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BLDR-23-12873-
ONE & TWO FAMILY ONLY- BUILDING PERMIT RECEIVED Town of Yarmouth Building Department ....r -_ 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 AUG 0 9 2023 Massachusetts State Building Code, 780 CMR 1 MA o e. Bu Idig Permit Application To Construct, Repair, Renovate Or Demolish - ..:::; .s:..,./ BUILDING DEPARTMENT a One-or Two-Family Dwelling ay: This Section For Official Use Only Building Permit Number:2 3- 12 g731 Date Applied: 40 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1. rope ty Addre s: 1.2 Assessors Map&Parcel Numbers witi Thal 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: n Ao Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 y / y��,QLl L of ir Record �� 3 y,/��7.,.. 9c4 `P M 4 0.-?ee i Name(Print City, State,ZIP 37 + SS kIUCA,.(Ze/ No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2:76v F'/$(S'1/i* Set41 /�p� / Aid / $ ' 1 I cl fldd,7i-v� -7� ,a,, i152r LZrdA no £f U Y O SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1024( 1. Building Permit Fee:$'0C Indicate how fee is determined: ta•Standard City/Town Application Fee 2.Electrical $ 000 0 Total Project Cost'(Item 6)x ultiplier x 3.Plumbing $ G ('X.T2 2. Other Fees: $ 00 IOU 4.Mechanical (HVAC) $ List: C,t` ' 5.Mechanical (Fire Suppression) $ Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ /G/2 (DO 0 Paid in Full (LitOutstanding Balance Due:LA140 r` 'qv SECTION 5: CONSTRUCTION SERVICES 5.1 Construction /Su p�erv/iissor,License(CSL) /1�J 6/ 6 JF/N�✓i� / ✓�"� R�� License'Number Expiration ate Name of CSL Holder 22 P /ed ILI�lb 3� List CSL Type(see below) No.and Street /�/ Type Description `l%,P1 aci-74 Unrestricted(Buildings up to 35,000 cu. ft.) Restricted I&2 Family Dwelling City/Town,State,ZIP Iv' Masonry /9 96ei-i RC Roofing Covering WS Window and Siding _ SF Solid Fuel Burning Appliances SQ•74 d2 k ,,1' £ tot. I Insulation Telephone Email address Y On D Demolition 5.2 Registered Home Improvement Contractor(HIC) / /�23? Oh 3Ai to rat3 / / HIC Registration Number Expiration Date mpan •i or IIC ant Name 6° o� % - ist dirt AMet& 1 0 COP211, awl 1 .and Street Email address City/Town, State,ZIP Telephone clhQn e1 e_ SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMITI, as Owner of the subject property,hereby authorize t//Q , � /�k'0 to act on my behalf, in all matters relative to work authorized by this building permit application. Y Pad/ 'ia//u AJ �02.2 Print Owner's Name ctronic Signature) / Date • SECTION 7b: OWNER1 OR UTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and urate to t bes f my knowledge and understanding. 340;)/ //40610iiefr/ a4f, y/sy,72 Print Owner's or Authorized gent' Name(Electronic Sia atkrl e 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.eov/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 ► .4 1, Department of Industrial Accidents 1 Congress Street, Suite 100 t 11 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information / J//� Please Print Legibly Name (Business/Organization/Individual): _TA✓/Q AVAZ AR t.1 Address: � - �f/�i;() City/State/Zip:S/axial i / Phone #: $0P" SJoe- Z62 Are you an employer?Check the appropriate box: Type of project(required): LC I am a employer with employees(full and/or part-time).* 7. 0 NeW construction 2.�i I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling ' any capacity.[No workers'comp. insurance required.] 3.E I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. Demolition 10 gBuilding addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.1i Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp. insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§l(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. Contractors 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. /� F- / _ / �l � 1/vc, Insurance CompanyName:{/��'.�r/Clt-� "VOrL[G� �/UL' �m / Policy#or Self-ins.Lic.