HomeMy WebLinkAboutBLD-90-672 :-c' TOWN • YARMOUTH
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�,.c �� Application for a Permit to Build No. (D7�
UPON FINAL APPROVAL 'It�iSmMAP 7 LOT 2-5^'
FEE MUST ACCOMPANY THIS APPLICATION. DATE _ "v ' ' 19 9°
The undersigned hereby applies for a permit to build /9/W7a
according to the following specifications . • •
X. Name of property owner Li-'''LL 'n 4'4 4- ‘L teb' -Pa Tel. _5 9Y. 3Sec,
Address /7- ''/"A19 WA-47°/ , (-1-.y4vt
va..itI-iy-�e._ , ozc 'DI
2.Name of Architect(if any) Tel. •
3. Name of builder a iO'n-1-t--- Address viz,Kit-e- »-> a save e
4. License No. Tel.
5. Name of Mason Address
6. Dense No. Tel.
)/Construction address t 5' P4-rrTs:.5ew-`�' i `'`"`� `4 f u ,2
640.4 it/ck ' az4
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 I No.
10. Multi family 0 /i z no 1 on
‘-kra.,d 61-tt-ente r
11. Commercial ❑ - Kitchen
12. Other ❑ ODining Rm.
13. No. of stories p`� f7� Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood 0 Cement 0 Other ❑ Deck
16.Type of heat — Oil 0 Gas 0 Electric 0 Other ❑ Closed porch
17. Garage — 1 ❑ 2 ❑ Family Rm.
• Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove = C9" 'Wood ❑ Coal / -Qt 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 ✓4 - py.,,
PLANNING BOARD Address
Date
WOOD STOVE INSTALLATION CHECKLIST
sec.;04.0 t i8s3 . AZIE--° (../. Ls/" /'rZ
Permit
A buhding permit is required for the,installatio of an olid ftt Lhurning_appliance. The building permit and
installation inspection are limited to the sto Installation and not to the stove construction, _7 74 7 Z
Stove _
A. New G5 Used_�a r -_..--�"'.,
B. Type/radiant '5— Circulating —Ma —
C. Manufacturer (-- 5`e-C r wc"47—pa2-cre9o.No.
Name/Model No. Ifc f(U•ro,nfm Mat'of 9,Collar size C. "
Dimensions/Height 3c f/ Length 1.-3 a Width ZZ ii
Chimney it/I
•
A. New Existing —ye-s •
—
B. Size(flue area) S " X 5 '1 '
C. Other appliances attached to flue(Number and flue size) — 140 w e
D. Prefab(Manufacturer—name and type) —1q C —
E. Masonry/Lined — yes— Fiue liner — c 112t
Unlined (type a manutac:unr)
F. Height(refer to diagrams) cap
i
I cvER,ICI I I OVER IC I T I I M6V.
_
4.-- 1.-CS— ♦ .
—7 12 MIN. 2 MI"�•
I
3 •
'M }lo' IG' " 3 MIN. lz
I _ 1 _ IZ
MIN. j u
Oil MIN.
I , _, 0 ,
.(FVE 45H
Aartiff;#; ..,.
HEARTH
CHIMNEY HEIGHT
Hearth(non-comoustible)
A. Materials " C3 n tf C 2'e —
B. Sup-floor construction 2C /
C. Minimum aimensions(refer to ciacrami thl'\1 --4 ' 1m
Clearances and Wail Protection(see stove lnstailaticnpplearances chart)
A. Type of wall protection provided — On we t ale
B. Clearances(refer to diagrams) `04;1 /4�j
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FIREPLACE CORNER WALL/CENTER
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