14 HEMENWAY RD - BUILDING INSPECTION / DATE: 05�
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building /q Lkme/'V,t_YI�z x0ad
Building Permit Application For:
'(Circle whichever applies) Roof, Reroof, Install Sidin tract Deck, Shed, Pool
Addition, Alteratioq Re , /Replace Foundation 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:
Owner§Name:Tp(J f1/InnS� P.Ir'I Contractor: Chrisrnp)iar Z.nr7.,
Street0N NPi'V1Pl1W(l-'� City xLlem Street 11 5 Nnrth Straar City Galam
State WA Phone 071) 7H14-51711) State MA Phone(9 78) 741-0424
Architect: City of Salem Lick 14 0 5
Street City State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form __yes_..Il no
Structure: (please circle)' Ingle Famil Multi Family# Other
Estimated Cost of job S H(D SO, O O
Will building confirm to law?- yes no
Asbestos?_yes�/ no
Description of work to be done:
✓1�JIQ� � Gek/-6-, C7� \11nW it 410(OmPni- 10IL1200S
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SERVICES
Drawings b fitted: es no Mail Permit to: 115 NORTH STREET
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Sign—a&re ot App cation,SIGNED UNDER THE PENALTY OF PERJURY -----_.
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
Department use only: Pernift Zoning Map/Lot
Permit fee S # 1
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CONMENTS: I
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The Commonwealth of Massachusetts
Department of Industrial Accidents
omcoo/%trosUosuoos
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city phone q
❑ 1 am a homeowner performing all work myself.
❑ I 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.
A & A-Services Inc.
company name• e ) k 4 tFl l y},•:
address: 115 North Street Zroa{
city: Salem, 'MA 01970
chorea: 978-741=Q424, r r,h �i;^q�,ys�:�yt '.
insurance co. The Travelers
oo8eva 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:
d}{� ' 'a
company name
address-
city..
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n hrafJ �hone N•
insurance cm policy q
com an name:
adds!•''' .•.,:z ',t.a :r. �.
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Insurance co oil' 'N T� •,A*u3h�kk1' "t,
Failure to secure coverage a required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Rae up to s1,900.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me, I understand that■
copy of this statement may be forwarded to the Omee of Investigations of the DIA for coverage verification.
too hereby certify and he alns nd penalties ojper/ury that the Information provided above is free and correct.i1
Signature Date /r7 •o�l—D•�
Printname_Chris tooher Zorzv, President Phone#978-741-0424
official use only do not write in this area to be completed by city or town o0lcial
city or town: permit/license N I'•IBuilding Department
❑check If Immediate response Is required QLe Board
�Seleetmemeo a OIBtt
Qlfealtb Department
contact person: phone q• FlOtber
LIT
1pdb it 1prnp=TV "BOsu3r1M=t
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OTa -&x1= 6rzz,
ias445-3555 Ez. 3H13
DISPOSAL 0- D=3'.IS AFFIDAVIT
In accordance with tie provisions of MGL c 40 , 554, I acknowledge that as a
condition of Building Permit t: , . all debris resulting from the
construction activity governed by this Building ?e =t shall be disposed of is
a properly licensed solid Last=_ disposal facility, as defined by MGL c III,
S 150A. Salem Transfer Station owned by:
The debris till be disposed of at: Northside Carting
location of faciiity
Sign ture of ?e rit Appl=cant Date
Fully co_plete the following information:
(?lease print clearly)
Chi<iAtBpheicZo;iyc.
Name of Permit Appiicant
A & A Services, Inc.
Firm Name, if any
115 North Street , Salem, MA 01970
Address. City 6 State
The above stzzute requires that debris from the demolition. renovation, reha'
or other alteration of building or structure be disposed of in a properly
licensed solid waste disposal facility as defined by r-GL CIII. S150A and tha
building permits Or licenses are to indicate the* location o-a Lhe facility at
.....
BOARD OF BUILDINGREGULATIONS .
