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8 GIFFORD CT - BUILDING INSPECTION (2)r -� The Commonwealth ofMassachus cr i AN U51r.--h,` g a Board of Building� Regulations and Standards CITY OF Massachusetts State Building Code, 78 SALEN[ a 28 A 11: S Revises!Mar 2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Divelling This Section For Official Use Only n Building Permit Number: Date App 1 Building Official(Print Name) Signature pate SECTION 1: SITE INFORMATION 1. ro erty Address: 1.2 Assessors Nlap& Parcel Numbers l.la Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) 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,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Ow er'of Record: R;\ rm;que Uefson 'Sdekti /VGA- 019,�O Name(Print) U City, State,ZIP Gri-47or Cout - -It- No. and Street Telephone - Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'-(check all that apply) New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) Addition ❑ ` Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify: Brief Description of Proposed Worl<: PrEvin.- re r � to SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and Materials) Official Use Only L Building $ a CM 1. Building Permit Fee:S Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑ Total Project Costs (Item 6)x multiplier'�x 3. Plumbing $ 2. Other Fees: $ /� 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) $ Total All Fees: $ - Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ `a© ❑ Paid in Full ❑Outstanding Balance Due: 12`c5 MAIL—eV TO C4C SECTION-5- CONSTRUCTION SERVICES: 5.1 Corn�struction Supervisor License(CSL) c.Yt Y,r n�0R 5C)12Zf License?-QS��] Expiration Date b 6 Nam Description 1 ,f t N I S-1 , . e I 4 � A 7�\ T Unresnictrd to 35,000 C4 Ft) Ad /v' / V U Restricted 1&2 Famfly Dwelling M masom Only 10 i RC Residential Roofing Covering G� -7(1 f _v �f, A l WS Resideatial window and Siding /) �l 7 SF Residential Solid Fact Bumm Appliance Telephone D Residential Demolition 5.2 Home Improvement Contractor Registration(BIC) / Q •�2 ��'1 �p S Registration�� ()I(�. Expiration Date IDc yN eortIICRe ' m tNae t. Address J Signatue Telephone SECTION 6: ;WORKER?S-COMPENSATION INSURANCE AFFIDAVIT(NLG_I.. c 152. §25C(6)) Worker's Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide an insurance affr vit may result in the denial of a building permit Signed affidavit attached? Yes No 0 SECTION jai` OWNER AUTHORIZATION,TO BE COMPLETED WHEN OWNER'S AGENT.OR `.., CONTRACTOR APPLIES.FOR BU1WrNG PERMIT I, as Owner of the subject property. . hereby authorize ��RV L Ce S to act on my behalf in all matters relevant to work authorized by this building permit application. c6vr v r;I Signature of owner Date SECTION 7ti: OWNER OR AUTHORIZED AGENT DECLARATION I, Y— Z as Owner or Authorized Agent,hereby declare that the statements and information forego' application are true abd accurate,to the best of my kno ledge d belief. SignatreofOwnerorA oriacd ent (Signed under the pains and penalties ofpedury) Dam I SECTIONS: DEBRIS DISPOSAL' All dumpsters of six(6)cubic yards or more are required to have a permit from the Marblehead Fire department call 781-639-3428. In accordance with the provisions of 780 CMR and MGL c40,§54 a condition of issuance of this building permit is that debris resulting from any work performed shall be disposed of in a properly licensed solili waste disposal facility as defined by MGL clll,§ 1502. ZUs �� A)- C � 5, e in 111A 01 �� DEBRIS DISPOSAL LOCATION f SIGNATURE OF APPLICANT NOTE .: 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 and Construction Supervisor Licensing(CSL)can be found in 78.0 CMR Regulations. pjo yclil /��/� �+��p��//��//11.�+,�;r. A & A SERVICES, INC. n1 MA SGflY1�IW 115 NORTH STREET, SALEM, MA 01970 - III •]IT,I a I sTA 11=11111A a IV,I Telephone:(978) 741-0424 Fax: (978) 741-2012 Contractor Registration No. 101609 Construction Supervisor No.CS057733 Federal EIN: 04-3090162 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Bu ens Name Date of Contract B.L. s Street Atltlress, Ci ,Stale antl 2i Code oG� Cou( _A 97l> Da ime Telephone Number Evenin Tele hone Number Mobile Telephone Number E-Mail Address Q7 7 ' 7cF1 The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specrirafion sheets,in accordance with the prices and terms described on the front and the reverse of this agreement and any specification sheets phis"Agreement"),and Buyers)have requested that such goods or services be installed or provided at 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 purchasetl as described herein,regardless of timing or approval of any financing Buyers)may seek for their purchase. 14 f o urchase Pnce: !