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HomeMy WebLinkAbout0023 HAYWARD ROAD - 9 .. � _ P j ,. F LMassachu"tts Department of Environmental Protection MaseOEP File Number: � Bureau of Resource Protection-WeVands WRA Form v -� Order of Conditions OM s Massachusetts Wetlands Protection Act M.G.L,c, 131,§40 and j 237-1 to 237-14 Town of Barnstable Code A, General Wormatlon Important: Barnstable When filling 1•From: conservation Commission out forms on the computer,. 2.This issuance is for(check one):a. ® Order of Conditions b. ❑ Amended Order of Conditions use only the tab key to 3.To: Applicant: move your cursor-do not ROBERT LITTLETON use the return a.First Name b.Last Name k , c orgenizoon 23 HAYWARD ROAD d.Mailing Addrems CENTERVILLE MA 02632_ AM e,Cityrrowm - - f.State g.Zip Code 4.Property Owner(if different from applicant): a First Name b.LasrName C.Organization } d.A+lWMv Address b,atyfrmn f,State g,Zlp Code q s. Project Localtion: 23 HAYWARD ROAD CENTERVILLE a.StreetAddren b Village- - j 186 057 a Assessors Map Number - --- -- d.Assessors Parcel Number Latitude and Longitude,if known: 41.637N 70.35138W e.Latitude f.Longitude s. Property recorded at the Registry of Deeds for(attach additional information 9 more than one parcel): Barnstable 196845 13466-C 2 a.County b:CeAilicate Number(N registered land)/Phan/tot# c,Book d,page - — 4/29/2013 6/25/2013 7/1512013 s.Date Notloe of intent Filed b.Date Public Heafing Closed a Date of lsauanae s. Final Approved Plans and Other Documents(attach additional plan or document references as needed): REVISED SITE PLAN a.Dian Title BAXTER NYE ENGINEERING&SURVEYING STEPHEN A.WILSON,P.E- b.Prepared By — - a Signed and StanVed by - 611 212013 1"=20' d.Final Revision Oats e.scale -- f_Addl ional Plan or Document Title g,to i , wpsbfsrj.d=•mv.2MIS Rwrobble fe*W 4n f11M Pape t of to r 3 i 7 �a4 Iay "�YS'�a�3�lJat1 Rxvma ogyYM-2 D a '� �� � � ssg�l���s'Sl���'�;c�n�s��93�s��9.��s� .�cs 4�����.9 '��:a � A General drat VWA III i �$ ? 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Order of Condi ions re1�EP`tT�rsnsaction il1$ 41 Massachusetts AVellands Prbtectu on Ae3 i�I,G.L..a;..T3a,V4'0 (City/>Twrv� 3 �T 31 L �ttt�a9i�h>t7��tto J�n'�i,lbitaks,iplaste��vv�,la�, Tarr,ccars�boa'�,iP�,Puff ,�fi�,r��gto�s,,M�otoswvet�1�I�,.c�rEP�r�s�iJ' anyoffie Ss "f[ ist9nerosr�otirre7wni��9ldrrmvstrYia�e�ppea1�nssjs �i�t�j;3erli�a��.lsl,�sr€f�suhsuaalihas� ttsil�m, autt lall�rom ingssl rfw.,e the DepadmvAhave amen wom, 9, NP'worizshallbcUndCrUcen�uz 11heOriler has IbnomeTmul and ttlunlhas hen gecwdedsinttheft�gistry40MMcl vdbe . + 3ffOr the drshictin�vbi6lhehndisilosaced, yiihin aeshain ttillecdftiffte a 1 3 y:llntfhec semS:tec9r�les� , eAWOTdOTEhall.dlsobetsatedunrtle�Rce,&isiraYs t ffnaexmnrladljemamedfftfDas�aer(of'dMflandWMINVI&hthe r osed vo>lc isle laedone: she se ofsheretsterediland Chef'rime Orderas7�1�1sofl ematca=t bmL, 3t�vurt Cer4i5cateotllitle�ftlthe v►er lfthEllands nvliichthepropose avoikustdone.'Mear�esordingnrifam�Aim., tallfbesaibrriittesl toeCcanse:vaY6nn$Gmism�issi©n ,uarnEEheenda►fshisrvtiiiliffamarmslbcstanpeliEffhse: egistrcafiDets, . riort©fie rot�arasenceiuentaolVarC.. l0. Asigwitul9be Esliley Y6the ite��tUessihen o uareife �ornr a hen eesguare eex €sizc8�earutgttheVw s, sechnsesyarfiQntcof iFavi(mmueaialfl'rokeei " ��i`7a�lassHL�' �GIEll�lltt7il�r 't�3•J'4��� 33, ieree3ltbciraomnemta3iPnotionnssegu�s2ss] orissusmsrseslg .er„ onsettsmtamnissas�n shall be a�39 a3lgencyprorecingsnaihearsfboreltJassiDP. 32. Upbn�c�raV2eaional't1)ewv"cscAWihereyu,dh licazit fita']I st brrii2 zest ort rti'fie teccfl Qntp�?a1se P�Aff zm s �A�to the Gvnser�!ation�OtiTti3lSfilon. � 13, nwAvelksna]l onffnrrustotlteplans nsl pec�al�onrJiitiansire`fereneediint usmr ei 34- angetto the plansidmfifi elun�on&ion-413a)oueAa'flseguiieftoWlisaittgoingyirsm tfhetCianser t an�Conn stpz� btavrititt$ v3telaertlne�hangeisrs�grnh tenon hbto�reguiietfht:thling sa vll oficea�Yalnteryt, 13. 33�e gent�or emis s fthe�on ruat �;amnn�ission�ndsflie�epar meat+o3iEnyirumme�itel3Proxeononi'Istillthavetlkse 3 t o enteir�amd inspect,th2 anea�`bjecst ttoithisr(3iaer�taeasonab�}elliowsttore�ahtateccnnlplianee.�ntbir7ierconilitions�staiiesl;ianeiliis i 'fide%anz3a�ayme�n°ue�hesubnitta3�Y'��p`I�a�deetne�netessarylbylthe�onser�ntian�ummvssianaurET�1e„parrrneiit'for�it evali�ati©r�.. 1t6 '3�ais�r�er�of�nt+�t'ian�s�liallap�j3o�yaueaess�nnrinntet�t�r�sucie�snrnn�itic�aiftthe�p�r#y�sali�jeet€tfltliis�9rsier�and b)thy contracioraTwher crson�perlorrgin� v r7riennelitionei3ibyiL}us er 3't uDr4nfhestaat off�va k,and f3he ajectar �,1?i rk;ad aeertt(io�IDor�3e ing7Y getate�7A tlarti3,6e�ounduryetlte �ve4�andinthQ�icu +�rftthe�srsedayoxlc.area�ha'llmetra;iai�ec3tb,�+soig�e��ta7tesmi�iagging.t9ns�4in�ace,,tthe�>, land ba�ndaryr�arl�rs:s'hri�l�irna�isat�>umt����i�acateasf�oinpiialtce4ltasibEenussuesiiby�et�onsQrvatioras�.ernct^iissi'srn. 18. A� limemtaten bzalers:shAbe�amtai amgood rtumiia c isturbe asittaveNbsen�'iil7y�stalIbk%vi 0v'fgesatls?nV, . rathermms. ma esfiall slim tslbe �ite�rina�v�tla�u7cor�n�ter�osly.3�urin�eci nssnJstion,ahe l'ie�nf tarretres�her ilesi�ee,shalli@spegtlseemsion�con'�7s�ns3cdailyibasis�nd�ailmiffsvetasx�rnuiatedaseslin.aett'1s�astnel,';r aaplli shall arrurned at 9y ]railany simtpm l msiEhat+o eur,atithe<site d shall alsout7unes i�t lymotiffeAie�=sm- ±�ir�arntssion;avhic'hser�s Gtheiaghtttflercguire�tldtionalai�mrandInrsslamagepreHe>Xtisnaseottttri7siitrrrsa��s�rnmee�. -Sediittentatian:bamietsrshali:servr;asheflUnitwf�v fknm'IesstanofherlluriitdfNvoTk@linellmleen�a rov ilbytiliis rsier: 3�3OMEOF STOR iA ERCUNM 9LANDMI A�tilTr r IM,CE 1 EQUI FE.1��3��1 . 79, a ivark a�soeia"ted�vlth this lcdee(the"11?rojec#"f) s �l�'�r ismot )flF:su' ioctilot he(i�lassa&usfttsStormwateT ndaards. 3ffthe tvtuns subjecYYo;Siorrnwatertanaardsaitllenstherirrcijectns sisjectt<ottheo'llowingccnn�tions; a) %All tvcsrlt,airclud�rtgasite eg ahon,pant)aisturbar ce,Ecoi st ctiDnsandsredevelo,P�ne ft,:she 1be utitplemertrr lin�aeesn3lata ivaththeconsirucnnn enod o9]uhon dowahacrosion= sedirnentatiowcontr']pIansarul Mokabf,he �toiatasvgtei•��19u1inn lire+xenfinn�larine�uuerl��iihebiatiana1P�`11iixaitt7DischargetFJuttom:� tecn�otistrnc3istn�en1 3�cranttas tired 1��.�ta�wgter�ianclardl8.�nstnactionocisis�r},�s4vnsmtation�2ntl�,lhttista�aemiu�olkrt;e;;tsxtres beanactnentrcesB ) allremainiinplaceatrt,lilhe sitesilysialiilatl b� 'l�ostatva!tea'utano�';inaylbe�7schargedtt9�sE�s��9nsiiuetion�tormv:,aterl8.l��tutless�n��nli7�a�,gister FA Forin 5-Oj&Jr of colarms �eDEP Tn to r asstitsett; �t7ifins3siPtiesivantv15� p) t1ywn3sSl ofssiona9 �r�Qrtif�eatnt,a.ailnstivnzitl) lRsRfhrrinDmrvillau�yesily�y +�atEer3ains�aitlnn t3resm.af�rnyccmasirin irong>ffiz7tBE'scuitenileslth�cuve�eii tost�anitaon "ertrtmdor stcarm�vater tenuauan, Ec er nzjl�ttreatment, khesan ersinnaisrallDsvcti[b j kre Ef' ifln neater Handbook la�rspei ic�tions traitt►elB ihasme �cle lc u ds ctr�pnst��nsma timaro serdtmn, iPr ; inzla>hng mava7oY 1Jttonnstr tian�peruc+i3set}imern pe�vniiriietani3mit8Etcone I rciures;tii.aiAdItTma'9mmsftimOon BItjIIPdamswe�mc]utledl,,s:$ne �ndn lb a�egi�ter festiona1 ngmeer cci#if g i�ei�stfiilly bl' m3iratsr}urges �ltlae, tsimnvragea2ritteiharen�rye �asiprrrtt3teci.¢ eritsftortnivater standard] ,r'aflast-al�ctianivater]BLIPsaaeem►stalteil inrac3sQriancee 2hsglan5�(iniluitngilartC�ctg 9���apPromMb nssmnZ�u(thnr t;endlhavelf enonspeci tt �nsru lt7 ttt Sara-irtntainagodmWd amhe r sin �ro,�ayr �antli'hon;�.an a+� tation�ssr,+ci�tefl �st�nn�h�arian��1'�us�suitab'Z�aest�7s3��ttn +c� `�ae�an�su��er��ae�rr�s°13�7etfnr� anamie�►ance�ti9dhee��ssurng�a�thatt�iis�dtifi�tfhat,anoftier �t�,stle 1 '� tom' .J�.3�:asstmae%j b i1B1 'amatat nauee lGtGinrttoar ue fixig a +art rcakecplt rnph'ia r6Partsldr te�df CQngNfii 'l e I ��spay►s �y�#�'�ner7�tCeuer�lc�nnr7ihan 1l�?4(e�)�7iaTlcexPncite��bmitRotfheiisssimgaaatfha�t,3r�anmpera[ia��iatl �,�a�ritenance��nap7m�ce�tateme3rt(('�.a'�2i tetnent')j�9rd�st6to�nsac�r�'M'Psud�ntiF3y�ng �;tyaespnns�}ilei�tzr a�,p'lezruer�ting�ha:st�n��erlB3�iT'[tfion;anr7�auttenanQe�';lait :d�&�@'Jara' aza� 1 Plaruns�oin 'lr:terazrelaui9l�be" errieLtted� �� � . '��g�e1f'allnw�,ri�)#.t��.t3c'9Y1 _ 3t � ,P�n�e%ptca`fdhe�etTiFinatecoT'sCo�plrsnc�,�;�i�tttie;�ii� t�s1b'EQ�"Dies . ��aJl�ematifie�anavlai'ir#Sate'i<Neurongoingtlegaluxspansi`fiiilit�Ero��ate�r8smai�it�nt�e�torm►vaterm�atagen�ttiP�sand ri�7emenft the�torsuwateriPo7t�tinn lPfep�titicm�Jan. �1) Poit oonsftcdom ut=onprav nfion nn�!so=eiool&,Dlsla ffiefin4ihmente3,in rcjaz�ce ifhtihrilon ;R I)uiion i 1po Prevenfioup an seGfionrfieroec Stormwterpnr) iifapp7icab�l�,t£heigxtntiterPolttinnlPrventianTilan �'egtru�d ibj�ltbetl�7'at�oi�7 iPaltiterttIDisohar�e.lEt`immatrgn��stem�u]I �ect �er.�IlPerrtiit. sayfin7ess ansawttt ans� ersaaceptsieponec2y, fielfaniirnvnero€nr�wn�r�nfyige� sm^�^t,rasss { rt7si2�ltyfforaintarrungazshVSliP,`1ocmromedbijpresiummptior�tfltanlflwtit isoittthe (pmpettyttrtust�5ubttuklflf�te assumg awtlanmr aBegFz71y1b�iding;prrerment�ola ,,acerEilatfilE[to there aaaath arily ,rdertcngtliutt aiaot}o rat�tttytu�s �r.��rtes3�spsnnsibihrt��farunaintamd�gtt�etBTvIl';iansJtfhat�heg�zmpsasse�lnsibte �i>a"Il�Zettrea��.s�lperr�itteeffsrr Wises®�'ianp7emieritingdherr�gyuerr�nis��''�ndtfions if�(f)stUro�g'h Illy(�cr)€viifi�zre�xittkntEYhaitl8�'.. yffaiirar��tFttttc �r�o-ser7�r�pansiblejpartytt4 mrlp7eme?ttttl�e�'ttu'�.rents�oftt~4ntliEis3ns ii��(ii)it�.o�,g'h�<(dc���'rft►rtr�s�e�t�tthutNB�'�s#1a`]J 4�eavrafl9ataoit Y the er�f itisitss�r(+~ertiTsatem d �mp�iau PIottheeeaseadf tsurracv8tertB�i�p tthat in ore onelo, dheUega7l��in�ng�eemEtitrsi►atl�lsoi�ertt�j+tfhellnistthat��vitJkbeseri�es��+tJ1ae�t�rmivatetFBlul�s:l�lkplan l I �asem�rttctl8��at�aritstfhe¢espnns�`b7eipartjress��tfunntifh���roperetlnnzartdm�ainSenanccun�t�es�shri(i�es`i i Airtg%dfh#helle.gaWAainding�agr�ttstett; ' ersp4lasb7apat ' ha]1qer�teuttliman,taina7ls3ozrnwaterrB3?dPsainecoriartce�vtfittheijspEans,thekQ& ll' and Higirequir,emedtsb:Fst imas^sa6taeft�SimmiyauRandbook: � �ae�espmas'�'�le�ar��a71~ d �vIamtair mope on �najr►tenans ealn$lfortikteilast e((3j)€cflnsess�s�scaleftc7argyear;t��rn�etiQns,zrelaau�, nnaunemanaettd%orreplaceine�twTe�ttmrnv�teroaioageinerit sj%stemcor + lhretif,anicdisposal(foridispnsatfe JlQ,ga?�a`Itas�Teti��,pe�otnatteiaal �eadspnsa'Iltaczihnn�; `. 3 3viakehemrvintenancellogranailab7e�o�vlassT�EP�na thernscwtzni�dCDnunass�n({' ornrtussrmtiwP � d IMUOtviirtrs �geritsfi{thsQa3ass�Ek'ianr7efhe4r;ommissiffn$ofettandBnspiu�itt}►eJ.tEttpw�ilr�ate artsl e►s fat�taesponsi'b"lt ?4sim ��iu���v�kttths�'�iiiiraaterttsftor�ea�`b '1Prs�t�l�"he�lainht;'�s�11M�l�pt�areSi�iy { ifhs~issuing�utho s tip l sedut2en i0to 'refnovAft mstmmwfrill'It2 PmshalllbsslisWWI,swte,�04 local flawaudoomm, s fscn e. of s �«h 11 iq il� iCl lodisctiargQs i tsna wst�rsm r g etztitem:as 3efin lira fl9tC t1lcSia.9 1pzdni) tie . : . �� :st�aa�a�tergnanagemenY�,y,stern �diinithet�ersditGnndfivnszslta`Uio�ltbe�chat�slt►Ytfito�Jt�e�apr�w_iti�l . Ll � 4oa'�il t0�'iklsnSstl"ltlgdalltl]Quiia�!. 4. Amw&ignatecl�ssgpali nSlp ousmreasSf tfttelpurpnsecofd ellnwl) pa f ite e�s%gnt r i3((asd frtteslrtti c jBu=auo�'ftsomeiF'a oofi.on-WWxit��911� �ass�UPI��Jtd9D3�99SU ' A Fenn 5-Oi der offCondW a PT acts e� a{ a7r35 .4 3lass�EP tone yscter ani Duk,A vlur a G)traptsr ll,lLcawllmpace N�.I mcTii 511eIIJ�signt r�si rsl sh�ll=tube s� atoiit stb 1pmoruttten�pFrc +ul atheuss�imguthniity. f�ccess f raaaaintena�e�,Upair;:and/ aeplacemeni�ofiBl�lPs�hallmotahsm%rtl elr9.l�ro t£encing cnnst�nctcda�cowad tonuwaterl�3 hatl�nc�tui3e:accQss afes�n8 hellfhe t�least ixiinch s Rb ue�gra ettosaTln�vffurW ldgeipass4ge. Sperbil Condiflont: A Find ins Under)l unidpal Wtdands Bylaw or Ordamance � U �s sni�o a pad van& �+b� w wfi azat~.e moscabiam�usira ng 2. Thie 6snvaY�n�mrn3ssian��r�bjY(��et�7ccone fhat �ies;� 4 �. If. ll� Sipr�oser3v�r.�n"k�u�i�t�annot�ec��ifianesifto ved uneetld.��tanciar�siset than:au�t�tnid�a1cordrnmts,�toTlb,�`�aav fii i i:: auiio3pa7�(Dr inancesoraBy7a�v itat`iDn '�itzie�'ore,av�rk�nn��sipro,Jediuna�m'tli�o�'orvva�+an7���nd�udtiJtair��s�H�lsif�cecai'ilrtetstcis;su6mitted�wfiia"h��;id�es i mneasxues�yi3rdeuake�t,imeeiese.tan8g,Fd6amal` oriaiisstti,llti!2rTrarstec�saito sari h av t2aiamumtciga9 r�mancE�rib�av A FMI�he�ropas��vva�,��j�ctitofihheffot7daYirEg ,additional�ene�i6�ns, a 7,�,',+�4,®:F .2 tC,►iatt�n SS..��:t1,-����� i �� '�1hermzrissi9n�rd�r��#}aat�1J�!ieikrs'Sta71���'omiecin� cordanste�viQitfits�n'tt���ingtes>�i�.etnus ►sic�t#d3►pT'�aotebro iae�erencedabu .° �oierextentUhattt1�e€fa l�ovin� itior►srnodtiyOorcdifferffFosz►itheilarrs, pe� tstit�ts,�csrother t �prss'Is�si'bin�itrdnv3lbahslta�9ticec�f�nte���he�,crn>r7zti�ts�`hallccnzitral: epeca�l u aniYia�nselatiigtt�amtanpatarinalicecarffi+ vrareasitofilys: SEE iPAGES 7.8y 7 AND 73 mose17(Of-g""ELECtTt1 O (Cow i Name. Robert tatfletott Approwd Plain June.102,2DURevsed Site Man byStW'lenA.Vfto ]PIE mnd Aprill ,/2 Shket a,"IP,lan lby SYeplen A alson, ecial BC�rtbilio-us n prova7 aa�tlon a ur .