#: /Uao c'74' 3 6,o Expiration Date: f Job Site Address: / gq.. 1 t( City/State/Zip: 37 MiCiVatl/f /1/4 02 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 well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi nder the pains and penalties of perjury that the information provided above is true and correct. Sisnature: Date: �/ 2/23 Phone#: Joy -3-7:7- G�'2 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Phone#: Contact Person: 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 the proposed work/demolition to be conducted at 37 64.. el.i'e/t. Rd 57 P20,2 CciL4 • 14'9 6) '6 " Work Address Is to be disposed of at the following location: yainOcerlith'i1 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Y/j/g73 Signature of Applicant Date Permit No. Doc: 1 ,451, 899 02-10-2022 8 : 34 Ctf#: 229105 NOT NOT AN AN OFFICIAL OFFICIAL COPY COPY NOT NOT AN QUITCLAIM DEEDA N OFFICIAL OFFICIAL PAUL FEMAI LOY and SALLY M.MALLON,'husband and wife, both of Newton, Middlesex County, in the Commonwealth of Massachusetts, for consideration paid, and in full consideration of ONE DOLLAR($1.00) grant to PAUL F.MALLOY and SALLY M. MALLOY, Trustees under a Declaration of Trust entitled MALLOY REALTY TRUST,dated March 20,2002 filed as Document No_ 882.695 having an address of: cd 1 Albemarle Road,Newtonville, MA 02640 o WITH QUITCLAIM COVENANTS a PARCEL I o The land in the Town of Yarmouth, Barnstable County, Massachusetts, bounded and described as follows: 2g All of said boundaries are determined by the Court to be located as shown on ' Plan 22604-A dated September 19, 1950, drawn by Paul Van Auken, Surveyor, as modified and approved by the Court, and filed in the Land Registration Office at Boston, a copy of a portion of P. which is filed in the Barnstable County Registry of Deeds in Land Registration Book 89,Page 97 with Certificate of Title No. 12837, and said land is shown thereon as Lots 43 and 44, pa Said land is subject to and has the benefit of easements, restrictions and rights as set forth in Certificate of Title No. 13127 so far as the same are in force and applicable. PARCEL II 064 The land situated in Yarmouth,Barnstable County,Massachusetts, bounded and described as follows: All of said boundaries except the water lines are determined by the Court to be located as shown on Plan 22604-A(Sheet 1)dated September n 19, 95 oa drawn by Paul f which is filed Van Barnstable County urveyor, and filed in the Land Registration office incopy Page 1 of 3 Doc : 1 , 469 , 018 10-13-2022 2 : 40 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 WPA Form 5-Order of Conditions City/Town:YARMOUTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 a) A.General Information 1.Conservation Commission YARMOUTH o F— to 2.Issuance a. 1 OOC b.r Amended OOC C°• 0 a 3.Applicant Details c I— a.First Name PAUL b.Last Name MALLOY E } c.Organization ?' co J d.Mailing Address 1 ALBEMARLE ROAD cn 0 W e.City/Town NEWTONVILLE f. State MA g.Zip Code 02460 - 0 lY 4.Property Owner L CV a.First Name PAUL b.Last Name MALLOY o-0 _1 o C.Organization To N d.Mailing Address 1 ALBEMARLE ROAD 2 cn 2 N e.City/Town NEWTONVILLE f. State MA g.Zip Code 02460 •�- N a) .55. Project Location L to a.Street Address 37 BASS RIVER ROAD 0- F— 12 b.City/Town YARMOUTH c.Zip Code 02673 d.Assessors 70 e.Parcel/Lot# 95 Map/Plat# f. Latitude 41.67057N g.Longitude 70.18106W 6.Property recorded at the Registry of Deed for: a.County b.Certificate c.Book d.Page BARNSTABLE 229105 7.Dates a.Date NOI Filed: 9/1/2022 b.Date Public Hearing Closed: 10/6/2022 c.Date Of Issuance: 10/13/2022 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 #37 BASS RIVER ROAD IN SOUTH KIERAN J.HF.ALY YARMOUTH BSC GROUP 10/7/22 1"= 10' MASSACHUSETTS PLS PROPOSED CONDITIONS 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: Page 1 of 12*ELECTRONIC COPY Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 3 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 PA Form 5-Order of Conditions Ciry/I'own YARMovTx W Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 8.r Isolated Land Subject to Flooding _ a.square feet b.square feet Cubic Feet Flood Storage _ c. cubic feet d. cubic feet e. cubic feet f.cubic feet 9.1✓Riverfront Area 260 260 a.total sq. feet b.total sq. feet Sq ft within 100 ft 158 158 _ c. square feet d.square feet e.square feet f. square feet Sq ft between 100-200 ft 102 102 _ g. square feet h. square feet i.square feet j. square feet Coastal Resource Area Impacts: Proposed Permitted Proposed Permitted Resource Area 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.c/y dredged 12.r Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13.r 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.r Coastal Banks a. linear feet b.linear feet 16.r 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.square 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 Page 3 of 12* ELECTRONIC COPY Doc: 1 , 469 , 018 10-13-2022 2 : 40 Page 5 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 WPA Form 5-Order of Conditions City/rown YARMOtJTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 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.. 