BLD-80-009 p�- 36. -No. 1411:4119
GAS
b ill' O Application for a ermit to Build
Imo '
Fee must accomp this application•
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Yarmouth / — 7 19.CY
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
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1. Name of Owner 8/ t NE RNtY Address /0 SO n/I ST. �SS ,l/VER
2. Name of Architect (if any) �n
_
3. Name of Builder /yvi //62.4
4. Precinct No. Lot�No. p Plan: Name or No:
5. Name of Street /40 b U � .t4/ . !x`O°-/
6. Purpose of Building L..OJ c o--Cc A
7. Material
8. Estimated cost of building "
9. ,Dwelling
10. Cottage v
11. Heat
12. Basement
13. Garage
14. Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey
18. Size of Lot. No. of feet front No. of feet rear No. of feet deep »
19. Size of building. No. of feet front No. of feet side No. of feet rear .... »
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
21. Distance back from line or street from rear lot line side line
Show by diagram the location of propsed building with relation to dist�rom�ning lots, on reverse side.
Name
Address....�Q... .. . ..e.7.. .... . ...Ca;t ....beilLA...
D.teLX
IV
Y''L - Street Name
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0 • Left Side Depth of Lot
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am a Oa ille.
• Right Side Depth of Loi...
• Street Name -
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tLkO '• ffe
• Permit
'Al A building permit is required for 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 / :-e- No
AraUsed /a/` 57.3
• 6) -Type/radiant' - Circulating 1...„------ -
C) Manufacturer EyzAracs Lab, label
Name/Model No aha / Collar size co" ��� � '1401
. Dimensions/Height Length jr) Width
s.-4_1_
Chimney 9reA Cq : t.
ereg ro
A) New ,� Existing '—A
B) Size (flue area) co " .
C) Other appliances attached to flue (Number and flue size)
D) Pre fab(Manufacturer—name and type) (YiEe - .--
E) Masonry/Lined .--r---, / •
Unlined ...------- Flue liner
• F) Height (type & manufacturer)
g (refer to diagrams) cap 1/
•
•
j d over IO I I ow.lo . I•
,i
iz min.
3 min <+om a.4i
•
/6 rm
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N+—« --1.1•
00 [1
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tl
4 HEARTH
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•
CHIMNEY HEIGHT ^^^,,,
l-learth (min. 1 hr. fire resistance) A) MaterialeRRI��o ` 042 _
6) Sub-floor construction
C) Minimum dimensions (refer to diagram)
Clearances and Wall Protection(see stove installation clearances chart)
. 1 ,
A) Type of wall protection provided h, im„L '13onez'n 0,.., 24: CSE MET
• ' B) Clearances (refer to diagrams)
•
•
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17 I
FIREPLACE CORNER WALL/CENTER