#fl s�i 7 fi ldifi6m-5 bf b s imff wfCwMali mff ayaraeas:�lu sjw#9;t� 'I tonsequeum. Suelaonnk4uent0sMay IngludenssuanaetTa 3 'Eor d sler�ffine )tieate riir msnitlt9 I r mnrenn roan ed rnetur s, �gnirementtto -�a'rti7ssa .omrigin �csna int�,i#t�ef�va :ili y yob in;a F Cerfi icate of Compliance,snd move, the Ge-n rai Conditions(of this Order he&on Page 4 anil 1✓omdi#inos 11mee•essar .ame nitatn�ailpages`Ln,'?lY`�;atA7J AM,won<litlons�enniala$t1 rseinrr�eguire s�ict cori��oiice; lPirl or t1b Ike s1aft of WVA3 fh.k f'991ewitkg(condlovns is ll dbe Asa' iesl 1, sdik'one,mmth dreD* fthisOrAua ,andpiiss eft VV'k approved bffeA6'rmalC"bmlNun*=soc9rdnag�re��iir�uQo�+)ouMase Xc 4-9mull litAsiZErsponslsatsats die apieaut,rihemNv Agra %�rae��sso ),baudtheiprujetues�rx, cet � gat l+eau li ic�mstmi ti�nder;ar�reo ssiau# . tTi}►E,a plieam sl�a°llgnOVide piee06ftfhei(i ilereof +�ouds�i�ans;aa�a�pr�a��3j�'lans��z7nn��p,�ro�,eliareais'%ams9tlzersa�lto �e��.autr�eelozsggtivrtto�hessta�3 oi'work. Barns ableCoiiserva ionC-jonun sslou�om�sf�suitlff�sha'llibEce'omja'Ielted4andsretumeStt�Khe Coo missionpriorrtothelstagHofwork 3, Genet',al:Comdiition N&9 on Page 4(�afa a gxdr=wrg)sip►M,lbr co4bed with, +,�era�aiien� nissie��l>a�aeeei�ve�auil�urnoiac�coaiaie((ll����e�ixn�s�ua ��o�'ata��tast�.�i��v ,. fis : 7airalss�uurees �;pasiur .sa7liemoeliasYth�tentaY (231)) Vaysra�stte:stt ai site >losluesxliereasiEoril . 4[fiemeslmecessaaci1lzehe'11t4satal ;, sbelfish.shall be removeil fiom gh,a 11VIO&WIea 4to a tsui;awje!�ite adybruplattterl al[the lloeras fdll0 �conslmncti . ` jforegaing,measur�s�s�hel'1��lpr�Se�Mon;sba"1'1cezls�e�tahere�pezhsEcoYtthe�,pp�isa,�k. Fage'Z'A. L IIQ, The foRoMitng additional"Adi tions Aag g9verm th proj�# General Condifians Nos. 112 and 113(nhax}ges in lPlan�ern 11?age�s l�x�omp7 e�1 f1t. `a. The{Conservation comma sign;-its eenuflayees„and its mgeats isImM Phame a 't(deelmy tto nnspw for coWfiance vith the proviewris,of this Order+of Condilmns. �. Unlessxtensl ;hiseumid risiaDia fs ftre years mom Malefzissiaauoe 9. Salt nmh s mIll not be distn d. A Pit-derldn��a��r�etalimsa �'halll�e tEsl� �ll�avingia�a��ars�un117ght �laa�ort:. 1 E��s�rsba[l be Wspueing. ii. WOTk Sul O=VTdurung iheof-:seasonoTBY- O'ciober.15 t'DII M,BY . 13, N dr �gTgincJlt�dhi lb�t aio3limiietio etsf}prape �eraas7 rislpmiiriedlherei . i7�epering.the btztb by, ropi2l4or stou in is st 6rtly Jpmb7 bi ted mnaer O-uIs(Order. 13, eseasona7aalshallbestoreatauitab9epland,s3'te aFi1n .slyal1otlbe :#�redcanfl�as, eac3tes, iwarsVes or dunes.: 14: :Pemm t pifigg:shall be dnim into Ipboe, s� a inutiai for lep rn��is atllvaved. The taamolving sp�ial can,dition's(in Rollo)sI71 gow lb9at uiss at the�ppmoyaed 1pUr. aTt►nE tanditlomsSIMMconfmueovertime. W.o$C foil Finipases49tttlus�rrt��rco3�ontl�iroos,ilte8ke��UG'r�i4l�9''' shall rei'er not 61fly to The lintar pilimuppDrtted ameture,but Aso to any cdfi'ts W-owoumos a Oiling,rete. I 15u- Soms shafl onl IN"b shed by Aelartt. a A6, �r��o�����z���ea�s���r76�7�i��Yra1��ierap�r�y��ier:szr>httlJnt.�a7ra�y�`rnie,llessdhm,:tl�v.�lue((ll�,ii71�/►esld,J' , ivrrler reside h uievi the holto»j m,f 1ho boat or ffbepropellleran E e l fr t�tmavnr trp a"�ion—a�/tc7re��r frs lower-and o��ae�s�e�tr�rle, 17. 27je hDats ar�yerl 'or Neer ibirr�g t t'h� lint rre: .� . ar�ta►raf� b�—Ib�M iS;, 3esr�ri J o"1®rj t rurr_f!, Past 12 1. Ilg, A e�iall s9ga�9�aIll be all°ispla3�e�l�s ttdie�rt�1 al'�e�pisr. ���a'la>r�d n �,i�ntatons- Mlowed bnalsA ;S;pj)ncTaft 3rD;jeplaxor 6 3Il�rllung.b�v in�� OWsbartg 5 t'e l beysnfi f9gt • Trop 12-abByrb9s4ou;s11 19, �errtbu3,g s.16Il1 bg bow-in 0111 . 20. IlCIOned boats Sball met ex4ndworgdon avefiWidnMry rdfft1fl�a s ao� i�mar bear engines- Any desired pier g tirr g$tall_Tecivae prior approvAj C"gle IC.onserWm+tivn eG9mnms a . 22... mad Pilg naps aala not lbeUse . IIIl p?lasti� ap,wnlibIlacic bswss . 23; UPOn nOtificA60BbYthoCO seiva#tn Agent,au-jd ntj5dnS:s 6s01S m- s�slmnitbe �oins�ate 1 ids tegar� Y Ilosv�s�h0at:VSQ, 24. ,�ar�t.a�pra�es1 � � 1dbs$ � sd9xIl3arttIl; ttt�sa2�ka � �+essEls:. 25. Wark on the pier shall, ensue Inid de basing to pi4dide Miq,w;as of hemwjw minimum twelve--inch(12")clearance for fitr mik ibarge;;above the=bstmte ~ IV. Ater A ivark is compjet4 the following tondiflon 511ali be jWQMvd 26. Atsae completion of Avor ar.3by file expiration�ftbis O.n T,the� l���n �Ilza��r��ne�lnn Cert eateofCO a TIamsfor e-Jgor hrIgm,�e uCta�, iBarnsta�7e�� rY�t t� ��i�a��Forns€� shad be orrmletea end to a avrth tthe rs uess are ei>t7l Late oa�Go Yianc Mere,ED PrI#j9vTIWI5 . 1 _been�arr�plete����89r�anee�vat�p7ans���tby��.egi�tered��a�ssl � +�a�e��et, landscape ambtE.ct or clad aeor, vgtten Cement#lboj snch m Iproes innal siialle ssxbaa%e , CertiFYIns substantial reonapliance syith 4he jilans; ttung forth sVjmj,ateviax' s 1 n ] ,telCl t31�V ]ltth�)� approved plans. 'This s"to ement,;gongjvitby,,o tnC a]]�cco pan3? em gne_st or C slfi5i tern Compliance. LIla�r�aat aa�:ltresmatnce Parx�tectinm-�7etl�ds �vlass7�E}'llalei�(�0��4� A Form 5-Older of Condit.10M massi dhuset's Wetlands PPxwection*l M.G L..x.13RD§4TJ y�li aosynB'.° STABLE E. Siguatures TMS Order is valid for three years from a to f i ssuance,a�nlEss ithenvis�,spec3f 11J15% D 1 pumwttoOeic mICondifion#4 Hftisan endedOWot�dCondatons,tarAmended II..fDate+ igi» Ihsler Order expires on the same siatr,as 1ltscr%2inal Order ofndtdons: please ii kate the rnartlxr�fnaermbers�vho.�a� s�gaoi➢ds c s sders u ib$ i$n by �3r1aj191Il�';��}le�:tJnSellY2fiO71�Onll]]1�J4JA. :(Z.�1LiJ1�STCi?��7�IT�'S Ile OrdermustbeuailedlycediT2dnwl� lun ei t v 7 rlhandcdEli r ttA laE p icar�t.7� y l va?nts2 ttnales sir and de7i�+er i rt e eSune ci }ie �tprepdateDepwmezriQlMrV,ronmej7m1tP tee#ion 3 gt 7tQ ic�,�ttmQttf�itig electron i ally,and the pTopwy a r,ai�ifferemfwm applieaut Siguawes. DENNIS It.HOME LAN UISEIR.FOSUR FAT FTU(TO"LEE . .:IOH. l E.A13ODEELY 1—t b hand delive Y ' ,y+eetl rl taa eY tm e 2�ggmte ,(am Date Date - . Appea8 l7aeapp°1?cant,3beu avJ�er, is j rsom ggrrevAby fit ijer agammerwfllanda' a tu}g1 ffine lands ubjrettts)tttiis e�ya mny ton resldentsi�#tite iiyortoav�,.In�u ish uch9an �silocatted;arElli�mbymoufie softl�eirAgghtttom)wstPfhemppr naaleiH Regional Ogee to inuea Superseding Order o'Cbn iu ons, wxe jucstII=hemadelbyrert E'iedmmfl orjmidAe7rvcgttolhE Dq wonert,w,ifh41►eapprmaw BW T fee a0ompl%WlquestafarDtpan,menWA,,taon fee`kimmriaiWgtsv>st msgprDv,Wedin 310CMR I� 3�j j� thin emfl iruess aysifrmm�fhe ate�giissnaneewls4i ss�?r ter.N��c frthe nest sfi�ll t the tt t s�h�oea#i�ied�amail�ritr�dde7iv��dhd�onscr�a'�mt�tntnrssion;a�ito�fhe�ppliean��t#"thrY�'}tE�stdltb "�1�.t, . atynppe9lar�Ys c d4 pealthel�epa them s t erseaing�Qtler asociat uv"sfii list ppea1 %ill se riir ttoiieti+onstrateipfm participatfionintheme iewa7FtlusFpnoeCt. MoWartl ipati®nunithep�rmii re edingmleanstfhestIniiss��of tteniinfvzn�atu�natfl the ConseivahonCommiss onpnortolhccloseteTihepubliclheanngaguest6lg bSupier,Wi4gGtderAmripro Miq�g� iiofcmnation ; to the laepai trmeait.pmar fro assuanc+ef6ft rs8dingorder 79te tegnest�liall:s'ta'te cle'arlyrand�cancisel�ttl�e�`bjec`tonstoYheOrclerg►vliichusfl�eings�.Pra'iediandlhs�svtthet�rr'lermat '� contribute tothe pi�n't�t►ora��Y�e nrit�r�ests adee8iira�he�assaits'���efltmdgA�tdtredonl�cld(M?G�,.se.113if�t��931�,�zdiis aiicons�s4ent��5�tb theiveila�rds regu7a'tons�37��01U�R 1�i0D)`tTru �iteriislatthe�dsrr�ea'ris�iaseiren�a�uri��,pa3�rc�i�tceierll7ry":lavu„ arise n©t+on c�assaelwsetts �Ia�sFsn2ee`tionAct�oitegulati�ns,theiarhtierif�asaw�appe7iate�slris�ction. Faf i$cof 9 EUEIr fl3al 0 Massachtasexts Daepaarlrnaent aaVjroll rtlen31 '' je tPvistlrLAI ( Bureau of Resoulnoe,Pfotection Wedlands 470 PA Fora 5Order of Conditions DrEh ls* Massachusetts Wetlands Protection Act II G.L,rr: 131„. teDEP'TrdansasOnW c �tyrtwn E. Signature i imparfant; This Order tis n+elid �r .r r3 tsars,gar lsss bttaerwise sees.ifi0 as a spe 'Lai forms nthirko Dear Mndition Par�uaM 10 Sem�il00 di2ions „Irwin tbo daleo1i a��. 1►-a�tecolP,ls�vauge-- f�rres��the � CflMPU101.We P100 3e tndiceie ft aauambw Of Mombars wbo ar,tU slgm ttitiis IM, , only the l-ab key, This Order mist be sagmed by a YT1�j�rOt�at�ttbe�i9J)�+>31�s�f19TD�r9JJ1�tIS�i�7�1. .� �rffi��Ipn�r� to more yawl cursor=ate not The()rlder Must be rma led by, vet" i email Orcj ran ir�eceipY d����xs>�i�Or it S1 ade7�er�d�v use the return. tree applicant.,A,copy must be.mnMi ed haaMd sdella Bernd aT filed�iea�tr�nM call ajttbe�a�e key... }f time vifitb:the appmpriiate blassDEIP Regional Office, Signatures: 4 4 � rlt Legi"sail,S OW@MWmpl ... by hi and delivagan o9191*0tad,19n JUL '1 � 11�te F. Appeals The apolibant,thetowneTan,y ipersonr aggrfie~aed bytltt s QderF,any own r 03 flan,4i aWttirig the tared subject to tp7a+@rmler,or and ten iraes'.idenls(of then er n Eia1 utr sx0Rant tis located,are henoy ane2ified of baser a gbl;to bequest t`ha appropfliatE[I>itassDTP Re Tonal office to issue a Superseding 0rder of CamIitio n8b b ausfl dbe Merle bad ?filpsl rraail or hand atell ery ato the Departrh,ent,With Ithe V,Pwpfte Up fee onrd a col'nfiJetatl Request of�Departmi ental Action Fee Transmilt l Forma as prwif d Am�10 ae ta7JR it 1 ,tgdF) Within ten Wsiness4aystrom Ibe state of ass o e of this Order..Acepy of afie invest small at the same lira,a be sent by, ce,>$M"midJ fur k and d i.'lver ts�lxhe se tiob Cemrnissian and to the applicant if belibi a its mDI the apPallar x. Any appellants see%gq 40;Rppeaj Ike t9epartrr►�raYs Sapper dingy t9r�sierasse,>jie3e&1 01th Iiis appeal Will be requlred:to demonstrate prlsar pedcapation b The treaiaaw*19blislprjo.01.it arlou pa!f r.1pation Tin the perjK prca eeding raneaaas Vitae subs:i :i+,n ofwrillen nrafprrnat Qn i3tt>s Con,servalion Co.m,mission p lior to the blose of The IpurbTip iheariing,nqileslt rig a Superseding Order.sir IProAdIrrng.rw ttIpn infeT,mation toll a Depaft,w tptiorl lissaa catof a Suipeseding Order. The request shall slfate clearlyand�neisely the.dt:ijectloms fto tl a mrdier�abi&i fis Gbtiin appealed and bow tine Order does not corat>a baste to The prateoft-M of true firfiamAs list�en'.ti tDA n.4l7e l lassabla si�tts l etlam>s IPr�3extis�ru cf Klyi.�,lL:c.�1311,,§ ),an,Mis`voconsWent math the wetlands T`egulations 0.10 GUIR 1I000)) To itba awleot bi at thg order ifs fbaseb=a m"UnicipalerdinanceorIbylpW� anal nof tom thoMossactiiesettsWotiands 'r&l'ecxiorAolccrr regwlatioras.itlOe Depa�tria nj bas no'8jDPe7102>ejura>s jefien,. av�a5s}gs�Ds.r�M.a+2n5rzDlSr FRagg��1�. DMIGN of Item' ` FAForm OPds-y of Cqa#j#,q)j§ off�� �s 9rdreoada3�� sxs� sQ i !�cAry� ®rn� 4�x �� ! �a !z 00,19 4 , aana� ha �e !! pro� rahsafir �se9 � r4? s �r �19r tls i a l � ��e r re �A a��,��s� 9�th��9` C•irlatS �c P� e ! r �► ►ijd r �9r It ?g Lb feg)d 9 ' r.s �aF AABU i � :ra� n�e.�►..9.ra ����!�n 9s3��6 ����y� ►��s.9 yt�}t��, .���' .� ��'i�. .t.�9����.���'��.o�n. ��.n• -Fll.{F!✓./JJ.tJllllF .1J.J.JI.'..FF✓.FI.✓/1✓-'I/://✓fIIIWFPIllllJ•W.'fl%F< •Jk•J/JJJ/.d7/! '�'IIWFF++'�lllP{FRY.•!S'),.'.`{1.4i:'J!!ro{wP>'I'+'k'l{�.i'R�e�'+•�,�i,,'y'I�Ilei'J+it..rtlu;e.Al•' � L9Yi� � �a�fl4sren9: ovT�laejcsf I i en�rg xs ed ttl�eR tst�rymftjg$Lo 1p Date ]f rx3I her►�Ah�ensfi?ruuerit�nt�rnberiid�nuf} ag�tus a �n s: i ➢nsec�tb�ut�ber fa'gsf�real�nosun �uambfrjftgui�swsaesi; 3,g a3 ��9�p nt $A S a -- Ll Il��ssac�s�eflts� i3���1'LLR tn�' n����i �a� ao�t�aetlQi� �Pr�%��Esl[b�y�3w[a�s�BP; �Burcat�f sQa�%c�. i1e cu= A ``3IvassDPIFvilerl}@03- 10 . 'q PA Fdt.. 5-Order a�' ea li . ae>DBP tT asa tton t7�*Stl?t 1l�assa�httsES��t'1��kl.�riii����fi'r�ra tl�t It�A�7L:.�,.�:C'1 fi§�9 G.Rezording. Win 7➢usCrdeTofConditimsanusi beariLtordcdvntfl a gis +Hof®e 3smrifheU a C:our� arPiheaiiislrictiin�whtehi hellarutlzisils teii, aiitlatthethainro:E6tle,ofit"he`dfafedteiljprn y gnithe aseaoftrecordedllans4,tihe it 10O rslcr shall��Iso66t�narte➢lGintHhe e, i ?s �GrarttorAn�lex n�ndertthc ursine o'ftihe w�aer.rol t►eIlata�subjedtuotthe a Ilnlha secoflrcgisteretlllan},tlliisF rder laalhUsoPbe voted on beLand(Cout Cetiificac*If Tiflwof ihil �n�n �'his�ge mall ltesu`bnultedltotfhErCtonser•�,ationK:omrnis$ionf{ist�l�be°to�u.. 'BiT�7FlABIE tUonnseruation�r�nission ; tDetheh aim�lotterl llinal�a�e�tam,�el�?y�he isttyat�ffls�,it`l�c�rr►itttQitlreCC.o�:er4vation�Carartiitss�or►, B �'ifdBL1E ; . �s�nsetv�Eisn�> iiss>4n. >P�e�Uie;ad�asedithat4he((�erio#tGnndi[inns�ur3fhElP��jee2�aS: r 3 M/ DROAD 1P,ro�jedtii:oration II�Iass�EPlFleTi\h"unabsi � � A?7asPbeen lreenrde�leY�e:ifte;�isii�%�'IDeedsa�f ;� County IB9DI Page . for iff jpdq,WAY a a}"er 1f39BBBTuff a, 1 ��nd�asstbenm�l7untfhessriaaao9txi'fltatQao4es1 IP n;A' t 1BOs is MA III;aQcnrs�a�f�!ifh(fhe�9rt�er�o?�n9at7�sii�usd��t: ➢ate If3emdedaand;ithennsir inientmurnberuclerifif g# iisttr ssaBhntivs; IngwnciftNuffibd ➢f>re fi ered ll a ltheul4s�arnentaiiii rltdcnti t tttti n zh nit: IIDo itilaTumbsi BARNSTABLE LAND COURT lEGaS Y i ENGINEERING &SURVEYING STEPHEN A. WuON, F.E. Professional Civil.Engineer j 78 North Street • 3" Floor Hyannis, MA 02601 Phone: 508-771-7502 Ext.13 Fax: 508-771-7622 Email: swilson@baxter-nye.com Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program X257289 r I Transmittal No. Chapibr 91 Waterways License Application -310 CIVIR 9.00 Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Robert Littleton . Name of Applicant 23_Hayward-Road,Centerville-----, Centerville River Barnstable —Project-street-address- Waterway CityfTown Description of use or change in use: Reconfigure existing pier, ramp and.float for single family residence To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." l l�toLAI � Printed Name of Municipal Official Date J ti Barnstable Signature of Municipal Official Title Cityrrown CH91App.doc-Rev.08/13 Page 6 of 13 Massachusetts Department of EnvironmentA[ rotection: Bureau ct Resource`Protection=Waterways:Regulation Program: X257289 Transmittal No. Chapter 91` Waterways' License.Application 310 cMR,9.00 .i Water-Dependent, Nonwater=Dependent;Amendment U ` '"'p°' "t A. A lication.lnformation Caeckione when filling out pp. forms on the . « '' computer, use NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing only the tab key Package.for BRP WW06. to move your '^ .. .. cursor-do not Name.