18 MARION RD - BUILDING INSPECTION (2) G �t
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DATE: / / -/ 7-0y
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Cttp of �aftm, Ra';5!5arbu!5etxl
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED p
Location of Building
Building Permit Application For:
'(Circle whichever applies) Roof, Reroof, Install Sidin ct Deck, Shed Pool
Addition, Alteration, epau/Replac 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: 'g Contractor: C h r; s t n n h a r Z n r 7.;
Street lQ A-1QY10n /!/ City Street t t 5 North Srraat City_ sal am
State,UP Phone 8-9 q5- A& State MA Phone(978) 747 -0424
Architect: City of Salem LicA 14 0 5
Street City State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form_yes V no
Structure: (please circle Single Family Multi Family# Other
Estimated Cost of job 5�9
$
/D.
Will buildingconfirm to law? /
r� ves no
Asbestos?_yes.V,-*' no
Description of work to be done: 7nS / 11 4en (ID VihWl roA /Q(J YIO/')7L
ER VICES
Drawin miffed:_yes no Mail Permit to: 115 NORTH STREET
% SAi FM K4
X ,.
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# Zoning Mep/Lot
Permit fee$
COI4=S:
The Commonwealth of Massachusetts
Department of Industrial Accidents
exce0//Byestlpetl00S
600 Washington Street
Boston,Mass. 02111
Workers'Compensation Insurance Affidavit
name:
location:
city phone fl
❑ 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 this job.
company name A k , A Services , Inc .
address: 115 North Street
city: Salem, MA 01970 ohoneN• Q +l Y4wh'«eve s�,h
insurance co. The Travelers nolitiVN 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:
comoanv name w� G' , 'j
address. ��VO?...... ::
city: hone a:
+Y
insurance co: policy M `F 1l'EiI
com an name.
address: ,..r,.• l�,.;, ��� Y. •. (
fill
city: :��a .,_ hone p:• :. .. ..:"aa.a�' �`r��. �;�
insurance co: olit! :q
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of s flue up to sf,500Ao aadlor
one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of slat 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.
!do hereby cerf yy un a the pains and pe allies ojperluiy that the Information provided above Is true and correct.
Signature , Date �/' / / - 6 /
Printname 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: permittlicense if 1'1Building Department
❑Licensing Board
❑check if immediate response is required ' ❑selectmen's Office
I, ❑Hea th Department
.contact person: 'phone a;_ nOtber
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manna 6`` Tsuiihinu arpmxrrr 1
(sax rcfr= 4r n -
iDH=r35-3:75 u:. 3913
DIS?OSAL Or DEBRIS AFFIDAVIT
In accordance vlth the provlslons of MGL c 40 , 554 , I acknowledge that as a
condition of Building ?exa t 0 all debris resulting from the
construction acti'riry governed by this Building Pe==t shall be disnosed of i.
a properly licensed solid vaste disposal facility, as defined by MGL c III,
S 150A. Salem Transfer Station owned by:
The debris will be disposed of at: Northside Carting
locarlon or iacl-lty
7-a y
Signature of ?e* pp.i-,cant Date
Fully co-plete the following inforaation:
(?lease print clearly)
Ghbibt6phercZo;iyc..
Name of ?emit Appiicant
A & A Services, Inc .
Firm Name, if any
115 North Street , Salem, MA 01970
Address. City d 5rare
The above statl're :-Ta.uirac that debris from the demolition. renovation, reh27
or other alrerarion of building or structure be disposed of in a properly
licensed solid vaste disposal facility as defined by MGL cIII . 5150A and tha
building per=irs or 1lcenses are to indicate the' location of the iacillty at
+� Bon d of Building Regulations and Standards
I� u HOME IMPROVEMENT CONTRACTOR
!l Registration: 101609
Expiration: 6/26/2006
Type: Private Corporation
A&A SERVICES, INC
Christopher Zorzy
115 North Street ���� r.�✓
Salem, MA 01970
Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
RobertJ Prezioso,Deputy Dyed,
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 12/19/03 • �
Exp. Date 1220/04
DC000440
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_ ./�te �amt9N4IL<I/vaU/E o�✓l�Iodlac�uld✓.ud f.
BOARD OF BUILDING REGULATIONS
Jcense: CONSTRUCTION SUPERVISOR
Number: CS 057733 "
Birthdate: 05/26/1958 i.
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH ST
SALEM, MA 01970 Administrator
U-VALUES AND R-VALUESi;
ENERGY STAR
i� Rv pvousrrnEs Harvey Manufactured PARTNER
• Windows and Doors
y WHOLESALE PRICING
q,.
• U-Values in accordance with NFRC-100 • Based on residential sizes
• U- and R-Values are subject to change without notice - Whole window values
W All Harvey vinyl windows with Low-E/Argon and all Majesty double hung windows with
e' Low-E/Krypton qualify for the ENERGY STAR® program throughout the U.S.` isoeoot
j
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 0.33 3.03
Clear Insulated Low-E* Low-ElArgon*
VINYL NEW CONSTRUCTION WINDOWS(pg190-231) 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 It-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 STARe 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.
EHeclive 3/17/03
For current pricing, call your local branch or visit wwwharveyind.com.
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