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HomeMy WebLinkAboutBLD-22-007261 04.e r 1-1-69.11-14.1 con-co tt % 0 TWO FAMILY ONLY- BUILDING PERMIT _ Town of Yarmouth Building Department 4r 1146 Route 28, South Yarmouth, MA 02664-4492 , .\ JUN 16 2022 508-398-2231 ext. 1261 Fax 508-398-0836 '#4; �'' Massachusetts State Building Code, 780 CMR BUILDING DEPAI FdbI�k ernzit Application To Construct, Repair, Renovate Or Demolish By _ _ a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: ,F5(. @,06W I,' Date Applied: ---\--/) r, e) pi(5 , ) — )--vs---a Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION R E C E l v ,: 1.1 Property Address: 1.2 Assessors Map&Parcel N b rs s //6— %Ver. sd0 4 AUG 16 2022 1.1a Is this an accepted street?yes K7 no Map Number Par el umber i ' 1.3 Zoning Information: 1.4 Pro er Dimensions: ! ' DING DE PARTMFN r a- ti aeri0, 'n,/ke/ 29;27 _ Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) c1V1i-1(3IFront Yard Side Yards Rear Yard t —Required Provided Required Provided Required Provided _) 42,Z 20 2q, 8 /001 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: �(�' Zone: Outside Flood Zone? tic F r Private❑ Check if yes❑ Municipal❑ On site disposal system SECTION 2: PROPERTY OWNERSHIP '' Owrc:'of Rccoi�" r 611. YGV_ Name(Print) y City,State,ZIP ,byavJFg�?YI�}•�CJ,- 1{l as-A /21 yea_ _s-i- 60-323 -.6L5�! aePfieksshAiVon,eo/Iv No. and Street Telephone mail Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 16 Owner-Occupied 0 i Repairs(s) 0 Alteration(s)% ( Addition,$ Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed W 3k2: v/ / a .J /SdA1/1;71/ - • IeCC se• 04Z-V,c ( 40 P/ocItii Or/ )01 r SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 4 2e0,000 1. Building Permit Fee:$310 i Indicate how fee is determined: *Standard City/Town Application Fee 2.Electrical $ 53,'600 ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ia!6200 2. Other Fees: $ OD CO? r V 17 4.Mechanical (HVAC) $ 65/ 7. © p List: 5.Mechanical (Fire $ / Suppression) /�! Total All Fees:$ Check No. Check Amount: Cash ..ti ount: c 1 IS\')/// 6.Total Project Cost: $/�j70000� 0 Paid in Full I Outstanding Balan . Due:-IQ)�) 6 L` SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS —0 4?0 Set ozA0(2c2-g License Number Expiration Date Name of CSL Holder _ � ) V,e t fi 2 U /oleo rot List CSL Type(see below) V No.and Street V ` Type Description if I( ? 9 0 C U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted I&2 Family Dwelling r 1 Q /� / M Masonry ��` `� 7 /i� 026 3_S RC Roofing Covering WS Window and Siding Q �•�.p SF Solid Fuel Burning Appliances b-(96 (�gSIT C viK0.12_7Yahoo,&on I Insulation Telephone Email a dress D Demolition 5.2 Registered Home Improvemept Contractor(HIC) /q )/C6/ C172 I e, C I HIC Registration Number Expi ation Date HIC Comony Name or HIC Rgaistrant Name 4'4 d-oH ae iii Kii/2 ®(h Do.elliti N4...anStregx to 1 ! 'u4 cr6�� -0s--,6S-1-1 Email a dress City/Town, State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit m .t be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the suance of the building permit. Signed Affidavit Attached? Yes . No 0 SECT ! . a: OWNER : THORIZATION TO BE COMPLETED WHEN 0 R'S AGENT OR 'ONTRACTOR APPLIES FOR BUILDING PERMIT 11 I,as Own- of the s - . operty, •-reby authorize /ii/e/0,9 6C inc C to act • myybbe......"-- , I matt- relative to work authorized by this building permit application. 0/2 Print c. vner's ' j.- lectronic Si ature Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains .f. pen. ties of perjury that all of the information contained in this application is true and accurate to the best o sly- •iowledge and understanding. ,.I C'iKrM 2 1/ 7 il€ 4isTU_ 6/z E-- Print Owner's or Authorized Agent's Name(Electronic Signa Date NOTES: 1. An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" \ The Commonwealth of Massachusetts —;=iii= IDepartment of Industrial Accidents =.4.,;„_„=4. = 1 Congress Street, Suite 100 ,f Boston, MA 02114-2017 „ � www.mass.gov/dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly �— t Name (Businesss//Organization/&64)14 Individual): /iJ( 'f c"---(--) 6C etc Address: 7 4 eci City/State/Zip: /r s— Y p: (�0` 2 T/ /�.� ��K c Phone #: (50U�275--/Cci Are you an employer?Check the appropriate box: Type of project(required): LKI lam a employer with - employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in anca aci 8. Remodeling y p ty. [No workers'comp. insurance required.] 3.❑I am a homeowner doing all work myself. [No workers'comp. insurance required.]? 9. D Demolition 4.11I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp. insurance.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§I(4),and we have no employees. [No workers'comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Ej� Insurance Company Name: Policy 1.-or Self-ins.Lic.#: We .6-oe -5 //52 7 D//-2022 Expiration Date: 3/ /ZOZ ei Job Site Address://6 KjU2 it a p l City/State/Zip: 14,1 ‘4..t-. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment, as/veil as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. • copy 4f this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. j 1 do hereby iicertify tsnd,yi�', s and penalties of perjury that the information provided above is t ue and correct. Signature: I� Date: 6/0 ? Phone#: (gob oYS 6S 8r-- Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License;-`- Issuing Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: .