(Complete Application Sections) Check One Fee Application # use the return key. WATER-DEPENDENT- General (A H) ® Residential with <4 units $215.00 BRP WW01a ❑ Other =k - $330 00 BRP WW01 b k , r: z t ❑_b' ded:Term: $3,350.00 BRP WW01c- For assistance - - - - ` - - - ------------------------------ in completing this , Resientlal it < 4,Amendment (A-H) . RP W. W03a -application, please see the "Instructions".:, a ❑�O.ther J:r '.:$125 00 BRP W1NO3b NONWATER-DEPENDENT Full (A-H) ❑ Resldentlal with<4 units 4$�665 00 BRP W1N15a ❑ Other ' '$2 005 00• BRP WW1.5b ❑ Extended Term' $3,350 00 BRP WW15c _ Partial (A H) ❑ Residential with <4 units $665 00` BRP WW14a w _ El Other K =' $2,005.00 BRP WW.14b ,J,,, e -C , :•• S : ❑ Extended Term: $3 350.00 BRR WW1'4c f Illluniclpal Harbor Plan(A H). , ❑ Residential with < 4 units $665 00'' BRP WW16a ` ❑Other $2,005.00 BRP WW16b. t } ❑`Extended Term y $3 350 0.0 W BRP W16c Joint MEPA/EIR(A H) ❑Residential wltli <4 units $665 00 BRP WW.17a t ❑ Other $2 005.00 BRP 1NV1117b ❑ Extended Term $3,350 00 BRP WW17c Amendment.(A'-H)` �❑ Residential wlthi<i 4 units $530 00 IBRP WW03c ,r . ❑ Other $1,000.00 BRP WW03d ❑ Extended Term $9,335M BRP'WW03e CH91App.doc Rev:08/13 Page;1 of 13. Massachusetts.Department of Environmental Protection, Bureau of Resource Protection -,Waterways Regulation Program v X257289 Transmittal No. Chapter 91.Waterways License Application 310 cMR 9.00 Water-Dependent, Nonwater-Dependent, Amendment B. Applicant Information Proposed Project/Use information 1 -Applicant: Robert Littleton Name• E-mail Address. . : 23 Hayward Road Mailing Address - Note: Please refer to the"Instructions" Centerville Massachusetts 02632 CitylTown State Zip Code Telephone Number Fax Number 2. 'Authorized Agent(if any)': b Stephen A. Wilson,:P.E. swilson@baxter-nye.com Name E-mail Address 78 North Street Mailing Address Hyannis Massachusetts 02601 7'City/Town State Zip Code 508-771-7622 Telephone Number Fax Number C... Proposed Project/Use Information 1. Property Information (all information must be provided): Owner Name(if different from applicant) Map 141; Parcel 123-001 41.637024 N 70.351398 Tax Assessor's Map and Parcel Numbers Latitude W 23 Hayward Road, Centerville Massachusetts 02632 Street Address and.City/Town. State Zip Code 2. ` Registered Land ® Yes . ❑ No 3. Name:of the water body where the project site'is located: Centerville River 4. Description of the,water body in which the project site.is located (check all that apply): Type Nature Designation : ❑ Nontidal river/stream ® Natural ❑ Area of Critical.Environmental Concern ®Flowed tidelands ❑ Enlarged/dammed ❑ Designated Port Area ❑ Filled tidelands ❑ Uncertain ' ❑ Ocean Sanctuary Great.Pond = ❑ Uncertain ❑ Uncertain CH91App.doc-Rev. 08/13 Paget of 13 Y, ..._ is Massachusetts Departmentof Environfinental''Protection Bureau of'Resource. Protection Waterways Regulation-Program �, k x257289 Transmittal No: Chapter 91 Waterways License Application.r 310 CMR 9:00 Water-Dependent, Nonwater-Dependent,Amendment �m C Proposed Project/Use In formation',(cont.'): - - Select use(s)from Project Type Table.'5.;- Proposed Use/Activity description on pg.2 of the -"Instructions" Non-commercial docking and.boating access to-navigable water. Reconfigure dock im d al st°o# ro osed work. includin materials"& labor 7 6 What:is the est ate tot co P P ( 9 ) $40 000 00 7 List the name &complete mailing address of each abutter(attach additional sheets If necessary). An :abutter is:defined.as the owner of land•that shares'a common boundary with the;proJect site; as well as the owner'of land that lies within 50',across,a waterbody from.the project • Name Address s s -.Name. Address Name Adtlress h D Project Plans 1% J have attached plans foamy project in accordance with the instructions contained in (check one), ® Appendix A(License plan) ; Appendix:B (Permit plan) 2 Other State and Local Approvals%Certifications; 3 " ❑ 401 Water Quality Certificate r Date of Issuance ' -®'Wetlands. SE 3-5090 Y»' File Number ❑ Jurisdictional Determination JD- "T File_ Number w ❑ ^' r F k MEPAY r File Numbers v �� EOEAS& retary Certificate Date ❑ 21E Waste Slte.Cleanup '` _ � X _ •_ ^ RTN Number. C Y fag3Revc 08 o13H91Appdoc ,. V, f, e ,k'. Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program X257289 Transmittal No. Chapter}.9.1 Waterways License Application 310 CMR 9.00 Water-Dependent, Nonwater-Dependent;Amendment E. Certification All applicants, property owners and authorized agents must sign this page. All future application correspondence may be signed by the authorized agent alone: ":f hereby make application for a permit or license-to authorizeithe activities ha' described herein. Upon my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and.the Massachusetts Coastal Zone-Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection."- I hereby certify that the information submitted in this application is true and accurate to the best of my knowledge." } Applicant's signature Date Property.Owner's signature(if different than applicant) Date. Agent's signature(if applicable) y Date: CH91App.doc•Rev. 08/13 ' a Page 4 of 13 I Massachusetts Department of Environmental Protection:'d. .. Bureau of Resource Protection'-''Waterways Regulation Program, 5.7289 Y ` Transmittal No. Chapter 91 Waterways:License'Application.-310 CMR 9 00 } Water-Dependent,.Nonwater-Dependent,Amendment F:`Waterways Dredging Addendum 1. Provide a description of the dredging project .F ❑ Maintenance Dredging-(include,last dredge'date & permit ni ) ❑Improvement Dredging Purpose of Dredging What is'the'volume'(cubic yards) of material to be dredged 4 3- What method will be used to dredges C ❑ Hydraulic`;�k ❑ Mechanical ; ❑ Other 4.. Describe disposal method and"provide`disposal,aocation (include separatey.disposal site location::map) e r•t.. Sib 3..::' A n iSr,` € ^ki - rL -5. Provide copy of grainrsize.,analysis. If grain size is compatible for beach nourishment purposes; the Department recommends that the dredged material�be�usedf-as'beach nourishment for.public' beaches. Note: In the event beach nourishment is proposed.for private property;`.pursuant to 310 ',.CMR'9.40(4)(a)1 public'access:eas'ements"belowthe`existing'high"water''mark.`shall_be'securedby " .- applicant and.s,ubmittedtothe'De artment. r a ky .X t P r f?: GH91App.doc•Rev:08Y13` Page 5 of 13 Massachusetts Department of Environmental Protection f 8 9 .Bureau of Resource Protection:_ Waterways .Regulation Program. X2572 Transmittal No. Chapter 9.1 Waterways License Application'-310 cnnR 9.00 Water-Dependent, Nonwater-Dependent,Amendment, G. Municipal.Zoning Certificate ;Robert Littleton Name.of Applicant 23 Hayward Road,,Centerville Centerville River. Barnstable Project street address Waterway City/Town Description of use:or change in.use: {Reconfigure existing pier, ramp and.float for single family residence To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of.local zoning ordinances and bylaws:" Printed Name of Municipal�Official Date Barnstable Signature of.Municipal Official Title City/Town CH91App.doc•Rev.08/13 Page 6 of 13 Massachusetts Department of Environmental Protection Bureau of'Resource Protection = Waterways Regulation Program;'. x257289 Transmittal No. Chapter 91 Waterways License Application 310 CMR 9'00 Water-Dependent, Nonwater-Dependent,Amendment H. Municipal Planning Board'N`otification rx _ Notice to Robert Littleton Applicant: Name of.Applicant Section H should 23 Hayward Road, Centerville :Centerville River Barnstable be completed and Project street address : Waterway City/Town submitted along with the original Description of use or:.change.in user application material.. Reconfigure existing pier,.ramp&float for recreational.boating. .a e To be completed-by municipal'clerk,or appropriate municipalpffiicial: x'Thereby certify.that the;projectdescribed above and more':fully detailed in the applicant's-waterways license application and plans have been submitted by the applicant to the_munlcipal planning board:" 14, t v Printed Name of Municipal Official Date Barnstable Signature of Municipal Official Title• City/Town Note: Any comments, including'but not limited to written comments; by the-general public; applicant,., municipality;:and/Oran interested party submitted.afte.r>the close of the public comrnent'period pertaining:to thisApplication shall not be considered;and shall not.constitute a;b.asis for standing in any further;appeal pursuant to 31:0 CMR 9.13(4) andor310 CMR 9.17 Y CH91App.doc•'Rev.08/13 Page 7 of 13 s Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program X257289 Transmittal No. Chapter 91 .Waterways License Application - 310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment Appendix A: License Plan Checklist General View ® PE or RLS, as deemed appropriate by the Department, stamped ryand signed, in ink, each sheet within 8 1/2 inch by.11 inch border Format and dimensions conform to "Sarriple.Plan" (attached) ® Minimum letter size is.1./8 of an inch if freehand lettering., 1/10.of an inch if letter guides are used ® Sheet number with total number in set on each sheet r ® Title sheet contains the following in lower left: Plans accompanying Petition of[Applicant's name.. structures and/or fill or.change in use, waterway and municipality] ® North arrow ® Scale is suitable to clearly show proposed structures and enough,of shoreline, existing structures and roadways to define its exact location.. ® Scale is stated & shown by graphic bar scale on each sheet ® :Initial plans may be printed on bond; final plans due before License issuance must be on 3mil Mylar. Structures and Fill : All Structures and Fill shown in full BLACK lines, clearly labeling which portions are existing, .which are Proposed and indicating Existing Waterways Licenses ®` Cross Section Views show MHW*and MLW*and structure finish elevations ❑' Dredge or Fill, actual cubic yardage.must be stated and typical cross sections shown All Structures and Fill shown in full BLACK lines, clearly labeling which portions are existing, which.are Proposed and indicating Existing Waterways Licenses ® Cross Section Views show MHW*and MLW*and structure finish elevations Dredge or Fill, actual cubic yardage must be stated and typical cross sections shown ® Actual.dimensions of structures(s)and or fill and the distance.which they extend beyond MHW* or OHW* ❑ Change in Use of any structures on site must be stated *See 310 CMR 9.02, Waterways Regulations definitions of High Water Mark, Historic High Water_ Mark, Historic Low Water.Mark,,and Low Water Mark. Note: DEP may, at its discretion, accept. appropriately scaled preliminary plans in lieu of the plans described above. In general, DLP will accept preliminary plans only for non-water dependent projects and projects covered by MEPA to address site design components such as visual access, landscaping &site coverage. Anyone wishing to submit preliminary plans must obtain prior approval of the DEP Waterways.Program before submitting them with their application. CH91App.doc•Rev.08/13 Page 8 of 13 Massachusetts Department.of Environmental Protection Bureau of Resource Protection.- Waterways Regulation Program,? x257289 Chapter 91:.Waterways License Application-310 CMR 9'.'00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment Appendix A: License Plan'Checklist (cost.) z - Boundaries Z. Property lines,full black.lines, along with abutters'-names,and addresses.. Z; Mean High Water MHW)*9 rdinary High Water(OHW)*, full black dine . ( Z Mean Low.Water(MLW)*, black dotted line; ( ..........:) ❑' ,HistoricMHW*or OHW*(- —) ❑ Historic MLW* ❑ . State Harbor Lines;:'black dot-dash line (-". — -)with indication of Chapter&Act. establishing them (Ch:., Acts of). t , ® Reference datum is National Geodetic Vertical Datum(NGVD) or(NAVD) ® ,,`Floodplain Boundaries according,to most recent F=EMA`maps ❑ Proposed &Existing Easements described in metes& bounds , Water-Dependent Structures a , ® Distance from adjacent piers;'ramps orfloats(minimum distance of 25'from'property line, where' 'feasible) ® Distance from nearest opposite shoreline ® Distance from outside edge;of any Navigable Channel r . ;;. ,.;': � , . '., "; ... E _ • , . , ® Access,stairs at MHW for.lateral public passage,-or 5 feet of clearance under structure at MHW. Non Water:Dependent Structures ❑�"Depict extent of Water dependent`Use Zone'. See Waterways.-Regulations at 310 CMR 9.51-9.53 for additional standards for non water-dependent use projects: . K Note Final Mylar protect site plans will,be.required upon notice the Department, prior to issuance of the,Chapter 91 Waterways License. - •f`s 91 CH91App:doc'•ReVA8/13 Page 9,o 13 f Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways.Regulation Program X257289 Transmittal No. Chapter 9.1 Waterways License Application -310 CIMR 9.00 Water-Dependent, Nonwater-Dependent;Amendment Appendix A: License Plan Checklist Cont. R eg i st ry Stadernent 31/2 inche 5 inche Locus map First S heet O nfy CID a - 2 1/4 inche 1 �Samp�Ie PI an `� 81/2 in ch e 0r R.LS stamp 3 Y4inch Plan accompany ing Pttikion of.... _ D EP Stamp s First Sheet Only 3/4 „ Border CH91App.doc•Rev:08/.1.3 Page 10 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection-Waterways Regulation Program X257289 Transmittal No.' Chapter.91 Waterways License Application 310 cMR 9.00 :s . Water-Dependent, Nonwater-Dependent,Am m endent 7 Appendix B: Dredging PermitPlan Checklist For.projects applying for dredging permits only, enclose drawings with the'General Waterways Application that include the following information l .