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Home My WebLink AboutBuilding Permit Application - Application - 79 CHICKERING ROAD 5/18/2026 7/16/26,2:29 PM 90985 Town of North Andover,MA July 16,2026 Record No: 90985 Primary Location Applicant *Building Permit 12 HEATH CIRCLE 0 Arthur Gonsalves NORTH ANDOVER,MA 01845 y 978-886-5020 Status:Active Owner @ chipgonsalves@comcast.net Submitted On:5/18/2026 86 BELMONT AVE GAFFNY REALTY TRUST,THE,J J& Lowell,MA 01852 M S GAFFNY,TRS 12 HEATH CIRCLE NORTH ANDOVER,MA 01845 Application Submission Are you submitting this application as the Homeowner?* NO Primary Contractor Firm(Business)Name Licensee* Fusion Construction and Masonry ARTHUR GONSALVES License#* License Expiration Date* CS-109870 06/17/2026 License Type* License Active Construction Supervisor ❑ License Status* Mailing Address* Active 86 Belmont Ave, Lowell, MA, 01852 Preferred Telephone#:* Alternate Phone# 9788865020 Email I certify,under the pains and penalties of perjury,that the chipgonsalves@comcast.net information on this application is true and complete.* https:Hnorthandoverma.workflow.opengov.com/#/explore/records/130523/form 1/5 7/16/26,2:29 PM 90985 Project Information Date of Application* Type of Project* — Construction of Addition,Alteration, and Remodeling Type of Improvement* Proposed Use* Addition One-Two Family Building Name/Project Space Description of Work to be Performed* Build an addition to the front of the house Is property on Town water* Is property on Town sewer* Yes Yes Project Cost(if new construction base on$125 per square Does this project require a temporary construction foot and if addition/alteration/renovation base on actual dumpster?* contract price)* Yes 295000 Does this project require a temporary construction trailer?* Does this project require a temporary construction sign?* NO NO Danger Zone Literature(MGL CHapter 166 Section 21A-F and G min.$100-$1,000 fine) NO Registered Design Professional Architect/Engineer Name Architect/Engineer Address Thomas Murray 11 Salem St, Suite 10, Medford, MA 02155 Architect/Engineer Phone Number Architect/Engineer Reg.# 617.863.2573 54223 https://northandoverma.workflow.opengov,com/#/explore/records/130523/form 2/5 7/16/26,2:29 PM 90985 Construction Dumpster Permit Application Name of Dumpster Company(if applicable)* Dumpster Arrival Date* Redbox+ dumpster 07/01/2026 State clearly purpose for which the Construction Dumpster Permit is requested* for demolition debris from existing house Insurance I have a current liability insurance policy or its substantial If yes,indicate the type of coverage* equivalent. Liability Yes If other,specify Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Are you an employer?Select the appropriate type.Any Type of project applicant that selects#1 must also fill out the section below showing their workers'compensation policy information.* 8. Remodeling 1. 1 am an employer with employees (full and/or part-time) I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name(Attach a copy of workers' Policy#or Self-Ins.License#* compensation policy declaration page showing the policy U B-5R90831-9 26 number and expiration date)* AMERICAN ZURICH INSURANCE COMPANY https://northandoverma.workflow.opengov.com/#/explore/records/130523/form 3/5 7/16126,2:29 PM 90985 Expiration Date* 06/11/2027 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.* Q Attachments 2600245 North Andover MA 12 Heath Circle Stamped 2026 0624.pdf 2600245 North Andover MA 12 Heath Circle Stamped 2026 0624.pdf Uploaded by Arthur Gonsalves on Jul 7,2026 at 8:35 AM Zoning Denial 7 7 2026.pdf VI 12 Heath Circle Denial.pdf Uploaded by Terri MacNeil on Jul 9,2026 at 3:33 PM Photo Copy of H.I.C. And C.S.L. Licenses REQUIRED Fusion Construction and Masonry HIC and GC.docx Uploaded by Arthur Gonsalves on May 18,2026 at 9:34 PM Set of Plans 12 Heath Circle—Permit Set_05-11-26.pdf Uploaded by Arthur Gonsalves on May 18,2026 at 9:25 PM Certified Surveyed Plot plan Screenshot_18-5-2026_215157_northandoverma.mapgeo.io.jpeg Uploaded by Arthur Gonsalves on May 18,2026 at 9:53 PM Copy of signed contract REQUIRED RESIDENTIAL CONSTRUCTION CONTRACT-Welch-signed.pdf Uploaded by Arthur Gonsalves on May 18,2026 at 9:25 PM Stamped engineered documents (if applicable) AMSE-12 Heath Circle_Permit.pdf VII' Uploaded by Arthur Gonsalves on May 18,2026 at 9:25 PM Massachusetts Workers Comp Affidavit REQUIRED LARRY_WELCH_Liabitity and Work Comp.pdf Uploaded by Arthur Gonsalves on May 18,2026 at 9:35 PM Copy of Certificate of Liability Insurance REQUIRED Bpi LARRY_WELCH_Liabitity and Work Comp.pdf Uploaded by Arthur Gonsalves on May 18,2026 at 9:36 PM https://north an doverma.workflow.opengov.com/#/explore/records/130523/form 4/5 I 700/26 2:29 PM e0985 TiUl8|'DO Label Activated Completed Assignee Due Status Date Building 5/18/2026' ScottOn Hold ' 9:53:3IPM VondewaUe @ Zoning Appeal has been _ Inactive Provided Fire Department Review Inactive Treasurer Review Inactive @ conservation Review Inactive Planning Review ' Inactive Health Review Inactive DPW Engineering Review - - Inactive ODPW operations Review Inactive (D Building Inspector Approval Inactive i� �� Arthur Inactive Add itionx/A|temtions/Remode|in0 Gonsalves Building Permit Fees @ Building Permit Issued Inactive (9)Temporary DumpsterPermit _ Inactive Issued �� Building inspection ' Inactive