13 HOLLY ST - BUILDING INSPECTION (4) AP.PLICA ION FOR
PI=F��70 • .� �
LOCATION
PE MIT GRANTED
19
APA Vfp
INSPECTOR OF BUILDINGS
CERTIFICATE OF OCCUPANCY
YES
DATE:
C.,t
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building
Building Permit Application For:
Circle whichever applies) Roof, Reroof, Install Sid ct Deck, Shed, Pool
Addition, Alteration, epair/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: Zi (5 6aYY)Q(1 Contractor: C h r; s r n n h P r Z o r 7.;z_
Street J,3 J-�)/II, 9frP?j City Street 115 Norrh GrrPPr City RP1 Pm
State,NJA Phone ") 7�- - l410J-4 State MA Phone(978) 741-0424
Architect: City of Salem Lic# 1405
Street City State Lic#0 5 7 7 3 3 H]P# 101609
State Phone ( ) Homeowners Exempt Form_yes_Lno
Structure: (please circle Single Famil Multi Family# Other
Estimated Cost of job S ]74JQ�_
Will building confirm to law? yes no
Asbestos?_yes-1�no
Description of work to be done: TLn6�l (�Z� / o� 1 yil� LAT�L�L r `)/1 P,f'1 f
SERVICES
Drawings bmitted:tes-Z--t no Mail Permit to:g 115 NORTH STREET
X
Signatu of Applicatio ,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 S
COIRIENTS:
The Commonwealth ofMassaehusetts
Department of Industrial Accidents
0/1/CB 01/Oi�SI/08000t
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city phone#
❑ I 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.
comoanvname' A & , AServices , Inc. sly;�r{,ati. ltilr +
address: 115 . North Street
city: Salem, M9 01970 phone#• 978-741=9424F� f {'" rtq
rre:l...... V"
insurance co. The Travelers ooliev# WC939X1256 417wyr1 F t ' ''
❑ 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.
address:. k
';:�a sti r+pifk
city: bone p•
insurance co: noliev#
COMMY name. ,` " � �•
1 �
address.'
it
city: heoe M 1 frda�Nr 9, py:i
insurance co. olf :q
Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a Rae up to s1.500.00 and/or
one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of sioo.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.
1 do hereby certlj nde the alns and penaldes of perjury that the Information provided above Is true and correct.
Signalurc - , Date f Q�
Printname ChristoDh r 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: permitfilcense# f lBullding Department
❑cheek if Immediate response is require) ❑Uceadog Board
QSeleetmeo's Office
Qffealth Department
conuct person. phone#;_ 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 Station
owned by Northside Carting -
"gliiturii of Permit Applicant
gla31o�1
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 INUIJSTRIES Harvey Manufactured PApTNER
• 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 a®
Low-E/Krypton quality for the ENERGY STAR* program throughout the U.S.' s090°'
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-ElArgon*
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
Voon Classic Double Hung(Welded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Vicon CasemepUAwning 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(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 locatfons. 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.
e 3/17/03 25R
Board of Building Regulations and Standards
u 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
Commonwealth assachusetts__~
Division of Occupational Safety
. Robed Prezioso,DeputyDxedor
Defeader-Contractor
CHRISTOPHER ZORZY
Eff.Date 12/19/03 >• •�
Dale 12/20/04
DC
' DC000440 .;
Member d C.0 N.E.S.T.BO
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII BOST0) EW
C
i BOARD OF BUILDING REGULATIONS 1
License: CONSTRUCTION SUPERVISOR {
Number: CS 057733 f'
1 z
i; Birthdate: 05/26/1958 b.
Expires:05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH STe.e
SALEM, MA 01970 Administrator
J