< General View ❑ Submit one original of all drawings Submit the fewest number of-sheets necessary toadequately illustrate the';project on 8 1L2 inch X,11winch'paper: m r Fj A-1-inch margin should be"left at the top edge of each drawing for purposes of,reproduction and binding.,A 1/2 inch margin is required Mahe three other edges: .A.comp.lete title block on,each drawing submitted should.identify'.the project and contain:,the nam e of the'waterway;.name of the°applicant, number of the sheet'and,total number of sheets In the set, and the date the drawing was prepared 7 14, ❑ use only dot shading, hatching, and dashed or dotted brie to show or indicate`particu'lar;features of the site on'the drawings. ❑ If deemed appropriate.by the Department;certification by the Registered Professional Engineer or Land.Sur_veyor is included:... 5 w Plan View ',A i _ A :. ' ,`. ,S y.df•k to i �, - North Arrow t h ❑ ..Lbcus:Map ❑ Standard engineering.scale ❑ Distances from channel Ilnes:and structures If appropriate d ❑ Mean high water and„mean low water shorelines.(see definitions of`High Water Mark';and `°Low Jz Water Mark' at'31O;CMR9.02 C` 91 Regulations). r Dimensions of area:proposed;to be dredged or excavated ❑ Notation or indication of disposal'site. t. VolumeY;of proposed'dredging.or excavation 47 ❑, Qrdinary,high water,p3proposed4drawdown level,and natural (historic) high water,(for p.rolects ,loweringawaters of Great Ponds) Section Views' ¢ ? w ❑ Existing,bottorri`and bank profiles ° ❑ Vertical=and/orhorizontal scales ` ❑ Proposed and ewsting depth's relative to an indicated datum ❑ Elevation and details of control structure (for,prolects lowering waters of Great`Ponds) !4 s� CH91App doc­�Rev:,0.8/13 _ -Paged1<of 13 r. Y Massachusetts Department-of Environmental Protection. Bureau of Resource Protection.=Waterways Regulation Program X257289 Transmittal No. Chapter 91 .Waterways License.Application'-310'CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment Appendix C:.ApPlication,Com leteness Checklist Please answer all questions in the General Waterways Application form. If a question does not apply to your project write"hot applicable" (n/a)in that block. Please print.or type all information provided on the form. Use black ink(blue ink or pencil are not easily reproducible, therefore, neither will be accepted).:If additional space is needed, attach extra 8-.1/2" x 11" sheets of paper. Proper Public Purpose: For nonwater-dependent projects, a statement must be included that explains how the project serves a proper public purpose that provides greater benefit than detriment to public rights in tidelands or great ponds and the manner in which the project meets the applicable standards. If the project is'a nonwater-dependent project located in the coastal zone, the, statement should explain.how the project complies'with the standard.governing consistency of the policies of the Massachusetts Coastal Zone Management Program, according to 310 CMR 9.54. If the project.is located in an area covered by a Municipal Harbor Plan, the statement should describe how the project conforms to any applicable provisions,of such plan pursuant to 310 CMR 9.34(2). ® Plans: Prepared in-accordance with the applicable instructions contained in Appendix A-B of this application. For initial filing, meet the requirements of 310 CMR 9.11(2)(b)(3). ® Applicant Certification:All applications must be signed by"the landowner if other than the applicant. In lieu of the landowner's signature,the applicant may provide other evidence of legal authority to submit an application for the project site." If the project is entirely on land owned by the Commonwealth (e.g. most areas below the current low water mark in tidelands and below the historic high water mark of Great Ponds), you may simply state this in lieu of the"landowner's signature ® Municipal Zoning'Certification: If required, applicants must submit a completed and signed Section E of this application by the municipal clerk.or appropriate municipal official.or, for the initial filing, an explanation of why the form is not included with the initial application. If the:project is a public service project subject to zoning but will not require any municipal approvals, submit a certification to that effect pursuant to 3.10 CMR 9.34(1): ® . Municipal Planning Board Notification:Applicants-must submit a copy of this application to the municipal planning board for the municipality where the project is located. Submittal of the complete application to DEP must include Section H.signed.by the municipal clerk, or appropriate municipal official for the town where the work is to.be performed, except in the case of a proposed bridge,.dam, or similar structure across a river, cove, or inlet, in which case it must be certified b eve munic�pali Into which the tidewater of.said.river, cove, or inlet extends. Y every . . tY . ® Final Order of Conditions:A copy of one of the following three documents is required with the filing of,a General Waterways Application:.(1) the Final Order of Conditions (with accompanying plan) under the Wetlands Protection Act (2) a final Determination of Applicability under that Act stating that an Order of Conditions Js not required for the project; or(3) the Notice of Intent for the initial filing (if the project does-not trigger review under MEPA). ❑ Massachusetts Environmental Protection Act(MEPA): MGL 30, subsections 61.-61A and 301 CMR 11.00 submit as appropriate, a co of the Environmental Notification Form_ ENF and a , PY ( ) Certificate of the Secretary PY of Environmental Affairs thereon, or a co of the final Environmental Impact Report (EIR) and Certificate of the Secretary stating that it adequately and properly complies with MEPA; and any subsequent Notice of Project change and any determination issued thereon in accordance with MEPA: For the initial filin9, Y a only co of the ENF and the. PY Certificate of the Secretary thereon must be submitted. Note: if the project is subject to MEPA,the Chapter 91 Public Notice must also be submitted to MEPA for publication in.the"Environmental Monitor".MEPA filing deadlines are the 15th.and 30t'of each month. CH91App.doc-,Rev.08/13 Page 12 of 13 Massachusetts Department ofEnvironmentaIzProtecteon Bureau of Resource Protection Waterways Regulation Program X257289 Transmittal No. Chapter 91 Waterways.•License Application:-°310 CMR s.00 Water-Dependent,Nonwater-Dependent,'Amendment"` Appen"dix C: Applicatlon`Cornpleteness Checklist (cunt ) , TI Water.Quality.Certificate ;if applicable, pursuantto 310.CMR'9:33, is-'included. ❑ Other Approvals as applicable pursuant to"310 CMR 9.33 or,`for the initial filing a list of such . approvals.which must;be obtained k Projects involving dredging ❑ The term"drr�dging"•means the removal of,materials includmg,.buat not'limited to,.rocks; bottom sediments, debris,sand refuse',.plant or animal matter, in any excavating, clearing, deepening, widening or,lengthening;eithe�,,permanentI or;temporarily; of any,flowed' tidelands, rivers, streams, ` onds or other'waters of the Commonwealth. Drell in includes p, 9 ,9 = improvement dredging,;:maintenance dredging, excavating an backfilling or otherdredging ; and subsequent.:refilling Included is a completed and signed'copy of Part F`of the f application z 9 t Filing your CornpletediGeneral Waterways Application a • [M ,For all Water-Dependent`a 1 1 ations submit a completed General Vllatenvays Application ....'and all re wired documentation with.a hot6co q p pyaof both payment check and;DEP s Transmittal Form for Permit ApplicationPaymentto:.the appropriate Boston or regional office (please =< refer to;Pg 10 of the `Instructions afor the,addresses of.DEP Regional'.Offices). <❑ For all NonrLWatee-Dependent applications=submifa completed General Waterways k i Application and:all.required.documentation with,a photocopy of both payment check and DEP's ,' X.: Transmittal Form for Permit Application &Payment;to'DEP s Boston office Department:of Environmental"Protection'," r t w s avWaterways,Regulation Program `'One.:Winter Street` 'r r Boston, MA '021089, ry x z K -x � .,.,} �. �¢�., d „; ry .t� s ,.'.1k �xl � � _; _ ..Nr � �'. �. ., ,. '. .a-a f.,..• r a ❑ Application Fee Payment for'ALL Waterways Applications:'Send the appropnate`App ication fee*.(please;refer.to Page 1'"of the ":App ication'); in=the form of a check or money order;along with DEP?s Transmittal°Form for Permit Apphcation &Payment s` Department,of Environmental Protection a P 0 Box 4062 47 r , Boston MA'`02211e ' *Under extreme circumstances, DEP grants extended tlrne,periods for payment of license and permit application fees.-;If you qualify,,checkI e tio'x entitles"Hardship Request',on the '" Transmiita/Form for Permit Applicafion'&Payment:.See 3 I O,CMR 4:04(3)(c).to;identify x ~~ N ` procedures for:making:a hardship request:Send hardship.request and, supporting documentation g - to,the above address h ' ? " :fir 1 . ., } , NOTE , You=may befsublect.to a doub/e a,'plication fe'e,if your.application for Chapter 91, ° `butnorization results from an,enforcement action by the Department or another:agency:of the ,.• , Co.mmonwe.alth-or its subdivisions, or if your application.seeks authorization for an existing unauthorized structure br use. CH91App.doc Rev.08/13 X Page 13 of 13 c ':Docd= T r 228 P I01 138 09-2013 8:46 wx. BARNSTABLE' :LAi+1a ;:GOUF2T. REGISTRY 141 Massachusetts Department of Environmental Protection Provided by MassDEl' Bureau:of Resource Protection-Wetlands .MassDEP File#:003-5090 ' eDEP Transaction#:578594. WPA Fora!5= Order of Conditions Massachusetts Wetlands'Protection Act M.G.L..c.131, §40 City/Iown:BARNSTABLE A. General Information•: `s x 1. Conservation Commission + BARNSTABLE. 2.Issuance a 2] OOC b`}[_: x =Amended 00C 3 Apphcan"f Details a First Name ROBERT n. b,Last Name" ; LTITLETON- T t k c.Organization d._Mailing Address :23 HAYWARD RAOD e.City/Town CENTERVII LE f State MA g Zip Code 02632 _ { 4.PropertyOwner; y r: a.First Name ROBERT � ;' y b Last Name .LTI'I LETON c.Organization , <- } } L 1 d.Mailing Address 23 HAYWARD RAOD e.City/town CENTERVILLE / f State MA ' g Zip Code 02632 5.Pr93ect I ocahon; r a:Street'Address 23 HAYWARD ROAD b.City/Iown , BARNSTABLE , x c Zip Code f .t rt 02632 d:Assessors, 141 a P��l/I,o 123-001 f.Latitude 41 637N g.I:ongitude 70.35138W 6 Propertyrecorded at the Re t of Deed for f t a County b Cerfiticate C.Book P, ` d Page ' BARNSTABLE C 196845,LCP 13466-C, LOT 2 7 Dates x a Date NOI Filed 4/29/2013 b Date Public Hearing Closed 6/25/2013 c Date Of Issuance. 7/15/20,13 8 Final Approved Plans and Other Documents r a:Plan Title: ;b Plan:Prepared by c.Plan Signed/Stamped by d.Revised Final Date r.e.Scale:; . BAXTERNYE' REVISED SITE ;" ENGINEERING& STEPHEN A WII SON,P E 6/12J2013 r l�t 2 r PLAN SURVEYING a 0 ..i „ t , y r Page I.of'9*ELECTRONIC COPY D O36 a 21 + r r J Massachusetts Department of Environmental Protection Provided byMassDEP: Bureau of Resource Protection-Wetlands. MassDEP File#:003-5090 WPA Form 5 -Order of Conditions eDEP Transaction#:578594 Massachusetts Wetlands Protection Act c. 131,§40 Ll y City/TowaBARNSTABLE M.G.L. BAXTER NYE - SHEET 2 SITE PLAN ENGINEERING& STEPHEN A.WILSON,P.E. 4/23/2013 1"__20' SURVEYING B. Findings 1 F_:iniangs;pusuantto the Niassachusets_W�tlands Protection Act Following the.review of the the above-referenced Notice of Intent and based on the informnation 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. 17 Public Water Supply - b. Land Containing Shellfish c.C Prevention of Pollution d. L_! Private Water Supply e. [J Fisheries f.•rl Protection of Wildlife Habitat gf 1 Ground Water Supply, h. G Storm Damage Prevention i. r Flood Control 2 Commission.heN.-Y." s the pr9Ject,as-proposed,rs Approved subject to: a.n 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.D 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. a D 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 10.8(6)(c). 3.C" Buffer Zone Impacts:Shortest distance between limit of project disturbance and the wetland resource area specified in 310CMR10.02(1)(a). a linear feet p Inlafnd Resource Area Impacts(For Approvals-Only) =, Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement a hnear feet b hnear feet c linear feet d linear feet 5.F Bordering Vegetated Wetland y' a.square feet b.square feet C.square feet ' d square feet Page 2 of 9*'ELECTRONIC COPY h Massachusetts Department of Environmental Protection -Nvided by MassDEP. Bureau of Resource Protection-Wetlands MassDEP File#:003=5090 WPA Form 5;-Order of Conditions 4 t DEP Transaction.#:578594= Massachusetts Wetlands Protection Act M.G.L.c: 131, §40 ity7Fown:BARNSTABLE 6 r Land under Waterbodies anti Wateiways 11 11 s^z a square feet b tsquare feet c square feet d squarefeet e d 'dredged E Cy dredged _ - y 7 rBordering Land Subject to Flooding a squarefeet .bqrfeet square feet .`d. square feet Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet k ;h cubic feet,. 8 r Lsolated Land Subject to Floodtng ` g a square feet ti b squareTeet CubicxFeetFlood Storage :� ��4 �,.F r � � c cubic feet d cubic feet a cubic feEt "f cubic feet 9.r River&ont Area a.total sq.feet b.,total sq.feet Sq ft within 100 c.square feet F: d square feet e..square feet t f square feet Sq ft between.100-2001 a `g.square feet h.square feet., i.square.feet .square feet zj Coastal Resource Area Impacts ' � x' k r r 4 Resource Area Proposed Permitted Proposed; Permitted,; "Alteration" Alteration ..Replacement Replacement 10:r Designated Port Areas � Indicate size underhand Under O below the Bean, z . 11.