Loading...
HomeMy WebLinkAboutBuilding Permit #755-13 - 88 ELM STREET 5/13/2013Permit Date iI TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received I LWORTANT: Applicant must complete all items on this -PaLre --� LOCATION �' ��m c. ACC t Print 10 c- ^ - Print ` - MAP NO: -b/ PARCEL: ®� ZONING DISTRICT: Historic District es no Machine Shop Villag ye o TYPE O�IMPROVEMqENTIPROPOSED �:Si nature�o- �e' - f ontracto - -------==- - :ti�� USE Residential Non- Residential ❑ New Building❑ One family ❑ AdditionWfwo or more family ❑ Industrial El Alteration No. of units: ❑ Commercial k0'Vepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑�Septicr ®1We11'�'�� �+�r- i®'Filogdplain IL�Wetlands ft 4Y ;®=WatershedeDistrict e�!P,,rg, �- t�!,�a—'�� �"'_._ 'Z *,a,�'3 r �' �'�+nj"�, .�'a f,k2?.'e'.-.yh F,".aid ,y •� �"•i� 5®t'�a.Liir/U ,.-'}-?--Sf ---_� `'-- -_._ - _==cam . _ �y !}r y -i nFSCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Address: �� sn e n/ A -r JV17Av&d. AIA CONTRACTOR Name: Address: _:� / Phone: 7,9 -.OJI Y X7,7 o /6 - Supervisor's Construction License: 9�Sf 8 Exp. Date: Home Improvement License:,� f �(o Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. N FEE SCHEDULE. BULDING PERMIT. $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ adFEE: $ �� Check No.:y`� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund "riatu�e�of-�A Owner;�, Sig._=---------=-g�-=-------------- �:Si nature�o- �e' - f ontracto - -------==- - :ti�� Location M i No. - I Date Check 41647---- 26382 1" t" 26382 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector Plans Submitted ❑ - Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑Swimming Pools ❑ Tamvng/MassageBody Art ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS HEALTH' COMMENTS 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 8z Date Driveway Permit DPW Town Engineer: Signature: r r Located 384 Osgood Street ,A FIRE DEPAR TMENT Temp 7Durapster on site yes no -� Located at 124 Main Street Fire Department signature/date COMMENTS' 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.$100-$1000 fine Doc:.Building Permit Revised 2008 Building Department The following is a fist 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) ❑ 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 Bldgr 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 ist be submitted with the building application Doc: Doc.Building permit Revised 2008mi Z w 0 C O H M I� L6 ouj m t Y Y 'D O ! Ecu Y TO N -;, Q0 a). 0 N Z Z m C � -C 7 OA 3 v — C O LLI Z Z .'.i a OA 3 C O N 0 Z U W W to 7 u ui a N 04 M Q a W 0 Y. L Z N LJ a-% Y O n� SII O i•r TIE G1 — X. `F- O 0 Q. N i JV co u Y NGO� Q' O d w N N J L -coo Q : > M L c °) U) o = > 0 OV r • = t t C O O Z CL U)- l.0 a C .O .�•N O • c cH L CL Q V � � am •0) Q \ N W_ O V O O LLI LL •y � � N1 C .Q t O y V -a r' V WO, U m O'a L cn N o O0 F— �t CLOCK 0 a U) Z CO Q H O U U) O V U LLIJ N w E � O Z O N 0 0 -- MOM N .E m m 0 a ° �r v O a.� O � N cm Q Q _ M M V J -0 0-0 O .4+ Z 5 V t/1 0 MA . 3 ,013 DAVID CASTRICONE, PRIES. "i,,�g ,1,3 CASTRIGONE ROOFING & SIDING INC. ROOFING, SIDING & REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 231 R SUTTON STREET UNIT 3A, NO. ANDOVER, MA 01845 In North Andover 978-683-3420 In Boxford 978-887-6147 In Haverhill 978-374-7314 I/we the owner(s) of the premises mentioned below, hereby contract with and authorize you as contractor, to furnish 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: �� P)"7`1,1-ScclWt�s PrGS,� t Owner's Name % 1yr,un_,7..... hone # Job Address ...... Q.y....J............... I.................. city ... P: ... ............... State.... ....... Specifications: .............. ...........:....... ............. _ ............. jj................................................ ....,�..1.... ..... � ........b. ....rr✓t l................................................................. ........... *** ...... ....�v.. .............. ..�.Y•�.L+�s'..Y•tl ,1.1�a....� ...�..l�.t ......e.�?` .:....................................................................................................... ` �� ......................... 5...;,... z : iU ...� �? ....... . ..... ............................. J....'F.e ...i.Cv.�.. . ..ktl I...(J _.5. 1.(.e.. L.1,.e:�t J 0. .� .......e '.. ...................... �l T: �...................................................................... ...1..5 04 � .....6........c1; .. :t'r.