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:"083-2354" 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 bathers shall be maintained in good repair until 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) r is not(2)17 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 Page 5 of 12* ELECTRONIC COPY Doc: 1 , 469 , 018 10-13-2022 2 : 40 Page 7 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 WPA Form 5-Order of Conditions City/Town YARMOUTII Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 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 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. 1) Access for maintenance,repair,and/or replacement of BMPs shall 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.r APPROVES the proposed work,subject to the following additional conditions. 1.Municipal Ordinance or YARMOUTH 2.Citation CHAPTER 143 Bylaw WETLAND BYLAW 3 The Commission orders that all work shall be performed in accordance 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: 1.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.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 ACTIVITY ARE FULLY AWARE OF ITS TERMS AND CONDTTIONS.FAILURE TO DO SO MAY RESULT IN THE REVOCATION OF THESE"ORDERS",A FINE OR BOTH.3.THE CONSERVATION COMMISSION,ITS AGENT(S)OR ASSIGNED(S)SHALL HAVE THE EXPRESS RIGHT OF ENTRY UPON THE JOB SITE 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 Page 7 of 12*ELECTRONIC COPY Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 9 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 WPA Form 5-Order of Conditions City/Iown YARMovTEI Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 ENGINEER(MASSACHUSETTS REGISTERED PROFESSIONAL ENGINEER 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. 17.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 9 of 12* ELECTRONIC COPY Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 11 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 WPA Form 5-Order of Conditions City/Favvn: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 specified pursuant to General Condition#4.If this is an Amended Order of 10/13/2022 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 6 be 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. Signatures: Pat Mulhearn Ed Hoopes Ellie Lawrence Thomas Durkin Paul Huggins David Bernstein r by hand delivery on r by certified mail,return receipt requested,on Date 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 10 of 12*ELECTRONIC COPY Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 13 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 WPA Form 5-Order of Conditions cntyrrown YaRMOVIFI Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 Signature of Applicant Rev.4/1/2010 Page 12 of 12*ELECTRONIC COPY JOHN F. MEADE, ASSISTANT RECORDER BARNSTABLE REGISTRY LAND COURT DISTRIC PRrRTVR.fl G RF.CYIRnvn RT.F.CTRnNTrATT.V Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 12 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eI)EP Transaction#:1432785 WPA Form 5-Order of Conditions City/Town YO 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: 37 BASS RIVER ROAD 083-2354 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: County Book Page for: Property Owner PAUL MALLOY 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 11 of 12 *ELECTRONIC COPY Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 10 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#: 1432785 WPA Form 5-Order of Conditions City/fown:YARMOII TH 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 specified pursuant to General Condition#4.If this is an Amended Order of 10 [L3 122 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 lP be 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. Signatures ##4.sz_.. r by hand delivery on Id by certified