HomeMy WebLinkAboutBLD-90-701 Pomo D fatty
'": o TOWN Q YARMOUTH
tEHt MATTACM[ 5 �!
%* g- Application for a Permit to Build No. 7o
UPON FINAL APPROVAL 9 lO MAP 117 OT —5 1
FEE MUST ACCOMPANY THIS APPLICATION. DATE I _ ' 19 ID
The undersigned hereby applies for a permit to build /19.1/9
according to the following specifications p�
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.11-fine of property owner -sf�e�..n+,r-64:14`441e� �---zr�r
Address 14:✓.,-.0..t.s.tot* AA A., 35a A.' nrnn.% A a
2.Name of Architect(if any) Tel.
3. Name of builder k2-( > Address
4. License No. Tel.
5. Name of Mason _ Address
6. License No. Tel.
onstruction address Rc__Q4 OennA Rp ycr..,.-Atio., I- Al-4 02.6.>r
Flopd District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family ❑ 'CO-/Or v d
11. Commercial ❑ # a 0 Kitchen
12. Other ❑ 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 ❑ 2 ❑ Family Rm.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal 12-'112- Alterations
r..
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 �
Argent C 1'onrtn
PLANNING BOARD Address 3 S J Al amt) .r RO
Date I✓na nac fl po .4 .'tt g. 02 or
WOOD STOVE INSTALLATION CHECKLIST
•
LI. Lir
r4_Perm•'
A byYadiing permit is required for the installation of any solid fuel burning appliance. The building permit and
installation inspectign are limited to the stove installation and not to the stove construction.
�D
Stovd - •
A. New Used
B. Type/radiant t Circulating L
C. Manufacturer �7- Lao.No.
Name/Model No. C on L- A! A S la 11 Collar size / r
Dimensions/Height- AllLength �/ 7iWidth /7
Chimney i t
A. New Existing
B. Size(flue area) 12,X I Z
C. Other appliances attached to flue(Number and flue siz=) ' M/YC
D. Prefab(Manufacturer—name and type)
E. MasonryiLined Flue liner 6144-y
Unlined
ttYOe 6 manutac:urerl
F. Height(ref erto-Cia4 res)<�'. C-4.---` & r � ��i ^iN ' a°
11 \9 Nr \ �..
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cvc_i le' % ICI I T I l2`I MIN. t �( �
CAC)
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3'MIN. ��S
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IL (�iic:,�A.�i1
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- I . ' HEARTH jcio
I� ,� ap(Prio
CHIMNEY HEIGHT
Hearth rncn-corpus;bie)
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A. Matenafs nil / t11 � Vs-ft; .jt+ d / rkir
E. Sup-floorconstruc::cn ecc #n-Os �
C. Minimum cimensicns,refer:ediagram) Cry\
Clearances and Wail Protection Isee stove installation clearances cnart)
A. Type of wail protection orcwcec "Wt-
.
9. Clearances(refer tociacrams)\ -'r r. ~
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FIREPLACE CORNER • WALL/CENTER
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