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9 LIBERTY HILL AVE - BUILDING INSPECTION (3) DATE: '�f d9 -OVA CItp Df ari)aft 7, ig PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building 9 11lydu P-/wUP. Building Permit Application For: '(Circle whichever applies) Roof, Reroof, Install Siding,G Deck, Shed, Pool Addition, Alteration epair/Replace oundation Only, Wrecking Other: 1 PLEASE FELL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING To the Inspector of Buildings: The undersigned hereby applies for rmit to build according to the following r� Y PP Pe g o g specifications: Owners Name: Elaine, --Dnen Contractor: Chr; stnnher 7nrz Street AwoutcitySil(m Street_11 5 Nnrth Street City_ GaleM State.M�l� Phone OV 7H1 — ,M71 State MA Phone(978) 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_no Structure: (please circle) JInile Ferri. Multi Fancily# Other Estimated Cost of job S 4/go, OD Will building confirm to law?,,(yes no Asbestos?_yesXno _ Description of work to be done: 4-4 la/I On 6 Vl h Gf l Y2D 106eMrn4 JJ Lin(7lpzO SERVICES Drawings b 'tted: es no Mail Permit to: 115 NORTH STREET g—�AiFMlllth 6=87e X � . Signature of Annlicatio ,SIGNED UNDER THE PENALTY OF PERJURY CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE Department use only: Permit# 160-ZOO(toning Map/Lot Permit fee$ COMMENTS: I N : r' ., r J• r ._..`i Tr. E ` . ��9 S •.,to ,Y7 F yi;•:>l." , • •. ..• "i l"'t k'iei it. � -VJ f_a A :.�f itii . , .. .(�i. ✓°f .�.. . ':ref..; ','`' .. i7 IJ ca \1LL � \ m N x LL H © ¢ 0 d aLUOz_ C7. P . \ f' 0 10 1 _ _ .... .: _•___._ a_._. c �:• m- I o U wcn _. Z 0- a - C - Z.• ._ _.. . _.__..�___. The Commonwealth of Massachusetts Department of Industrial Accidents OffICBefluesftsHoos 600 Washington Street Boston, Mass. 02111 VP 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 ❑ I am an employer providing workers' compensation for my employees working on thisjob. companvname: A & ,A ;Services , Inc . address: 115 North Street * tagtRssa . .I+ cif: Salei. n 1,� "MR'A 01970 phone#• 978-741=0424�, , insurance co. The Travelers policy# WC939X1256 ❑ 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: T address:. wr , <a =�� '� •,. p + ty f city: phone N t : " n insuranceem.c policy# company name. addressr �{ city ,. .t _ phone# insurancereo.;'1. a k oli.:# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a rant 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 SI00.00 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. _ I de hereby cer iiify u 71he ains and penalties of perjury that the information provided above is true and correct. Signature (" ' ,/ Date O j a7 Print name—Chris topher 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: permit/license# flBuilding Department ❑Licensing Board ❑check if immediate response is required []Selectmen's Omee ❑Health Department contact person: phone#; nOther 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 Carona - Signature of Pe it Applicant 3'-03 Date Christopher Zorzy Name of Permit Applicant A &A Services, Inc. Firm Name 115 North Street. Salem. MA 01970 Address, City, State, Zip Code -r.-r BOARD OF BUILDING REGULATIONS .icense: CONSTRUCTION SUPERVISOR 1 Number: CS 057733 Birthdate: 05/26/1958 Expires: 05/26/2005 Tr.no: 12224 Restricted: 00 CHRISTOPHER ZORZY � 115 NORTH ST SALEM, MA 01970 Administrator Commonwealth of Massachusetts Division of Occupational Safety Robert J.Prezwo,Deputy Dvector Deleader-Contractor CHRISTOPHER ZORZY Eff.Date 110102 Exp.Date 1120/03 O 3 DC000440 Member Of OO.KES T. BO II III II III II II IIIII IIII II IIII BOSTON-RENEW Board of Building Regulations and Standards n HOME IMPROVEMENT CONTRACTOR Registration: 101609 Expiration: 6/26/2004 Type: Private Corporation A&A SERVICES, INC Christopher Zorzy 115 North Street Salem, MA 01970 Administrator MRC , NY•IF�bi �-= HARVEY /N�/JSTR/ES /TM ®� 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&1/00 WINDOWSHARVEY MANUFACTURED DOORS Clear Insulated Low-E AdvantEdge WINDOWS U-Value R-Value U-Value R-Value U-Valui R•Value •Classic Double Hung(Mechanical) 0.51 1.96 0.40 2.50 0.35 2.88 •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 1.98 0.39 2.56 0.35 2.86 •Signature Double Hung(Welded Sash) 0.50 2.00 0.39 2.66 0.36 2.66 •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 2.60 0.36 2.78 •Majestypauble Hung 0.54 1.85 0.44 2.27 0.40 2.50 •Majesty.Fix"sement(PW) 0.53 1.89 0.40 2.50 0.37 2.70 •Majesty Casemenl/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 Casemeht/Awning 0.47 2.13 0.36 2.78 0.33 3.03 •Vinyl Casement/Awning&Thermal Panel 0.32 3.13 0.26 3.85 0.26 4.00 •Vinyl Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33 •Vinyl Hopper 0.47 2.13 0.38 2.78 0.33 3.03 •Vlnyl Picture Window 0.46 2.17 0.33 3.03 0.30 3.33 •Vinyl Picture Window Deadlke 0.51 1.96.. 0.37 2.70 0.33 3.03 •Vinyl Roller-2 Lite&3 Uts 0.50 2.00 0.38 2.63 0.35 2.86 VICON SERIES New Construction Vinyl Window •Moon Casement/Awning 0.47 2.13 0.36 2.78 0.33 3.03 •Moon 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 •Moon 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 1 0.30 3.33 Tamp.Clear Temp Low-E Temp.Argon HARVEY PATIO DOOR U-Value R Value U-Valus R Value u Value R Value •Solid Vinyl Patio Door 0.50 2.00 0A1 2.44 0.38 2.63