-r TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G. L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111/5 I hereby certify that the debris resulting from t proposed work/de ollition to be �l conducted at /^1/PGS h D ! ���/� Work Address Is to be disposed of at the following location: y J Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. lifili 6/D/2 Z— Vu'of Applicant Date Permit No. Commonwealth of Massachusetts Division of Professior!al Licensure 101 it Board of Building Regulations and Standards Constr tiscr CS-091854empires 02/20/2023 VIKTAR V TLIXEIICA 44 EATON COURT COTUIT MA 0;635 11# 4 a" zkic Commissioner 4.,--A4te-,:-.64 4N : 3-: ƒ){ • ''.:' \ - i 7i/ƒ \ N \\QCT\ \ d \ \ d ® « \ < o - ez - \ ^ )()O \ - . „ _, _ , *,, a2J: « )j\\`ma) z \ _ ® � e \ . d J\\E _ _ §o y/: \ °\\ ...... -_ 1 :\2 : / / •` 5-- .' ` f s;; e , ; � 1 il Sears, Tim From: Sears,Tim Sent: Thursday,June 23, 2022 8:28 AM To: 'viktart@yahoo.com' Cc: Water Department Subject: 115 River St Viktar, I have reviewed your application for addition/renovations and there are some items needed. . Health Department sign off(under review) -------.42. Water Department sign off ` . FEMA Elevation Certificate based on construction drawings Larger copy of site plan Foundation plan does not show any flood vents Please submit these items for review This email is considered a written denial of your permit application per Section 105.3.1 of the Massachusetts State Building Code. Section 105.3.2 states in part that "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith" You may appeal this denial to the Building Code Appeals Board in accordance with M.G.L. c. 143 §100,within 45 days of this notice. Timothy Sears CBO Deputy Building Commissioner Town of Y ;,. �,vth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us 1 R Y TOWN OF 1'AR:Atii) Ti I O,f ..�R' o � S, i. • WATER DEPARTMENT I , 99 Back Island R.,ad "a-stir ' ,' We,t lariiiuuth, RIA a26' ; 1+.1c,hunt ,:-,1)6., '1_-:11 1 • I„r: I`,t)fi, 7 1--"I' ; BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: ii �� (\y' Ver St PROPOSED WORK: �i • (..-.. -r ��r f~'jgc4 /NC1 , i kt �nie.a le Ee- APPLICANT: 1 U l //G c ...,t /r�1K ADDRESS: 4t`7 G a-biet -�' i/''l�i . rEI.PIION'E: O S 6S S 7oIekqbttic @4-'049/` RESIDENTIAL AND 'OR COMMERCIAL BUILDING Water Department: Determines Compliance of\Vater Availability and or existing location I:ngincerinu Depanment: Determines Compliance for Parking and I)rainalx Conservation Commission: I)etermines Compliance to Wetlands :\ct: i.e. If lotls) border any type of wetlands. streams. ponds. rivers. ocean. hogs. boys. marshland. ETC... I lealth Department: Determines Compliance to State and `Lown Regulations. i.e. requirements for Septage Disposal and other Public I lealth Activites Fire Department: I)e nines(' pliance to State and "Down Requirements for Personal /`} S' ' y. Prop y Protections. i.e. Smoke Detectors. Sprinkler Systems.etc 70•"--- '',4*--- NI, .., 1 . (1 P.- — I i :APP IC:ANT SIGNA DATE OFFICE t'SE• COMIMF:NTS ON PERMIT APPROVAL. OR DENIAL g L/.,k- 15 /fie-rte C ,r i, ezA , cc.r- S IJ,41 `2 S s,-YI 4.4 4.1.C-4,r , r Alit D a/n s'rz4-G L M. Pr.,— 4k , .4c.e......,�1.�4 i, nr. /1 //!,4 c741-1 ( .' , A -t Jo G ie ke 1,,,-'a Lit A 'r e9t..,Pile rj 4.)r SPS•✓ t . /47/:(..4, RF:viE 'F 4'tAATER DIVISION(SIGNATURE) D:AI'F. SERVICE NO. 3'. {p 0s NAME STREET //S /2/YG-'" S 74-b&. VILLAGE ,j4✓/Aj yA,I,M/v/J METER NO. / WG' LnS//11 v /'AL11' e//2- .8-/b' I 1 41: lE' J S9 t4ylc 1-4&-1" 2- P r RI > I b � � r i i/1„- k, Lr'J1/!.L L • 1 4'• If Ai), O Y`y14N ky' �0 Conservation Office d Town of Yarmouth kgrant( yarmouth.ma.us �„ATTA`„ v5/5 Conservation Commission Building Permit Sign-off Application TO BE FILLED OUT BY BUILDING PERMIT APPLICANT: Building Site Location: 1 I ��v P(' 5}' Yarmouth Conservation Map# Lot(s)# ( Commission Property Owner: c )/ (' vS h ect v\ Date filed: RN l N 16 2022 *Applicant: .7;16,16 ��'. in_s RECEIVE9 Applicant Address: 7 `117 i4 ( t Ct &Fv, mac. Email: i ei ►pct by► ( J I n C ejr , •CO", Telephone: Svc 6 G 5 � Please Note:By submitting this application the applicant grants permission to the Conservation Office to enter t to on, to cpnducps iitte`is�if needed). Proposed Project Description: I'c; '_ ' 6Srn5 Skr`'c `'`C o SCJ /45iu t� rve� 2„j_,, io vl % d��l r'e,bc,: OP eistisa(�' !7 CGtkt_ (0,14 ( II'5tt t er' S�— +� t tsW St Site Plan Title/Date:Re1/4/ 'es- , t I ca50 , TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? Refer to: SE83- or DOA permit Comments from Conservation Commission: Approved ( Conditionally Approved Rejected Conservation Commission Sign-off Signature: ° Date: LetlI *TO APPLICANT: All work-related debris shall be taken offsite or disposed in a legal upland location. At the end of each day, the area shall be clean and no debris shall be in the Resource Area. s)cIf work is permitted under an Order of Conditions, please arrange a pre-construction site visit with the Conservation Administrator. At the time of site visit, the MassDEP File Number sign must be installed, along with the erosion control/work-limit line. A copy of the Order of Conditions must remain on-site during construction. Please refer to the Order of Conditions for further details. illi „ilii, r.---1,,\I zoo � � vio Y a is H IF ( p! Hi f 9X• agog '= � >_ o� = n 1 � A {I il � itl yq: lv,! .,lY; nz Er_ 00Cr) $j'IIIY'Y fit? LY3 ! YY 1. \ \\,-- ,\ 1 r 5oil ; le I I;s 4:111;$1111/r�?t hrOi ase a �3 Liii fie zVr iIiiiihIIIi1tIIIIitJ1i Fiji f8 = n 11 f ��..,. 5- �� i.�i ilr e3 exr %'a. e�2r ... \/ ���/�Ssb9 . / ,..„... Ldt / \ � 3\.\ Q /i / �+ °e \ " i\ ( ® kyr �. / / tet• r / R I / ` " ' ---__ \\ It., -`` lill 41 € yP �fJ/ , A X18 / ! \ �`' x. J °� xi B �/ -` \ \ �: a 3 N. :,,,e: • , / /� ��. .\\ \ , ,. , ..„ ...... i , , -a d Il YY sAAA �p111. )J tr r : 114/' _ '' a �I• f I� 41 rt s_ r g: S !i r �® .� rid! �I/ ;' 4 1 d yoy ,n r` Y \ \ / Jill I \�� \_ /���ItL' 1 // ,.41 ir. f - 8f ' moi/III / I ', figiOrl 1 i 7/' ' / / -.-Z ---- ..