/ - rG� ,(�( �V L5 Est.Starting DaleJ/_77 Down Payment:Z •P CYG ✓ Est.Completion D I`h o.w{iJ� Cash Amount Due on Start of Job: I' ' s y`r Check Amount Due on—of Completion: ,l' 1Tdow4'n © O Credit Card Amount Due on a.sFCompletion: Expiration DateMy C111 Balance Due on Upon Completion: 60 CVC Code'. nc�d." r k �oWNer understanding is er ee antl understood by and between the parties that this Agreement,front and back and any the terms o constitute the entire hereby acknowledge between the parties, and there are no verbal understandings changing or modifying any of the terms of this Agreement.Buyers) hereby acknowledge that auyer(s)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.Buyers)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. - A&A Servo es,Inc. / Buyer(s) By:— Sigllal � Signature ` /,^ � _/, a Jl-I I' 4ttIt J V C. c S o rJ P t Name Na 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 fight. ARBITRATION:The contrM h ar and Me material bereby mutually agree in advance that in the event cover pant ha@@@@@@s a Mma mnmming this mntrad either parry may andsom such tllsputo to a giver,aNiurnen service a Mil has been analyst by Me Seelaryed We Evident,ovceof Cons ABai u s ese Regulator and Me other pant shall be required to room to such Mitsui as proved in Nis G L c hf2 Pomp-YOA a m orrYs _.l - r ova �it / Iequa E OF CANCELLATION ! X TIL OF CAN Oale of Transaction a ussd You may cancel this transaction ends any peialry or Data of Transaction I ne �ou may cancel tM1ls Ioveraceon,MNout any penalty or obligation,vnNia three bu ysmrh the above date.if yet ran¢I,any proPoMtratletl in, obligation,.-.in Preeb days homve above dal',i cancel.any pmiedy laded or any payments mode byy der the Ica/u or Sale.antl any nessube ins mnleaecuted any payments trade by you under Me Contract an Sale,and any nego4ableinarwtentranduted by you.11 be ordered vnvin 10 days folleving recount by the seller of Your overall Make, by you vnll be returned Athin 10 days follows all by the seller of your cancellation entire, and any seahly Interest arising our of the Iransactim MII ce cancelled II you cancel,you must and any security interest arising out of ad trana..-will be cencelled If yen csncel,you must tyke i vatlade to Me Seller at your residence,and substantially in es good condition as Men make available to the Seller at your rasitlence,and substantially in as good cautious as Men Iveq any goods delivered to you under this Cono-au or Sala.or you tray,it you war.mmgly ancerved any giants deiveretl Myou under this Consu lw sale aryoumay.ilyint cancer ash the mandu re N the Balker learned the return shipment of to goods al hie Seller's win Me Instructims of the Sell regarding the return shipment of hie gwtls at Ne Sale,a supanae and nick.It you do broke the gelds rayrabla to the Seller and Me Seller does nor aid evpense and risk.A you d0 make the goods avatbble to the Seler and Me&net does not pick them up witrin 20 days of the dale of your Notice of Concellatioq you may retain on disNse of hie them no order 20 days of the crate of your Notion of Cancellatins.you may retrain or Maori of goods wivout any further obligation.if you fail to make the goods available to Me Seller.or if you the goes vothoul any further clegation.ll youfail to make the goods available M the Seller or it agree to return Me goods to the Seller and fall to do so,then you remain Babe for pedm nce of you agree to return the goods to the Seller and fail to do so,Men you remit liable forpadonnance all or gallons under the Contract,To carrel this transaction,Met or deliver a signed and dated of all obb,lussuWe,to Contra..To cancel thistramillion.met on deliver a vgned and doled cony of Me canretiation nitre or any rimer wdnen notice,or send a telegram to A8 BeMces, may of the wreciff ton notice or any other wdnan notice,or send a eelegranlLtao A 115 Noah Sol Salem MA 01970.NOT LATER THAN NIDNIGHTOF [� 115 Noah Street Salem MA 01970.NOT LATER THAN MIDNIGHT OF{(F/ me I HEREBY CANCEL THIS TRANSACTION I HEREBY CANCEL THIS TRANSACTION Consumer%Sigmoa. Date: Consumers SiklaWa Date: Phone: 978-741-0424 ll AG2de Fax: 978-741-2012 Above r J since 1982 Www.a-aseNlces.com A&A SERVICES 115 North Street . . 0 Salem, MA 01970 Date: Work Specifications for Roofing Project Name: P��L Address: City: S'�State: vj/Lr} • Zip Code: OM O Areas to Be Re-Roofed: ��N VI Rccc— porr_'(n RoofAreas Excluded from Re-Roofing: E-Ls+iy!o Rt l 5 > rronF P�)rr-w r'ocC G—YPull Permit with Community as Required. Z'_//Waste disposal is included using either dump truck or dumpster. If dumpster is utilized (site location: Ar4ai— as agreed to by the home owner), it will have plank stock put under dumpster as property protection. 2'/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. Strip roof of 6 NIi layers of roofing shingles. Ly' Inspect roof deck after removal of shingles for any rotted wood. If any replacement is needed, the first 32 s ft. is included. For an other repairs: 4x8 sheets of I q. � y p plywood removaFand-replacement will be billed at $��er sheet. Thecharge for resheathing deck with 1/2" of plywood Spo over existing roof deck), if needed will be $ 46Th per sheet. Planking replacement is billed at$ Yper 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. l9' 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: Dater /Im/ib Z:\A&A Common Folder\Referrals\Referral Kits\Roofing\Roofing Specifications Sheet-Jan.2015(2).docx P92dF' + Phone: 978-741-0424 Abrade Fax: 978-741-2012 Above Since 19U www.a-aservices.com A&4 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. N 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, a hite. 