HomeMy WebLinkAboutBuilding Permit - Express_BLDX-23-15528 - BLDX-23-15528 21940Chimney
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Roofing
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Windows and Doors
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Siding
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Demolition
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Tent
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Wood Stove
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Temporary Construction Trailer
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Temporary Mobile Home
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Solar System
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Insulation
true
Fence
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Other
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Total Job Cost
7018.43
Occupancy Type
Residential
Is Homeowner Doing The Work ?
No
Contractors Name
CHRISTOPHER M GRAHAM
Business Name
CHRISTOPHER M GRAHAM
License #
CS-077112
License Expiration Date
04/03/2024
License Type
Construction Supervisor
License Status
Active
Mailing Address
271 water street, pembroke, MA, 02359
City
pembroke
State
MA
Zip Code
02359
Phone #
781-924-5229
Email
gbc271@gmail.com
Contractors Name
GRAHAM BUILT CORP
Business Name
GRAHAM BUILT CORP
Building Permit - Express
BLDX-23-15528
Applicant
Chris Graham 7819245229 gbc271@gmail.com
Location
26 DRIVING TEE CIR
SOUTH YARMOUTH, MA 2664
Express Permit Information
Contractor Licenses
License #
190407
License Expiration Date
01/23/2024
License Type
Home Improvement Contractor
License Status
Current
Mailing Address
271 Water Street Pembroke MA 02359
City
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State
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Zip Code
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Phone #
781-924-5229
Email
gbc271@gmail.com
Detailed description of work
Air sealing and cellulose insulation
Construction debris will be taken to: (name)
South Shore Disposal
Electrical drop within area of work?
No
Gas meter or regulator within area of work?
No
Name of electrician performing work
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Name of gas installer performing work
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Endangered Species
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Flood Plain Zone
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Historic Building
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Historic District
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Historic District Description
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Supplier
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Total Land Area
--
Water Resource Protection District
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Wetlands Description
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Within 100 feet of wetlands
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Zone description
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Zone district
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Description of work
General Details
Zoning Information
Use Group and Construction Types
Use Classification
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Are you an employer? Select from the options below.
I am an employer with full and/or part time employees
Insurance Company Name
Foster Sullivan Insurance Group
Policy # or Self-Ins License #
CS-WC-005378-02
Expiration Date
11/22/2023
Type of Insurance Coverage
Workers' Compensation
I do hereby certify that under the pains and penalties of
perjury that the information provided above is true and
correct.
true
Applicant is
Authorized Agent
Workers' Compensation Insurance Affidavit
Policy and Job Site Information
Workers' Compensation Affidavit Signature