❑Land Under the Ocean a square feet b square feet c.c/y,dredged d.c/y dredged 12 r Bamer Beaches Indtcate size under Coastal Beaches and/o Co r astal Dunes below I3=ri'Coastal Beaches . a.square feet b.square feet .c cly:nourishment d.cly nounsfirn t Coastal Dunes x � 15.r = t a`square feet b squarefeet c ficlynounshriient'd c/y naunshment Coastal Banks t. J y a linear feet bilinear feet n i 16 f-Roc �Intemdal Sho s �' � ' t :. • '• ky . re - a.square feet b square feet '', square feet b.square feet c square feet d..square feet L8 r Land Under Sa1t.Ponds r ? t Page 3 of 9*.ELECTRONIC COPY 3, r ' r , s Massachusetts Department of Environmental Protection Provided byMassDEP: Bureau'of Resource Protection-Wetlands MassDEP File#:003-5090 WPA Form 5-Order of Conditions eDEP Transaction#:578594 Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 City(Town:BARNSTABLE a sgnare feet b squarexfeet t t M' 19 .�Land Con Shellfish Containing a.square feet b.square feet c.square feet d.square feet Indicate size under Coastal Banks,inland Bank;Land Under the 20 r,F�sh Rims Ocean,and/or mIan nde�Waterbodies and Waterways, dLand U c cJy dredged d c/y dredged 21.r7 Land Subject to Coastal Storm Flowage a square feet b.square feet 22 t 1-1 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 [—.'Stream Crossing(s) If the projeci 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 l. 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 pemuttee 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,bit less than five years,from the date of issuance.If this Order is intended to be valid formore 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 Page 4 of 9*ELECTRONIC COPY r x Massachusetts Department of Environmental Protection 'Provided by MassDEP: _ Bureau of Resource Protection Wetlands MassDEP File#:003-5090 WPA Form 5 -Order of Conditions '" eDEP Transaction#'578594 . r - Massachusetts Wetlands Protection Act M.G.L.c. 131,140 City/Town:BARNSTABLE but not limited to lumber,bricks,plaster;wire,lath,paper,cardboard,pipe,.tires,ashes,refrigerators,:motor vehicles,or parts of any of the foregoing. A wE .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 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. .- 1.0. 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" for MassDEP"] File Number:"003-5090 I L' 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 specialconditions_referenced in this order.44. 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 rightto 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 until all disturbed area_s 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 Commissio whichreserves•th n, a 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) l ; is not(2)R1 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 Ehmination.System Construction General .emit 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 Page 5 of 9.*ELECTRONIC COPY r=: Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-5090 " WPA Form 5 - Order of Conditions eDEP Transaction#:578594 Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 City/Town:BARNSTABLE 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 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 dig 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.l9(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: I.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 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 l) 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 Page 6 of 9*"ELECTRONIC COPY Massachusetts Department of Environmental Protection . ,ProvidedbyMassDEP: Bureau of Resource Protection Wetlands MassDEP File.ion r` WPA Form 5 -Order of Conditions eDEP Transaction#s7ss9a Massachusetts Wetlands Protection Act M.G.L.c.'131, §40 City/Town:BARNSTABLE MassDEP Stormwater Handbook,Volume 3,•Chapter-T;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 lie withheld.Any fencing.constructed around stormwater BMPs shall include access gates and shall be at least.siz inches above grade to.allow for wildlife passage. Special Conditions: D. Findings Under Municipal Wetlands Bylaw or Ordinance I• Is a municipal wetlands bylaw or ordinance''applicable?r Yes 1_i No 2• The Conservation Commission hgghAcheck one that applies a. C DENIES the proposed work which-cannot be conditionedao meet the standards set forth in a municipal ordinance or bylaw f 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. .APPROVES the proposed work-subject to the following additional conditions.. 1.MunicipalOrdinance or Bylaw r TOWN OF y , . BARNSTABLE 2.Citat►on S.237-1 237-14 - 3. The Commission orders that all work shall be performed inaccordance with the following conditions and with the Notice of Intent referenced above.To the extent t iat the following conditions modify or differ from the plans,spedfications,,or.other proposals submitted with the Notice of Intent;the'conditions shall control The special conditions relating,to rn n ctpal'ordmance or bylaw are as follows SEE PAGES.7.I,.7.2;AND.7.3 M1 Page of.9*ELECTRONIC COPY, �1 SE3-5090 Name: Robert Littleton Approved Plan= June 12,2013 Revised Site Plan by Stephen A.Wilson,P.E., and April'23,10.13 Sheet 2,Site Plan by Stephen A.Wilson,P.E. Special Conditions of Approval - h Preface Caution: Failure to comply with all Conditions of this Order of Conditions may result.in serious consequences. Such consequences may include issuance of a Stop Work Order,fine(s),the requirement to remove unpermitted structures,requirement to re-landscape to original condition,the inability to obtain a Certificate of Compliance,and more. The General Conditions of this Order begin on Page 4 and continue on Pages 5 through 7. The Special ; Conditions,if necessary,are contained on Pages 7.1,7.2 and 7.3 All Conditions contained herein require strict compliance. . II. Prior to the start of work,the following conditions shall be satisfied: 1. Within one month of receipt of this Order of Conditions,and prior to the commencement of any work approved herein,General Condition Number 8 (recording requirement)on Page 4 shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s), and the project contractor,to ensure that,all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions-and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission Drior to the start of work. 3. General Condition No.9 on Page 4(sign requirement)shall be complied with. 4. The Conservation Commission shall.receive written notice one(1)week in advance of the start of work. 5. The Natural Resources Department shall be notified at least twenty-one(21)working days prior to the start . of work at the site,to inspect the areas for shellfish., If deemed necessary by the Shellfish Constable, shellfish shall be removed from the work area to a suitable site and/or replanted at the locus following construction. The foregoing measures for shellfish protection shall ensue at the expense of the applicant. Page 7.1 - - + f M. The following additional conditions',shall:govern the project once work begins. .r• 6: General Conditions Nos. 12 and 13(changes in,plan)on Page 5 shalllbe;comph d with T. The Conservation Commission,itsaemployees,'and`its agents shall have a right of entry to;inspect.for" compliance with the provisions of.this Order,'of Conditions: } 8. Unless extended,this permit is valid for'three:years_from:the date of issuance. 9. Salt marsh'shall not be disturbed. IJ 10. Pier decking over the salt marsh shall be grated;allowing maximum light penetration The remainder shall be 3/4"spacing. k 11. Work shall occur during the offwseason-only m October 15 through May 1: 12. No dredging(including but not limited io effects of propeller wash)is permitted herein.,Deepenings the berth by.propeller scouring is strictly prohibited under.this Order. 13.. The seasonal floats shall be stored at a suitable upland site: Floats shall.not,be stored on banks,beaches,.:' marshes or dunes. 14. Permanent piling shall be driven into place: Some initial pilot hole jetting is'allowed .• The following special conditions(in italics)shall'govern boat use at the approved pier These z u ti z x : ' conditions shall continue.over time Note for purposes of this Order of Conditions,the term"pie'rti w shall refer not only to the linear pile-supported structure,but also to any of its components or r� ` appendages,such as the float(s),ell,tee,.ramp,outhaul.pihng,etc 15. .Boats shall only,be berthed:at the float. y 16. No boat shall be used or.berthed at the approved pier such that,at any,tune, less than twelve(12) inches of . "water reside between the bottom.of the boat or the propeller in.the full downward position whichever is lower-and the top of,the substrate. w 17 The boats approved for berthing atahe float are. 1) Sportcraft"360 LOA 38';.Beam'12 ;Draft 1'and, 2) Regulator 36-LOA 26 Beam 8 6 '`Draft 27 r � r Pa`e.7.2 r y g �h .. . . w Y hi; - - - -� 18. A small sign shall be displayed at the end of the pier. It shall read SE3-5090; 23 Hayward Road Limitations: ! Allowed boats: 'Sportcraft 360;Regulator 36 • Berthing bow-in only • Overhang only 5 feet beyond float • Props 12"above bottom,all times 19. Berthing shall be bow-in only. 20. Berthed boats shall not extend more than five feet channelward of the float,inclusive of the outboard engines. 21. Any desired pier lighting shall receive prior approval of the Conservation Commission. 22.. Lead piling caps shall not be used. If plastic caps,only black shall be used.' 23. Upon notification by the*Conservation Agent,an identifying symbol shall be painted on the pier to indicate `r its category of allowed boat use: 24.' Adjacent approved piling shall be used exclusively for tying up.boats at the float,and not to raft additional vessels. 2.5. Work on the pier shall ensue mid-tide rising to mid-tide falling,or as otherwise necessary to provide a minimum twelve-inch'(12")clearance for the work barge above the substrate. Iv. After all work is completed,the following condition shall be promptly met: . 26. .At the completion of work,or by the expiration of this Order,.the applicant shall request in writing a Certificate of.Compliance for the work herein permitted. Barnstable Conservation Commission Form C shall be completed and returned with the request for a Certificate of Compliance Where aproject has been completed in accordance with plans stamped by a registered.professional engineer,architect, landscape architect or land surveyor,a written statement by such a professional shall be submitted, certifying substantial compliance with the plans,setting forth what deviation(s),if any,exists with.the approved plans. This statement,along with Form C,shall accompany the request fora Certificate of Compliance. Page 7.3 c x a. t Massachusetts Department of Environmental Proteetion Providedby:MassDEP r Bureau of.Resource Protection.-Wetlands MassDEP File#:003-5090 Ll WPA Form 5 Order of Conditions "° eDEP Transaction#:578594 Massachusetts Wetlands Protection.Act M.G.L.c;'131 §40 I, Cityffown;BARNSTABLE E. Signatures w i �` + t 9 # i r This Order is valid for three years from the date of issuance,unless otherwise specified y 7/'15/2013 F.. *,r pursuant to General.Condition#4 If this'is an Amended Order of Conditions;the Amended. Order ex ires on the same date as the on Y' 1.Date of Original Order P ginal Order of Conditions:'�- . Please indicate the number of members who will sign this form:This Order must be signed by, 5 t 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 apphcant.'A copy also muse 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'J. applicant apP_ s x , ° Signatures: SCOTT BLAZIS w 7i Y DENNIS R.HOULE`. ; 'IODISE R FOSTERS, FAT PIU(TOM)LEE r } IOHN E:ABODEELY �- .. = N ��:,� � •�, ,, � � ,���� �;,Y r by'handdelivery on r by certified mail,return receipt requested;"on r M M Date' > $ Date 04 F. Appeals ' k } The applicant;the owner,any person aggrieved by this Order;any owner of land abutting'the land subject to this Ord&,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 a ro riate film"fee and a com feted R ' PP p e p eq lest forDepartmental Action Fee Transrtuttal Fomi,as provided m 310 CMR 1003(�within ten busmess days'from the date of issuance of this:Order A:copy of the request shall at;the same time be r ' sent by certified mail or hand delivery to the Conservation Commission and to the applicant;if helshe is notthe'appellant p Any appellants seozing to appeal the Departrrrent's.Superseding Order associated with this appeal will be required.to demonstrate prior participation in the review of this.project Previous participation in the pemut proceeding_means the submission of written information to the Conservation Coimnission prior to the close of the public hearing,requesting a Superseding"Order,'or providing written informati1.on to the Department pnor to is of a Superseding Order:. s :The request shall_state clearly and concisely the objections to the Order which is being appealed and how.the Order does not b contribute to the protection of the interests identified in the Massachusetts Wetlands'Protection Act(MG.L.c.131,§'40);and is s inconsistent with the wetlands regulations(310 CMR:10.00).To the extent.that the Order is based on"a riiunicipal ordinance or bylaw, and not on the Massachusetts'Wetlands Protection Act or regulations,the Departrnent has no appellate jurisdiction: f " Page 8 of 9*ELECTRONIC COPY r �r• ♦ � ° N •,�'� i3 a � � r 1 , �.4' �"yM� "� axe. 5... _ - 4 Massachusetts Department of Environmental Protection mft ided b MassDEP; :Bureau of Resource Protection -.Wetlands sE3- O '70 WPA Form 5= Order4of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Barnstable City/Town E. Signatures Important: This Order is valid for three ears unless t When filling out y otherwise specified as a special �U� g 1 � 2013 conditio n pursuant to General Conditions#4 from the date of issuance. 