HomeMy WebLinkAboutBLD-93-729 61:3/41-
1-44..41 1 0M ,A5,151`"' � o TOWN OF YARMOUTH
""Zt pis�%f Application for a Permit to Build No. 77;t?�'�
UPON FINAL APPROVAL q--029- MAP ler& LOT ? /c
FEE MUST ACCOMPANY THIS APPLICATION. DATE Ciefi 23 19 S ..
The undersigned hereby applies for a permit to build gb8/93
according to the following specifications� �72093v /
. Name of property owner ! AuL 7: Rc n va Y Tel 2-Zer 3
Address 3 3 e4t&4CE <M, VAC
2.Name of Architect(if any) Tel.
4-73. Name of builder co lc ffr✓i17-C Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
t-7. Construction address 33 Oliv,1C GN y P
Flood District
8. Date of subdivision Approval _ plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 1 /ro a 1 aco 0
11. Commercial ❑ Kitchen STdiz 4
12. Other ,' SiTtar Dining Rm.
13. No. of stories Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0
d%Cf//rN Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck
S ted . Closed porch
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 P -
Family Rm.
17. Garage - 1 0 2
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood, Coate U50 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.I.C.R. No. %62 --�
LOT RELEASED BY .----Signature //
PLANNING BOARD ._-Address 5/.1/2-ir
Date •
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07216308586-8
WOOD STOVE INSTALLATION CHECKLIST
LA Lir
y 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 Used
B. Type/radiant s _ Circulating
"rite',- C. Manufacturer "rite',-4-,./-0-c-4-1 1.6 l Lab.No.
Name/Model No. /r Collar size 'ISI
Dimensions;Height Length Width
Chimney
A. New Existing
B. Size(flue area)
C. Other appliances attached to flue(Number and flue size)
D. Prefab(Manufacturer—name and type)
E. MasonryiLined Flue liner
Unlined . INP.s manuranureo
F. Height(refertodiagrams) cap
z.
fir
a
I cvci to I I Oe I I T I tz't Num.
—Fa j2'MIK 2 Mit I
s_.
�SMIN - _L l2
I, i ulry. .
+ Imo..-,
13"MIN.
(FUEL/AS-I
i AGLE 4tGe
T
OZ HEARTH
CHIMNEY HEIGHT
Hearth
(non-cemcusticle) /r j 0 9/ /i+!2
A. Materials (/ j
B. Sup-floor construction
C. Minimum dimensions(refer to ciacr ami
Clearances and Wall Protection see stove installation clearances c^art)
A. Type of wail protection provided
B. Clearances(refer to ciagrams)
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\\LH's
di 10j
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: // S. .
II 1 b
..F)REPLACE CORNER WALL/CENTER
•
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