mail,return receipt requested,on Date Date tUl1322 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 10 of 12 * ELECTRONIC COPY Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 8 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 WPA Form 5-Order of Conditions cityirown YARMovTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 INFORMATION,MEASUREMENTS,PHOTOGRAPHS,OBSERVATIONS AND/OR MATERIALS OR MAY REQUIRE THE SUBMITTAL OF ANY DATA/INFORMATION DEEMED NECESSARY BY THIS COMMISSION FOR THAT EVALUATION.4.A PRECONSTRUCTION REVIEW SHALL BE ARRANGED BY THE CONTRACTOR WITH THE CONSERVATION ADMINISTRATOR AND SHALL OCCUR PRIOR TO THE COMMENCEMENT OF ANY WORK 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.6. THE"ORDER OF CONDITIONS"IS VALID FOR THREE YEARS FROM THE DATE OF ISSUANCE UNLESS OTHERWISE SPECIFICALLY NOTED IN THE"ORDERS".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.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.8.A"WORK LIMIT"LINE SHALL BE ESTABLISHED WITH EROSION CONTROLS(I.E. STRAW BALES,STAKED FILTER FABRIC,BARK MULCH,?SILT SACKS?,PRODUC1S MADE WITH RICE STRAW,AND OTHER WEED-FREE PRODUCTS OR APPROVED BY THE COMMISSION).HAY BALES ARE NOT ALLOWED.IT IS THE APPLICANTS RESPONSIBILITY TO IMPLEMENT AND MAINTAIN APPROPRIATE AND ADEQUATE EROSION CONTROLS MEASURES THROUGHOUT THE CONSTRUCTION PROCESS.9.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. 10.DEBRIS,INCLUDING LITTER,SHALL BE PICKED UP IMMEDIATELY.ANY EXCESS MATERIAL THAT IS EXCAVA I'ED FROM THE JOB SITE SHALL BE DISPOSED OF AT A LOCATION APPROVED BY THE CONSERVATION ADMINISTRATOR OR IN A COVERED DUMPS TER NO DEBRIS SHALL BE ALLOWED IN A WETLAND OR WA IERWAY. 11.NO EQUIPMENT SHALL BE REFUELED,NOR SHALL FUEL BE STORED WITHIN 100 FEET OF A RESOURCE AREA. 12.ANY AREA THAT IS DISTURBED DURING CONSTRUCTION SHALL BE REVEGETATED IMMEDIATELY OR AS SOON AFTER AS THE GROWING SEASON COMMENCES,WITH APPROPRIATE NATIVE PLANTINGS.PERMANENT STABILIZATION SHALL BE CARRIED OUT IN ORDER TO MINIMIZE EROSION. 13.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 WATT 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 IT IS DETERMINED THAT ANY SPECIMENS ARE DEAD OR DYING AND NEED REPLACEMENT. 14. 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. 15.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. 16.A STAMPED"AS BUILT PLAN'SHALL BE CER111-TI)BY THE DESIGN Page 8 of 12 *ELECTRONIC COPY Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 6 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 WPA Form 5-Order of Conditions C'itylTown YARMOLTTH Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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 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 operate 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,evidencing 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(t)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 the 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 Page 6 of 12 *ELECTRONIC COPY Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 4 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 WPA Form 5-Order of Conditions City/Town YARMOUTH Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 ---- -- ------- 21.r Land Subject to Coastal Storm Flowage a.square feet b.square feet 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 of Salt 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. a.number of new stream crossings b.number of replacement stream 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 Page 4 of 12* ELECTRONIC COPY Doc : 1 , 469 , 018 10-13-2022 2 : 40 Page 2 of 13 Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File#:083-2354 Bureau of Resource Protection-Wetlands eDEP Transaction#:1432785 PA Form 5-Order of Conditions cityirown YAxMovTH W Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 a. r Public Water Supply b. r Land Containing Shellfish c.r Prevention of Pollution d. r Private Water Supply e. r Fisheries f. r Protection of Wildlife Habitat 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.r 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 final 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). 