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494 LORING AVE - BUILDING INSPECTION (2) DATE: ' 13' M Citp ]if "&Aem, �ffla!�5arbu5ett!5 PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building HA t-J l-_(_Jrt t Q Rve-nue . t Building Permit Application For: '(Circle whichever applies) Roof, Reroof, Install S5' WgCanstTct Deck, Shed, Pool Addition, Alteration, epar/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: Owners Name:030140M 1 Pn.I rt n jQ Contractor: C h r i s t o n n a r 7.n r 7,y_ Street1-QH 1.!2l'I N�e M City'/Aleyn Street 11 5 Nnrrh SrrPPr City Ga1Pm State MID, Phone 67$) 7Hl - 4453.fp State MA Phone(97g) 741-0424 Architect: City of Salem Lic$ 14 0 5 Street City State Lic#0 5 7 7 3 3 HIP# 101609 State Phone ( ) Homeowners Exempt Form_yes_1Z"' no Structure: (please circ! Single Far . Multi Family# Other Estimated Cost of job S3'7'70 , C)C7 Wi6 building confirm to law? yes no Asbestos?__yes x,�'no Description of work to be done: TnSfali �!x ( Col iin al r- r CAc.Q vvvo* iLir)Jo 1 f') IJ 9ERVIt;ES Dravis bmitted: es no Mail Permit to: llb NORTH STREET X L g=Si FyH Aa4 9849 Signature of Appli ation,SIGNED UNDER THE PENALTY OF PERJURY CONSTRUCTION TO BE COMPLETED WITHIN SIX (O MONTHS OF PERMIT ISSUED DATE Department use only: Permit# Zoning Map/Lot Permit fee S COHN[INTS: P�.e��; -� �� •repo 5�;�� R�Pc�,w�-�v� +��rn�s 5�9 y �,�e,�nc� �� l�k.?int� G,eQ,��: j F ��= �� i Liitr ur SalEuz, 4 unlit: Prnpr=11 Q,Ixv rIMMITZ ? srtatzrti SIIH-735-3=75 u:. 3aII DIS?OSAL Or DEBRIS AFFIDAVIT In accordance with the Provisions of MGL c 40 , 554, I acknowledge that as a condition of Building °er3= t G all debris resulting free the construction activity governed by this Building" ?er _t shall be disposed of i a properly licensed solid caste disposal facility, as defined by MCL c III, S 150A. Salem Transfer Station owned by: The = ris till be disposed of at: Northside Carting locar_on of face ty Signature Of Pelt=_ iepplieant Date Tully co_plete the follo::ing inforztion: (?lease print clearly) Chkiat6phetcZopiyc. Name of ?er—mit Applicant A & A Services , Inc . Firm Name, if any 115 North Street , Salem, MA 01970 Address . City 6 State the a00Ve StaLL'te :e0u4r=c that debris irOil LFIe depO::LSOn. renOvat=on. reha'. or structure. be disposed of in 2 properly r •" bt.__d_n _ or other ?Iteration of l_ as defined by MCL cII: . S150A and tha licensed solid _ante disposzl •iaci_ ty , license's a zt_ to in dicite the' iocztion of the facility 2t building perils o. __c_ns_s The Commonwealth of Massachusetts Department of Industrial Accidents Olflcool/a�stl8'tloas 600 Washington Street Boston,Mass. 02111 Workers'Compensation Insurance Affidavit name: location: city phone# ❑ 1 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. A & , A�•Servicest Inc. comoanyname: address: 115 North Street aletl 01970 i, MA Q r+t3Yr city: S ohone#• 978-741= 424,�, w �,»� gvyi }y )IA 'r�l�l• insurance co. The Travelers oolicy# WC939X1256 `... ❑ 1 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: of r�..a hone#: -...,�� . insurance co; naliev# company name. t+ila� eit hone#: l YYdal:wa '� insurance co. .. Policy# Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to sl,500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement ■ forwarded to the Office of Investigations of the DIA for coverage verification. /do hereby certify nde th sins d p I allies ojperjury that the Information provided above Is true and correct. Signature Date �•.J- 05 Print name Christopher Lrzv, President Phone#978-741-0424 official u=response his area to be completed by city or town official city or tpermit/license# Miluildfng Department ❑licensing board ❑checquired []Selectmen's Office ❑health Department contact phone N• flOther r! � ✓/e>Cnomr�nolllc n�✓l'avaac�ul4ella BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 057733 Bli thdate: 05/2611958 Expires: 0 512 6/20 0 5 Tr.no: 12224 Restricted: 00 CHRISTOPHER ZORZY �j �,� 115 NORTH ST [•�."" SALEM, MA 01970 Administrator ,i . ✓�ie 'vonnmsanu/v.� a�✓�.aaurc�wae!!a Board of Building Regulations and Standards 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 of Massachusetts "Y Division of Occupational Safety Robert J.Flezioso,Commissioner Deleader Contractor CHRISTOPHER ZORZy Eff.Date 01/14/05 EV.Date D�A N'ES�T� 06 80 IIIIIIII _ :I' Illllllllllllllll�l�l�llluulllll IIIII IIIII llllllll BOSTON-RENEW 01,411 U-VALUES AND R-VALUES ENERGY$TAR wv /NOUSTR/ES Harvey Manufactured PARTNER • Windows and Doors WHOLESALE PRICING • 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.* rcosool 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 1 0.33 3.03 Clear Insulated Low-E* Low-E/Argon* VINYL NEW CONSTRUCTION WINDOWS(p9190-231) 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 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 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 locations. Call your local branch for availability. Pricing and information are subject to change without notice&may vary from region to region. 3/17/03 For current pricing, call your local branch or visit www.harveyind.corn. Effective 256