1.Date f forms on the o Issuance e computer,use . Please indicate-the number of members who will sign this fort: 'CL� only the tab key This Order must be signed by a majority of the Conservation Commission. 2.Number of Signers to move your cursor-do not The.Order must be mailed:by certified mail (return receipt requested)or hand delivered.to use the return the applicant. A copy must be mailed,:hand delivered or filed electronically at the same y time with the appropriate MassDEP Regional Office. reb _ • ' Signatures: .by hand delivery on ❑ by certified mail, return receipt JUL "�16 2013 Lrequested,on te, 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 of Departmental Action Fee'Transmittal Form, as provided in 31.0 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. ` 1 The request shall state clearly and concisely the objections to the Order which is being appealed and tiow the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(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: wpa5sigs.doc- rev.02l WO10 Page_of— v w Massachusetts Department of Environmental Protection Provided by MassDEP: B ureau of Resource e Protection-Wetlands ands MassD EP File#i003_5 0_ 90 , r' WPA.Form 5 Order of Conditions eDEP Transaction#a78594 i Massachusetts Wetlands Protection Act M.G.L.c. 131;,§40 Gyty/Town:BARNSTABLE . G. Recording Information . This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which h 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 hand subject to the Order of Conditions.The recording information on ; this page shall be submitted to the Conservation Commission listed below. BARNSTABLE s ' • Conservation Commission , Detach on dotted line,have stamped by the Registry of Deeds and submit to the Conservation Commission- ..................................... ..............: .......• BARNSTABLE k: Conservation Commission Please be advised that the Order of Conditions for the Project at: , r 23.HAYWARD ROAD::, 003-5090 t Project Location MassDEP File Number' Has=been recorded at the Registry of Deeds of:' County Book Page for. t. rt Property Owner ROBERT LITTLETON and has been noted in the chain of title of the affected ro P petty ui. Book page In accordance with the Order of Conditions issued on. - - 1 Date If recorded land ,the instrument number idenrifying this transachon'is: Instrument Number If registered land,the document number iden. hfymg this transaction is: Document Number 9 BAR b t AbtC�REGISTRY OF DEEDS r Signature of Applicant x�.anno10 z A TRUE�OPY.'A1TES . dCHN Page 9 of 9*ELECTRONIC COPY BARNSTABLE REGISTRY OF DEEDS "` UILDIIVG ADEPT JAN1.3 2021 , Mr. Brain Florence OFBARNSTABLE " Building Commissioner a Town of Barnstable ., 200 Main Street Hyannis, MA 02601 D'ecembe`r 2$, 2020 Dear Mr. Florence, I reside at 23 Hayward Road, Centerville. On February 7,2014 1 was issued a building . . permit to begin the first phase of my plan to reorganize my three-bedroom home by relocating 4 ,my home office to the second floor to allow expansion of the first floor bedroom into a first floor master.bedroom for retirement.The second phase was to add a dormer for a room in the area that is the cathedral ceiling above my living room I completed the initial phase of the work i _' >• with all 'required inspections on the first floor in2014 and would now like'to begin phase-two on the second floor. <. I have attached elevations'and floor plans which show both the current state of my home and my plans to add the'dormer.,Please note that design for the construction of the dormer:conforms to all required setbacks`; is not visible by any abutter;does not modify;impair } or obstruct anyone's water view; is consistent with the "cape cod" style architecture prevalent ' in the neighborhood; is below the roofline of the ridge of my current structure; does not add lot r; coverage as no deck area or modifications outside the existing footprint are being proposed; and finally, would not add to the number of bedrooms existing at the time I purchased the y 4' home.All three bedrooms shown on the plans are on record with the Board of Health.;. As I am planning on performing the work with a friend I would appreciate`it if you could. advise me on the next steps required to obtain a ilding permit.Thank you for.your'assistance..*. s ' Robert F. Littleton Jr. Po 23 Hayward Road Centerville,.MA 02632 508-59&3641(Mobile) littletonhsmc @amail.corn. r enclosures: Plans ProposedDormer 23'Hayward Road,Centerville' 2-1 •. -' '.. a ua a Rt yyi. r k • x. s r4 r t 3 • c Y a s , t. a w , Ro r r S kr 71 1 l a TH ESE PLANS HAVE BEEN DRAWN ACCORDING TO HIGH QUALITY STANDARDS AND %- '+ Cape CAD PROPOSED ADDITION FOR: o�REGuwTIONSANDLOCALBUILDINGCODESREOUIREMENTSVpR�, DAS SCALE EXISTING ,-„ SUCH MAY REQUIRE CHANGES THE BUILDING CONTRACTOR MUST REVISEANO " } LITTLETON RESIDENCE GOVERNMENTAL AND/OR BUILDING CODE REQUIREMENTS. CURRENT ,y ..NONE. _ � GOVERNMENTAL AND/OR BUILDING CODE REQUIREMENTS. " CAPE DESIGN WILL NOT ASSUME LIABILITY FOR MISHAPS BEFORE,DURING,OR O 23 HAYWARD ROAD L Design n - — - AFTER THE USE OFTHESE PLANS FOR CONSTRUCTION. e� _���� • - Y CJ ■JM■ `' n� NOTE. "DATE: CENTERVILLE, MA'' THIS HOME PUN HAS BEEN ORIGINALLY DRAWNBY CAPE CAD DESIGN AND ISITSELUSIVE (� PROPERTY ANY REPRODUCTION IS STRICTLY FORBIDDEN UNDER COPYRIGHT LAWSAND 01/04�2021 969 MAIN STREET SUBJECTS THE OFFENDER TO LEGAL ACTION. OSTERVILLE,MA SOMECOUNTIES MAY REQUIRE ADDITIONAL ENGINEERING SPECIRCAT16NSAND PLANS, a 508-280-7074 't Dc5i ner: Patrick Rimm ton EXISTING FIRST- FLOOR1JIMUL F I - DECK PLATFORM , .. - DECK '---I---------- �- SHED ILED I ecl �ILIVING/DINING ROOM Co 7CATHEDRAL CATHEDRAL CEILING r lI ROOM C EILING a A ' _ p • FLOORTO Re¢pfN� xOOM�• I ' I ROT.". M � . ff,Dx�xfl�,+T KITCHEN , m «I MASTER BEDROOM 1 __— ol� _—_ t1A0xflblig�'- - s uT I - I 4 I h I Cis I - �L I ,J W/D— Cape CAD PROPOSED ADDITION FOR: PRECTICESSE NDAVEANACC BEEN AWNACCORTOBUIDING TO MIN CONSTRQUALM UCTION. STANDARDS PRACTICES ANTARE AND LOCAB6UIDEG CODES EQ CONSTRUCT ION.HOWEVER, SCALE. DRAWING NUMBER: TOTAL REGULATIONS AND LOCAL BUILDING COPES REQUIREMENTS VARY,AND AS LITTLETON RESIDENCE ENSURE YTHHISECHANGEA THE PLANS CONFIRM TO ALL MUST REVISE AND A /�11 __ f EUCH MAYRE LIRE ENT THE BUILDING CONTRACTOR ACTOR CURRENT 1/ 1 GOVERNMENTALAND/OR BUILDING CODE REQUIREMENTS. CAPE CAD DESIGN WILL NOTASSUME LIABILITY FOR MISHAPS BEFORE,DURING,OR Design 23 HAY WARD ROAD AFTER THE USE OFTHESE PLANS FOR CONSTRUCTION. ----- CENTERVILLE, MA THIS HOME PLAN HAS BEEN ORIGINALLY DRAWN BY CAPE CAD DESIGN AND IS ITS EXCLUSIVE DATE. PROPERLY ANY REPRODUCTION IS STRICTLY FORBIDDEN UNDER COPYRIGHT LAWS AND Al 969 MAIN STREET SUBTECTSTHEOFFENDER TO LEGALACTION. 'I/O/.4/']O�� OSTERVILLE,MA SOME COUNTIES MAY REQUIRE ADDITIONAL ENGINEERING SPECIFICATMUS AND PLANS O1 L 508-280-7074 ,11 Dcsi ner: Patrick Riminciton EXISTING SECON-Df LOOR r Ir ql , LEGEND '� OPEN.TOISTFLOOR®TO BE REMOVED "DECK m I - . . � t I �I "H I OFFICE - d EOOu ��: � I BEDROOM 2 _ I n nosTr - - .. sue. .I LrtE 1 1 L__J UNFINISHED SPACES II '` r II 11 � I, Cape CAD THESE PLANSAND HAVE BEEN DRAWN CURATE CCORDTO BUILDING HIGH QUALITYSCONSTUTANDAROS AND PROPOSED ADDITION FOR: LOCAL REGULATIONS ANDLOCATE GUIDE DINGCO CODES UIREM NTSWAN.NOWEVER. SCALE:, ORAWINGNUMBER: • LOCAI RFQILATIONS AND LOCAL BUILDING CODES REQUIREMENTS VARY,AND AS SUCH MAY REQUIRE CHANGES.THE BUILDING CONTRACTOR MUST REVISEAND ,,.E QII LITTLETON RESIDENCE ENSURE WITH HIS CLIENT"AT THE PLANS CON FORM TO ALL CURRENT 1 v it GOVERNMENTALAND/DR BUI LDI NO CO BE REQUIREME NTS. / Design 23 HAYWARD ROAD CAPE CAD T14EUSEO WILLNDLANSUMFUAWLMPoRMISHAPSBEFORE,D RING,OR AFPE THEESEOF THESEPLANSFOR COBILITY FOR NOTE DATE: CENTERVILLE, MA THIS PLANHRODUCTONISSTRIYDRAWNIDDEN UNDER COPYRIGHT ANG'.IVE PROPERTY ANY FFENDRTO EGALAICTLY FORBIDDEN UNDER COPYRIGHT LAWS AND 01/04/2021 f�jC�MAIN STREET SUWFCTS THE OFFENDER TO LEGAIACf]ON. OSTERVI LLE,MA SOME COUNTIES MAY REQUIRE ADDITIONAL ENGINEERING SPECIFICATIONS AND PLANS, 508-280-7074 De5i ner: Patrick Kimin ton r t . f� I E 77 y q MbL CAD THESE PLANS HAVE BEEN DRAWN GUIDE TO BUILDING NIGH QUALITY ONSTR STANDARDSION. AND HOWEVER, SCALE: PROPOSED Cape �1.�® PROPOSED ADDITION FOR: LOCAL EGULATONSANDLOCABUILDING CODES REQUIREMENTS IREME TS VAR NOW EVER. • LOCAL SUCH MAY Y REQUIRE CHANGES.TH E BUILDI 1NB CO0EBREACTOR UTSVARY,AND LITTLETON RESIDENCE ENSUREYIHHISCLIEWTES.TNEPLASCONFORRMAUCURRENTSEAND NONE ENSURE WITH HIS CLIENT BUILDING NE PLANS CONFORM METO ALI CURRENT ELEVATION ����O GOVERNMENTAL ANO/OR BUIlO1Nfi WOE REQUIREMENTS. `^ CAPE CAD DESIGN WILL NOTASSUME LIABILITY FOR MISHAPS BEFORE:DURING,OR Design 23 HAYWARD ROAD AFfERTHEUSEOFTHESEPLANSFORCONSTRUCTION NOTE` DATE: CENTERVILLE, MA THIS HOME PLAN HAS BEEN ORIGINALLY DRAWN BY CAPE CAD DESIGN AND IS ITS EXCLUSIVE PROPERTY ANY REPRODUCTION IS STRICTLY FORBIDDEN UNDER COPYRIGHT LAWS AND 01/04/2021 . 969 MAIN STREET .. - SUBIMTHEDFFENDER TO LEGALACTION. OSTERVI LLE,MA SOME COUNTIES MAY REQUIRE ADDITIONAL EN63NECONG SPECIFICATIONS AND PLANS 508-280-7074 De5i ner: Patrick Riminciton PROPOSED*' FIRST FLOOR ' ^I DECK PLATFORM L—J— T— DECK ,------------- z ` SHED d aILIVING/DINING ROOM _ m c L CATHEDRAL CEILING J 'r] BON USROOM mi w a°se CATHEDRAL CEILING"- Z .... A s,.o I _ o � srn�rzs oo�m wuz► � - _ To easE.eur RooR O O z I ' m mwT�aE� i NI MASTER BEDROOM I - IEA�°°xE�oRT9s 1 � Tt(-------O - L L�, tL� W.I.C. �__ W/D �� THESEC PLANS HAVE BEEN DRAWN GUIDE TO BUILDING NIGH QUALITY STANDARDSDM1RDSAND PROPOSED ADDITION FOR: LOCAL REGULATIONS ANDLOCA B ILDING CODES REQUIREMENTS IREME TSI N.HOWEVER, SCALE. DRAWING NUMBER: Cape IAUIL REGUlATIONs AND LOCAL BUILDING CODES REQUREMENTS VARY,AND YS LITTLETON RESIDENCE INSURE SUCH ITHHI CLJENTGES.TXEPLANS GCONTRTOALL URRENTSEAND E/^„ _ 1, ENSURE Y REQUIRE CHATTRATTXE BUILDING CONTRACTOR CURRENT 1 VX GOVERNMENTALAND/OR BUILDING CODE REQUIREMENTS. Design - _ CAPE CAD DESIGN WILL NOT ASSUME LIABILITY FOR MISHAPS BEFORE,DURING,OR ----_ 23 HAYWARD ROAD NAF OTE R THE USE OF TH ESE PLANS FOR CONSTRUCTION. l THIS DATE: CENTERVILLE, MA PRO MYANLANRAS UCT ON ISST IC DRAWN BIDDEN NDERC COPYRIGHT LA ITS PROPERTY ANY REPRODUCTION 15 STRICTLY FORBIDDEN UNDER W PYRiGNi LAWS AND 969 MAIN STREET SUBTECTS THE OFFENDER TO tEGAL ACTION. 3 O JO T/Z O[. OSTE RVILLE,MA SOME COUNTIES MAY REQUIRE ADDITIONAL ENGINEE W NG SPECIFICATIONS AND PLANS, 508-280-7074 Desl ner: Patrick Rimm ton r _ PROPOSED SECOND FLOOR. = 1 - AI LEGENDe I NIBEDROOM3al EosRowo 7DECK _ NEW WALL ' 1 ❑NEW/PROPOSED A I I I •q I.OFFICE BEDROOM 2 I - - L__J UNFINISHED SPACE k. THESEPLANS NAVE BEEN DRAWN ACCOROINGTO HIGH QUALITYSTANDARDSANDSCALE, DRAWING NUMBER PROPOSED ADDITION FOR: Lea aLATIONAN N�I":TBUILDINs OBUILDING DES REQUIREMENTS VARY,AOP'T SCALE: SUCH MAY REQUIRE CHANGES.TH E BUILDING CONTRACTOR MUST REVISEAND P II — C� V CAD LITTLETON RESIDENCE ENSURE WITH HIS AND/OR BUILDING ODEREONIORMTO ALLCURRENT 1/8 1 .' GOVERNMENTAL AND(OR BVI LOING CODE REQUIREMFNTS. CAPE CAD DESIGN WILL NOT ASSUME LIABILITY FOR MISHAPS BEFORE,DURING,OR Design 23 HAYWARD ROAD AFTEATHEUSEOfTHESEPUNSTOACONSrRUCTION. J MA' NOTE, DATE: CENTERVILLE, TN IS HOME PLAN HAS BEEN ORIGINALLY DRAWN BY CAPE CAD DESIGN AND IS ITS E%CLUSWE PROPERTY ANY REPRODUCTION IS STRICTLY FORBIDDEN UNDER COPYRIGHT LAWS AND 4- ^/ 969 MAIN STREET SUIO TSTHEOFFENDERTOLEGALACrION. O1/O�/�OL1 DSTERVILLE,MA - SOME COUNTIES MAY REQUIRE ADDITIONAL ENGINEERING SPECIFICATIONS AND PLANS, 508-280-7074 D 5i ner: Patrick Rlmm ton PROJECT _ NAME• ADDRESS: PERMIT# � I `-f O S�7 Lo 3 PERMIT DATE: q It 's- 114 , MT: l -o s 7 LARGE ROLLED PLANTS ARE IN: BOX 1 SLOT Data entered in MAPS program on: ti i BY: / q/wpfiles/forms/archive w ' I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # l l Health:Division 2ION S P -2 Arl Datedssued L n �,�tIZ Zo13 Z �.j Conservation Division QI c. S F 3-S� �U.; �%VS,.013 Application Fee BElf Planning Dept. 1z- Rerwit Fee Mk Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner I Address Telephone .Permit Request phot Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio- 1� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including bathe): existing new First Floor Room Count 1 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No �etached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Ye ❑ No If yes, site plan review # .�. e Current Use Proposed Use 20�2/r /; APPLICANT INFORMATION (BUILDER OR HOMEOWNER)_, Name /�� Telephone Number Address License # a, _14 �:;� & Home Improvement Contractor# Worker's Compensation # O—Nyok)f � ALL CONSTRUCTION DEBRIS RES LTING FROM THISPROJECT WILL BE TAKEN TO SIGNATURE � DATE fhlj V 4 E t ' FOR OFFICIAL USE ONLY e APPLICATION# ` DATE ISSUED T VIAP/PARCEL NO. s s ADDRESS VILLAGE s OWNER ' y DATE OF INSPECTION: FOUNDATION i FRAME Y _ r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING Cal L2`I'Ll�fi- r + DATE CLOSED OUT ASSOCIATION PLAN NO. i 27ie Cvj=7omvwM gfMassachra ft r �e�la�t of I�uiAs 14t✓cide�r • e•itf,�ixvest�aitioras 600 Wm gtolF Street $os&w MA 02 wmv masmgmldira Warkeve CampensafiunInsuranceAffidavit Builders/E<antracturs/Eiechi.cians/Plvmbers Information 1jease Print Leeibly Name 03ug �yfstat : �"v ale Cti Are you sit employer. Checkthe opriate bo= T of o'ect(required): ,%Ili am a employer Wittt�� 4. ❑ I am general contractor and Z -E New 3 employees(full amVbrpart4ime)* nave hiredthe 2.