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 7.1Bordering 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 Page 2 of 12 * ELECTRONIC COPY off'-Y k Conservation Office o �, Town of Yarmouth bdirienzo(ayarmouth.ma.us Conservation Commission Building Permit Sign-off Application TO BE FILLED OUT BY BUILDING PERMIT APPLICANT: Building Site Location: 7 67(IJ./ ' l 1 c s Ate' tf /�ri�G /4'‘ cq; Map # -7(5) Lot(s)# l 6- Property Owner: Paul' hi a //o Date filed: '---7/1 O'y 9 4 .2 ky *Applicant: Applicant Address:37 di1j �,;,"/ /Z_/ I Yes/J74l4 Email: poo/ - h' c�/ra9 /G/O i1- ° C n; Telephone: (� / 7 G?, P? , Z7�Please not submitting this application,th applicant grants permission to the Conservation Office to enter the location to conduct a site vi i't needed). . (ifd) Proposed Project Description: ."2 ,r)) "4 IT ( fJ CGi' C c c'c G fc O`l J JJ�j l ,( v IV/4 d.1 dttr G� fJ;) &J 0 0 zit io Q �' c Site Plan Title/Date: 11OV1 0 Lofrid -IT 37 eas rr\rnr (20.4,0 Sou MuSSOCIALIS-eff V1't:1)OcEd la[ I2 L. Col/011764; TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? \ceS Refer to: SE83- 2-354i or DOA permit Comments from Conservation Commission: Approved Conditionally Approve Rejected Conservation Commission Sign-off Signature: ; f Date: 5/Li z *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. If 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. .OF,Yq� TOWN OF Y.AR:\tOUTt I 4:k A , . WATER DEPARTMENT 99 Buck Island Road Ni!TpCNEe E,C West Yarmouth, MA (1?f;,' Telephone: 1508) 771-792 I • Fay: (508) ",I-".)9fi BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM tp BUILDING SITE LOCATION _7 .64 ( T ' 1 -1 e ''- - i r�- i )`` :, / e .,,v , V 0 , � � -i-- _- r '� �. u'(� ' �' °', ACC>G m � PROPOSED \VORK: / ,�t� �'6�a Gd'v)"' f + , LID k) do G m Q, G�/�° 6 J � 'C✓� .5�c ✓t,b �_ �� n: , APPLICANT: N ADDRESS: _.,:r 7 e 0.„, ,,,, J ._,./.._____&d, (:-: \-4 z)2, c;4 ,I-3 ______ TELPI-IONE: V '� __7„1 ( e.)---)./i RESIDENTIAL N I IAL AND /OR COMMERCIAL BUILDING �'avi�` A1 a au 7 g 76-A, �, ., • Water Department: Determines Compliance of Water Availability and or existing location I:ngineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Act; i.e. IF lot(s) border any type of wetlands. streams, ponds, rivers, ocean, bogs, boys, marshland. FTC... I Icalth Department: Determines Compliance to State and Town Regulations, i.e. requirements for Septage Disposal and other Public I Icalth Activites Fire Department: Determines Compliance to State and"Down Requirements for Personal Safety, Property Protections, i.e. Smoke Detectors, Sprinkler Systems,etc 4 (v91 h-, ctigti frki ,,, y I APPLICANT SIGNATLRI•. DATE 0 '' 'ICE USE: COMMENTS ON PERMIT APPROVAL OR DENIAL CO fI L --C_k'/S,1 AJ et ie--- Clie 4-7- a,-,z_, , f Ala . • • (iii i'4-,r'1 if `/ `' ---5ZeG'Ve• .U, "ill'et ram, S'A-VA11 eivt 71--r, loci xi`$.J-u r/ tU reiz Le'y . A44 4. 0 mot- Ae - 4 /4A'..e.,-- -ex'f pr 1`-c - / 'SRIVIEWED 'ATER DIVISION(SIGNATURE) DATE Commonwealth of Massachusetts If Division of Occupational Licensure Board of Building Regulations and Standards Constr fServisor CS-061815 z, * ires: 06/20/2025 DAVID L HAP OUR V, I;" 326 OLD MAINE S; SOUTH YARIdp b t v 4Ol.tdail3 3 Commissioner s (‘V,, .c.,� THE COMMONWEALTH OF MASSACHUISETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:individual Registration Expiration 114239 11/13/2024 r' DAVID L.HANBURY DAVID L.HANBURY 326 OLD MAIN ST. S.YARMOUTH,MA 02664 Undersecretary JOB mil_ 6.t.O'R T SSE 1St...0. SHEET NO. I OF Z flt-N TAYLOR DESIGN, LLC CALCULATED BY - _ Maw 4,2z.� z/t OF CHECKED:Y WT T0.9 s R.tvL _ m> , i J�R0-.o(�'K!� lii-• - - . 1- • SCALE --�-n� ti - _..'ifrillP0,14 A.t)U t'Ctov..>- t°t eo t �l.s., _• � „nt fir`' � . 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(2) 5= to e-cootv qs Are ...,fit t-vviv 45"-( /a)C I If ii1400 PS '333 7yts O S ZZ 443 t '�44i * RECEIVED OCT o 2 2623 BUILDING DEPARTMENT Substantial Improvement Worksheet for Floodplain Construe ;(for reconstruction, rehabilitation,addition,or other improvements, and repair of damage from any cause) Property Owner: f S Molly &4 L-9 1 s7 Address: �3 '7 fd/Q S kQ/0 ./e t s. %4Qli-naAr// /1/9 02 6 Permit No.: n �'�`l ��� Location: 31 L$S [@S/(1. , "' loviflJ PF /;i�/ O2& - Description of improvements: 1)d li- / d act ,i 2 v 1S' .S 47 Present Market Value•of structure ONLY( narket appraisal or adjusted assessed value BEFORE improvement,or rf damaged before the damage occurred;not rrrcludmg land value : (} $ 6,f 00 C Cast Hof Improvement Mtuai cost of the constriicttOri see items tb:inciude/exclude] 4.2 Wit`' C7 include volrmteeriabor and rldnatetl supplies Kato Cost of improvement(or Cost to Repair} IYlarlii et aluei: If ratio is 50 percent or greater(Substantial Improvement),entire structure including the existing building must be elevated to the base flood elevation (BFE)and all other aspects brought into compliance. Important Notes: 1. Review cost estimates to ensure that all appropriate costs are included or excluded. 