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, is moisture escape from attics ace and helps reserve our roof deck. 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 mortar joints, 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 chimney because it is very pliable. Lead flashing molds to uneven surfaces and stays in place for /years. :! �I VA�e_`\N �k� vt`kO � T,eS2� �7.i9-B r10 e-.k i t^�tAW-1 t2 . C�/ 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. ❑ 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: 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: i/ is fG Z:\A&A Common Folder\Referrals\Referral Kits\Roofing\Roofing Specifications Sheet-Jan. 2015(2).docx P/ I + Phone: 978-741-0424 AG2de Fax: 978-741-2012 Above 1 Since 1982 www.a-a services.com A&A SERVICES 1 v "ri ` 115 North Street Salem, MA 01970 tV Install GAF Roof Shingles Style:' RQUAI- y C Color: at t,W-1CNQets {� 9 r_t.�A6y ccxiv 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. Oln 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 Ca in 6�� - p Shingles w(lith ap roximately 5" exposure to ridges. [L�lean 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. IT'This is a safety equipment project. We value our help and are concerned for your liability. B�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 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. 0- I`_1AmVY1_1 Miscellaneous: ' I G e-j Nto'f O tz h �+-Ll I' d ti' ve ki tS L 14 ` r ;o -P-&& a tR�oV2 G S A-Hero it�yS � opeut ios trkoA6U — oVAJAY1 Bu er Signature Salesman Signature (� / //0 /\11f t 5 Date:'I" r L d do Date: Buyer Print Salesman Print Z:\A&A Common Folder\Referrals\Referral Kits\Roofing\Roofing Specifications Sheet-Jan. 2015(2).docx The Commonwealth of Massachusetts Department of Industrial Accidents Office Of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n / Please Print Leetbly Name(Business/Orgmintion/Individmi): ry-y--.L-IJZ -��'JIC�S IhC Address: (S I v 0 f(—\-, S:+ City/State/Zip: S'G"�'.yvl illG(g1G Phone Are you an employer?Check the appropriate box: 1.ffl am a employer with 01 _ 4. ❑I am s general contractor and I Type of project(required): employees(full and/or part-time).• have hired the sub-contractors 6. ❑-r'New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet t Z 2 Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. o workers'coin 9. ❑Building addition p.insurance 5. ❑We are a corporation and its required.] officers have exercised their 10•❑Electrical repairs or additions 3,❑ )am a homeowner doing ail work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workeisr comp, c..152-,g 1(4),and we have no j2.❑Roof repairsinsurance required-It employees.[No workers' comp.insurance required.] 13.❑.Other "My applicant that checks box#t most also fill out the section below showing their workers'compensation policy information: t tivmeuvmets who submit this affidavit indicating They are doing an work and.then hire outside contractors must submit anew affidavitindicatingsnch. tConlractors that cheek this box most attached ao additional sheet shomag the name of the sub-contrecroo s m then workers'comp:policy indicating such. I am ni employer that is providing workers'compensation insurance jor my employees. Below is the policy and jab site information. '.', Insurance Company Name: Policy#or Self-ins.Lie.#: (C)�9-L{'pp3 Expiration Date:C-( —�`�tA1! Job Site Address: � erA 1 jctt.tr� City/State/Zip:. S(i(1 ��`�a Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition her andrin a al penalties to.fine up to$I,500.00 and/or One imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. !do hereby cernly- er epaias and penalties of perj Date, that the information provided above is a an correct Si ature: Y / Phone#: a�� Official use only. Do not write in this area,to be completed by city or town offciai City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • Phone: 978-741-0424 iez-zm=_ Fax 978-741-2012 1" &A S E RV IG� wnvw.115 Noorthrth S Stretrees.com et Q s Q Salem,MA 01970 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 property licensed facility as defined by M.G.L.c. 111, Sec. 150a. The debris will be disposed at: Waste Management 877-515-2845 c/o Melrose Transfer Station 740 Broadway Melrose, MA 02176 or Waste Management, Dumpster Service at 115 North Street Salem, MA 01970 � L' !�t� Signature of P rmit Applicant Christopher Zorzv, President Name of Permit Applicant e Date Massachusetts Department of Public Safety Board of Building Regulations and Standards A&A SERVICES, INC Christopher Zorzy nor License: CS-057733 �r 115 North Street Salem, MA 01970 CHYJSTOPHER 7,011 -- 115 NORTH ST Salem MA 019707 I' i SGA i Ci YUM.ulin I -� Expiration - 44 r //, Yi.in-, :,m„n///. � //nuo�✓„�r// J..�..- 05/26/2017 Office of(ansnmer Affairs&Business Regulation Commissioner l`� �'�1 ROgistrat IMPROVEMENT CONTRACTOR t-Mpe ,. Expiration 61.61201,8 Private Corporation A&A SERVICES, INCi. t j'ir Christopher ZOrzy .-. 115 North Street ---- Salem, MA 01970 tlutlersecretary