19 MANNING ST - BUILDING INSPECTION DATE
Citp Df a49)afe ' 1Ka.S5arbU5Ett5
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building /9 /4af)01La 511
YOPf
Building Permit Application For:
'(Circle whichever applies) Roof, Reroof, Install Si • }g Eensin ct Deck, Shed, Pool
Addition, Alteratior. epair/Replace, Po dation Only, Wrecking
Other:
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
0�'-o owN�: i-prn5ra1LO'Nt : PA,n , s
To the Inspector of Buildings:
The undersigned hereby applies for a permit to build according to the following specifications:
OwoersName:�(ayyll n - oll, . IPl' Contractor: Ghri gtnnhar Znrzy
Street Iq Mrjj2nL1'1 City Street 115 Nnrrh St atra City_ Salam
State Phone Ass ) -7til -ti0-a3 State MA Phone(978) 741-0424
Architect: City of Salem Licq 14 0 5
Street City State Lic#0 5 7 7 3 3 H]IP# 101609
State Phone ( ) Homeowners Exempt Formes no
Structure: (please circ / Single Fartuly, ulti Family# Other
Estimated Cost of job $ kl R 35, /V
Will building confirm to law? ✓ yes no
Asbestos? es y / no _ `\
Description of work to be done: - -OL4-,( / I P I P_Ida n �11 ) VhU/
W1n�lOVt<<5.
SERVICES
Drawings ub fitted:_yes no Mail Permit to: 115 NORTH STREET
Signature of Application,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit#1 O/p-Z0oLYoning Map/Lot,
Permit fee$ �jb`' 'oo c K-to 55 3
COMMENTS:
tO
Nor
The Commonwealth of Massachusetts
Department of Industrial Accidents
ofieeo//nveSY189ons
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 thisjob.
companyname• _A- & ,.AI;Seryices , Inc .
address: 115: Nort'h Street
city: Salem, ' MA '01970 phoueg. 978-741-0424`,r r ° '
�+v
insurance co. The'Travelers poll@vH WC939X12560,BONN
'•fr' ' S "'
❑ 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 „'` '
address:. f,
city* hone q: f31 A5
, �vr z �E,� tau
insurance co;. ' policy Y..„
company name.
address:
4 e
city. -, :nhope#: i
s+�'
msursnceco.
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 51,500.00 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 against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
l do hereby certify u er t e pains/and penalties of perjury that the information provided above is true and correct.
Signature / r•t/ Date -2' �— 0�
Print name Christopher 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
O check if immediate response is required QSeiectmen's Omee
Q1leaith Department
contact person: phone#; F1Other
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 Cardna -
Signature off Permit Kpplicant
Date
Christopher Zorzv
Name of Permit Applicant
A &A Services, Inc.
Firm Name
115 North North Street, MA 01970MA 01970
Address, City, State, Zip Code
wat ,
M...ti..rn
�"= HAR'VEY INDUSTRIES
NTM Ne 1 22
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 511100
HARVEY MANUFACTURED WINDOWS AND 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 2.86
•Classic Double Hung(Welded Sash) 0.51 1.96 0.39 2.66 0.35, 2.66
•Classic Double Hung(w/ProWeld Technology) 0.49 2.04 0.38 2.83 0.34 -2,24 1
•Classic Plus DH W/CFW 0.33 3.03 0.28 3.57 0.27 3.70
•Signature Double Hung 0.51 1.96 0.39 2.56 0.35 2.88
•Signature Double Hung(Welded Sash) 0.50 2.00 0.39 2.56 0.36 2.88
•Slimline Double Hung(Welded Sash) 0.52 1.92 0.40 2.50 0.35 2.86
•Siimline Double Hung(w/ProWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.88
•Thermal One Single Hung 0.53 1.89 0.40 2.50 0.36 2.78
•Majes"ble Hung 0.54 1.85 0.44 227 0.40 2.50
•MajeatyFbce,Q�sement(PW) 0.53 1.89 0.40 2.60 0.37 2.70
•Majesty Casement/Awning 0.86 1.16 0.45 2.22 0.42 2.36
•Majesty Picture Window(DH) 0.53 1.89 0.43 2.33 0.38 2.63
•Vinyl CasemeYNAwning 0.47 2.13 0.36 2.78 0.33 3.03
•Vinyl Casement/Awning 3 Thermal Panel 0.32 3.13 0.26 3.85 025 4.00
•Vinyl Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33
•Vinyl Hopper 0.47 2.13 0.36 2.78 0.33 3.03
•Vinyl Picture Window 0.46 2.17 0.33 3.03 0.30 3.33
•Vinyl Picture Window Deadi to 0.51 1.96 . 0.37 2.70 0.33 3.03
•Vinyl Roller-2 Lite 3 3 Lite 0.60 2.00 0.38 2.63 0.35 2.88
VICON SERIES
New Construction Vinyl Window
•Vloon Casement/Awning 0.47 2.13 0.36 2.78 0.33 3.03
•Vloon Picture Window 0.46 2.17 0.33 3.03 0.30 3.33
•Vloon 1000 Single Hung 0.53 1.89 0.41 2.44 0.37 2.70
•Vloon 2000 Double Hung(w/ProWeld Technology) 0.50 2.00 0.38 2.63 0.35 2.88
•Vloon Classic Double Hung 0.51 1.96 0.40 2.60 0.35 2.86
•Vloon Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33
Temp.Clear Temp Low-E Temp.Argon
HARVEY PATIO DOOR u Value RValue u Value R Value U-Value R•vatue
•Solid Vinyl Patio Door 0.50 2.00 0.41 2A4 0.38 Z03
rsr BOARD OF BUILDING REGULATIONS
,icense: CONSTRUCTION SUPERVISOR t
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 9L
Robert J.Prevoso,Deputy Diredor >
Deleader-Contractor
CHRISTOPHER ZORZY
E Date 1121/0 O
Exx p.Dale 1120/03
DC000440
Me mber of CO.t1.E S.T.
3
BO
IIII II it III I I II I III IIII II II II BOSTON-RENEW
� ✓�ee �o-unur�imierz�(�. r�.-��nz>,�c�uJellJ
Board of Building Regulations and Standards
�n 3
HOME IMPROVEMENT CONTRACTOR
Registration: 101609
v'
- Expiration: 626/2004
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy
115 North Street
Salem, MA 01970
Administrator