License: .CONSTRUCTION SUPERVISOR
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.� Number:{& 057733
i t j Birth A5/?$/ 958 „
I�ag �70 7 Tr. no: 12633
.'Re
CHRISTOPHER
115 NORTH ST .
SALEM, MA 01970
Commissioner 0
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15X�N3 L/bHl4II99llIIC(CI.I/L O�✓!' lldC��d
Board or Building Regulations and Standards S
HOME IMPROVEMENT CONTRACTOR
Registration: 101609
.� Expiration: 6/26/2006
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! Type: Private Corporation
„•� ' ABA SERVICES, INC -
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Christopher Zoay
115 North Street --
Salem,MA 01970 Administrator
COMMORWea/th Of Massachusetts
DN%S%On of Occupational Safety
Robed J.%Zwo,Commissioner
Deleader-Contractor
CHRISTOPHER ZORZy
Eff.Date 01/1405
Exp.Date 01/13/OB 06
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U-Value and R-Value Test Results
• 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 windows with a U-Value of.35 or less qualify for the Energy Star program REV 511/o0
WINDOWSHARVEY MANUFACTURED
Clear Insulated Low-E AdvantEdge
WINDOWS U-Value R-Value U-Value R-Value U-Value R-Value
•Classic Double Hung(Mechanical) 0:51 1.96 0.40 2.50 0.35 2.86
•Classic Double Hung(Welded Sash) 0.51 1.96 0.39 2.56 0.35 2.86
•Classic Double Hung(w/ProWeld Technology) 0.49 2.04 0.38 2.63 0.34 2.94
•Classic Plus DH W/CFW 0.33 3.03 0.28 3.57 0.27 3.70
•Signature Double Hung 0.51 1.96 0.39 2.56 0.35 2.86
•Signature Double Hung(Welded Sash) 0.50 2.00 0.39 2.56 0.35 2.86
•Slimline Double Hung(Welded Sash) 0.52 1.92 0.40 2.50 0.35 2.86
•Slimline Double Hung(w/ProWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.86
•Thermal One Single Hung 0.53 1.89 0.40 2.50 0.36 2.78
• Majesty Double Hung 0.54 1.85 0.44 2.27 0.40 2.50
•Majesty Fixed Casement(PW) 0.53 1.89 0.40 2.50 0.37 2.70
•Majesty Casement/Awning 0.86 1.16 0.45 2.22 0.42 2.38
•Majesty Picture Window(DH) 0.53 1.89 0.43 2.33 0.38 2.63
•Vinyl Casement/Awning 0.47 2.13 0.38 2.78 0.33 3.03
•Vinyl Casement/Awning&Thermal Panel 0.32 3.13 0.26 3.85 0.25 4.00
•Vinyl Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33
•Vinyl Hopper 0.47 2.13 0.36 2.78 0.33 3.03
•Vinyl Picture Window 0.46 2.17 0.33 3.03 0.30 3.33
•Vinyl Picture Window Deadlite 0.51 1.96 0.37 2.70 0.33 3.03
•Vinyl Roller-2 Lite&3 Lite 0.50 2.00 0.38 2.63 0.35 2.86
VICON SERIES
New Construction Vinyl Window
•Vicon Casement/Awning 0.47 2.13 0.36 2.78 0.33 3.03
•Vicon Picture Window 0.46 2.17 0.33 3.03 0.30 3.33
•Vicon 1000 Single Hung 0.53 1.89 0.41 2.44 0.37 2.70
•Vicon 2000 Double Hung(w/ProWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.86
•Vicon Classic Double Hung 0.51 1.96 0.40 2.50 0.35 2.86
•Vicon Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33
Temp.Clear Temp Low-E Temp.Argon
HARVEY PATIO DOOR U-Value R-Value U-value R-value U-Value R-Value
•Solid Vinyl Patio Door 0.50 2.00 0.41 2.44 0.38 2.63