193-195 LAFAYETTE ST - B-2006-243 PERMIT APP .
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DATE:
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building (-OL2L
�eff6 S
Building Permit Application For:
`(Circle whichever applies) Roof, Reroof, Install Si ' ct Deck, Shed,Pool
Addition, Alteration, epair/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:
IR 3-I C15 l,a&y eH�
Owners Name: I Yl Contractor: C h r; s t o n h a r Z n r 7,;z,_�__
Street Iq3-IgS�(�tT S'City chIa'1 Street 11 5 North Straat City Cal am
State,MA Phone (qJ3) -74J{ -5S-7Z State MA Phone(978) 741-0424
Architect: City of Salem Lic# 1405
Street City State Lic#0 5 7 7 3 3 Hip# 101609
State Phone ( ) Homeowners Exempt Form_ yes_�Zl no
Structure: (please circle) Single Family, Multi Family# er b___Uo J+ COnol oS
Estimated Cost of job$ aR H 17).J% O Q
Will building confirm to law?.-yes no
Asbestos?_yes L/ no
Description of work to be done:
T4,4r]ll -rf)t'tr to /1n1 re-i01(-'I(VMeY k))rd pup
A&AERVICES
Drawin S b fitted:_yes no Mail Permit to: 1!16 NORTH STREET
% AAT FlI ARA 61879---
X
Signature o Applica 'on,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit' 4&, Zoning N1ap/Lot I
E
Permit fee $ 3
CONHMS:
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to i
The Commonwealth of Massachusetts
Department of IndustrialAccidents
- 0///000//OYOSU80UOOS
600 Washington Street
Boston,Mass 02111
Workers'Compensation Insurance Affidavit
name:
location:
city phone#
❑ 1 am a homeowner performing all work myself.
❑ 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.
comoanrname' A &, AServices , Inc . ky,ta,ar, , 13r
T
address: 115 North Street
h
city: Salem;. 'MA 01970 �' phone#• 978-741=9424 rK lMiY C'•+'��� �?
Insurance co. The Travelers oolteva WC939X1256 �'��"'�4^ +•1%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: nH'y�,/ ;,GS v'i, . ,,.i`'i .
address' 1;yopj{)fW�ti e
city: hone H• i
i ++,,, y �.•.
insuraneeco.- pollev# r`F+1�t'jii
..... A y,. .I
Company name:
1
cif IrXkF�� hk
hone#: 1^ da wr�r,
Insurance co.
Polley.a
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to Sf,500.00 and/or
one years,Imprisonment ell as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. f understand that a
copy of this statement m forwarded to the Office of investigations of the DIA for coverage verification.
I do hereby certify u er he alns d p politer of perjury that the Information provided above Is true and correct.
Signature Date
Print name_Christooher 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 Iowa: permitAicenseN I Building Department
cheek it immediate response Is required QfAee Board
QSeltetmeamm s Office
QHealth Department
contact person: phone a• mother
LITI
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es;,,,;s- i�uii>jin>z at�rta:rni
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5ijG445-3=75 u:. 39D
DISPOSAL OF D=33IS AFFIDAVIT
In accordance with the provisions of MGL c 40 , S54 , I acknowledge that as a
condition of Build-in ?erm= t [ all debris resulting from the
construction zctiviry governed by this Building ?e wit shall b disposed of =:
a properly licensed solid waste disppsal facility, as defined by MGL c 1II,
5 150A. I
Salem Transfer Station owned by:
The debris Fill be disposed of at: Northside Carting
locztlon of fzc:_:ty
Ap iicznt Date
Signature of ?e - p
Fully complete the following information:
(?lease print clearly)
ChiiAt6pheicgoViyc.
Name of Fermir Applicant
A & A Services , Inc.
