because it is very pliable. Lead flashing molds to uneven surfaces and stays in place for ` years. \(�I Install aluminum vent pipe boot with rubber gasket around all vent pipes and then seal with Geocell sealant. This application prevents leaking around vent pipes. ❑ Replace or ❑ Cut in For & Install Broan roof bathroom exhaust vent(s) with adapter and seal \ with GeoCell. \ j Ventilation is a requirement for long-term roof performance and warrantee validation. It will reduce energy consumption and create a healthier and more comfortable home environment for you. A&A Services will utilize the following type of ventilation system for your home: Gable Vents: Add: • Utilize Existing: • Expand Existing: Soffit to Ridge: (Soffit Vent as Intake)Add: Se rgl Type: (Ridge Vent as Exhaust) Cut in as required and add GAF Snow Country Baffled Ridgevent to ridge(s). Location: Aluminum Slant Static Roof Vents: # Location: Mechanical Ventilation (Electrician Not Included): # • Type: Location: Buyer Initials: Date: Z:\A&A Common Folder\Referrals\Referral Kits\Roofing\Roofing Specifications Sheet-Jan.2015(2).docx - 1W OnAmce Phone: 978-741-0424 Gre Fax: 978-741-2012 bw 1982 www.a-aservices.com A&A SERVICES 115 North Street • • Salem, MA 01970 /Install GAF Roof Shingles Style: ��✓hiY�nt- Color: S�rc�L we� Nail locations vary by shingle and roof slope. It is critical to fasten the shingle in the proper locations in order to achieve desired performance and meet warranty requirements. • All nails that will be used on your roof will be barbed or rough-shanked nails and will be resistant to corrosion. • In most applications, shingles will receive 6 nails and all nails will be long enough to penetrate min. 3/4" into the roofing deck. (Using 6 nails per shingle and utilizing ProStarter shingles at rakes and soffits upgrades the wind rating of your roof to 130 mph. ❑ Install GAF Timbertex premium ridge cap shingles with approximately 8" exposure. These shingles add the finishing touch to the peak and/or ridges of your home. They are also designed to handle some of the toughest areas of roof protection. TimberTex ridge cap shingles are much thicker and have self-sealing adhesive that seals each shingle tightly and helps reduce the risk of blow-off. ❑ Install GAF Seal-a-Ridge Cap Shingles with approximately 5" exposure to ridges. ❑ Clean off roof with blower to remove any debris. Clean out gutters of any roofing debris. Rake clean all work areas. Leaf-Blow the perimeter of work areas. Go over grounds with magnetic rake to pick up any loose nails. Please note: you may want to cover your attic belongings due to roofing debris sometimes falling through the gaps in the roof deck. That cleanup is not included. ❑ This is a safety equipment project. We value our help and are concerned for your liability. ❑ Supply owner with partial leftover bundle of shingles to have in the future if needed. ❑ A&A Services is a certified GAF installer. We follow all Massachusetts building codes and GAF manufacturer's installation requirements. By doing so, your roof qualifies for a 50 year non-prorated warranty from GAF. See warranty for more details. ❑ Massachusetts Law requires contractors to warranty their work for 1 year against installation defects. A&A Services offers warranties for their roofing work for 10 years against installation defects. If any problems occur at any time, A&A Services will come out free of charge to evaluate and help our customer through any manufacturer's warranty claim. ❑ Miscellaneous: e-i;�, v Buyer Signature Salesman Signature Date: Date: Buyer Print Salesman Print Z:\A&A Common Folder\Referrals\Referral Kits\Roofing\Roofing Specifications Sheet-Jan.2015(2).docx r _ v //�� � pp ��++��®® ryno��++ A & A SERVICES, INC. !"96CA SERV'CEJ 115 NORTH STREET, SALEM, MA 01970 ff in • '• • Telcphone:(978) 741-0434 Fax: (978) 741 201", Contractor Registration No. 101609 Construction Supervisor No.CS057733 Federal EIN: 04-3090162 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Bu aqs Name / Date of Contract Lv0 J , L)/�- 4_/ (—/ t Bu arts) Street Address.City,Stale and Zie Code Da ime Tele hone Number Evenin Tele hone Number Mobile Tele hone Number E-Mail Atltlress The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specification 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 Buyer(51 have requested that such goods or services be installed or proudetl al 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 for their purchase. FDue rchase Pnce: i—� '� Est Starting Dale: wn Payment: - Est.Completion Data 01 Cash Start of Job' Or Check �a Credit Card an Completion: No. f Completion' Expiration Date: .. Balance Due on Upen Completion:% CVC Cotle'. 