1 GALLOWS HILL RD - BUILDING INSPECTION (2) 1
AF,PL_ICATTION FOR
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LOCATION - �.--
PE MIT GRANTED
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APPROp j F
INSPECTOP OF UILDINGS
CERTIFICATE OF OCCUPANCY y a ,
YES
NO
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DATE:
Citp Df �azm, fiaaLjuEtt
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED I QQ t
Location of Building ( Cx_ t b)35 LU n
Building Permit Application For:
'(Circle whichever applies) Roof, Reroof, Install Sid' ct Deck, Shed, Pool
Addition, Alteration, epair/Replace, undation Only, Wrecking
v 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 t( (ry1Q .l MPr� h� Contractor: Chr; stnohar Zor7.;. _
Street . Cit} Street115 North StraatCity .Salam
State M(:1 Phone ) '7HH-5 957 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 circl Single Fami Multi Family# Other
Estimated Cost of job $ 1 D'-1Qn.n(7
Will building confirm to law? yes no
Asbestos?_yes/no rr \
Description of work to be done:�l 'F()I)��eP1�1 f i H 1
SERVICES
Drawings Submitted:_des no Mail Permit to: 116 NORTH STREET
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Signature of Appli ation,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$
COMMENTS:
The Commonwealth o Massachusetts
usetts
Department of Industrial Accidents
0///000/%YOStl08U00S
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city Phone#
❑ I am a homeowner performing all work myself.
p 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.
compturname: A & , A: Services , Inc.
address: 115 North Street
city: Salem', MA 01970 ohone# 978-741 0424;`5} "�`"t ` y}}B''`
insurance co. The TraPlersDolicv# 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: yts
address: `{{t���Fri city-phone M•
insurance co: Doliev,#
company name•
address.
-airy
city: hone#. 1$a`fr�lw�«J, qt':
insurance co. .. I�I �`, sy
noliev.q
Failure to acture coverage u required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a nae up to 51,500.00 and/or
one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a nue of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
Ida hereby certify u e the ains aand penalties ojperjuty that the information provided above is true and corre'ct..
J
Signature a . R i] / Date
Printname_Christopher Zorzv President Phone# 978-741-0424
F
only do not write in this area to be completed by city or town official
: permit/license# I'•IBuilding Department
QUcemlogffoard
o immedhte response b required Qseleetmens OfBee
Qlfalth Department
rson: phone#• r'IOther
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. 119, Sec.
150a.
The debris will be disposed at: Salem Transfer Stadon
owned by Northside Carting -
Signa ure of P it 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
ENERGY STAR
Rv�•INOVSTRIES Harvey Manufactured PARTNER
Windows and Doors
+ WHOLESALE PRICING
• U-Values in accordance with NFRC-100 • Based on residential sizes Aft
• 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.' Mai
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-FJArgon*
VINYL NEW CONSTRUCTION WINDOWS(P9190-231) 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 CasemenVAwning 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-Vatue 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-FJArgon* 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(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.
ve 3/17/03 w
For current pricing,call your local branch or visit wwharveyind.corn.
EMec6
+� 1111a rd of Ileildi nI Rcgnlations wW Standards
HOME IMPROVEMENT CONTRACTOR
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Registration:9 101609
Expiration: 6/26/2006
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy
115 North Street Zz `fry✓
Salem, MA 01970
Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Roberti Prezioso,Deputy Direofa
Deleader-Contractor
CHRISTOPHER ZORZY
Eft.Date 1219/03
Exp. Date 1220/04
' DC000440 ,}
Membe of C.O.N.E.S T. 7
NO
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII BOSTON-RENEW
j BOARD OF BUILDING REGULATIONS
`-r License: CONSTRUCTION SUPERVISOR {
i' Number: CS 057733
Birthdate: 05/26/1958
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY /
115 NORTH ST rz..aa
SALEM, MA 01970 Administrator