HomeMy WebLinkAboutBLD-93-695 �c- r L- TOWN OF YARMOUTH Gri9���9T
Y
ATTACnh,(
�,:Cown. "E[5 0,- Applicc ion for a Permit to Build No. to 95
UPON FINAL APPROVAL GIP 1/'3 MAP 1? LOT ni/S�
FEE MUST ACCOMPANY THIS APPLICATION. DATE seer/y' 19 9 3
The undersigned hereby applies for a permit to build U /10-3
according to the following specifications
1. Name of property owner th0Eher wh/Ey - Tel. 3 9t-33?‘
Address /it ¶t-7# pt. I ND co. jilif,6 lAY, _',a-
2.Name of Architect(if any) Tel.
3. Name of builder Address
4. License No. Tel.
5. Name of Mason *t4 It&- d`kchsi•- address
6. License No. Tel. �
7. Construction address S / & • ItJAJ/�5' x21. c3 4/
Flood District _ U
8. Date of subdivision n Approval plain zone C- Zone
9. Private dwelling IY Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family ❑ - Type of room No.
11. Commercial 0 /6,00. .e- CQ4t cunt, Kitchen
12. Other 0 Dining Rm.
13. No. of stories / Living Rm.
14. Foundation — Full 0 Half Zwl 0 Slab ❑ Bed Rm.Bath
Crt
15. Materials — Wood 0 Cement 0 Other 0 Deck
16. Type of heat — Oil 0 Gas 0 Electric fd Other ❑ Closed porch
17. Garage — 1 0 2 0 Family Rm.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal .t3/ Alterations
21. Size of lot: No. of feet front No. of feet rear No. of feet deep
22. Size of building. No. of feet front No. of feet side No. of feet rear
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
25. H.LC.R. No. / , / 4/
LOT RELEASED BY Signature
PLANNING BOARD Address _ it fon DE.4a,J
Date f°. /tA&@- , ...+x-- 0766
WOOD STOVE INSTALLATION CHECKLIST
(.1. I__.•- r/y a
- Permit •
A building permit is required for the installation of any solid fuel burning appliance. The building permit and
installation inspection are limited to the stove installation and not to the stove construction.
Stove
A. New /G.Ci�A( Used
B. Type/radiant y/ Circulating
C. Manufacturer✓mk C Thal . 'a-b Lab.No.V .2.Ci. C V S>Kit
Name/ModelNo.✓ iKL 0 gar-,A-4r7 Collar size G
Dimensions/Heights -27 Length ✓ /.`:` Width r✓ 15'
Chimney
A. New Existing
B. Size(flue area) eXi?
C. Other appliances attached to flue(Number and flue size)
D. Prefab(Manufacturer—name and type)
E. MasonryiLined Flue liner CL-1
Unlined - hype a manura :urert 'e--
F. Height(refertodiagrams) tg t 0✓Lt- i 1 Amt cap
•
cvEZ to' ! I ovER tp' I T 1121 MIN.
I r
�-a ,2 MIN. 2 Mi �.
S MIN. lo, • IO' - 3 ,MIN. TIN.'
L
I
uIN. X .
l., CI
lel MIN.
Y(FL/EL,4$H
O H EARTH
CHIMNEY HEIGHT
File* ?5---/9-5
Hearth(non-comoustible) 9/1-/( 9-9 9< .
A. Materials re II Cd ea. .
•
2. Sup-floor construction '—
C. Minimum dimensions(refer to diaeram)
C:earances and Wall Protection Isee stove installation cie_rances c^art)
A. Type cf wall protection provided Ce vC.z (it- AloicePttifricht 1045.4 ccs
B. C:earances(refer to ciagrams)
•
_---4 • \sly -7----
is
.111111r . .• .34 il
••••.-.-..-.—,X
I // 1
•I
FIREPLACE CORNER WALL/CENTER
13