HomeMy WebLinkAboutBLD-90-650 N. 06/1d4
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k4 "r tido TOWN OF YARMOUTH
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�,� •• % Applic ion fora Permit to Build No. (�SO
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UPON FINAL APPROVAL //' /- / d MAP /�5 LOT
FEE MUSTACCOMPANY THIS APPLICATION. DATE /0 197
The undersigned hereby applies fora permit to build ///,'t961
according to the following specifications
1. Name of property owner LUILt.1Ann re,t,N i c2 Tel.:39g-649 1
Address tQ3H Ozh IY141r] Si- C tAE.
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 29$ d 7X-tett;.
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family 0 f,�5—en /06-0tpC7a Vir Type of room No.
11.Commercial 0 Kitchen
12. Other 0 Dining Rm.
Living Rm.
13. No. of storiesBed Rm.
14. Foundation — Full 0 Half ❑ Crawl ❑ Slab 0 ` 4,---6 Bed
15. Materials — Wood ❑ Cement 0 Other 0 Deck
16.Type of heat — Oil ❑ Gas ❑ Electric ❑ Other 0 Closed porch
17. Garage — 1 0 2 0 Family Am.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 171 Coal 0 la 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
LOT RELEASED BY Signature /al-6CW/ d?L€-re-GC: —,
PLANNING BOARD Address a `l Oz-i> 1)1,4 nu S7
Date
WOOD STOVE INSTALLATION CHECKLIST .
LIl. L, /�1kr2. ivegx-021'7"7A1/73
A building permit is required for the installation cf any solid fuel burning appliance. The building permita d
installation inspection are limited to the stove installation and not to the stove construction.
StoveAJ27
A. New ised
B. Tyiefatar-79 irculating /99a
C. ManutacturerMOH A43K IC.IA,�` I i.. Lab.No.
•
Name/Model No.Tr'MPW ` p/ 4Pr Collar size 4-Ilt Il 11
Dimensions/Height Length A•41Width 0 /57�
• a- Chimney ••
!l 1w Existing,
B. ize(fluearea) IVB /YMETA/BEST2S CNrr✓lk'Py PIP
C. Other appliances attached to flue(Number and flue size) Ain/ver
D. Prefab(Manufacturer—name and type)S r 1-..K 1 Q k rY CTA L-T5 X05 -
E. Masonry/Lined Flue liner
Unlined • hype&manuac:urer)
F. Height(refer to diagrams) Lor cap
13t0I . i I c`.s2 to I 2 MIt.
l 124 .
' •
t C. punt.
_ikihmes______1 _____ 13 MIN.
(roa .c.�l
04 . I
HEARTH
CHIMNEY HEIGHT
Hearth(non-co oustible) -
A. Matenals 014./CRETE- r CL4 / T/La—
S.
EB. Sub-floorconstruction Lt1oo>
C. Minimum dimensions(refer to diagram)
Clearances and Wall Protection(se,,,,,stove installation clearances chart)
A. Type of wall protection provided u/2or c
B. Clearances(refer to diagrams) -
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4(-1I
u
- FIREPLACE • CORNER WALUCENTER
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