❑ I am a sole proprietor orpartner- listed on the attached sheet y- ❑R I emodeling ship$ad have no employees These sub-contractors have g- 0 Demolition. wading far me in any capacity: employees and have workers' 9 ❑Buildmi g addition [NO workers' Comp.in�e comp_ingrain-I 5:. We are a corporationand its 10.0 Electrical repairs or additions 3.❑ I am a hamev'wner doing all work offirers bmT exercised their 11.0 Plumbing repairs or additions myself[No workers'CDMp- sight of emmptioa per MGL 12-El hoof repairs a 152,§1(4} and we hEM no inritrnnre required_]F 13_Q Othrrr ` effiployee s:[Na workers comp.insurance mquired.1 *Aay�P tthatchedsbos;flnmstalso5AonttinesecdonbeIowshnatiagflteaworkea'compens&doupoULTinR=zd= Homeowners who submit ih s sf d2vA md1cmtiag they are domg:II vm&end t—bkr-e trntside contra rs T vam:dt a new afdx&mdirsthn guilt m lC=bm rs lhst check this box mast attached as additional sheet sbVwh3g the name of fe mb-om&2ctoa and state whether orwt fltnsE enrKes have employees. If the sob-contractors bwe empltryees,the}MUst pmvide theT warkTre tamp.policy number. .tam err employer thatis pr�rtddirig�varkers'cotr>pRrzsxdio.n ittsr�rartcs for my etr�Inyeas. Below is fhepw&y rend job site in�armt7li�n. Insurmce Company Name: PoR y ff or Setfins_Lio ;# ( 'D 7 �� f F �,� — Fxp isatiosl IJ ate: Job Site Address: / Cify1'5tatelT.rp: Afkach a'copy of the workers'compeusatwn poliL4 declaration page(showing the policy number and expiration date). Failure to secure co-verage as required under Section,25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1.500.Od and/or one-year impHsaament as well as teal penalties in the form of a STOP WORK ORDER.and a fine of up to V-50-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of lurestigations of the DIA for e v ge yUMEcation_ I do Faere4r it tka t rdp n es flf uxy thatfhe irzfo nzatian primed a . e is. and correct tare: Bate: Phone#: 0 idol rigs aryl Da Trot writs in fads area,to be eaurpietetd by city or Lawn of 4'c&L City or Town. Pmmiub Ucense If Issue Authority(drde one): L Board of Health 2.Building Deparbnent 3.Citv,It'awry Clerk 4.Electrical Easpector S.Ptawbmg Inspector 6.Other Contact Person: Phone 9- 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for ttizIir employees. Pummntto this statute,an employee is defined as"__.every person in the service of another under any contract of hire, express or implied, oral or writtan." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a j oint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than are apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do mak tenaace,construction or repair work on such dwelling house or on the grounds J building appurtenant tlieretD shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every-state or Iocal licensing agency shalt withhold the issuance or rreae-al of_a license or permit to operate a business or to construct buildings in the�commonwealth for any applicant'vvho ha''s'not pi d&i ed acceptable evidence of compliance viitti the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their ceri ncate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees;a policy is required.. De advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of in cr�ce coverage. Also be sure to sign and date the affidavit. The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lore. City or Town Officials Please be sure that the affidavit is complete and printed legibly.'The Department has provided a space at the bottom of the affidavit for you to fill out in the event the'Officeof Investigations has to coot ct you regarding the applicant Please be sure to fill-in the permit/license number which w77.be used as a reference number. In addition,an applicant that rE st submit mul le permit/license hnations in an iven~ear,rie_-d oul y submit one affidavit indicat n current . , . � �P P aPP � � Y� , Y � y g polity,information.(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked bythe city,or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT requhrd to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call ~` 4 The Departmeat'sladdress,telephone and fax number: The Comma wcw lth of Massachus�tts Depai#me�f c if a al Accidents " } Gff ice of kvesdgatims 600 Washingtou Street Gaston,MA 02111 Td.#61 - 7-4 40 6 or I47M F=# 617-727-7749 Revised 4-24-07 - F .m=;gov/dia Rightfax N3-2 7/7/2014 6:54 : 35 AM PAGE 2/002' . Fax 'Server i DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/0712014 TMM4EFITIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT , NAME: MURRAY&MACDONALD INS PHONE FAX 550 MACARTHUR BLVD (A/C,No,Ext): (A/C,No): E-MAI L BOURNE,MA 02532 ADDRESS: 277XS INSURE R(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA GILMORE MARINE CONTRACTING INSURER B: INSURER C: INSURER D: P O BOX 586 INSURER E: COTUIT;MA-02635t -- _ _.: ' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB I POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MIADD\YYYY) LIMITS GENERAL LIABILITY EACH,OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED. - $ CLAIMS MADE [:]OCCUR.. PREMISES(Ea occurrence) L. ED,EXP(Anyone person) $ .� PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ i AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY.AUTO' H LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ . (Pe(accident)" NON OWNED AUTOS ; PROPERTY DAMAGE $ (Per accident) I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-0702N153-14 07/01/2014 07/01/2015. LIMITS ANY PROPERITOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS _ THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER-- - ""' + CANCELLATION TOWN OF BARNSTABLE BUILDING DIVISON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE N DATE THIEREOF, 200 MAIN ST IN ACCORDANCE WITH�HE POLICY PROVISNONS.OTICE WILL BE DELIVERED= AUTHORIZED REPRESENTAQ*VE p' HYANNIS,MA 02601tp t lw ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. Town of Barnstable °^ Regulatory Services Le, _ Thomas F.Geller,Director. '4, 'b'� • Bi iding Division '0ji�ram'' _ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508:790-6236 Property Owner Must Complete and Sign This Section # If Using A Builder ;as.Qvinet.ofthe:subject.ptop ._--......,ell . hereby authorize . �� � G%�'����'.-. . ... :..to`act on my.behalf,. in all.matters relative to Work authorized hp this building-pe=it-application-for: (Address of Job) Signature-of Owner D to Print Name . n:enoa r�:natlnrstvcrv�rteern*r ... Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Super isirr License: CS-068433 GEORGE R GILI$O PO BOX 940 - = COTUIT MA 02635 -," — Expiration Commi§sioner 08/10/2018 Unrestricted-Buildings of any use•group which t contain Icss than 35,000 cubic feet(991m3)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code Is cause for revocation of this license. For DIPS Licensing information visit: www.Mass.Gov/DPs �e rpom�maanulealli�i a� auae%7a e4ZN Office of Consumer Affairs&Busidess ReguI lion ME IMPROVEMENT CONTRACTOR Wxi, egistration: T�3494 Type: iration: ,2/2$%2i)15,i Private Ca"t4tii more Marine Contract{ng;II George Gillmore 37 Bowdoin Rd M+pee,MA 02649 Undersecretary Al -— -- ------....... e ist�ation valid•for mdividul use only j bef6re the expirafion dater If found return to: . ,Mfice of Consumer Affairs and Business Regulation ht 10 Park Plaza-Suite 5170 Bost!!kMA 0211,E I ' t valid i out signature C� ylZ�l�2-d,04C a-oa Town of Barnstable *Permit# Expires 6 months hjue,ote Regulatory Services Fee MAM 9 1 10� Thomas F.Geiler,Director �DMA'tA Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �� - ` � Property Address )i esidential Value of Work .b L Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address %!A4 Contractor's Name) I Telephone Number s Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) (J A _n l=c IT ❑Workman's Compensation Insurance Check one: APR 2 0 2012 ❑ I a sole proprietor the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Lie--side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.3"5)#of windows *Where required: Issuance this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro Owner must si Property Owner Letter of Permission. A c p of the Hom provement Contractors License&Construction Supervisors License is req d. SIGNATURE: Q:\WPFILES\FORMS\building permit formsTYPRESS.doC Revised 051811 i The Com monnwahh ofMassachusetts Department o,f Industrial Accidents 09we of Inm#gations 600. Washington Street Boston,MA 02111 nmumamgov/diu Workers' Compensation Insurance Affidavit Bmlders/ContiactarstFlectricians/Plumbers Applicant Information Please ErhAle.mbly Name Musmefttkpnizzhomlt &viiduajD- N Andress: 1 c City/state/zip. V1.gvo 0 Phone# C caji Are you an employer?Check the appropriate boa: Type of project(required): 4- I am a contractor and I 1-0 I a�a employer with. ❑ general 6. New construction employees(full and/or part-time),* have hired the sub-conhwtors I❑ I am a sole proprietor or barber- listed on the attached sheet. 7. ❑Remodeling These sub-contractors have _ ship and have no employees These ❑Demolition working far me in any capacity. employees.and have workers' o workers'comp.insurance coautp_i„a...gnc�.I 9. ❑Building addition .] A ❑ We area.corporation and its M❑Electrical repairs or asps 3-EVI am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No worloers'cramp_ right of exemption per MGL 12.❑Roof repairs. in surance E c.152, §1(4�and we havepo ,� � employees.[No workers' 13.51(5ther c insurance unreel. gip'- ] '�iay appfics�that checks box#1 mast also fill out the section bellow sboaing they vm ers'compensationp�y informvtioa !cameo wanes who submit this aftidna u dicatimg they sne doing all wmk tad them hue outside comhactms nmst suba it a new affidavu indicating such. TContractors that check this book roust scum am additions]sheet showing the name of the sub-canusUm and state whether ara_of those entities have employees. If the sub-cau=ots have employees,they musk lrmvide their worker?comp.policy number. I am an emphUw that is providing workers'coetlrerrsadon.insurance for arty engAgjva. Betow is the policy and job site innfor>nalixm Insurance Company Name: LA Policy#or Self-ins.Lic.4: Expiration Date: Job ate Addr€ss: Cty/StatelZip: A#tach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lewd to the imposition of criminal penaltiesof a fine up to$1;500-00 and/or one-hear `sue as well as civil penalties in the form of a STOP WORK ORDER and a fine' 1ofup to$250. a day agar the v late. Be advised that a copy of this statement may be&- rwarded to the Office of Investiga- o the DIA for insl4ce coverage verification. I da hereby c under theDdfli a that the ignfotmatimproW&dabove is true and correct $i Phone#:., 01?0 cial use only L Do not write in this area,to be completed by city or town official City or Town: Permitff kense hSUing Anthority(circle one). 1.Board of Health 3.Building Department 3. /ro wn Clerk L.Electrical Inspector 5.Plumbing Inspector fi.Other: Contact Person: Phone#• 6 l BIKE Town of Barnstable Regulatory Services BMWSTABM Thomas F.Geiler,Director NAM. 1639. •`� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA.02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: fA �J number street village "HOMEOWNER": e y name home phone#" work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor: DEFINITION OF HOMEOWNER i f,,t :'• Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,,or,_is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one. home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official-on a form acceptable to the Building Official,that he/she shall be responsible for all such work performedunder'the buildingpermit�(Section - 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. , Th ersigned"hom er"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pr es and re u' ents and that he/she will comply with said procedures and requirements., { Signature of Homeowner V. Approval of Building Official Section 12ote:7.0 Three-family ion dwellings containing 35 000,cubiic�feeet or larger will be required to comply with the State Building-Code g g � F M1 1 _ HOMEOWNER'S EXEMPTION - The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions.of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as"supervisor." �s v Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the• permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC Revised 051811 • EAItNBTABLE, • 9� 1639. ,� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Buildings Divisi n Thomas Perry,C O Building-Commis oner 200 Main Street, Hy s,MA 02601 www.town.barns ble.ma.us + 1 r Office: 508-862-4038 1 v~+ i � Qr'f�X9156i!1790-O6230 Property caner Must Complete an Sign This Section If Us'ng A Builder L zA $ q V\'� as.Owner of the subject property . hereby authorize to act on my behalf, in all matters relative to work authorized by this building%=naitplication for: (Adhress f Job) Signature of Owner Daie Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the . reverse side. Q:IWPHLESTORMSUilding permit fOrmsIEXPRESS.doC Revised 051811 PROJECT D NAME: ADDRESS: Cam` (�c✓c..L Y�-�. ' PERMIT# PERMIT DATE: l' M/P: LARGE ROLLED PLANS ARE IN: BOX l SLOT G3 l Data entered in MAPS' ro ram on: p g BY: S ILI { r . 