15 FRANKLIN CT - BUILDING INSPECTION APPLICATION FOR
IPERW To
- - a
LOCATION
PE MIT GRANTED `
APP h ROVf D
INSPECTOP. OF BUILDINGS
CERTIFICATE OF OCCUPANCY ." .
YES
NO
• 1
DATE:5 21 D q
s ,
Cttp ]of '49)aY'm, �Ra.45arbu!�ettE;
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building 15 i't'mA I to Cpu(�
Building Permit Application For:
"(Circle whichever applies) Roof, Reroof, Install S' ' ct Deck, Shed, Pool
Addition, Alteration Repair/Replace, oundation 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:1`ry( -[�)u 4P('.IPa - LVjWJ 1r) Contractor: Q; r i 4 t n nh a r Z n r z.;
Street 1,� (rrAf�Y,IIV1 t f�)�� Cit}' ,�(A.�Pt?1 Street 11 5 Nnrth Straat C$y_Salam
State Phone ( ) 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, ulti Farm y . Other
Estimated Cost of job $ if), �,?jCj, r)C)
Will building confirm to law? _yes no
Asbestos?_yes V/ no \Description of work to be done: SV1aka I I VI{r w 1 I
re.nl�c �rnzr�= W irnl���l�
Drawingq Submitted:_yes no Mail Permit to: 2115 NORTH STREET
g CAT.FA,r n ,4
X
Signaruri of Applica on, SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning Map/Lot
Permit fee$
COHN=S:
The Commonwealth ofMassachusetts
Department of Industrial Accidents
0///te o//Drss008tl0os
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city phone#
❑ 1 am a homeowner performing all work myself.
❑ 1 am a sole proprietor and have no one working in any capacity
❑ I am an employer providing workers' compensation for my employees working on this job.
comoanymmie• A 6 , A •Services , Inc .
address: 115 North Street
city: Salem 01970, i1A Awll �rrh
ohone#• 978-741 0424'
insurance co. The Travelers . ` .
oolicv# WC939XI256 Ms raft J
❑ 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: y.Hrrr. iI''� ��` � ,7
address
city:
insurance cmnoficv
company name: "" f
address' r, ;; y*i' ,.
4
city: itt 1px 1Mc hS .
_ .,�:�, � hose#: .. .1 Yd4wv"•t*A:•..t.- �
insurance Co. ;h 7"jdn7�•,a
DORCY# ' t,,.r .nTMhitc.
Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of■fine up to$I,500.00 and/or 'one years'imprisonment as well as civil penalties In the form of a STOP WORK ORDER and a fine o! 1
o S 00.00 a day against me. I understand that a
COPY of this statement may forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify de the pains and penalties of perjury th t the Information provided above Is true and coomeM7.
Signature Date
Printname_ChristODher orzv President Phone#978-741-0424
official use only do not write In this area to be completed by city or town official
I
city or town: permittlicense# flBuilding Deportment
❑cheek if immediate response is required ❑Ueeasiog Board
❑selectmen's Office
contact person: ❑Health Department
phone a• flOther
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of M. G. L. c. 40, Sec. 54, a condition of
Building Permit Number is that the debris resulting from this work shall
be disposed of in a properly licensed facility as defined by M. G. L. c. 11J, Sec.
150a.
The debris will be disposed at: Salem Transfer Station
owned by Northside Cardna
(A' fV
Signature of Permit Applicant
Date
Christopher Zorzy
Name of Permit Applicant
A &A Services, Inc.
Firm Name
115 North Street, Salem. MA 01970
Address, City, State, Zip Code
U-VALUES AND R-VALUES ter:
/NUUSTRIES Harvey Manufactured ENER ARTNER
• 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.' soeool
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
G 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(pg19o-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(Mlded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Vicon Casemetat/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-ElArgon* 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.
ecllve 3/17l03 For current pricing, call your local branch or visit www.harveyind.com.
Efl
256
nor o� iC.
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 057733
s
Birthdate: 05/26/1958
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH ST
SALEM, MA 01970 Administrator
��.\ Tee �oninw o�;i`!'.aaru/ume!!a
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
_ Registration: 101609
Expiration: 6/26/2004
Type: Private Corporation
ABA SERVICES,INC
Christopher Zorzy
115 North Street
Salem,MA O1970 —
Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Robert J.Prezioso,Deputy Dndor
Deleader-Contractor
CHRISTOPHER ZORZY
Eff,Date 12/19/03
Ex . Date 12/20/04
P <
DC000440
14emherd C.O.N.E.S.T. 04
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NO
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