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34 LINDEN ST - BUILDING INSPECTION (2) 1�� DATE:: Citp of 'AGDalcm, 1a!55arbu�ett5 � _ 9 A PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building J3 ),I/7dno) :Sfi ee- Building Permit Application For: Circle whichever applies) Roof, Reroof, Install Si ' ct De , Shed, Pool Addition Alteratio , Repa' !IRep ac 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: Owners Name: 7VICW,5� b1nC1 CLIle _ Contractor: Cbri stnp'nPr znrz;E _ Street1Dq (%Y1d1CnH City ]DM Street 115 North Straat City Sal State. kA(4 Phone (7S) -7HD-g7a3 State BIA Phone(978) 741 -0424 Architect: City of Salem Lich 1405 Street City State Lic#0 5 7 7 3 3 HIP# 101609 State Phone ( ) Homeowners Exempt Form __yes__i,/no Structure: (please circle) Single Family, Multi Family# Other Estimated Cost of job$ //a�,51V.nO Vill building confirm t law?—Z--yes no t+cbestos?_yesno �j R,scription of work to be done: ��Q Once rnf Il"Si X Cr a� I?eJ1 ) C6/Y'/`PJ-P fa-p _ i31,)i l G1 /y x IN dP A. 0 �-/,? /I D1)P_ (i I AnCL risen P-P- o(/Cy l /,Y) A&ASERVICES Drawings bmitted: V es no Mail Permit to:g 115 FORTH STREET .g,M 51.4 9:876 x igoatu o Aopliffiatiffn, SIGNED UNDER THE PENALTY OF PERJURY CGNSTRUCTION:TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE Depantnent use only: Perini( ��� Zoning Map/Lot Permit fe 1 $ COH ENT.;: � - " Fe�lce �- T -- ---c�-- --- ---------- - - 1 -- i i . � -------- - � F-, ---- - - _ : _---.. - - - -- - ----- -------- ---- - -e-- r-- e �--+ -- - --- ---------------- --- .0 --- � �� �,� x F --- ` ° � �. ----- --------<---- - _ - _--- - - ---- - E� - �f �-� - -t3--6---� -- 9 r ------ r �-' r .. The Commonwealth of Massachusetts Department of Industrial Accidents OJI/CB 0//OYOSa�8tl00S 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone H ❑ I 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 6, A .-Services , Inc. LeCIr{ �i�.., 1ti`Ir '✓' address: 115.. North Street ,:';x „ riikrip, city: Salem, 'MA 01970 ohonep 978-741 9424i:F }#iri; wrt "sa> fl +?1>�� N�rt71N1�1� insuraneeeo. The Tradelers 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 named} i address: =4 is apJtM5 it city: U.. hone q• H ftirf�'tSTr.�. .:, insurance co; Doliev p '•:rl*P�}Y'd!<..,. .� company name ,,._d �..•. address-" city: , 'hone N... insurance co. Policy q Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of erimioal penalties of a fine 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$100.00 a day agafast me. I understand that■ copy of this statemenntggqqqtqmay be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby ce�fder the pains and�atterlury that the information provided above is true and correct. Signature71 Date Print name ChriStoDher 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 q I'IBuilding Department check it Immediate response b required osel etulag Board QSeleetmen s 01Dee OHealtb Department contact person: phone tt• 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 - e�U- h AOW— Signature of Permit Applicant Date Christopher gory Name of Permit Applicant A &A Services, Inc. Finn Name 115 North Street, Salem, MA 01970 Address, City, State, Zip Code U-VALUES AND R-VALUES i• 0�109 ENERGY STAR "^MvFVINOUSTRIES Harvey Manufactured PARTNER Aff• Windows and Doors WHOLESALE PRICING r` • 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 Harvey vinyl windows with Low-E/Argon and all Majesty double hung windows with Low-E/Krypton qualify for the ENERGY STAR® program throughout the U.S.* s090°1 Clear Insulated Low-E* Low-ElArgon* 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-E/Argon* VINYL NEW CONSTRUCTION WINDOWS(pg190-231) U-Value R-Value U-Vatue 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 Vicon Classic Double Hung(Welded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03 Vicon Casemept/Awning 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 CasemenUAwning 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 locations. Call your local branch for availability. Pricing and information are subject to change without notice&may vary from region to region. EMectve 3/17/03 For current pricing, call your local branch or visit www.harveyind.com. 256 LIN Board of Building Regulations and Standards u HOME IMPROVEMENT CONTRACTOR Registration: 101609 Expiration:P 6/26/2006 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 Prerioso,Deputy Diredor Deleader-Contractor CHRISTOPHER ZORZY Eff.Date 12/19/03 Exp. Date 1220/04 DC000440 MMber d C.ON.E.S.T. 04' ' 130 Illlllllllllllllllll�illlllll�llllllllililllllll IIII SCST ? BOARD OF BUILDING REGULATIONS : +. License: CONSTRUCTION SUPERVISOR { Number: CS 057733 rI A Birthdate: 05/26/1958 Expires:05/26/2005 Tr.no: 12224 Restricted: 00 CHRISTOPHER ZORZY 115 NORTH ST SALEM, MA 01970 Administrator