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4 LARCH AVE - BUILDING INSPECTION zc3 :� ZA In I n Lx The Commonwealth of Massachusetts INSPECTIONAL S RVICE "OF S�' Board of_Building Regulations and Standards I; ASALEbI Massachusetts State Building Code, 780 CM �V ho MAR 2 tv61;I.ka 2011 t Building Permit Application To COnStRICt, Repair, Renovate Or Demolish a ((' One- or Two-Family Dueling This Section For Official Use Only Building Permit Number. Date Ap Ned: Building Official(Print Namz) Signature Date {A— SECTION 1:SITE INFORMATION 1.1 Property Addqres�s�: 1.2 Assessors iivlap& 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 Buildin.-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? Check if yes❑ Municipal ❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner of Record:/n C �0n P/Q Name(Print) City,State,ZIP t(Lct) ch Ave 97g_ 7 {- y7 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) Addition ❑ Demolition ❑ 1 Accessory Bldg Number of Units_ Other ❑ Specify: - Brief Description of Proposed Work': SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only I. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: $ 4. Mechanical (HVAC) $ List: S. Mechanical (Fire Suppression) $ Total All Fees: $ 6. Total Project Cost: $ Check No. Check Amount: Cash Amount: 7j a—O 0 Paid in Full 13 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) _ � S_��l✓r 5 Gc>,✓ !l License Number Expiration Date Name of CSL Holder / S NO;� 5i List CSL Type(see below) U No. and Street Type Description j cf—7 U Unrestricted(Buildings u to 35.000 cu. ft.) R Restricted 1&2 Family Dwelling City/Town, State,ZIP M Mason RC Roofing Covering WS Window and Siding `1 �{ SF Solid Fuel Burning Appliances 7� 4 / I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expuauon Date HIC Compan�Namc or HICC�RLegistrant Name No�nd Street M 0. 7i/ _ Email address City/Town, State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... t/ No ........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property,hereby authorize (��t y r S 20✓2 to act on my behalf, in all matters relative to work authorized by this building pen it application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION Bye ring my name below, I hereby attest under the pains and penalties of perjury that all of the information coot ' d this a lication is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized gent's Name(Electronic Signature) Date NOTES: 1. 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 can be found at www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dips 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage, finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" + ar. op' A & A SERVICES, INC. A&A SERVICE" TelephoOR(8)T�0 ET 24 Fax:(978)741 20012 Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No.CS057733 WINDOWS AND STORM PRODUCT SPECIFICATION SHEET Buyerls)Name Date of Contract Buyer(s)Street Address,City,State antl Zip Code Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address The Buyerls)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification Sheet is a part WINDOW REPLACEMENT If Remove and dispose of# existing windows. f Install # 67 new so„n.,(r //c windows: VI I f Wood / (Manufacturer) �± �/ Options: Style � .6 /�i�n r' Grid pattern 6/d Color Interior AL-A1 Color Exterior G.1;(, Glass Type ir-111, 5-- Wrap\�] exterior trim with aluminum: Style_/ ar-,b Color All windows will be installed according to the installation procedures in the pordolio. 0 Caulk all interior and exterior edges. \`H Insulate where possible around new units. ^Il k Insulate window weight pockets if exist,and around new window units where possible. � \\V, Included in this proposal are set up,clean up,Hepa vacuum and cleaning windows inside and out. Building permit included. BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS f Create new window opening by cutting through existing home and framing in opening. f Remove and dispose of existing units)in its entirety. Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with. ♦ Install window(s)into opening(s). Note: If Bay or Bow installation to include cable support system,new roof system(matching color as close as possible) or tie into existing soffit system. f Bay f Bow If Casement If Other window(s)to include new interior style trim and new exterior style trim and head flashing as needed. f Note: Painting and staining not included. STORM PRODUCTS f Remove and dispose of# existing storm window(s). f Install new storm windows# Manufacturer Style Color Option f Remove and dispose of# existing storm Coons), f Install new storm doors# Manufacturer Style Color Type: f Aluminum f Solid Core SPECIAL INSTRUCTIONS: it is agreed and understood by and between the parties that this Specification Sheet along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms.This contract may net be changed or its terms modified or varied in any way unless such changes are in writing and signed by both Me Buyerls)and the Contractor. Buyerls)hereby acknowledge Nat Buyers) has read this Specification Sheet. �Jq Contractor Initials: /; ? Date: 7-C-15- Buyer's Initials: in...'ail . Date: .-�/S A & A SERVICES, INC. A&A SERV ibiES 115 NORTH STREET, SALEM, MA 01970 • ••• 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 er s) Name / Date of Contract t1 /u 7_6 Bu e s Street City,State and Zi Code �vAtltlress, X1,r Da ime Tele hone Number Evenin Tele hone Number Mobile Telephone Number E-Mail Address The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed an the accompanying specification sheets,in accordance with the prices and terms described on the front and the reverse of this agreement and any specification sheets(this Agreement'),and Buyers)have requested that such goods or services be installed or provia 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 Buyef(s)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 purchased as described herein,regardless of timing or approval of any financing Buyers)may seek fortheir purchase: nn r�i Purchase Pri : N�. _`[i �� tf0 Est.Starting Date: Down PaymI"'t J 6eci Z% 7ZC' _ Ifaf Exst.Completion Date: � 32, 0.�� Amount Due on Start of Job: `�.CashCheck ©f Credit Card Amount Due on of Completion: No. Amount Due on of Completion: Expiration Data Balance Due on Upon Complet4 ' 0-os' CVC Code: It is agreed and understood by and between the parties that this Agreement, front and back and any addendum, constitute the entire understanding between the parties, and there are no verbal understandings changing or modifying any of the terms of this Agreement.Buyers) hereby acknowledge that Buyer(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(ii)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 S t ices,1 Buyer(s) Signature Signature �i,l 7 �OSZ Print Nam Print�me'a 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 right. ARBITRATION:The mndesper antl ode homeovmer hereby mutually agree in advance thud in the event error paM rus a d epor a vardev ing Iris cored,eilnerpany may submit such sensors to e boyare insurance adrvim xTiCi has been approved brain savelaryof ode ExeCuliw Ofisol Consumer AMvms and Business Regulations and the uninteresting remained to start to surli afternme as prover ed is G L c 1H2A. Cotmmntimi.7. 1.1 Mourns: <.7- Ou¢: 7 _ Done NOTICE OF CANCELLATION / NOTICE OF CANCELLATION Data or Transaction 3- -/f You may rsndo this addreNon,arthpA any penally w Data of Transaction .You may msnwl his bansarrion,vnthe.any penalty or obligation,whin three business days from the above date.llrturan¢lanypmcenyuadnd in obligation.whin three bueress days from the aboy,date llywancel anypeopenynadedin. any payman6 made by you under the Conl2n or Me.and any negotiable lnetNmenl eaeo ma rted any anymore de by you antler the Con le tran or Sao and any negotiahleinsm buend overused My you yell be returned fro 10 days following rewipt by Pe Seller o1 your cancellation notice, by you wit he retarded within 10 days pounds,receipt by the Seller or Your cancellation more. and any sewMy interest Dosing out of the v eyesion MII he cancelled.II you carrion You must and any aeo,ndy'seven Dosing out of Pe Pensioned will be camxlled.II you