//11 ?.' I It� , ; / /.1. ! / I/, �11 ''¢� . hie // J I ilii! /1 Ilili t+fg v C,;(/SIJ ii 11' �°'',;1 .11 . /�/ / \Iiii — - — /_:_l___ a OP 1; i ,/i., ::4 1::: fry iI Ill / FF U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date:November 30,2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the Instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: HELEN&BARRY GAUGHRAN A2. Budding Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 115 RIVER STREET City State ZIP Code SOUTH YARMOUTH Massachusetts 02664 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ASSESSORS MAP 43,PARCEL 1,TITLE IN DEED BOOK 30352, PAGE 318 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.41.6535 Long.-70.1976 Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 2121.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 11 c) Total net area of flood openings in A8.b 2200.00 sq in d) Engineered flood openings? ❑x Yes El No A9. For a building with an attached garage: a) Square footage of attached garage 424.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 3 c) Total net area of flood openings in A9.b 600.00 sq in d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number 82. County Name B3. State YARMOUTH 250015 BARNSTABLE Massachusetts B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 69. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 25001C0589 J 07-16-2014 07-16-2014 AE 11 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: •B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 El Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)?,❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 OMB No. 1880-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2022 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number: 115 RIVER STREET City State ZIP Code Company NAIC Number SOUTH YARMOUTH Massachusetts 02664 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: Q Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones A1—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/A0. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: GPS RECEIVER Vertical Datum:NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ❑x NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 10.0 ❑x feet 0 meters b) Top of the next higher floor 13.0 ❑x feet 0 meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A p feet 0 meters d) Attached garage(top of slab) 10.0 ❑x feet n meters e) Lowest elevation of machinery or equipment servicing the building 13.0 0 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 9.8 x❑ feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 11.2 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including feet❑10.2 xmeters structural support 0 SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or Artitent authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes 0 No 0 Check here if attachments. Certifiers Name License Number KIERAN J.HEALY 48135 Title ���„tH'OF Mqs SURVEY MANAGER o� Company Name v' KIERAN ��`, BSC GROUP, INC HEALY H Address NO.48185 x 349 ROUTE 28, UNIT D RFsJ s,hts, City State ZIP Code �Rt LAND?„- WEST YARMOUTH Massachusetts 02673 SignatureDate Telephone Ext. 06-24-2022 (508)778-8919 4586 i . Copy all p ,f of this levation`Ce a.0:to and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner, Comments(including type of equipment and location,per C2(e),if applicable) FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2022 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: • 115 RIVER STREET City State ZIP Code Company NAIC Number SOUTH YARMOUTH Massachusetts 02664 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items E1—E5.If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A,Band C. For Items El—E4, use natural grade,if available.Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace,or enclosure) is El feet 0 meters ❑above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is 0 feet El meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters El above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments • ❑Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 3 of 6 660-0008 ELEVATION CERTIFICATE E piirrationlDa e: November 30,2022 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 115 RIVER STREET City State ZIP Code Company NAIC Number SOUTH YARMOUTH Massachusetts 02664 SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10. In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: ❑feet meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet ❑ meters Datum G10. Community's design flood elevation: ❑feet ❑ meters Datum Local Official's Name Title Community Name I elephone Signature Date Comments(including type of equipment and location,per C2(e),if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 4 of 6 i, , BUILDING PHOTOGRAPHS OMB No. 1660-0008 I ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30,2022 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE I Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No, Policy Number: j 115 RIVER STREET City State ZIP Code Company NAIC Number SOUTH YARMOUTH Massachusetts 02664 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken;"Front View"and"Rear View"; and, if required,"Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. 