HomeMy WebLinkAboutBuilding Permit Application - Application - 12 HEATH CIRCLE 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