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HomeMy WebLinkAboutBuilding Permit - Express_BLDX-23-15542 - BLDX-23-15542 22120Chimney -- Roofing -- Windows and Doors -- Siding -- Demolition true Tent -- Wood Stove -- Temporary Construction Trailer -- Temporary Mobile Home -- Solar System -- Insulation -- Fence -- Other -- Total Job Cost 7800 Occupancy Type Residential Is Homeowner Doing The Work ? No Demolition Exterior (raze building) Contractors Name TREVOR J MEYER Business Name TREVOR J MEYER License # CS-101957 License Expiration Date 09/27/2024 License Type Construction Supervisor License Status Active Mailing Address 852 Main Street, West Dennis, MA, 02670 City West Dennis State MA Zip Code 02670 Phone # 5087766027 Email Tmeyer@meyerandsons.com Building Permit - Express BLDX-23-15542 Applicant Trevor Meyer 5087766027 tmeyer@meyerandsons.com Location 12 BRADDOCK ST SOUTH YARMOUTH, MA 2664 Express Permit Information Contractor Licenses Detailed description of work Demolition of existing building Construction debris will be taken to: (name) Town of Yarmouth Disposal Area Electrical drop within area of work? -- Gas meter or regulator within area of work? -- 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 -- 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 Policy # or Self-Ins License # Description of work General Details Zoning Information Use Group and Construction Types Workers' Compensation Insurance Affidavit Policy and Job Site Information Selective Insurance WC9083575 Expiration Date 10/28/2023 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 Affidavit Signature