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Ps: t)(1.33) s, t33 445 I 3 G4�s °°1F.. 8`` C-P4-v aS' 1/'t -t" e t�" m L,�w-o•J of 5-r ft,. , ,q.g Bk 35170 Pg108 #29165 06-06-2022 @ 03 :24p Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions City/Town:YARMOUTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 A.General Information • 1.Conservation Commission YARMOUTH 2.Issuance a. r OOC b.R Amended OOC 3.Applicant Details a.First Name BARRY b.Last Nine GAUGHRAN c.Organization d.Mailing Address 1440 VFW PARKWAY c.City/Town BOSTON f.State MA g.Zip Code 02132 4.Property Owner a.First Name BARRY b.Last Name GAUGHRAN c.Organization d.Mailing Address 1440 VFW PARKWAY e.City/Town BOSTON f.State MA g.Zip Code 02132 5.Project Location a.Street Address 115 RIVER STREET b.City/Town YARMOUTH c.Zip Code 02132 d.Assessors 43 e.Parcel/Lot# 1 MaplPlat# f.Latitude 41.65358N g.Longitude 70.19781W 6.Property recorded at the Registry of Deed for: a.County b.Certificate c.Book d.Page BARNSTABLE 30352 318 7.Dates a.Date NOI Filed:3/18/2022 b.Date Public Hearing Closed:4/15/2022 c.Date Of Issuance:5/9/2022 8.Final Approved Plans and Other Documents a.Plan Title: b.Plan Prepared by: c.Plan Signed/Stamped by: d.Revised Final Date: e.Scale: PLAN OF LAND, 115 RIVER STREET AND 115A RIVER BSC GROUP KIERAN J.HEALY,PLS 4/15/2022 1"=20' STREET,SOUTH YARMOUTH,MA B.Findings 1.Findings pursuant to the Massachusetts Wetlands Protection Act Following the review of the the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. Public Water Supply b. E Land Containing Shellfish c.1 Prevention of Pollution d.r Private Water Supply e. Wo Fisheries f. r Protection of Wildlife Habitat Page 1 of 13*ELECTRONIC COPY Bk 35170 Pg109 #29165 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions Cityll own:YARMOUTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 g. r Ground Water Supply h.>r Storm Damage Prevention i. r Flood Control 2.Commission hereby finds the project,as proposed,is: Approved subject to: a.F The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations.This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,these conditions shall control. Denied because: b.r The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations. Therefore,work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect interests of the Act,and a final Order of Conditions is issued.A description of the performance standards which the proposed work cannot meet is attached to this Order. c.r The information submitted by the applicant is not sufficient to describe the site,the work or the effect of the work on the interests identified in the Wetlands Protection Act.Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,and a fmal Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). I, 3 r Buffer Zone Impacts:Shortest distance between limit of project disturbance and the wetland resource area specified in 310CMR10.02(1)(a). a.linear feet Inland Resource Area Impacts:(For Approvals Only): Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. r Bank a.linear feet b.linear feet c.linear feet d.linear feet 5.r Bordering Vegetated Wetland a.square feet b.square feet c.square feet d.square feet 6. r Land under Waterbodies and Waterways a.square feet b.square feet c.square feet d.square feet e.c/y dredged f.c/y dredged 7.1—Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d.square feet Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h.cubic feet 8.1—Isolated Land Subject to Flooding a.square feet b.sgbare feet Page 2 of 13 *ELECTRONIC COPY Bk 35170 Pg110 #29165 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions ciry/rown:YAltMotrrtl Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet f.cubic feet 9.r Riverfront Area 742 742 a.total sq.feet b.total sq. feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100-200 ft 742 742 g.square feet h.square feet i.square feet j.square feet Coastal Resource Area Impacts: Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 10.r Designated Port Areas Indicate size under Land Under the Ocean,below 11.r Land Under the Ocean a.square feet b.square feet c.c/y dredged d.ciy dredged 12.r Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13.E Coastal Beaches a.square feet b.square feet c.c/y nourishment d.c/y nourishment 14.r Coastal Dunes • a.square feet b.square feet c.c/y nourishment d.c/y nourishment 15.E Coastal Banks a.linear feet b.linear feet 16.E Rocky Intertidal Shores a.square feet b.square feet 17.r Salt Marshes a.square feet b.square feet c.square feet d.square feet 18.r Land Under Salt Ponds a.square feet b.square feet c.c/y dredged d.c/y dredged 19.r Land Containing Shellfish a.square feet b.sQbare feet c.square feet d.square feet Indicate size under Coastal Banks,inland Bank,Land Under the 20.r-Fish Runs Ocean,and/or inland Land Under Waterbodies and Waterways, above c.c/y dredged d.c/y dredged 21.ILand Subject to Coastal Storm Flowage 1384 1384 a.square feet b.square feet Page 3 of 13*ELECTRONIC COPY Bk 35170 Pg111 #29165 • Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions citylTown:YAItMo1JTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 22. r' Restoration/Enhancement(For Approvals Only) If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.5.c&d or B.17.c&d above,please entered the additional amount here. a.square feet of BVW b.square feet oitalt Marsh 23. r Streams Crossing(s) If the project involves Stream Crossings,please enter the number of new stream crossings/number of replacement stream crossings. b.number of replacement stream a.number of new stream crossings crossings C.General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only applicable to Approved projects 1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal,state,or local statutes,ordinances,bylaws,or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a.the work is a maintenance dredging project as provided for in the Act;or b.the time for completion has been extended to a specified date more than three years,but less than five years,from the date of issuance.If this Order is intended to be valid for more than three years,the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. If this Order constitutes an Amended Order of Conditions,this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. 7. Any fill used in connection with this project shall be clean fill.Any fill shall contain no trash,refuse,rubbish, or debris,including but not limited to lumber,bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes, refrigerators,motor vehicles,or parts of any of the foregoing. 