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� Applicp ion for a Permit to Build No. 5 85
UPON FINAL APPROVAL 9 as 90
MAP Jr/_ LOT X-63
FEE MUST ACCOMPANY THIS APPLICATION. DATE,C o25 19 O
The undersigned hereby applies for a permit to build 9/
according to the following specifications //
1. Name of property owner R NIRS .T L N70Ai all c TeI.760'3576.60
Address&b h# e44 e d 12 s y i @fret or)398- 2A1,Q,(w)
2.Name of Architect(if any) Tel.
3. Name of builder Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
7. Construction address 68 /fll4i e# I e I (1 T?cI % . �
Flood 19istrict
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 E$timated Cost DO NOT WRITE IN THIS SPACE
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10. Multi family 0 3 00 io' ;12:f room No.i
11. Commercial ❑ Kitchen
12. Other ❑ 4k70• all Dining Rm.
13. No. of stories Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 0 Family Rm.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal I]]/NeW C{vMIA Alterations
21. Size of lot: No. of feet front No. of feet rear No.of feet deep
22. Size of building: No. of feet front No. of feet side No. of feet rear
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
' t. 1116-- L
LOT RELEASED BY SignaturGF . m I �
PLANNING BOARD Address wig Ali;e kP\ k C)c-1
Date c . c�A�Mout^ 1M19 016Gy
v..
TOWN OF YAMOUTH
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BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATES T+ 025 /?7,0
/'
JOB LOCATION CDS 1.4 9 Pip!C/ Gu Sr NUMBER STREET
ET ADDRESSgm SECTION OF TOWN
"HOMEOWNER"M(f•4Pfg$,(Retc fiNTONeIlit ?do-857 6 (FIRE 1),,p),3767--.2:2/az.NAME HOME PHONE - RK PHONE
PRESENT MAILING ADRESS 653 /,4,j e f/'/]e/Cy/� \ WORe!
/ nicccTH Ann- 0.26G
ITY OR TOWN STATE ZIP CODE
THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED
DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN IN-
DIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER
ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1)
DEFINITION OF HOMEOWNER:
PERSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE-
SIDE, ON WHICH THERE IS, OR IS INTENDED TO BE A ONE TO SIX FAMILY DWELLING,
ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARM STRUCTURES.
A PERSON WHO CONSTRUCTS MORE THAN ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE
CONSIDERED A HOMEOWNER. SUCH "HOMEOWNER" SHALL SUBMIT TO THE BUILDING OFFICIAL,
ON A FORM ACCEPTABLE TO THE BUILDING OFFICIAL, THAT HE/SHE SHALL BE RESPONSIBLE
FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1)
THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE
BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGULATIONS.
THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH
BUILDING DEPARTMENT ' I' i NSPECTION PROCEDURES AND REQUIREMENTS AND THAT HE/SHE
WILL COMPLY WITH S . D PROCED ' S I REQU ai$S.
HOMEOWNER'S SIGNA it ' I / &tt!!!.tha ;`
APPROVAL OF BUILDING OFFICIAL !LJf.a-
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
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WOOD STOVE INSTALLATION CHECKLIST
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Permit
A building p it is required for the Installation of any solid fuel burning appliance. The building permit and
installationinspection are limited to the stove installation and not to the stove construction. l,7� 7
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Stove (
A. New Used .�TE51
B. Type/radiant .../. Circulating
C. Manufacturer �✓syo Lab.No. ,3//a Igr;
Name/Model No. a Conn $ w000 Snate Collar size A lr
Dimensions/Height 25" Length 17" Width Pin
Chimney
A. New Existing
B. Size(flue area) rs Sfvyd pipe /rro -- MeR FLut RRCA
C. Other appliances attached to flue(Number and flue size) NONE
D. Prefab(Manufacturer—name and type) 'v/A
E. Masonry/Lined ✓ Flue liner Tr« Lire(
Unlined (typo i manufac:urtq
F. Height(refertodiagrams) cap Not/f
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1 OVv.. io I N I. cncEP 10 yI T •, I
' r2° 1124
MIN.
Fr I M 1
f X
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3r>niµ 1 1 31 MIN. IZy'
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IS"MIN.
"a (F6EL/ASLI
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••—••,2 41-
• HEARTH
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CHIMNEY HEIGHT m . ��o�
Hearth(non-comoustible Lb i
A. Materials ranee SI-114, (SRx y'x/Y ) . qaatrtI" ij
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B. Sup-floor construction Co&arre /c ,Se$4 (QAsenu:10 r Few.e)
C. Minimum dimensions(refer to diagram)
Clearances and Wail Protection Isee stove:nstailaticn clearances chart) .
A. Type of wall prctecticnproviced mA S1411/ A"vn+ell?heN ti_MJ/
B. Clearances(refer to diagrams)
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FIREPLACE CORNER WALL/CENTER
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