2. If a residential pre-FIRM building is determined to be substantially improved, it must be elevated to or above the BFE. If a non-residential pre-FIRM building is substantially improved,it must be elevated or dry floodproofed to the BFE. 3. Proposals to repair damage from any cause must be analyzed using the formula shown above. 4. Any proposed improvements or repairs to a post-FIRM building must be evaluated to ensure that the improvements or repairs comply with floodplain management regulations and to ensure that the improvements or repairs do not alter any aspect of the building that would make it non-compliant. 5. Alterations to and repairs of designated historic structures may be granted a variance or be exempt under the substantial improvement definition)provided the work will not preclude continued designation as a"historic structure." 6. Any costs associated with directly correcting health, sanitary,and safety code violations may be excluded from the cost of improvement. The violation must have been officially cited prior to submission of the permit application. Determination completed by: Vi (0/U //911-4 j/ Date: cac-c'tz-‹'S ` 1 �(3 44,-3 Costs for Substantial Improvements and Repair of Substantial Damage Included Costs Items that must be included in the costs of improvement or costs to repair are those that are directly associated with the building. The following list of costs that must be included is not in- tended to be exhaustive, but characterizes the types of costs that must be included: ! Materials and labor, including the estimated ■ Structural elements and exterior finishes value of donated or discounted materials (cont.): and owner or volunteered labor 311 Windows and exterior doors ! Site preparation related to the improvement El or repair (foundation excavation,filling in Roofing, gutters, and downspouts basements) El Hardware ! Demolition and construction debris disposal El Attached decks and porches ! Labor and other costs associated with I Interior finish elements, including: demolishing, moving, or altering building components to accommodate E Floor finishes (e.g., hardwood, ce- improvements, additions, and making ramie,vinyl,linoleum,stone, and repairs wall-to-wall carpet over subflooring) I Costs associated with complying with any ra Bathroom tiling and fixtures other regulation or code requirement that is triggered by the work,including costs M Wall finishes (e.g., drywall, paint, stuc- to comply with the requirements of the co,plaster, paneling, and marble) Americans with Disabilities Act (ADA) El Built-in cabinets (e.g.,kitchen,utility, ■ Costs associated with elevating a structure to entertainment, storage, and bathroom) an elevation that is lower than the BFE Interior doors I Construction management and supervision Interior finish carpentry ■ Contractor's overhead and profit I Sales taxes on materials Built in bookcases and furniture ■ Structural elements and exterior finishes, El Hardware including: El Insulation EE Foundations e. spread or continu- ( g'' ■ Utility and service equipment,including: ous foundation footings, perimeter walls, chainwalls, pilings, columns, posts, etc.) M HVAC equipment Monolithic or other types of concrete M Plumbing fixtures and piping slabs El Electrical wiring, outlets, and switches Bearing walls, tie beams, trusses Light fixtures and ceiling fans Joists,beams, subflooring, framing, Security systems ceilings El Built-in appliances Interior non hearing walls lE Exterior finishes (e.g.,brick, stucco, sid- Central vacuum systems ing, painting, and.trim) El Water filtration, conditioning, and re- circulation systems 4 of 7 SAMPLE NOTICE FOR PROPERTY OWNERS, CONTRACTORS, AND DESIGN PROFESSIONALS Excluded