►t .t:...........S:.z ......l.t�.C.�l ..X.............................................................................................................. j� - 1:.... .... .1. �!..... ... .r ! � 1! I........... ay!'M t ra4.....f~dZt,...?.0 . ......Tcle� .�t6.rti' �/- ob 1P...r..r...../...,................................. Five Year Workmanship Warranty (Not Transferable) Manufacturer's W>lrranty as specified snu ac ur The actor agrees toperform the work d, ish the materials specified above for the SUM of ....QG�......... •••••• ayable ... r�..S. ...... on ..,,c............ Payable ....... ...=.............. on.............-- .............. Z alance payable on completion of job Owner or Owners are not responsible for Property Damage or Liability whi fob 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 attic or other living spaces). Items in attic may need to be covered by homeowner. All materials are properly of contractor. Any dumpster placed by contractor is for his use only. Upon completion ofabove work, all undersigned agrce to execute and deliver to contractor, theirjoint 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. Property may be subject to mechanic's lion if unpaid. 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 parties. The undersigned warrant(s).that he is (they are) the owners(s) of the above mentioned premises and that legal title thereto stands of record in his (their) names(s). There arc 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 the Office of Consumer Affairs and Business Regulations, Tel. (617) 973-8700. Any and all necessary construction -related permits shall be obtained by the Contractor. Any Owner who secures his own construction - related permit dr dells with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c. 142A. Approximate starting date of work ................................................. Completion date ......................................................... Receipt of a copy of this contact is hereby acknowledged, and it is further acknowledged by 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 This contract may be cancelled, without penalty or obligation, within three business days of the below -referenced date. Mail or deliver a signed and dated notice or send a telegram to Castricone Roofing & Siding Inc, 231R Sutton St., No. Andover, MA 01845. IN WITNESS WHEREOF, the parties have hereunto signed their names this dof ............................ 20........... Accepted: Signed ... I... Y-0. Owner Signed............................................................................. Owner David Castricooe, President r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigation 600 Washington Street i Boston, MA 02111 www.mass. ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): CI=15'f RI LO Address: 3 I R Sud'' 0 a .Site,\ 3 A City/State/Zip: No. 6&0 VU M A D l iyS Phone #: °) (DU 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. worker's' comp. insurance. [No workers' cornp. 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' cornp. 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 11.❑ Plumbing repairs or additions 12.XRoof repairs 13.7 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 acid 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: 3 Policy # or Self -ins. Lic. #: W 0-003199 U3 Expiration Date: 5-A3 • oZ6 13 Job Site Address (�0 �l/� (�� City/State/Zip:, 1474Ve", / /f 64, 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify undert'heepains andpenalties ofpeijufy that the information provided above is true and correct. � Signature: �" J,,L C70 Date: G5✓' V, `j Phone #: 413 3 q d -D 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 #: Town of North Andover ° Building Department o 27 Charles Street '` A North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 040 ��<• CSHGNU5t 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 shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, s150a. The debris/will be disposed of in /at: (f'. sje d6ri A)/-) Facility location Signature of Applicant 8- l3 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project tluough the Office of the Building Inspector, EASTERN INSURANCE L - CERTIFICATE OF LIABILITY INSURANCE DATE 1ii�o ' PRODUCER 978 273 6366 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willows Insurance