cancer You most rreke available to the Seller at year reydenre,and substantially in as good mndlfian as Men make available I the Seller at Your moll and eadva ually in as good condition as when deved.any Foods dervered to you under this Convector sale:or You mar,if you win damply moved,any goods delluxred to you under this Cartoon or sale:or you my.it you man comply won the innrucuons of the seller reform,Me return shipment of Pe goods at Pe Setters win the Instructions of the Seller regarding me return granted of the goods at the Sellers expense and risk.II you do make Me goods available to ode Seller and the Seller does not on, expense antl not.If you do make the,dads novenle r the Seller and Ne Seller does not pick Nerd up within 20 days of the date of Your Notice or Canrelladon,You my retain ordisryw of the them up vnthin 20 days of Pe data of Your Notice of Cancellation,you may retain or dispose of golds.,,.of any Nnherobligation.Il You fail no make the goods available to the Seller,or it You the goods without any fuller obligation.Ifywfailtomakethegwdsavailabletolhe Selle¢ord agree to return the goods to the seller and fall to do 5e,then You remain liable(or performance of you agree r return Me goods to the seller and fall to do ao,then you her liable for pedemmance all cbligadons under ode Convect ro tarter via mounted.mail our deliver a signed and datetl of abnegator,uMertheCarbon,Torenl this tRnsaciion,anal ordelear a agned and dated dapy of the wnrella din nonse or any Omer woven notice,or send a telegram to A&A Sari wpy of the cancellation monde or any other wnden notice,dispensaries—toksA Servitts, 115 North Street.Sam le MA during.NOT IATER THAN MIDNIGHT OF -e_/O- 115Nonh Sve,,Salem.01970.NOTUTERTHANMIONIGHTOF� nyo nAp .r I HEREBY CANCEL THIS TRANSACTION I HEREBY CANCEL THIS TRANSACTION Cmsumeis GaraNre Date'. Came.—,s sormarre no. n I� ;fl �yc�s' its»S;n716F3 6hae PrOvOlOs Of M. e, L �, =C� s�� a . ... . . �' 0 60 o-l�q conffionilt Number is M of i� i sulk, howl h ti ply 'S;�,���So anS,Y ba d1sposqj ® .i.fl DroPMY ioy;aid 7f kl 1 as da ink,by @= r' 9 7 3� �y, 9, ao c TOE_, r q UFd Fyos;1 api ca 1 1 zwzy � 2e Qi F� it-App3ican Flan Address, State, AD code Certlecate No. A042247 THE COMDdONWEALTH OF vLASSACHUSETTS EXECUTIVE OFFICE OF LABORANTJ WORKFORCE DEVELOPN[ENT kr DEPARTMENT OF LABOR STANDARDS 19 STANIFORD STREET BOSTON MASSACHUSETTS 02114 DELEADER CONTRACTOR LICENSE I A& A SERVICES, INC. 115 NORTH STREET SALEM MA 01970 I LICENSE: DC000440 EXPIRES: Saturday,June 07, 2014 N ACCORDANCE WITH M.G.L. CH. I 11, § 197B(b)AND 454 CNIR 22.03,THIS LICENSE IS ISSUED BY THE DEPARTMENT OF LABOR STANDARDS TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF ENTERING INTO OR ENGAGING N DELEADNG WORK. THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR. THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADNG WORK IN ACCORDANCE WITH M.G.L. CH. t l I § I97B(b)(2) AND 454 CMR 22.03. i HEATHER E. ROWE,DIRECTOR. t fMassacnu rs - Deoartrnant of Puo fc Sa•ety >r Board of Budding Regulations and Sta dards Office of Consumer Affairs&IioessRe;ul: -aa .. C ns[nirtiffn Supen i,f,r . =� �;110MEIMPROVEMENT CONTRACTOR icen>e. CS-057733 Registration: 101609 Tja'e: 'Expiration: 6r25/2016 Private Cnooratio CHRISTOPHERZORZY 115[NORTH ST -- s A&A SERVICES, INC Salem NIA 01970 - . �. Christopher Zorzy North Street Sal Salem, MA 01970 Comrra;;fon-; 05/26/2015 Undersecretir7 ► + Abrade Above Since 1902 Phone: 978-747-0424 A&A SERVICES wwFax: 97&74 w .a-aservices.comcom 115 North Street Salem, MA 01970 March 10, 2015 City of Salem Building Dept. 120 Washington Street Salem, MA 01970 To Whom It May Concern: Enclosed please find the permit application for Ron Plante, 4 Larch Avenue, Salem, MA to replace win ows.� I have enclosed a check�for $28.00 based on your fee'schedule of$7.00 per$1,000.00. The total for the job was $3,220.00. j Please send the completed,permit to A & A Services, Inc-at 115 North Street, Salem, MA 01970. If you have any questions,please contact me at (978) 741-0424. Thank you foryour.assistance. Sincerely, Barbara Zorzy ce Offi Manager t a