HomeMy WebLinkAboutBuilding Permit #718-13 - 29 MARK ROAD 5/1/2013TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO�� �� Date Received
Date Issued: ''
ORTANT: Applicant must complete all items on this
LOCATION l /Y1al-k kloacr Ivor
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MAP NO: 016 PARCEL:P& ZONING DISTRICT: Historic District yes
no
Machine Shop Village yes
no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential Non- Residential
❑ New Building
ane family
❑ Addition
❑ Two or more family ❑ Industrial
❑ Alteration
No. of units: ❑ Commercial
VRepair, replacement
❑ Assessory Bldg ❑ Others:
❑ Demolition
❑ Other
"❑Se�t1c '�®Well r }�-'� i
#®�Floodplavi1. ®}Wetlands ®WatershedDistrict
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Identification Please Type or Print Clearly)
OWNER: Name: f � l /en Phone: 9 216,6
Address: dci Iy�urt I����Ci L�Ur �Yi�CJ�^2d f�1<� U 16
CONTRACTOR Name: &SJ74toC� �� SI Phone:
Address: �3 S� �� S (� l l 08
Supervisor's Construction License: q q NSb Exp. Date: 1)--( to - d Q 13
Home Improvement License: I q S (`1 Exp. Date: -7 - I q - ;:6 I Li
ARCHITECT/ENGINEER Phon
Address:__
Reg. No.
FEE SCHEDULE. BULDING PERMIT, $12.00 PER $9000.00 OF THE TOTAL ESTIMATED.0OST BASED ON $125 00 PER S.F.
o� , UO
Total Project Cosf: � � � FEE: $
Check No.: 7,-6 t Receipt No.:
NOTE: persons contracting with unregistered contractors do not have access to the guuar�anty—fund
.G.'�l• •'1 v.--_-�_ ��L:-•-4_.: t:—'�.L-�!�:To s•-"1' +�
- <:St nature of co z: ,-
Adent/Owner.' .... 9......_...._.._ .._ I1tfaCfQl .,.:.,, .. _._............... ` I
I
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ . Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
a Mass check Energy Compliance Report (if Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
AL the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
xst be submitted with the building application
Doc: Doc.Building Permit Revised 2008mi
Plans Submitted ❑ - Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
E
WERAGE DISPOSAL ❑ Tanning/Massage/Body Art ❑ SwimmingPools❑
❑ Tobacco Sales ❑ Food Packaging/Sales ❑c tank, etc. ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE REJECTED
11
DATE APPROVED
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision:
Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
a Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Pire Department signature/date
COA4MENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No,
MGL Chapter 166 Section 21A—F and G min.$10041000 fine
NOTES and DATA — For department use
® Notified for pickup - Date
Doc:.Building Permit Revised 2008
Location 1+51 t li -%
No. -11 � — ( � Date L;l
• - TOWN OF NORTH ANDOVER
� ��'r�rt,Nn���w4' •
_ s
Certificate of Occupancy $
ffi r
Building/Frame Permit Fee $
Foundation Permit Fee $
IM �
Other Permit Fee $
k tr TOTAL $
i
Check Z 0 1
26340 Building Inspector
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DAVID CASTRICONE
CASTRICONE ROOFING & SIDING INC.
ROOFING, SIDING & REMODELING REPLACEMENT WINDOWS
HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569
200 SUTTON STREET, SUITE 226, NO. ANDOVER, MA 01845
In North Andover 978-683-3420 In Baxjord 978-887-6147 In HaverhiU 978-374-7314
Uwe the owner(s) of the premises mentioned below, hereby contract with and authorize you as contractor, to famish all necessary
materials, labor and workmanship, to install, construct and place the improvements according to the following specifications, terms and
conditions, on premises below described:
Owner's Name ........... A4..jl.....lJ iL/.......................................................... Tel hone #.....
Job Address....... ��....../.:..1/.Ld./.:. �.......................... City... k1... t2 0..1(..e ............... State .... ..MA.....
Specifications:
Strip e,xisting..hiogles. A-/ vACpply new drip edge to all edges. ytl4r`7re. f-"'-* .............................
................... y2c........................................................................ .................................................................................