Agcy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 51 Cochichowick Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MA 01$45 INSURERS AFFORDING COVERAGE NAIC # " INSURED INSURER A; WESTERN WORLD_ INSURANCE CO DAVID CASTRICONE ROOFING 6 SIDING INC & IN9URER8; CASTRICONE ROOFING & SIDING INC IINSuRERC; 231 Sutton St #3A INSURER D; NORTH ANDOVER MA 01845 INSURER E: VV VL1l VLV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD -VI DATE iMMJDDNYYYI- TYPE OF INSSIRANCE POLICY NUMBER POT ICT EFFECTIYE POLICY lXPIRATIONLTR LIA71T8 IN GENERAL UABILITY EACH OCCURRENCE _ S 1000000 • COMMERCIAL GENERAL LIABILITY ' TO RENTED PREMISES (Es mcurrerpeJ....._.$ . 50000 A CLAIMS MADE XIOCCUR I PP1332889 9/6/2012 19/6/2013 ME_OEXP (Any one person) , „S_ ,. 1000 PERSONAL a ADV INJURY $ 1000000 GENERAL AGGREGATE I $...,_., 2000000 GEN•L AGGREGATE LIMIT APPLIES PER: I i PRODUCTS - COMP/OP AGG S _ 2000000 POLICY : LOC AUTOMOBILE LIABILITY i I COMBINED SINGLE LIMIT � $ I (Ea accident) ANY AUTO -'--- ALL OWNED AUTOS BODILY INJURY (Per peman) $ $CNEDULED AUTOS HIRED AUTOS ( S01)ILY INJURY S NON -OWNED AUTOS I i (Par accldam) - PROPERTY DAMAGE S (Pa.- accldenl) GARAOE UABIUTY I AUTO ONLY - EA ACCIDENT $ ANY AUTOj OTHER THAN EA ACC S AUTO ONLY AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE--_ _ S r OCCUR i— - CLAIMS MADE AGGREGATE DEDUCTIBLE i RETENTION $ WORKERS COMPENSATION i WC STATLU- $.j OTH- TORY.LIIdI?,$, ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ' E..L EACH ACCIDENT $ _ OFFICER/MEMBER EXCLUDED4 D - "" I (MandatM In NH) ESEASE - EA EMPLOYE S 11 B8, desuiDe tinder SPECIAL PROVISIONS 001CW El DISEASE - POLICY LIMIT S OTHER I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS ICATE HOLDER SHOULD ANY OF YHE ABOVE DESCRIBED FOUCIES BE CANCELLED BEFORE 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 KING UPON THE INSURER, ITS AOENTS OR 231 R Sutton Street REPRESENTATIVES.17 AUTHORIZED REPRE A North Andover, MA 01845 ItCORD 25 (1009/01) ©1988-2009 ACORD CORPORATION. All rights reserved NS025 (20oa01).01 The ACORD name and IOgo are registered marks of ACORD AC®R!7 CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD;YYYY) F9124/20 2 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: If 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 NAME: Select DePt ext 66807 PH0NNo Ezt : 08 651 7700 ac No : 0 65 80 9 EMAIL ADDEss:se le ctwor k rn ins u ran m INSURERS AFFORDING COVERAGE NAIC 3 INSURER A:Commerce & Industry 19410 INSURED 3i969 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: 1538501247 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 A R WVD POUCYNUMBER I POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS AUTHORIZED REPRESENTATIVE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GL.41MS-P.44DE OCCUR I ( EACH OCCURRENCE $ IA E TO RENTED PREMISES Ea occurrence $ DIED EXP (Any one person) $ PERSONAL R ADV INJURY $ !H _ j GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POUCY PR0 71, LOC PRODUCTS - COMPrOP AGG $ $ L AUTOMOBILE LIABILITY ANYAUTO ALL O'r4NED SCHEDULED !AUTOS AUTOS iq NON -OWNED HIRED AUTOS AUTOS i I Ea accitlerq BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Peiaccuenl $ UM13RELLALIAS I I OCCUR EXCESS LIAB F — CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AIJY PROPRIETORIPARTNER.EXECUTIVE OFFICERlMEMBER EXCLUDED? (Mandatory In NH) It yes, d6scilbe und61 DESCRIPTION OFOPERATONSbelow N / A WC003969723 /23/2012 D/23/2013 X I WCSTAT1U OTH- t E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 E.L. DISEASE - POLICYLIMrr 1 $500,000 , I DESCRIPTION OF OPERATIONS,' LOCATIONS /VEHICLES (Attach ACORD tot, Additlonal Remarks Schedule, it 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 ®1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD V'- �Ia,�aihturtlz - Uclt;lrfntcn( ul Nultlic 1;1fit� Btt;ii'tl nt Builtlin� Kr"ulatinii. ,incl tit;inllai'tl -- Construction Supervisor Specialty License License: CS SL 99358 Restricted to: RF,WS DAVID CASTRICONE 31 COURT STREET rr= NORTH ANDOVER, MA 01845 Expiration 12/16/2013 ( uuiu.anrr Tr;; 7924 SCA 1 0 20M 05/11 ?. Office of Consumer Affairs & Busidess Regulation z. _. a HOME IMPROVEMENT CONTRACTOR ..:R;e istration: 104569 Type: W;,Ex 1ration: 7/14/2014 Private Corporation tr , DAVID CASTRICONE ROOFING, SIDING & David Castricone 200 SUTTON ST SUITE 226 NORTH ANDOVER, MA 01845 Undersecretary