45 GALLOWS HILL RD - BUILDING INSPECTION (5) A ION FOR
' ppFiMi1' 7d • ."
LOCATION
PE MIT GRANTED
APPROVp
INSPECTOP. OF 8 ILDINGS r
CERTIFICATE OF OCCUPANCY :' .
YES
NO '
DATE:
Citp of r�artm, Ea5!5arbU5ett5
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building 14_5 (a//D L lld/ T Q,
K;it.
Building Permit Application For:
Circle whichever applies) Roof, Reroof, Install Si ' Deck, Shed, Pool
Addition, Alteration, air , oundation Only, Wrecking •J
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: Y1 �h P,TpI Y h0 Contractor: C h r i s t o n n P r 7,n r 7.y
Street �6 8611 l ib i� I I M City Street 11 5 North S t r a a t City S a l am
State Phone QJ9)-7HH-k40( o State MA Phone(978) 741 -0424
Architect: City of Salem Lic4 14 0 5
Street City State Lic#0 5 7 7 3 3 E[P# 101609
State Phone ( ) Homeowners Exempt Form_yes__�./no
Structure: (please circle Ingle Fami y Multi Family# Other
Estimated Cost of job$ 9 2j d, Cc
Will building confirm to law?— yes no
Asbestos?_yes_/no „ // L
Description of work to be done:�/15L11 ( H I ✓liJ(d/ rim larr n?gd1T
rcJin�°Or�S_ (J
SERVICES
Drawings bmitted:_yes no Mail Permit to: 1115 NORTH STREET
% ,c�r.rclq 1SA aSAg1—
X
Signature of Applic '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$
COMMMS:
x The Commonwealth of Massachusetts
Department of Industrial Accidents
0/1/ceo�%rssUosooes
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city phone fl
❑ 1 am a homeowner performing all work myself.
❑ 1 am a sole proprietor and have no one working in any capacity
!am an employer providing workers' compensation for my employees working on this job.
A & , A. �Services Inc .
tiomoanvnamc: r I
address: 115 North Street i $ 4 ? ' J.,+.
city: Salem, MA 01970 Dhonef! 978-741 9424irki ;rh"rir{t#y less
ri +a�Th M�1,� , ly•
insurance Co. The Travelers Dolievq WC939X1256 iV"fits '
❑ 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:
com an name
address:
city.,
hone H: ?{
insurance co: nollev H
company name
{
i ,' 4b• i,y.
city: , 'hone#: 1dMt"`w.t.a.,.- •qt;i
F
insurance co. Policy iY
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 si M.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a flue 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.
t do hereby certify u th pains and peno es of perjury that the Information provided above Is true and correct.
Sign L ,1 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: permittlicenseN Building Department
check if immediate response is required ❑LleemlDg Board
QSelectmen s Office
QHealth Department
contact person: 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. 111, Sec.
150a.
The debris will be disposed at: Salem Transfer Statlon
owned by Northside CarBna
Signature of Pe 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
r
U-VALUES AND R-VALUES
ENERGY STAR
RV rNOVST.a1ES Harvey Manufactured PARTNER
• Windows and Doors
- WHOLESALE PRICING
• U-Values in accordance with NFRC-100 • Based on residential sizes Olk
• 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 a®
Low-E/Krypton qualify for the ENERGY STAR° program throughout the U.S.' s090°'
Clear Insulated Low-E* Low-Elprgon*
VINYL WINDOWS U-Value R-Value II-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 O.a6 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 Casemeat/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 (pg261.270) 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 ale subject to ctian a 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 www.harveyind.com.
ve 3/17l03 25fi
Mood of Building Ilegnlatic ns and Standards
uR= HOME IMPROVEMENT CONTRACTOR
Registration: 101609
Expiration: 6/26/2006
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy
115 North Street
Salem, MA 01970
'- - Administrator
.._�.:...„._..-:.ems...-_.:..:.. - _
Commonwealth of Massachusetts
Division of Occupational Safety
Robert J.Prewso,Deputy Dired r
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 12/19/03 + '
Dale 12/10/04
DC �
' DC000440 '
Nkmherd C.O.N.ES.T.
60 #
IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIII IIIII III BOSTON RENEW '
I.! `�'/,c �orxonaou�eal!/ of✓�aawr'/usaeaa r
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR 1
(. C
r Number: CS 057733
vi Birthdate: 05/26/1958 � .
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
? CHRISTOPHER ZORZY -
115 NORTH ST
SALEM, MA 01970 Administrator