Costs Items that can be excluded are those that are not directly associated with the building. The fol- lowing list characterizes the types of costs that may be excluded: I Clean-up and trash removal ■ Outside improvements,including I Costs to temporarily stabilize a building so landscaping, irrigation, sidewalks, driveways, that it is safe to'enter to evaluate required fences, yard lights, swimming pools, repairs pool enclosures, and detached accessory structures (e.g., garages, sheds. and gazebos) ■ Costs to obtain or prepare plans and specifications ■ Costs required for the minimum necessary work to correct existing violations of health, I Land survey costs safety, and sanitary codes I Permit fees and inspection fees ■ Plug-in appliances such as washing I Carpeting and recarpeting installed over machines. dryers, and stoves finished flooring such as wood or tiling SAMPLE NOTICE FOR PROPERTY OWNERS, CONTRACTORS, AND DESIGN PROFESSIONALS 5 of 7 TOWN OF YARMOUTH _)5N70 BUILDING DEPARTMENT 1 1146 Route 28, South Yarmouth, MA 02664 a MA'TTA'1��SE1� Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Owner's Affidavit: Substantial Improvement or Repair of Substantial Damage Property Address: 27 /J, I?; r R.0 G d Parcel ID Number: Owner's Name: � J try'C..,// ' )?1 (2 /--A j,� t f Owner's Address/Phone: d ' Z e /)-> e4 r' , _ R�.J 1 Contractor: k2tV/d�4'J j' / Contractor's License Number: Date of contractor's Estimate: /25/25 I hereby attest that the description included in the permit application for work on the existing building all improvements, rehabilitation, remodeling, repairs, additions, and other forms of improvement. I further attest that I requested the above-identified contractor to prepare a cost estimate for all of the work, including the contractor's overhead and profit. I acknowledge that if, during the course of construction, I decided to add more work or to modify the work described, that the Town of Yarmouth will re-evaluate its comparison of the cost of work to the market value of the building to determine if the work is substantial improvement. Such re- evaluation may require revision of the permit and may subject the property to additional requirements. I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have or authorized repairs or improvements that were not included in the description of work, and the cost estimate for that work that were basis for issuance of a permit. Avui-1 Ze Owner's Signature: ,P , Date: 7/0C.1/;( DAWN L. RODENBUSH Notarized: �f / / -� ` j'�� m Y� � - p� (f NOTARY fPIJBL.IC (' ]�J _id AA I .. a1113 , My commission Expires / ' ,, `(�G :,� May 9, 2025 1A . it R. TOWN OF YARMUUTH k' • 0% of ;y BUILDING DEPARTMENT �`'„ ^I^ ,c 1146 Route 28, South Yarmouth, MA 02664 Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Contractor's Affidavit: Substantial Improvement or Repair of Substantial Damage Property Address: 3 7 � -: /�/�,,- �� V�, reincrze oe� Parcel ID Number: Owner's Name: 1 " `0 /O V. ✓ice/7 ' e Contractor: _.1OO/ 11/1AJ6 -/ Contractor's License Number: Cc"— (.5&?Jc— Date of Contractor's Estimate: /J9 / 73 I hereby attest that I have personally inspected the building located at the above-referenced address by the nature and extent of the work requested by the owner, including all improvements, rehabilitation, remodeling, repairs, additions, and any other form of improvement. At the request of the owner, I have prepared a cost estimate for all of the improvement work requested by the owner and the cost estimate includes, at a minimum,the cost elements identified by the Town of Yarmouth that are appropriate for the nature of the work. If the work is repair of damage, I have prepared a cost estimate to repair the building to its pre-damage condition. I acknowledge that if, during the course of construction, the owner requests more work or modification of the work described in the application, that a revised cost estimate must be provided to the Town of Yarmouth, which will re-evaluate its comparison of the cost of work to the market value of the building to determine if the work is substantial improvement. Such re- evaluation may require revision of the permit and may require revision of the permit and may subject the property to additional requirements. I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have made or authorized repairs or improvements that if inspection of the property reveals that I have made or authorized repairs or improvements that were not included in the description of work and the cost estimate for that work that re asis for issuance of a permit. t "ay Contractor's Signature Date: (� // 61Q- Notarized: ri /,xA. ih (k)i j ere.