8. This Order is not final until all administrative appeal periods from this Order have elapsed,or if such an appeal has been taken,until all proceedings before the Department have been completed. 9. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds,prior to the commencement of work.. Page 4 of 13*ELECTRONIC COPY Bk 35170 Pg112 #29165 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions City/rown:YARMOUTII Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 • 10. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or'MassDEP"] File Number:"083-2332" 11. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before Mass DEP. 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 13. The work shall conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 15. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 17. Prior to the start of work,and if the project involves work adjacent to a Bordering Vegetated Wetland,the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place,the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 18. All sedimentation barriers shall be maintained in good repair unf all disturbed areas have been fully stabilized with vegetation or other means.At no time shall sediments be deposited in a wetland or water body.During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed.The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary.Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the"Project")is(1) E is not(2)Ir subject to the Massachusetts Stormwater Standards.If the work is subject to Stormwater Standards,then the project is subject to the following conditions; a) All work,including site preparation,land disturbance,construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction General Permit as required by Stormwater Standard 8.Construction period erosion,sedimentation and pollution control measures and best management practices(BMPs)shall remain in place until the site is fully stabilized. b) No stormwater runoff may be discharged to the post-construction stormwater BMPs unless and until a Registered Professional Engineer provides a Certification that:i. all construction period BMPs have been removed or will be removed by a date certain specified in the Certification.For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation,recharge,and/or treatment,the conversion is allowed by the MassDEP Stormwater Handbook BMP specifications and that the BMP has been properly cleaned or prepared for post construction operation,including removal of all 'r1 Page 5 of 13*ELECTRONIC COPY Bk 35170 Pg113 #29165 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions CityfIown:YARMOUTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 construction period sediment trapped in inlet and outlet control structures;ii..as-built final construction BMP plans are included,signed and stamped by a Registered Professional Engineer,certifying the site is fully stabilized;iii. any illicit discharges to the stormwater management system have been removed,as per the requirements of Stormwater Standard 10;iv. all post-construction stormwater BMPs are installed in accordance with the plans(including all planting plans)approved by the issuing authority,and have been inspected to ensure that they are not damaged and that they are in proper working condition;v.any vegetation associated with post-construction BMPs is suitably established to withstand erosion. c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance.Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible party(defined in General Condition 19(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement") for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following:i.)the O&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and ii.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to opeylte and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Plan. d) Post-construction pollution prevention and source control shall be implemented in accordance with the long- term pollution prevention plan section of the approved Stormwater Report and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Permit. e) Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement, assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencmg that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible party shall be treated as a permittee for purposes of implementing the requirements of Conditions 19(f)through 19(k)with respect to that BMP.Any failure of the proposed responsible party to implement the requirements of Conditions 19(f)through 19(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case of stormwater BMPs that are serving more than one lot,the legally binding agreement shall also identify the lots that will be serviced by the stormwater BMPs.A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement. f) The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans, the O&M Plan,and the requirements of the Massachusetts Stormwater Handbook. g) The responsible party shall: 1.Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections,repairs,maintenance and/or replacement of the stormwater management system or any part thereof,and disposal(for disposal the log shall indicate the type of material and the disposal location); 2.Make the maintenance log available to MassDEP and the Conservation Commission("Commission") upon request;and 3.Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure that the responsible party is in compliance with he requirements for each BMP established in the O&M Plan approved by the issuing authority. h) All sediment or other contaminants removed from stormwater BMPs shall be disposed of in accordance with all applicable federal,state,and local laws and regulations. i) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited. j) The stormwater management system approved in the Order of Conditions shall not be changed without the Page 6 of 13 *ELECTRONIC COPY • Bk 35170 Pg114 #29165 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions City/Iown:YARMOUTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 prior written approval of the issuing authority. k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3,Chapter 1,Low Impact Development Site Design Credits)shall not be altered without the prior written approval of the issuing authority. I) Access for maintenance,repair,and/or replacement of BMPs tall not be withheld.Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. Special Conditions: D.Findings Under Municipal Wetlands Bylaw or Ordinance 1.Is a municipal wetlands bylaw or ordinance applicable?(r Yes r No 2.The Conservation Commission hereby(check one that applies): a.r DENIES the proposed work which cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: 1.Municipal Ordinance or Bylaw 2.Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards,and a final Order or Conditions is issued.Which are necessary to comply with a municipal ordinance or bylaw: b.w APPROVES the proposed work,subject to the following additional conditions. 1.Municipal Ordinance or WETLANDS Bylaw PROTECTION 2.Citation CHAPTER 143 BYLAW 3The Commission orders that all work shalt be performed in accordice with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans, specifications,or other proposals submitted with the Notice of Intent,the conditions shall control. The special conditions relating to municipal ordinance or bylaw are as follows: SC#I.THIS ORDER SHALL APPLY TO ANY SUCCESSORS AND ASSIGNS IN INTEREST OR CONTROL AND ANY OTHER PERSON ENGAGING IN ACTIVITY ON THE PROPERTY IDENTIFIED IN THE NOTICE OF INTENT. SC#2.THE APPLICANT/OWNER SHALL BE RESPONSIBLE FOR HAVING A COPY OF THE"ORDER OF CONDITIONS"ON THE JOB SITE AT ALL TIMES AND SHALL BE RESPONSIBLE FOR INSURING THAT ALL PERSONS PERFORMING THE PERMITTED TED ACTIVITY ARE FULLY AWARE OF ITS TERMS AND CONDITIONS.FAILURE TO DO SO MAY RESULT IN THE REVOCATION OF THESE"ORDERS",A FINE OR BOTH. SC#3.THE CONSERVATION COMMISSION,ITS AGENT(S)OR ASSIGNED(S)SHALL HAVE THE EXPRESS Page 7 of 13 *ELECTRONIC COPY '4 Bk 35170 Pg115 #29165 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands weDEP Transaction#:1377092 WPA Form 5-Order of Conditions Cityfiown:YARMOUTTi Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 RIGHT OF ENTRY UPON THE JOB SHE,AT ALL REASONABLE TIMES FOR THE PURPOSES OF ESTABLISHING COMPLIANCE WITH THE"ORDER OF CONDITIONS","BY-LAWS"AND"REGULATIONS". COMMISSION MEMBERS AND THE CONSERVATION ADMINISTRATOR MAY ACQUIRE ANY INFORMATION,MEASUREMENTS,PHOTOGRAPHS,OBSERVATIONS AND/OR MATERIALS OR MAY REQUIRE THE SUBMITTAL OF ANY DATA/INFORMATION DEEMED NECESSARY BY THIS COMMISSION FOR THAT EVALUATION. SC#4.A PRECONSTRUCTION REVIEW SHALL BE ARRANGED BY THE CONTRACTOR WITH THE CONSERVATION ADMINISTRATOR AND SHALL OCCUR PRIOR TO THE COMMENCEMENT OF ANY WORK. SC#5.ANY CHANGE IN THE APPROVED PLAN(S)SHALL REQUIRE THE APPLICANT TO FILE,IN WRITING,A NOTICE OF PROJECT CHANGE WITH THIS COMMISSION.THE COMMISSION WILL DETERMINE THE SIGNIFICANCE OF THE CHANGE AND DETERMINE WHETHER ADMINISTRATIVE APPROVAL OR AN"AMENDED ORDER OF CONDITIONS"IS REQUIRED.SHOULD THE PROJECT BE CHANGED WITHOUT PERMISSION,OR FOUND BY THE YARMOUTH CONSERVATION COMMISSION TO BE ALTERED IN ANY WAY FROM THE APPROVED PLAN(S),ALL WORK WILL IMMEDIATELY CEASE UNTIL THE PROJECT IS REAPPROVED BY THE COMMISSION. SC#6.THE"ORDER OF CONDmONS"IS VALID FOR THREE YEARS FROM THE DATE OF ISSUANCE UNLESS OTHERWISE SPECIFICALLY NOTED IN THE"ORDB .S".EXTENSION PERMIT REQUESTS MUST BE APPLIED FOR AT LEAST 30 CALENDAR DAYS PRIOR TO THE EXPIRATION DATE OF THE ORIGINAL ORDERS".FAILURE TO DO SO WILL RESULT IN A NEW"NOTICE OF INTENT'FILING. SC#7.NONCOMPLIANCE WITH THESE CONDITIONS SHALL CONSTITUTE GROUNDS FOR AN ENFORCEMENT ORDER AND POSSIBLE FINES.FINES SHALL NOT EXCEED$300.00 PER DAY/PER VIOLATION. SC#8.THE DRIVEWAY SHALL BE CONSTRUCTED OF PERVIOUS MATERIALS SUCH AS CRUSHED STONE,GRAVEL,SEASHELLS,OR OTHER SIMILAR MATERIALS.THIS IS AN ON-GOING CONDITION THAT DOES NOT EXPIRE WITH THE ISSUANCE OF A CERTIFICATE OF COMPLIANCE. SC#9.GUTTERS AND DOWNSPOUTS DIRECTED INTO ADEQUATELY SIZED DRYWELLS SHALL BE PROVIDED FOR ROOF DRAINAGE.THE COMMISSION MAY ALSO ALLOW?DRIP TRENCHES?INSTEAD OF GUTTER SYSTEMS.AT NO TIME SHALL ROOF RUN OFF BE DIRECTED TO A WETLAND RESOURCE AREA OR ABUTTING PROPERTIES. SC#10.GRADING SHALL BE ACCOMPLISHED SO THAT THE PROJECT SHALL NOT CAUSE FLOODING OR STORM DAMAGE TO WETLAND RESOURCE AREAS. SC#11.IF FILL IS USED TO ELEVATE A STRUCTURE WITHIN THE LAND SUBJECT TO COASTAL STORM FLOWAGE,THE FILL MUST BE COMPACTED AND PROTECTED AGAINST SCOUR AND EROSION. SC#12.A?WORK LIMIT?LINE SHALL BE ESTABLISHED WITH EROSION CONTROLS(LE STRAW BALES,STAKED FILTER FABRIC,BARK MULCH,?SILT SACS,?PRODUCTS MADE WITH RICE STRAW, AND OTHER WEED-FREE PRODUCTS OR APPROVED BY THE COMMISSION.)HAY BALES ARE NOT ALLOWED.IT IS THE APPLICANT?S RESPONSIBILITY TO IMPLEMENT AND MAINTAIN APPROPRIATE Page 8 of 13*ELECTRONIC COPY Bk 35170 Pg116 #29165 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions city/Town:YARMOUTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 AND ADEQUATE EROSION CONTROLS MEASURES THROUGHOUT THE CONSTRUCTION PROCESS. SC#13.NO WORK OF ANY KIND SHALL OCCUR ON THE RESOURCE AREA SIDE OF THE WORK LIMIT LINE.THIS LINE SHALL BE ESTABLISHED PRIOR TO ANY CONSTRUCTION OR WORK. SC#14.ALL IMPORTED FILL SHALL BE CLEAN AND NOT CONTAIN ANY FOREIGN DEBRIS SUCH AS CEMENT,BITUMINOUS CONCRETE,RUBBER,METAL,TRASH,BOULDERS,ETC.BOULDERS WILL BE ALLOWED IN SPECIFIC