...
✓Apply feet and water shield membrane to bottom edges of hpuse. 3 feet ice and water shield membrane
in valleys and bottom edges of any unheated areas of house.
FiG O-W/Dr't_J /D I'''G.Yi'� IOW/
/Apply felt paper underlaymenL Antall ridge vent to / , :J � ,ter �/moo �� / /
.a,,utiF °...-............-.........................................
✓Reroousing i; ,�t4 shingles with a .fin year warranty.
..................................................................................................................................................................................................
-eounterflash chimney. .-New vent pipe flashing. ,Legal disposal of all debris.
.2 ."...2 :'...3 .`...".......................................................... .
�a(s) to be worked on: )
.............. ?,�........................ 14.,.1... �......aF...
...........................................................................................................
Roof board replacement if necessary @ /sheet o`F1"__D/foot.
.11
................................................................................................................................................................. ......................................
Two Year Workmanship Warranty (Not Transferable) 11;(anufacturer's Warranty as specifi y manufa£t
The c9rp;actor a it to perform the work an s the materials specified above for the SUM o s.....�.�. 1,. *- aid
ayable ..:...Q..13.f?........ on ... 5.......... /
Payable ............................. on .................................. /Z)Balance payable on completion of job
Owner or (Tuners are not responsible for Property Damage or Liability white lob is in operation.
Contractor is not responsible for any damage to the interior of property, including pre-existing conditions (i.e. water stains, crumbling plaster, exposed nails) or
conditions resulting from application of materials specified above (i.e. objects coming loose from walls, crumbling plaster, exposed nails, dust in antic or other living
spaces). Items in attic may need to be covered by homeowner. All materials are property of contractor. Any dumpster placed by contractor is for his use only. Upon
completion of above work, all undersigned agree to execute and deliver to contractor, their joint note in accordance with his (their) above obligation as requested by
contractor. Upon refusal to do so, contractor may at its option declare the entire contract price or so much as then remains unpaid, immediately due and payable. It is
agreed that, if permitted by law, contractor shall be paid by the owner(s) all reasonable costs, attorney fees and expenses, in addition to the amount due and unpaid, that
shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith. It is further agreed that this contract may be assigned by
contractor, and also that the obligations hereof shall bind and apply to their heirs, successors or estates of the paries. The undersigned warrant(s) that he is (they are)
the owners(s) of the above mentioned premises and that legal tide thereto stands of record in his (their) names(s). There are no representations, guaranties or
warranties, except such as may be herein incorporated, if any, nor any agreements collateral hereto, nor is the contract dependent upon or subject to any conditions not
herein stated. Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties.
All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration
should be directed to: Director, Home Improvement Contractor Registration, One Ashburton Place, Room 1301, Boston, MA 02108
Tel: 617-727-8598
Any and all necessary construction -related permits shall be obtained by the Contractor. Any Owner who secures his own construction -
related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c. 142A.
Approximate starting date of work ................................................ Completion date..../. ... t-,1x3i/m....................
Receipt of a copy of this contact is hereby acknowledged, and it is further acknowledgedrby the undersigned that the foregoing
provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be
binding upon the parties and that all of the agreements and understandings of said parties are contained herein.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Owner has three business days to cancel this contract and incur no penalty (see notice if cancellation).
IN WITNESS WHEREOF, the parties have hereunto signed their names this .r�1Sl. day of .,r� /�,t.. ........ 20..45.
Accepted:
)( Signed .................. ..... ................... Owner
rSigned............................................................................. Owner
David Castricone, President '
Town of North Andover01
�nkrH
Building Department o -
27 Charles Street '' A
North Andover, Massachusetts 01845 i —� Off
(978) 688-9545 Fax (978) 688-9542
T40
X5.4CHU5��
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit # the debris resulting from the work sliall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL c,11, 8150a..