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.Buyer(s) 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.signals)also(I)acknowledge that they were orally informed of their right to cancel this transaction:and(if)request that they be contacted via their telephone numbers or email,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, Al Services,Inc. Buyer(s)- By: ._ --'--� Signature Signature Print Name 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 form for an explanation of this right. ARBITRATION:The mnlramr and the Mmeowner hereby mutually agree in advance Nat In the even,either pany has a dispute concerning this contract,either party nay submit such dispute a a pnw,e am ovens service which has been appmvetl by the Seaeleryol the Executive office of Consumer Affairs and Business Regulations and ina that part,shall de m'shM to x,wm or on anagram as proved In M G.L c.142A. crorvmmuinls:y. Bur alnuial.; in-IT x NOTICE OF CANCELLATION NOTICE OF CANCELLATION Data of Tumpar sm Z-`r You may cancel this Ire......B without any penalty o Bate of Transaction /'r -You may w Ni barrel g transaction,wilh eul any penally or obligation,cousin three business days from the above date.if you Cancel.any proeny traded in r obligation whin three business days from me above date If you Ounce,.any property,aded in, any Banned.—do by you underNe Cayman or Sate,and any m unwithemadmared eongtod any payments made by you under the Contract or Sale,and any negotiBUY I nowersom executed by you wall be rammed again 10 days lollowng mceipl by me Seller of your rancalorron notice, by you an be relumed within 10 days Io rgyrng re[eipl by the Soler of your rancellalton mice, and any se arty interest monp out of the transaction your be cancelled.If you you u must and any secudly Interest arising out of he transaction Intl be cancelled. w anced.ll y cancc,you most make available to the Seller at your residenm,and substantially in as gm commu n as Men make available to the Seller at your ressumors,and substantially in as goes condition as wren received,any goods delivered to you under this Contract w Sale l or you may,if you wish,comply fectived.any gwWn dammered to You under this ContraG or sale:or you may,it you wish,wrryly with the insmoomme of Me Seller regaNing the return shp nt of the young at the Baker's aria the insmucuone of he Sell.,reganding the .,am aramen,of the grads e1 the Sellers expense and risk If yw do make the nonce available to the Seller and the Seller noes net pick eyrense and risk.ll you do make Me goods suitable to the Seller and the Seller does nor pick them up MNin 20 days of the date of your Nown of Conml,aum,you my retain or dispose of the them no viNin 20 days of,he date of your Notice of Cancellaum,you Italy main or dspmen of goons wahoul any further obligation,if yen fail to make the goods avallase b the Seller,or it you the goods wheat any luMerObligation.It you tail to—Is IM1e a..available or row Seller.or it Brce1..turn the goods Ne Seller and fail to do so,then you remain liable for peromence of you agree a return the goods to the Sellerandful0 do or then you remain liable for performance yl obligations under Me ConmacL To cancel this transaction.mall or deliver a signed and dated of Bit oblgations under by Contract To cancel Nis transaction,trail or deliver a signed and dated copy of the ranmllauon nonce or any other written notice or send a telegram,to Asa,Services, copy of the cancella mtm tion n Or any other written notice,or no.a telegram,to ASA Services 115 North Street Salem MA 01970.NOT LATER THAN MIDNIGHT OFi'- 'Y," 115 North Sound Salem MA in 970,NOT LATER THAN MIDNIGHT Ohio'I'i n=v come, I HEREBY CANCEL THIS TRANSACTION I HEREBY CANCEL THIS TRANSACTION Consumerr s Signature Dare Consumer s Signature One a � �91��f1�� Nl's� 6�� , J`!I�I�fs ol bt Of, p 2J)JJ'1� =a�j J� P'�JJlddl � _� IJC--nsed iniM =a dyii �d a L0. T JjI �7 �a �;. 