HomeMy WebLinkAboutBLD-80-336 /
10(t) No.
Application for a Pe frit to Build
it frit
Fee must accompa this application
Yarmouth
a 19 rd
o —d
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner Ea/w/i2d <+ rat“.3 $n't Address /Y 2d Wedi`yrm.00.w–
2. Name of Architect (if any)
3. Name of Builder
4. Precinct No. 1hLott No. Plan: Name or No.
5. Name of Street /In
-r 1-7Z U get y
6. Purpose of Building Wand Sft
7. Material WO.an
8: Estimated cost of building /, OO.CO
9. Dwelling y ,
v7 7)
10. Cottage
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 distances from adjoining lots, on reverse side.
Name.C�,r.+Keener-r...:01
Address&fa--O r eel /4 et -new ....efaS
•h
Street Name
-a
Left Side Depth of Lot
rile OD
a
50.
0
0 C� i
w 0
0
m r
o
m
0
w 1
De Ow
1 1
^+
Right Side Depth of Lot
Street Name
4
/ .
• ` _WOOD STOVE INSTALLATION CHECKLIST
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4 Permit - � _ f�"�uA ' ;Y.)
1. ' _ ., {.-:yam.. - -' " (r[c' l 1-11
A building permit is required for the installation of any solid fuel burnin 3
appliance. . The building permit and installation inspection are limited to the
stove installation and not to the stove construction.; - t
Stove --- --( t.'":-1::-',-• •'—', t
{ . . ; ,
A) New X---_.._ i-_-1 _ Used_,:.;— .xe
B) Type/radiant Circulatirig' „+-a _eii t-1L., uL1 1
C) Manufacturer ( ....I,q),I.,,,U,• /,q,3ab. ' label, '�� . - � L .
Name/Model No ollar size__5, ri' .i 0 ) b-
Dimensions/Heig t_ a ength•:'zj ' Width /8: '::` fK_
Chimney cI • . L. ,A •'� �; t": ,
A) New Existing X 'r _ . .- — t
B) Size (flue area) .
C) Other appliances attached to flue (Number and flue size) No*vt: .
D) Prefab(Manufactu rer—name- and type) - " . . -
E) Masonry/Lined '
• Unlined Flue liner A'
•• (type & manufacturer)
F) Height (refer to diagrams) •3 gr L_� i cap
}•_Y .. ..- ---. • -
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t 1
—rte.-h. c- Z
A • /2 ;
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• I ---.
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• ..!.l2UTr tri - -
•
CHIMNEY HEIGHT ;- .r.i1 ss7an
I (earth(mrn. .l'hr. .fire resistance) A) Materials ',id 74,71373/cc,rs i
. . . - , B) Sub-floor construction •
C) Minimum dimensions (refer to diagram) '•s •
Clearances and Wall Protection(see stov •i
enstallation clearances chart)
• A) .Type of wall protection provided -, .eQ.sn osu'd - l,;fi't Rne.-t`rsiti • -= 1;
B) Clearances (refer to diagrams) — .- ----„ , ,,. _ •.. a„i„_".., ,
f .. _ ... +-* - Tom; _ .
4_:_ox
>i _ 7 4
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FIREPLACE },:-.c..1.nc•.M... .”
CORNER ne snriti_-r • .n.. 11ALLYCENTER •