The debris will be disposed of in /at-
'-' Z' t E
Facility location
Signature of Applicant
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project tluough the Office of the Building Inspector,
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
U. 11 1 Boston, MA 02111
• `-www.mass.gov/dig
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/individual): CFA51 R I C -O n is . "�oyf 1 N Cr Z SI p t N Qr- N �'
Address: 31 K Soho to S�tte,k .3 P►
City/State/Zip: Ne . Q(\,0 VU M A o 1 Ny Phone #: 9 (o%3 ,3 yd n
Are you an employer? Check the appropriate box:
1. ® I am a employer with 8
4. ❑ I am a general contractor and I
employees (full and/or part-time).*
have hired the sub -contractors
2. ❑ I am a sole proprietor or partner-
listed on the attached sheet.
ship and have no employees
These sub -contractors have
working for me in any capacity.
workers' comp. insurance.
[No workers' comp. insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
3. ❑ I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, § 1(4), and we have no
insurance required.] t
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
I l.❑ Plumbing repairs or additions
12.0 Roof repairs
13. ❑ Other
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
±Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information.
1 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #: VN Coo 3199 U3 Expiration Date: 5-A3 • olin1n3
oZ
Job Site Address: q i l -d City/State/Zip _TiU t�'1CJ 1) el u /A d 1EYS
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement tnay be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
1 do hereby certify tinder the pains and penalties of petjuty that the information provided above is true and correct.
Signature: <)2 �J Ca�..,Qs Date:
Phone #: ( 1 3 3 q�_o
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
EASTERN INSURANCE
AC4 ® CERTIFICATE OF LIABILITY INSURANCE giiii2oi�)
PRODUCER 978 273 6368 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willows Insurance Agcy ONLY AND CONFER$ NO RIGHTS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE. DOES NOT AMEND, EXTEND OR
51 Cochichewick Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
North Andover MA 01845
INSURED
DAVID CASTRICONE ROOFING 6 SIDING INC b
CASTRICONE ROOFING 6 SIDING INC
231 Sutton St #3A
NORTH ANDOVER MA 01645
rnvoowr_cc
INSURERS AFFORDING COVERAGE i NAIL #
INSURER A WE STERN WORLD INSURANCE CO
INSURER B:
I INSURER C;
INSURER D;
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Castricone Roofing & Siding
INSRADD'L''' T.2E OF INS&IRANCE -I POLICY NUMBER PdTCl'EFFECTIVE POLICY[XPIRATION
61MITS
GENERAL LIABILITY
OCCURRENCE 5 , 1000000
REPRESENTATIVES.17
_
TO RENTED
50000
COMMERCIAL GENERAL LIABILITY '
PREMISES (Ea DccurrertQeJ....._.$ __ .
A _ _ CLAIMS MADE j X I OCCUR I PP1332888 9/6/2012 1 9/6/2013
MED EWAny one person) $ 1000
.
PERSONAL d ADV INJURY $ 1400000
_ ....
!GENE
RALAGGREGATE j 5 _ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER: I
PRODUCTS - COMP/pP AGG S _ 2000000
_
POLICY PR I LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO
(Eq eccidonl)
ALL OWNED AUTOS
BODILY INJURY
$CHEDULED AUTOS
(Per lkeson) $
HIRED AUTOS
!. BODILY INJURY $
NON -OWNED AUTOS i
(Per accident)
_
I
PROPERTY DAMAGE 6
(Per accldentl
GARAGE UADrUTY
j
AUTO ONLY - EA ACCIDENT 1 $
ANY AUTO !
i
OTI1FR THAN EA ACC $
AUTO ONLY, AGG $
EXCESS I UMBRELLA LIABILITY
EACH OCCURRENCE $
OCCUR i— CLAIMS MADE
AGGREGATE
i3
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�5
RETENTION $
WORKERS COMPENSATION
WC S77717
AND EMPLOYERS' UABILITY YIN
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!
ANY PROPRIETOWPARTNE—UTTVE
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$
OFFICE"EMBER EXCLUDED?
"" -
-
I (MeIlrlatwy In NH)
.L. DISEASE - FA EMPLOYE
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S
If yde, descAbe Under
...SPECIAL
PROVISIONS bel0µ
DISEASE - POLICY LIMIY
S
OTHER
I
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DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CFRTIFICATF HOLdER CONCFt 1 OTIf7N
At;UKU ZJ (ZUU9fUTJl411y21tl LUUV AL.VK.V GUKNUKATIUN. All runts reserver.