INSTANCES IF PART OF THE PROJECT DESIGN. SC#15.DEBRIS,INCLUDING LI ITER,SHALL BE PICKED UP IMMEDIATELY.ANY EXCESS MATERIAL THAT IS EXCAVATED FROM THE JOB SITE SHALL BE DISPOSED OF AT A LOCATION APPROVED BY THE CONSERVATION ADMINISTRATOR OR IN A COVERED ?UMPSTER.NO DEBRIS SHALL BE ALLOWED IN A WETLAND OR WATERWAY. SC#16.WASHING OF EQUIPMENT/TOOLS SHALL BE DONE OFF-SITE OR HANDLED IN A MANNER APPROPRIATE BY THE CONSERVATION ADMINISTRATOR SC#17.NO EQUIPMENT SHALL BE REFUELED,NOR SHALL FUEL BE STORED WITHIN 100 FEET OF A RESOURCE AREA. SC#18.ANY AREA THAT IS DISTURBED DURING CONSTRUCTION SHALL BE REVEGETATED IMMEDIATELY OR AS SOON A l ER AS THE GROWING SEASON COMMENCES,WITH APPROPRIATE NATIVE PLANTINGS.PERMANENT STABILIZATION SHALL BE CARRIED OUT IN ORDER TO MINIMIZE EROSION. SC#19.A BUFFER STRIP OF NATIVE VEGETATION SHALL BE PLANTED PER THE APPROVED PLAN. THE BUFFER STRIP OF NATIVE VEGETATION SHALL BE LEFT UNDISTURBED.THIS IS AN ON-GOING CONDITION,IN-PERPETUITY,THAT DOES NOT EXPIRE WITH THE ISSUANCE OF A CERTIFICATE OF COMPLIANCE.THE APPLICANT MUST WAIT UNTIL THE SECOND GROWING SEASON IS COMPLETE BEFORE THE REQUEST FOR A CERTIFICATE OF COMPLIANCE IS SUBMITTED.DURING THIS TIME PERIOD,THE COMMISSION/CONSERVATION ADMINISTRATOR MAY REQUIRE ADDITIONAL PLANTINGS IF TT IS DETERMINED THAT ANY SPECIMENS ARE DEAD OR DYING AND NEED REPLACEMENT. SC#20.NO LAWN SHALL EXIST BEYOND?0999fl.AS SHOWN ON THE APPROVED PLAN.THIS IS AN ON-GOING CONDITION,IN-PERPETUITY,THAT DOES NOT4XPIRE WITH THE ISSUANCE OF A CER t IF ICATE OF COMPLIANCE. SC#21.LANDSCAPE DEBRIS,INCLUDING LEAVES,GRASS CLIPPINGS,BRUSH,OR OTHER SHALL NOT BE ALLOWED WITHIN THE WETLAND RESOURCE AREA.THIS IS AN ON-GOING CONDITION THAT DOES NOT EXPIRE WITH THE ISSUANCE OF A CERTIFICATE OF COMPLIANCE. SC#22.FURTHER ALTERATION WITHIN THE RESTORATION OR MITIGATION AREA IS PROHIBITED, EXCEPT AS MAY BE REQUIRED TO MAINTAIN THE AREA IN ITS RESTORED OR MITIGATED CONDITION.PRIOR TO REQUESTING THE ISSUANCE OF THE CERTIFICATE OF COMPLIANCE,THE APPLICANT SHALL DEMONSTRATE THE RESTORATION OR MITIGATION HAS BEEN SUCCESSFULLY COMPLETED FOR AT LEAST TWO GROWING SEASONS. Page 9 of 13 *ELECTRONIC COPY Bk 35170 Pg117 #29165 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions Ciry/Town:YARMovTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 SC#23.A STAMPED"AS BUILT PLAN"SHALL BE CER FINED BY THE DESIGN ENGINEER (MASSACHUSETTS REGISTERED PROFESSIONAL ENGINER OR LAND SURVEYOR)AND WILL CERTIFY THAT THIS PROJECT HAS BEEN COMPLETED IN ACCORDANCE WITH THE"ORDER OF CONDITIONS"BEFORE A CERTIFICATE OF COMPLIANCE WILL BE ISSUED.THE AS-BUILT PLAN SHALL INDICATE THE STRUCTURE LOCATION,GRADIENTS,DISTANCES TO THE RESOURCE AREAS, AND OTHER PERTINENT INFORMATION DESCRIBED IN THE APPLICATION AND APPROVED PLANS. ANY DEVIATION FROM THE APPROVED PLAN SHALL BE IDENTIFIED. SC#24.UPON COMPLETION OF THE PROJECT,A"REQUEST FOR A"CERTIFICATE OF COMPLIANCE" SHALL BE SUBMITTED BY THE APPLICANT TO THE CONSERVATION COMMISSION FOR REVIEW.THE "ORDER OF CONDITIONS"SHALL BE CONSIDERED INCOMPLETE UNTIL THE"CERTIFICATE OF COMPLIANCE"IS ISSUED BY THE CONSERVATION COMMISSION AND RECORDED AT THE REGISTRY OF DEEDS. Page 10 of 13*ELECTRONIC COPY Bk 35170 Pg118 #29165 Massachusetts Department of Environmental Provided by MassDEP: Protection 411MassDEP File#:083-2332 Bureau of Resource Protection - Wetlands eDEP Transaction#:1377092 WPA Form 5—Order of Conditions City/Town:YARMOUTH Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 E. Signatures This Order is valid for three years from the date of issuance,unless otherwise 5 (ct. L,Z specified pursuant to General Condition#4. If this is an Amended Order of Conditions,the Amended Order expires on the same date as the original Order of 1. Date of Original Order Conditions. Please indicate the number of members who will sign this form.This Order must be J signed by a majority of the Conservation Commission. 2. Number of Signers The Order must be mailed by certified mail(return receipt requested)or hand delivered to the applicant.A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office,if not filing electronically,and the property owner, if different from applicant Signatures4,Z LON- • (711 Q.-'3 4....>".:447P11.4/ by hand delivery on ❑ by certified mail,return receipt requested,on Date t j j iU ZZ.. (5`itiKAA Date F. Appeals The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request for Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project.Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order,or providing written information to the Department prior to issuance of a Superseding Order. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act Page 11 of 13 * ELECTRONIC COPY A Bk 35170 Pg119 #29165 • Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions ciry/Town:YARMOUITI Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 (M.G.L.c. 131,§40),and is inconsistent with the wetlands regulations(310 CMR 10.00).To the extent that the Order is based on a municipal ordinance or bylaw,and not on the Massachusetts Wetlands Protection Act or regulations,the Department has no appellate jurisdiction. G.Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order.In the case of registered land,this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions.The recording information on this page shall be submitted to the Conservation Commission listed below. YARMOUTH Conservation Commission Detach on dotted line,have stamped by the Registry of Deeds and submit to the Conservation Commission. To: YARMOUTH Conservation Commission Please be advised that the Order of Conditions for the Project at: 115 RIVER STREET 083-2332 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: County - Book Page for: • Property Owner BARRY GAUGHRAN and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded land,the instrument number identifying this transaction is: Instrument Number If registered land,the document number identifying this transaction is: Document Number Page 12 of 13 *ELECTRONIC COPY Bk 35170 Pg120 #29165 • • Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2332 Bureau of Resource Protection-Wetlands eDEP Transaction#:1377092 WPA Form 5-Order of Conditions City/Town:YARMOUTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Signature of Applicant Rev_4/1/2010 Page 13 of 13*ELECTRONIC COPY JOHN F. MEADE, REGISTER BARNSTABLE COUNTY REGISTRY OF DEEDS RECEIVED & RECORDED ELECTRONICALLY QUANTITY CGrvPWNAME SIZE w • • VACCINIUM STI A ► 5 RFS _� C »a - P LOCUS INFORMATION T ai / CURRENT OMIER: BARRY cAUGRM] OVERLAY oK1HlG,. NGC \ _.. HELEN OAUGPAu NTROGEN SENSITIVE T NO L_I r nM T � TITLE REFERENCE' DEED BOOK 0452.PAC D1e zoic NOT.lout II � _ MAN REFERENCE. x BOG 6 PAGE B9,r-1 BROOD MwN B oK ae,PAu s 2 FE.ms PAN l..n oarzo T/u/u ss L E250DIGDSB9J / / ASSESSORS MA, ' EXISTING LO,SIZE. ♦.000 SS e PARCEL 2 LCT SIZE. 2051 5. / ZONING LLDOI ICS RS-40 Ex15.N°LOT COVERAGE: 4.441/19.275.15 IX / y, / REAR 4FRONT 0 PROPOSED L0T COVERAGE 5,202/29.2T5.1B.1Z / nrwE.saM \ ZO / CEN'ITY NES] Or MT PROFESSIONµNN'WLEEUCE, ��V L,n Nm ro sins AND aider E mYK+o s� 1090 RIVER STREET / DIMENSIONS M H FE \ AsoPSMAP I / nm nii]iMlurDlo UMENA,c, THIS INSTRUMENT CORRECT Ju a ?� \ LEGEND rD ` • \ \ Nii fOPMfPLY ]MMT ) / a\L'''''---1.,........:----,__ /� _ ]v SPOT FIfVAnIX1 NHOLE / \� / CUBH♦t(11 UPAANA BA NA . OLE I i / uP { UTILITYPPaE 'a?\y�. \ �_` ASSESSORSvAPLEl2 2 / W OVERHEAD ELECTRIC UNE tom\ \ / / r °ERN ELECTRIC HANDNOLE / /:_jl14f.q4 UNDERGROUND ELECTRIC t Eq \ (.Q\ ;�''''''.\...--.;4.:1................0 ..--...2:•-s,...... _ / / -,... ./ •GME LAS oat., P INF OSr I.HUu✓INr .. UA„ • �RE�I L-/2k 'F • �� / _5_ RKER LINE PLAN PSSORL11. � 7,- ,,. NGW® w. a�:� wGo uW ENCE � _-- 1 DAYIDE TREE: OF I EPAAR II ., � �9, p� err' ,ssEo KLi"�:, ; NOTES LAND 115 RIVER STREET � \ \ / EXIST. RF.»1 j NAGE — `� / "° 9A� oen oTMI'¢o G 1s PLAN ARE ON AND '' l \ / --� 4 .� a,ljy y / 2 E E or 5 Puu Is o PERMIT RAISING 115A RIVER STREET /..----. , w �` �� �at`J° .Ex... aEEAeuvi"Tile cuRai v"ooao zp�oolnaNs, o / 4114 A ,'mry ) INE PROPOSED xMwN N.(NA. N.Iv TO BEO va / ° "°f' GONAT ELEVATION TRo 2Eo TR wu > N / (�`�\,•.` .R�a a R M NEW TOP P OF FOUNDATION SOUTH YARMOUTH / d a / • 1.,S.:92,,0 N• REE.o H ARD HA5 MASSACHUSETTS - i-N ox AUD Is BEF hEvucfo ID n (BARNSTABLF. COUNTY � »,1T // / / .4 ��w '� ,Ian PRow 4.,„. � .», ��° uwn d //-0 c•`°� FLOWERING ro ENCOMPASS IT oLMF.rcR or ) P MTf / �` �` / 4-1 3 /� / PROPOSED aI' \ .. l NR t ARa omt• /G .� f l 'r CONDITIONS / \\ \ , %,9// \ �/ BARRY v,nve N. •� ��.9D B«I ,Z-77—:-....---- �, 2 b � f /»» SSORSL..42 <.i. wa /•,�1 C `- / ./ MARCH 14.2022 KB N. 4• `�'� �` ', k i 5f '\\��''\ / x», / • :vn / »�/ C; / j 1/ (TENSIONS UFSI \ \ PDRLx / i/ // / / // NO OAT( ERE DERICX W.JORDAN RIVER... RMMAND / \ �: ♦ / / / a.• M.KN,9R ASSESSORS MAP 42 PARCEL 14» \ ,„„-----,7:........ \/ \a2' / + /•:� /+® g`t / () n BARRY GAUGHRAN f /i� 1460 V.r.W.PARKWAY ��� / / :� , BOSTON,MA 0214i i/ I ,� /l YF// '' BSC GROUP \ ,q / }/ gy4 / ....,../ a CO" SHORN 349 Main Street.RI.28,Unit O �\ / a .1 »o�w.°,1.n 09 NIS W.04000026 Massachusetts BUFFER DISTURBANCE #° yb / / �] ,-aJ„ R.STRESPa «. 02623 •\ /' / / 44 o a»a� soa i78 8919 fu2EPrlt000 AREA 4 M1:sr: �'\ - s� ° / / / .;�/;, /Il�� >»NM`.YT,.wi'",N ID n2.1,,.F,0,. _ oo--:� 5 .5E. a i / / (®T L,� 2 0. (19200f S.F.OF ulnDAn0v1 ��/ Y / / 19 " aY1-.0-929,... R ]>_ 5]0 0..11 DOES NOT GUARANTEE 0-3S %/ / yd/ PROl.MCH.:C.FIELD 550' .. \ / % S ,M MqulA ylplsA FIELD s CNOW1(Y —_ 50-1 Art ��\\ MRxr gnu uARTOKOmowS 11E • CALC./OESN:N. MALY S.F. jSmAil »r RWM DRAWN: N.HACIYi MNipR -HUL ;AND S.W.10 COASTAL STOR]I FLOWAGE 1,0811 s.E. / i0 M START TX rolls TILEx9204-E%C.DIG JOB.NO 4-920402 SHEET 1 01 1 of 4 a TOWN OF YARMOUTH NHEAL.,r o, TH DEPARTMENT ' .„2: ' �''• PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: 11 5 'JCS - • Propo ed Improvement: -1-(24:5f ‘,/,---)(61' ;, X 5 t S .-1` St 71- vuC 00-r 0 P (- 0d f<iket / /n,5kt11 ries Coo - JV\ /-utl ,,;� 0.-C' C/V911> Applicant: I (..,..)1C°i IL f 4 cl,Y1Tel. No.: a " ac (.<._ .- 5 i Address: I y ci to" (_j4 . f-! •-t Date Filed: //G (2-12 a **/fyou would like e-mail notification of sign off please provide e-mail address: ,..\41b.,,---€1.- owner Name: , o1"CI 0 ci.,5 1G t I/ Owner Address: ILIL/o ) i cat --16� �GY1 Owner`Tel- No.: `--t, RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance ta-Stee and Town Regulations; i.e., Requirements For Septage Dispod other Public Health Activities. \ )-- -r 'leas ub ee (p copies of plans, to include: i(1.) Site Plan, w� existingbuildings, water line location, t . \� Pg g ~" 1 antiseptic systemilocatio /` GE WIIDif2,0-0 loor,rr, eing ALL rooms within building JUN 1 6'2022 ail a sling antprop9 ed) — i Note: Floor pians:net required for decks, sheds, windows, roofing; HEALTH DEPT. (3.) If necessary, Title 5 application>signed by licensed installer with fee. , REVIEWED BY,i 1 / DATE: ' �` v� / ' PLEASE NOTE MENONT Ns. ? c E J /3 J C- (fie vtc-r 972/72, 26L,Lei(6AJ-Fit-4, .) 'z ud p 14IL/— PG l Si e i J`''. —A,J 4. f Pev//s wf. L A'1 5c 6 . b I7C1 I ' ro P r� d- Re Vl sr=c+ p("4#4.4- T vt!cif e/ 1 — j �tic,r v�e RECEIVED OCT 27 2022 1 vim^%f�L , r/ TA • /, UILDINC� uEPARTMENT V � 4 4. Ci By • --- • � • � '------- -- PROVIDE ( 2) # 5 REBAR MIN . 3" COVERAGE TOP AND BOTTOM ( TYP). PROVIDE # 5 REBAR VERTICALLY 16" O. C. YP). PROVIDE KEYWAY • CENTERED PROVIDE (2) # 5 REBAR 1 = MIN. 3" COVERAGE TOP AND BOTTOM (TYP ). 1 = OTYPCAL FQQTING/WALL DETA! October 25, 2022 NORTHSIDE SK Drawing Foundation Footing DESIGN , -, - ASSOCIATES 1 - orf River S �,rL 1 . Roc(-, I e T- T)1 007 f.6 l