Firm Name, if any
115 North Street , Salem, MA 01970
Address , City L State
The above statL'te ren 4l_s that debris trod the demob Lion. renovation. reha'
or other alteration of building or structure be disposed of in a properly
licensed solid waste disposal facility as defined by htGL cII1. 5150A and tha
building per=irs Or licenses are to 1ndiCate the' ioLzrion of the fzc'*"Ly at
Bta Shore GREAT LAKE
WINDOW
NFRC Certified Solar Heat _
Product Directory Gain Visible Light Condesation Energy Star
Product Type/Popular Glazing Options Number U-value Coefcent Transmission Resistence Approved Report# Expiration Date
Double Hung GLW-DH-737 ETC-04-552-15669.0 11/30/2008
Clear IGU 0.47 0.59 0.62 42.00 No
All Grids idth<7' 0.47 0.53 0.55 42.00 No
Hi-R Plus Low E Argon IGU 0.31 0.30 0.55 53.00 Yes
All Grids idth<1' 0.31 0.27 0.49 53.00 Yes
Maxuus Double Low E Argon IGU 0.31 0.28 0.49 53.00 Yes
All Gdds idth<7' 0.31 0.25 0.43 53.00 Yes
Slider GLWSL-131 ETC-04552-15791.0 12/28/2008
Clear IGU 0.47 0.56 1 0.59 42.00 No
All Grids idth<7' 0.47 0.50 0.52 42.00 No
Hi-R Plus Low E Argon IGU 0.32 0.28 0.52 54-.00 Yes
All Grids idth<7' 0.32 0.25 0.48 54.00 Yes
Maxuus Double Low E Argon IGU 0.31 0.26 0.47 55.00 Yes
All Grids idth<7" 0.31 0.24 0.41 55.00 Yes
Picture GLW-PI-131 ETC-04-552-15753.0 12/10/2008
- Clear IGU 0.47 0.66 0.69 44.00 No
All Grids idth<7" 0.47 0.59 0.62 44.00 No
Hi-R Plus Low E Argon IGU 0.30 0.33 0.61 56.00 Yes
All Grids idth<7" 0.30 1 0.30 0.55 56.00 Yes
Maxuus Double Low E Argon IGU 0.29 0.31 0.54 57.00 Yes
All Grids idth<1' 0.29 0.28 0.49 57.00 Yes
Casement GLW-N-033 ETC-02552-12497 11/7/2006
Clear IGU GLW N 033 001 0.45 0.51 0.54 No
All Grids idth<1' 0.45 0.47 0.49 No
Hi-R Plus/(Low E Argon IGU GLW N 033 083 0.30 0.27 0.47 Yes
All Grids idth<t' 0.30 0.25 0.43 Yes
Fixed Casemen GLW-N-0O7 ETC-02-552-12499.0 11/8/2006
Clear IGU GLW N 001 001 0.50 0.63 0.67 No
All Grids idih<7' GLW N 001 002 0.50 0.57 0.60 No
Hi-R Plus Low E Argon IGU GLW N 001 005 0.31 0.33 0.59 Yes
All Grids idth<7" GLW N 001 006 0.32 0.30 0.53 Yes
Awnin GLW-N-034 ETC-02-552-12497 11f7/2006
Clear IGU GLW N 034 007 0.45 0.52 0.54 No
�• All Gritls idth<7' 0.45 0.47 0.49 No
Hi-R Plus Low E A on IGU GLW N 034 083 0.30 0.27 1 0.47 Yes
SayShom
BayShore GRFAr
. . WINDOW
NFRC Certified Solar Heat
Product Directory Gain Visible Light Condesation Energy Star
Product Type/Popular Glazing Options INumber U-value I Coefficent Transmission Resistance Approved Report# 6cpiration Date
All Grids idth<t" 0.31 0.25 0.43 Yes
Slidina Patio Door
New Construction Door Uwol GLW N 050 ETC-03552-144613 11/18/20 77
Clear IGU 0.47 0.62 0.66 46.00 No
All Grids idth<t" 0.47 0.55 0.58 46.00 No
Hi-R Plus Low E Argon IGU - 0.30 0.32 0.58 58.00 Yes
All Gdds idthp" 0.30 0.29 0.51 58.00 Yes
urx
Footnotes: Residential values single strength lass U-values w/o grids
total unit values DS or TS vmrst U-value w/grids
BayShore
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR t
Number: CS 057733 .
Birth date: 05/26/1958
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH ST -
SALEM, MA 01970 nistrator
✓/� 6 N, 01alwwa,/
Board of nuilding Regulations and Standards
L HOME IMPROVEMENT CONTRACTOR
I�IU(hIYl f Registration: 101609
Expiration: 6126/2006
Type: Private Corporation
A&A SERVICES,INC -
Christopher Zorzy
115 North Street
Salem, MA 01970 Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Robert J.Prezioso,Commissiore'
Deleader-Contractor
CHRISTOPHER ZORZY
Eff. Date 01/14/05
Exp. Date 01/13/06 0
D00004g0 I
Wirl*irof C.O.N.E.S.T.
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