HomeMy WebLinkAboutBLD-90-704 Digi
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$� `Tho TOWN OF-YARMOUTH
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�,,""�..zw�', Applic ton fora Permit to Build No. 70`f
UPON FINAL APPROVAL , ixi- MAP -- LOT /7-3
FEE MUST ACCOMPANY THIS APPLICATION. DATE • //3° 19 90
The undersigned hereby applies for a permit to build ///jo9 d
according to the following specifications "
1. Name of property ownerlq f wrc' e - s*/ewe C-7- Tel.3 a -�6Fr'
Address 6 CnAJSG--�04-770r4 1) (2- 1 YJ M- dtir/f`
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 [%p (/ Ph_'i /
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 No.
10. Multi family 0 , rj' -
11. Commercial ❑ Kitchen
12. Other 0 Dining Rm.
13. No. of stories a„g r¢Q Living Rm.
v�" - BedRm.
14. Foundation — Full 0 Half ❑ Crawl ❑ Slab 0 Bath
15. Materials — Wood ❑ Cement 0 Other 0 _Deck
16.Type of heat — Oil 0 Gas 0 Electric ❑ Other ❑ Closed porch
, Family
17. Garage — 1 ❑ 2 ❑ tSun roomm
18. Swimming pool - Size - Garage
/
19. Storage shed — Size Shed
20. Stove — Wood Q . Coal❑ -a-as-A" 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
2a Distance froth nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
r
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LOT RELEASED BY Signature t '6"" r-
PLANNING BOARD Address 6 L°de✓sc-' ' -77'd4' r), ' e
Date C/14/L�Nrou-1-6/ 144 , o 2C 7 j
WQOD STOVE INSTALLATION CHECKLIST
Li LYE' /yg-v
•
Permit
A building permit is required for the installation cf any solid fuel burning appliance. The building permit and 90
installation inspection are limited to the stove installation and net to the stove construction emb /9
Stove I i< �d Y
A. New / Used
B. Type/radiant �/ Circulating
C. Manufacturer ri eVinace Lao.No. •
Name/Model No. Collar size 4 T'
Dimensions/Height 49 2 " Length 1, " Width a) if . •
Chimney ✓
A. New Existing
B. Size(flue area)
C. Other appliances attached to flue(Number and flue size)
D. Prefab(Manufacturer—name and type)
E. MasonryiLined Fiue liner
(typed manurac:urer,
Unlined
F. Height(refer to diagrams) cap
3
I o 2 ICI I 112" MI,M.
TI CVE2 IC -r•
I i �-. I • r •
'2 !ACL 2 M;"�.
3'mtnt IC' g'NIN.
MIN.
Lc- ' j4M.
.,_._.
pHHEARTH
CHIMNEY HEIGHT
Hearth(non-ccmcustibte) a / y / `
A. Materials 4 /< l ' 7 •f / �J
B. Suc-fIccr construc::on
C. Minimum cimensicrs irefer:o ciacraml
Clearances an:Wail Protection isee stove instailat:cn clearances crart)
A. Type of wail protect°cn crcviced
S. Clearances treterto ciagrams)
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FIREPLACE CORNER WALL'CENTER
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