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HomeMy WebLinkAboutBuilding Permit - Express_BLDX-23-15528 - BLDX-23-15528 21940Chimney -- Roofing -- Windows and Doors -- Siding -- Demolition -- Tent -- Wood Stove -- Temporary Construction Trailer -- Temporary Mobile Home -- Solar System -- Insulation true Fence -- Other -- 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 -- State -- Zip Code -- 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 -- Name of gas installer performing work -- Endangered Species -- Flood Plain Zone -- Historic Building -- Historic District -- Historic District Description -- Supplier -- Total Land Area -- Water Resource Protection District -- Wetlands Description -- Within 100 feet of wetlands -- Zone description -- Zone district -- Description of work General Details Zoning Information Use Group and Construction Types Use Classification -- 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