HomeMy WebLinkAboutBLD-90-603 sesoi..-y--iik: %, oa
east_ srr TOWN O ` YARMOUTH
ustf 1\: •.m 3bshtll Wood S
�," �'f Application for a Permit toal No. &ea
PF)
UPON FINAL APPROVAL 1- ' MAP LOT
FEE MUST ACCOMPANY THIS APPLICATION. DATE R/ 2(90 s
The undersigned hereby applies for a permit to build 10/5/qo
according to the following specifications SC(.4CA)
1. Name of property owner ShiYLAea( . Y11ulaphq Tel.391- -l2a3
Address GOR MieheIkes Po-M%i , 10) . ItotrnouTh 111A o4t,173 32S-%cc auca.4
2.Name of Architect(if any) Tel.
3- Name of builder 63h Pel\4Address So garUnougil ' .
4. License No. Tel. .
5. Name of Mason Address
6. License No. Tel.
7. Construction address (A iii-l'1P\lis Poi (n.1-lateno�
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling M Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family ❑ 9.ftO -d b
11. Commercial ❑ Kitchen
12. Other 0 � n v Living Rm.Dining Rm.
13. No. of stories I 6 Bed Rm.
14. Foundation — Full Na Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood CI Cement M Other 0 Deck
16. Type of heat — Oil (Xt Gas 0 Electric 0 Other 0 Closed porch
Family Rm.
17. Garage — 1 0 2 ❑ Sun room
18. Swimming pool - Size Garage
19. Storage shed = Size Shed
20. Stove — Wood W Coal 0"11-‘1 --1-1 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 311 No. of feet side .44 No. of feet rear 3`T
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or streetFromrear lot line Side line
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LOT RELEASED BY Signature _APE:kJ 01 ) sAc/aI4
PLANNING BOARD Address 69 ail?ii,AP IlPiS All)
Date bl, yglPitTMU i A')/4- cL$ '-73
c OOD STOVE INSTALLATION CHECKLIST
CI. L ''"
Permit
A bliiildingpermit is required fot 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 .J
A. New Used K
B. Type/radiant tk. Circulating
C. Manufacturertf in y.-1 1 Cn ((It aright t}cJin tab.No. •
Name/Model No. Sft",.M.I(d.ftJ /'CO Collar size el'f
• Dimensions/Height )yr[ Length •2 ? " Width /7 a
Chimney• ^� /� 's' /C 4ee
A. New Existing �J✓ir/l �:�:4r� 4 .,-r �F
B. Size(flue area) /.Z Wa sr ese kz• d'P /=^i 1-"A.
C. Other appliances attached to flue(Number and flue size) A-Si, mint/f/ /1 k/1 C^-F Pk?
D. Prefab(Manufacturer—name and type)
E. Masonry/Lined Flue liner (Y.t /2fr2 /%'r
Unlined (types mady rac:uren
F. Height(refertodiagrams) .9''F air pee)1' cap
•
1
I °vv.101 I I. c to' I T I Iz° rm.
• a'2 Mlty 2 Ml �•A I 1
• 3%mli to.
_ 3 IN. )eu.
—X
i m
1 .1$t.M,M.
(FuE. 1 •
. PCS'^.a*fr rStCE`.
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T•-- HEARTH 0
• a a�-- �(�o3r�GTd
CHIMNEY HEIGHT \ .. I +O /�IUI
A. (non•comoustible) n�,,) /Vi /�,n��5 1 / d
A. Materials / 1 ( •
B. Suo-floor construction (4,41,4,71-#
C. Minimum dimensions(refer to ciacrami
Clearances and Wall Protection(see stove installation clearances chart) .
A. Type of wall protection proviced 7----;71,fee
B. Clearances(refer to diagrams)f
44 y I
HI
X
1, r--1 I X-1r
FIREPLACE CORNER WALL/CENTER
13