47-�'�ue'i Y] 71=1095�:'�'Y i rl r JIL dig wu a o;Ran 1 01 $ ca � �eli3i A A sgFy�aa3 lr-,'e, F1nn d Address F A Certificate No: A043066 — � r THE COMMONWEALTH OF MASSACHUSETT$ EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT l DEPARTMENT OF LABOR STANDARDS 19 STANIFORD.STREET,BOSTON, MASSACHUSETTS 02114 DELEADER CONTRACTOR LICENSE A &A SERVICES, INC. 115 NORTH STREET SALEM MA 01970 I I LICENSE: DC000440 EXPIRES: Sunday,June 07,2015 IN ACCORDANCE WITH M.G.L. CH. 11 I, § 19713(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. THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR. THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADING WORK IN ACCORDANCE WITH M.G.L. CH. I I I § 19713(b)(2)AND 454 CMR 22.03. HEATHER E. ROWE,DIRBETC)R= 3 .1i . .»r� o' o�ilJinq ,_q�i�:��ns a : 3tnda�ds _=OlFice of Consumer Affairs&Business Reqularan C mtrurn n Sup�n r^r HOME IMPROVEMENT CONTRACTOR ic=_r CS-057733 e�, Registration: 101609 T7ge: i Expiration: 6r25/2016 Privata C o aoratio CHRISTOPHER ZORZY .A3A SERVICES, INC Salem NIA 01970 Christopher Zorzy 115 North Street Salem,MA 01970 Comr•,i;;meg• 05126/2015 Undersecreta The Commonwealth of Massachusetts Department of Industrial Accidents Office ollnuesirgations �& V�V;J n y - _. 600 Washington Street, 7` Floor Boston, Mass. 02111 -t_5s_ Workers' Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors Applicant information: 1 ,, % Please PRINT leeibly name: _��1'!n / py/l�Cam.. LC�rz-, address:` �� lVOf' I ti t7� e2e't/ �y / city JOv �2 t'+� state M 6} II -rip: 017-7D phones# / �'-7r7/-eVOV worksite location(full address): I r i S S--E �Q"l `nA / :-A- 0 1 l -70 ❑ 1 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 101 1 am an employer providing workers' compensationQ for my employees working on this job. company name. /? f' d"_T,./���('�rV 1-�.25 1 6'L C - address: C1 i S !NC ✓ME 1'1 JAI ' n p -7�[ / city: 5,a 7Te (" 1•b'� ( phone#: _l:Z - I n7 I -0Y ZV insurance co. I tom. ✓a y✓e 1 -e R- t-3 policy# 0''Ll ❑ 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# company name: address: city: phnne#• insurance co. policy# Attach additional sheet if necessary Failure to secure coverage as required muter Section 25A of v9OL 152 can lead to the imposition of criminal penalties of fine up to SI,500.00 and/or one years'imprisonment its well as civil penalties in the form alit STOP WORK ORDER and it fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the trice of Investigations of the DIA for coverage verification. I do hereby /cerlity note th pains and p no of perjury that the information provided above is true and correct. Signature'✓ Date Print name ,/i is0 r ZOYZc./ Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Deportment ❑Licensing Board ❑check if immediate response is required ❑Selechnen's Office ❑Health Department contact person: phones; Dotter (Tevised scpi.2003) Abrade Above smce 19a2 Phone: 978-741-0424 n _ n SERVICES Fax: 9vices. -2012 /L"]r`D7L_//'�r ■`/' www.a-aservices.com 115 North Street Salem, MA 01970 April 20, 2015 City of Salem Building Dept. 120 Washington Street Salem, MA 01970 To Whom It May Concern: Enclosed please find the permit applications for Robert Doward, 28 Raymond Road, and Robert Dube at'18 Francis Street, Salem, MA. F 1 I have enclosed a check for $91.00 based on your fee schedule of$7.00 per $1,000.00. The Doward job. was $6,630.00 and the total for the Dube job was $5,754.00. f Please send the completed permibto A & A Services, Inc. at 115 North Street, Salem, MA 01970. If you have any questions, please contact me at (978) 741-0424. e d Thank you'for your assistance. t Sincerely, Ua � Barbara Zorzy Office Manager i t; r r.