1NS025 (200901).01 The ACORD name and logo are registered mark9 of ACORD
SHOULD ANY OF IME ABOVE DESCRIBED POLICIES BE CANCELLED BEPORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Castricone Roofing & Siding
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Unit 3A
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENT9 OR
231 R Sutton Street
REPRESENTATIVES.17
AUTHORIgO REPRE A
North Andover, MA 01845
At;UKU ZJ (ZUU9fUTJl411y21tl LUUV AL.VK.V GUKNUKATIUN. All runts reserver.
1NS025 (200901).01 The ACORD name and logo are registered mark9 of ACORD
a
ACORO CERTIFICATE OF LIABILITY INSURANCE
2MlDD(YYYY)
9/ 4/20-1
DATE 4/2012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Eastern Insurance Group LLC Main
233 West Central Street
Natick MA 01760
NT CT
NAC OME: Select Dept ext 66807
PHCNNo E 08-651-7700 i Fac N.):508-653- 80 9
E-MAIL
AD0RESS:Seastern nsu rance.com
INSURERS AFFORDING COVERAGE NAIC A
INSURER A:CCMMerCe & Industry 19410
INSURED 31969
David Castricone Roofing & Siding Inc
231 Rear Sutton Street, Unit 3A
North Andover MA 01845
INSURER B:
INSURER C:
INSURER D:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1 53850 1 247 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
R
R
WVD
POLICY NUMBER I
POLICY EFF
MM DDIYYYY
POLICY EXP
MM/DD/YYYY
LIMITS
AUTHORIZED REPRESENTATIVE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIAS-M.ADE u OCCUR
j
I
EACH OCCURRENCE $
A. D
PREMISES Ea occurrence $
HIED EXP (Any one person) $
PERSONAL R ADV INJURY $
GENERAL AGGREGATE Is
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
LOC
PRODUCTS - COMPrOP AGG $
_
$
AUTOMOBILE OMOBILE LIABILITY
L_I ANY AUTO
ALL OWNED SCHEDULED
I_I AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
H1
Ea accide p
BODILY INJURY (Per person) $
BODILY INJURY (Per acrident) $
PROPERTY DAMAGE $
(4?aLcklent
I UMBRELLA LIAB
EXCESS LIAS
OCCUR
CLAIMS -MADE
-
EACH OCCURRENCE $
AGGREGATE $
DED 17RETE14TIONS
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROP RIETORIPARTNERIEXECUTIVE ❑
OFFICERPAEMBER EXCLUDED?
(Mandatory In NH)
II ves, describe under
DESCRIPTION OF OPERATIONS below
N / A
W0003989723
/23/2012
Q/23/2013
X WCSTATU- OTH-
E.L. EACH ACCIDENT $100,000
E.L. DISEASE - EA EMPLOYEE $100,000
E.L. DISEASE - POLICY L&Irr I $500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required)
CERTIFICATE HOLDER CANCELLATION
® 1988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
David Castricone Roofing & Siding Inc
ACCORDANCE WITH THE POLICY PROVISIONS.
231 Rear Sutton Street, Unit 3A
North Andover MA 01845
AUTHORIZED REPRESENTATIVE
I
® 1988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
iF2- �I ��acllusrtts - Uclt:rrtntcfit r11 Nulllic �,1tct
Bu;Irtl fit Builtlin,
c_ul,t[iun..iurl St.lntl,lrtl
-- vConstruction Supervisor Specialty License
License: CS SL 99358
Restricted to: RF•WS
DAVID CASTRICONE
31 COURT STREET
r-.
NORTH ANDOVER, MA 01845
Expiration 12/16/2013
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SCA 1 Ci 20M 05111
__•. Office of Consumer .6 ffairs & Business Regulation
,00ME IMPROVEMENT CONTRACTOR
registration: 104569 Type:
C� ;Expiration: 7/14/2014 Private Corporation
DAVID CASTRICONE ROOFING, SIDING 8
David Castricone
200 SUTTON ST SUITE 226 _
NORTH ANDOVER, MA 01845 �p —
Undersecretary