-0 te hN L. RODENBUSH NOTARY PUBLIC Commowealth of Massachusetts ICI r My Commission Expires [II' May 9, 2025 STATE BUILDING CODE APPEALS BOARD Service Notice 1 -A:>1C.H09-At p QSr•2,E/? ,as for the ppeii Petitioner filed an appeal with the State Building Code Appeals Board on f 6' ' ' 2 2, 20 211 AND DO HEREBY SWEAR, UNDER THE PAINS AND PENALTIES OF PERJURY, THAT IN ACCORDANCE WITH THE PROCEDURES ADOPTED BY THE STATE BOARD OF BUILDING REGULATIONS AND STANDARDS AND SECTIONS 113 AND\OR 113R OF THE STATE BUILDING CODE, I SERVED OR CAUSED TO BE SERVED, A COPY OF THIS APPEAL APPLICATION ON THE FOLLOWING PERSON(S)IN THE FOLLOWING MANNER: NAME AND ADDRESS OF METHOD OF DATE OF PERSON OR AGENCY SERVED SERVICE SERVICE 1 7'cw,40. es yAje.a,e,..Ti. 4 -ilz /z4 /'Ai 6 Rag- - .28 VoO.L"...►sav fv,9, or/q 024 G'i 14E�.1'INgii•V 2 3 RECEIVED JUL 2 2 2024 ,.,,1„46,,0,c_ BUILDING DEPARTMENT i I..i---, By ----- Signature: Appellant or Petitioner On the Zo2 z Day of vs",' 20 .2 y PERSONALLY APPEARED BEFORE ME THE ABOVE NAMED "Gh'd+e'. J O�'0"'1dgit (Type or Print the Name of the Appellant) DAWN L. RODEN BUSH ANiKNOWLED D ` D S OE THE ABOVE STATEMENTS TO BE TRUE. _ —� NOTARY PUBLIC ?,_ �.=J; Commonwealth of Massachusetts / VET"(— ( My Commission Expires NI, NOTARY PUBLIC MY COMMISSION EXPIRES 7 Xfinity Connect Message received about 22 MUSCOVY LN Printout https://connect.xfinity.com/appsuite/v=7.10.6-41.20240515.205311/pr... MA Town of Yarmouth<noreply@opengov.com> 6/17/2024 3:17 PM Message received about 22 MUSCOVY LN To Richard Osmer<rposmer@comcast.net> Oh" Town of Yarmouth, MA Brad lnkley commented on Building Review: "1.it appears you do not have to proper ceiling height. 2.your permit has been denied. R305.1 Minimum Height.Habitable space and hallways shall have a ceiling height of not less than seven feet.Bathrooms, toilet rooms,laundry rooms and habitable space in basements shall have a ceiling height of not less than six feet,eight inches. This message is considered a written denial of your permit application per Section 105.3.1 of the Massachusetts State Message: 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. Where: 22 MUSCOVY LN Type: Building Permit-Residential Number: BLDR-24-316 View Details 0 Powered by OpenGov l of 1 7/2/2024,4:13 PM aLI .-a3-- 1 7 3 .OF•Y TOI\\ OF 1:ARvtO:�Tt t 4. _ t�i o WATER p DEPARTMENT O-t I� � t�✓a Buck tjlc nd R Il l s4 1 Y---' r, 9t. l)t,tA2 it i'- 771-792) • Fd\. i -,(Ili _1-- )T} BUILDING PERMIT APPLICATION FOR NV.ATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION:—) if. t'7 4 f._._X___/f,LbL-e-r 4.-CL_L7hj CO 6e1-14 PROPOSED \VORK:e, 1' add),), c.., 02 Imo 2.e.drt,-b , r ,i,.Sv; 1'66 w6G / d G ) APPLICANT:, ADDRESS:SS: I Q J-' 0 c'2 Cl___-i , , )/ O- )) .Q v') D.ELPHONE: t i 617 J ° 6 ' ___._. C0/0 RESIDENTIAL AND OR COMMERCIAL BUILDING ° ���a I!� �G A, ✓� G4 try) Water I)cpartment: Determines Compliance of Water.\vatlabiht and or etistintt location I.:n._ineerinv. I)epanmcnt7 Determines Compliance for Parking and !Drainage C'onscrkation C'cniuniss o=_.: Determine, Compliance to Wetlands Act: i.e. If lot(,)border any type of u et lands.streams. ponds. riN ers. ocean. bogs, boys. marshland. FTC'... I!cashlt I)epartrncn:: Determines Compliance to State and [own Regulations, i.e. requirements for Septage Disposal and other Public Health ActivitcS Fire I)epanment: Determines Compliance to State and Town Requirements for Personal Safety. Properly Protections, i.e. Smoke Detectors,Sprinkler Systems.etc ilk 1 1PIIC1GYT[ RF ' O IC ; USE: COMMENTS ON PERi T APPROVAL OR DENIAL 1):vTo `y r Ttit , ,# - lee- u--; 4-0 1( k�j1�u_ re-fr AEc.-� .c�G'`y . ,4r� 4-'0'r.: . r-- V- Z-4 G3 RI•:VIMV (SIGNATURE)'WATER DIVISION V( LRE) DATE IV } c' 61 Lai 007 .\''' N.,/ t. LI f. �6LP • *tom.,.* .,,,: .,�� • Q O o Q Q ��3 ., C9 :all Z8 2 h Q o a ma . Z La�0 at � i.5,7 > ; a- • I i' . , ,; tt C.) UII 3 .' 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