1 q/wpfiles/forms/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel S-7 Application# J)/`rt Health Division Date Issued y Conservation Division Application Fee Planning Dept. - Permit Feed Date,Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis � Project Street Address 14ov w (4"n Q,hAenz C_ :Village zy j`� 4 _Owner ��� �• ���� Address 23 .Telephone y25 -���-� 6�' ( cwll�• U�- �F�Z�? �i �� �.l--�y �` Permit Request Square feet: 1 st floor: existing 1 154roposed& e2nd floor: existing S$proposed 63mV$_1_T0ti&ew Zoning District - Flood Plain Groundwater Overlay k-4' Project Valuation CK-0 Construction Type w ocx� Lot Size 2 y,0 S Grandfathered: ❑Yes ❑ No If yes, attach supporting document ion. Dwelling Type: Single Family 11 Two Family ❑ Multi-Family (# units) w �+ Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: ❑Aes ®'No Basement Type: &'full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ftJ 12_-�-7i Number of Baths: Full: existing 'J new Half: existing v — new Number of Bedrooms: 3 existing 0 new fix, � (9°� Total Room Count (not including baths): existing new (D First Floor Room Count 4 1 NCB 1 G.N Y���S�t)•/e� �� Heat Type and Fuel: &as ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes UXo Fireplaces: Existing 2 New Existing wood/coal stove: ®'Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: misting ❑ new size _Shed: ❑ existing ❑ new size Z Other: 0m iocd eboYw Zoning Board of Appeals Authorization ❑ Appeal # N Recorded ❑ Commercial ❑Yes Rlo If yes, site plan review# Current Use P-ILIS \A ki'A Proposed Use APPLICANT INFORMATION r-� (BUILDER OR HOMEOWNER) Name �W\. r Telephone Number to -31 0 Address I `� License# �e)yo.� ot.x3 `4 L n 4MM �Su�� °j�� "4-110� Home Improvement Contractor# Email 9 � �� �W' Worker's Compensation # s�.. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 5 �� I FOR OFFICIAL USE ONLY APPLICATION# J DATE ISSUED ' l MAP/PARCEL N0. ADDRESS VILLAGE -- OWNER I DATE OF INSPECTION: FOUNDATION FRAME INSULATION ® aodl FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL . FINAL BUILDING ?Jl DATE CLOSED OUT - I ' ASSOCIATION PLAN NO. S i F w T7xe�tr�srrtoarx€�i3t a�'Massae.�reset#s ftwhawt affudmiridAccidenft - - Office OI " Magaadens 600 Wkyhingtnn>"reet Bostarj,,MA 02111 wmv.rnasmgovfdia Worke& CampensaflonInm-anceAffidavit:B/u-ildersfCantractorsMectdciansOumbers Applicant Information ��� , + } Lu� yV�l�� Please Print legibTy Naiaie(B=neWOrganizatii n W: 4Z.6 6'Z,� �.:;1� �JVv744, ' Address--,Z3 C CityfstatrJZip:- 61 , u ► �(,e.. ° Phone Are you an employer?Check the appropriate bo:c: T of o'ect r 4.' I�siu a ctmiractor and �_ Pz' 3 ��exInirecij: 1! ❑ I am a employer wifih �0 I ti_ =&Ii-9 onsfrcx#iou full and/or * havehireslthesub-eantFactozs. employees{' part�rme�. 2_❑ I am a sole propfietor or partner- listed on the attached sheet +_ ship and have no employees These sub-contractors have g- ❑Demolitiau working for me in any capacitlr employees and have workers' 9. 0 Building addition . [go workers'comp-hisura=e comp-insurance$ 5. Fj We are a corporation.and its 10 D Electrical repairs or additions 3.L�'fa; as homeovsuer doing all word officers bare c=cised their MOTlumbing repairs or additions r ,! myself[No warlrera' P right of exemption per MGL I2�Rfjaf repairs in c_15Z§1(4),and we lutena s umice required.]F 13_0 Other employees [No Workers' cOm13_If1SRL3nCe IegtIlfEY3.f * Y sgPS�aE tbzt chedLs bawl nmst also fM outthe sactioa b9ow showier;their wa¢ite��compeasatiau pnit�i nn Hnnteowners wbo submit this affidami t ind lCat3SYg they are doing RIE ifo c and ffieu hfre ozdside contractors amsi submit a new:afdnit induating surlL 'tbmLb:acmts that check this box must attached i+a additional sheet sboismg the name of 6e WI-c:u&xtors and state whether brunt ihnse Mffses have, empkD ees. If the srik-contmctms bare empIcryee%they gut provide tkdr workers'comp.policy awnhez lam an employer that isgizr►idYkg workers"cotrpRrrsrrtfan irmarartce for my employees Betnrr is StegnFic}artd job sits informatwIL Insurance CompauyName: Policy#or Self-ins-lie_9: ExptratlonDate: Job Si. --Address: City/Statelzip: Af#ach a copy of the wGrkers'compensation policy] declaration page(show.mg the:policy number and e3piration date). Failure to swareca erage as requiredunder Section.25A of MGrL c.152 can lead to the impositiim ofcriminal penalties of a fine up to$I,500.00 and/or one year impHsozment,as well as civil penalties in ihe foraf of a STOP WORK ORDER and a fine of up to$250-00 a ay against the violator" Be advised that a copy of this statement maybe fhrwarded to the Office of Iftve;stigations of I Dill;for coverage raciffcatitn- I do hereby aerli a ' s an enalt'ias ofper�irty thatthe irefonrrationprotddedabm e" true unrf.correcf- tore: Date: Phone ik Off E -aL u-ra on y. Da irat iptAg in this area,to be completed by city or town officiaL City or Town: PesinitUceuse# Issuing Authority(circle one): 1.Board of Health 2.Building Departtneut .CiVrown Clerk 4.EIectrical Inspector S.Plumbing Inspector 6.Other Coahct Person: Phone#: 6 Information and Instructions :- { Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract ofhire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other Iegal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,-or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or.Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)slates"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." ------------ Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-coatractor(s)name(s),address(es)and phone number(s)along with their ceri_ficate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,'are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of iagu auce coverage.- Also be sure to sign and date the affidavit The afTdavit should be returned to the city or town that the application for the permit or license is being requested,not the Depar meat of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-ins rrance license number on the appropriate line. ' City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition;an applicant that must submit multiple permit/Ecense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address;telephone and fax number: no Commanwealth of Massachusats Depattmeat cif lid al Acci mitts office of kvestigatxaus 600 wasungtoa Street Bastin=MA G2111 Td.A 617 727-4900 at 406 or 1-9 MA��WE_ Revised 4-24 07 Fax# 617-` 27- 49 w .mas,-,,gov1dia Town of Barnstable ^ _ Regulatory Services - • ' - of Z To�ti Richard V.Scali,Interim Director Building.Division } mxns-rasrE Tom Perry,Building Commissioner d4 1.6 ��� 200 Main Street, Hyannis,MA 02661 ' 16, www.town.barnstable.ma.us •r o Qffice: 508-862-4038 Fax: 508-790-6250 7. {: HOMEOWNER LICENSE EXEMPTION - Please Print DATE: I n 1 TOB.LOC?. Cam.\fit v V lXJ number et village -_ j.- tt=! "HOMEOVINER :> y�• J U�r J 1���(� _I y�Y name home phone# work phone# CURRENT MAILING ADDRESS: 113 W J city/town "state �. zip code The current exemption for",homeowners"was extended to include owner-occupied dwellings of simunits or less and to allow homeowners to engage an individual for hire who)does not possess a license,provided that the owner acts as supervisor. DEFZNTITON OF HOMEOWNER Persons)who owns a parcel of land,on which he/she resides or intends to reside,on which there is,or is intended to be,a one or tvvo- e family dwelling,aftached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two;year period hall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form `• acceptable toWthe Building Official,,that he/she shall`lze responsible for all such work performed under the building permit. (Section 109.1:1) The undersigned"homeown&- assumes responsibility,,for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations., The"dersipedwner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection ° proents andthat he/she will comply with said procedures and requirements. Sign�L �Appi-oval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. is s HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do suck,� work,that such Homeowner shall act as supervisor." ' Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious prcble4s,p"articuTarly when the homeowninhires unlicensed persons. In this case;our Board cannot proceed againstAhe unlicensed person as it would with a licensed Su"pervisor. The homeowner acting as Supervisor is ultimately responsible. , , � � To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit applieation;�that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is•a form currently used by several towns. You may care t amend and adopt such a form/certifcation for use in your community.- �1HE joky Town of Barnstable o� ' Regulatory Services • * �axsrwaaE. Richard'V.Sca1i,Interim Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete.and Sign This Section If Using A Builder as Owner of the subject property hereby,authorize to act on ray behalf, in all matters relative to work authorized y building permit lie ess of Job) **Pool fences and the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date i V ro' ry GA� d AICHARD -A A $AX EA LOCATIo�,j i lac.ni_.tr 111_ 4o' I Ps/1 CGiZTt{='4 Tt4AT T141= i-OoO"DA`ncQ 5"ow►J Pt-A►.J RGPEV,E►4c_e 'NEQUOt-1 CC.VAPL-YS W ITN Ti-AG -SIDE L_l"C AWt> SETUAC4 VC-QUI2ENLirWTI -TO Vv w OP tt hJ T A t-t r ..¢. 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Sykes Professional Land Surveyor P.O. Box 442 Land surveying &Construction Layout Tel. (508)477-4511 Forestdale, MA 02644 Cell(508)783-8265 Eastboundland@aol.com September 3, 2019 Mr. Bob Littleton ) 23 Hayward Road Centerville, MA Re: Report: Zoning issues for your proposed accessory structure. Upon a thorough review of the The Zoning Bylaw (sec240-131) and analysis of my topographic survey, I am challenged to regain the optimism that we had after the meeting with the Town planners. In order to bring you up to date with my progress, I have attached a copy of the relevant bylaw and a print of the topographic plan as it stands. The r e p op rty lies within the Craigsville Beach District (CBD), and more specifically, within the neighborhood known as the Craigsville River North Bank (CRNB). The zoning bylaw sec 240-131 breaks down the bylaws by parts, ie 240-131.1 is Purposes and Intent to the CBD as a whole, but sec 240-131.7 details the Neighborhood Overlay Regulations, part G being the CRNB specific regulations. Sec 240-131.3, definitions, applies to both districts and those definitions contain basic rules such as: • Building Coverage is the percentage of a lot covered by principal and accessory buildings and decks exceeding 100 sf. • Lot Area used for zoning compliance shall be other than land under water nine months or more in a normal year. My opinion is that this refers to land above mean high water. This gives you 28,218 sf of lot area as determined by survey. • Lot Coverage, the percentage of the lot covered by impervious surfaces. F • There are several other definitions that should be understood. Sec 240-131.4, CBD Use Regulations, both districts • A (1) Any use not expressly allowed is prohibited. • D (1), your proposal of an accessory building is not allowed 'by right' • D (2), therefore you are required to apply for a special permit. Further you must conform with the standards and guidelines set forth in the CRNB overlay district as set forth in sec 240-131-7. • D (5) you may not increase lot coverage over what is allowed in sec 240-131.6 Sec 240-131.5, CBD dimensional requirements ' • See table, 15' sideyard setback etc. zoning analysis.doc a,� w 4 Sec 240-131.6, coverage limitations table t ) I' • Based upon my survey, your lot contains 28,218 sf of area used for zoning v compliance. The table allows maximum building coverage of 2300 sf plus 4% of lot area over 20,000 sf(329 sf) or 2629 sf maximum allowable building coverage. Sec 240-131.7 Neighborhood overlay regulations' • D (1) The (CRNB) development"complies with the setbacks,and lot coverage requirements set forth in the CBD regulations Sec 240-131.7 (G) is the CRNB specific regulations • 1 (a) Single family residence. Or plainly, Accessory Structures are not specifically allowed and therefore prohibited (sec 240-131.4 (a)1) - Then there is the lot coverage issue. Your house, deck anCan reas, II existing, are well over the 2629 sf ceiling. The proposed garage will be sf over that. don't understand how that group of Town Officials could have been so sanguine as to overlook the obvious here. It was the whole purpose of our meeting with them. Am I missing something? Sincerely, Robb Sykes, LS AV . I V f " e � .�•. `. � , ��� �� � � ,� � � t ,_ .. ,,, a�. 1100 ,y e.W 2A0 � a00 law 20.w MOD ON 1 7 O SM ,Q aDo O 8.00 yo �� Z� aoo MOD sEcnoN z 00 a 8. 200 am law MOD SEcnoN.3 - SECTION DETAIL V PROPOSED 3 CAR GARAGE W/ 2ND STORY ],• APARTMENT �v AND DECK ,,43 m 51"R RS`� LIN da FLOOD ZONE AE(EL 12) \ ZONE CBD-CRNB YARD SETBACKS 20'-F, 15•-S&R 'vAnO 1O�( ASSESSED LOT AREA 30,056 SF. WgiWM AREA GR 5 yyI' EX FOUNDATION F007PRINT AREA 1862 SF Mtn uo Dw AY R wKs LOT COVERAGE(FN)=6.2R ov M mvexvious AWA !1`r- - LOT COVERAGE(DECK B FNDN)=9.4X CA c c COVERAGE AREA AVAILABLE-1683 SF(41 ) tat COVE ME ZONING EXHIBIT MBLU 186-057 HAYWARD THIS PLAN HAS BEEN DRAFTED FROM GIS at& 2CENTERWLLERMAD AND REGISTRY OF DEEDS SS IS I UNTENDED FOR PLANNING PURPOSES ONLYRoca DATE:a-za-tsRMATION. IT JOB FCPP '-DRAVNrM SCALE: 1�=30 SYI(ES DWG. ls4t NSTBOUND LAND SURVEYMC, INC. C 4 _ isT P.O. BOX 442 ROBS SYKES, P.LS. DATE LLAxO FORESTDALE, MA 02644 508-477-4511 ',.°`•"`,> T0VM-0F BA NSTAJ3 Permit"No ulding Insp Bi ector, �I I Cash _� i �C.CUPANCY PERMIT ? Bona --- No building..nor structure shall be~erected, and:no land, building or structuresiall be>«, used for.,a new;�different, -changed,'or enlarged 'use :without a Building Permit<therefor 3 first having,been obtained.from'the�Building Inspector-: No-building shall.be occupied unt>l a ,certificate of occupancy has been.,-issued by the Building .Inspector." Issued to �N'b"F{la:3i G o shack., r Address . - 5 ay �a ., �oa t23 .H &jyy lle': Wirin Inspector:g' (V'c4'- 7 i 'G'!✓v4r . Inspection date Plumbing.Inspec tor Inspection'date, ` j Gas Inspector. �. { .- A Inspection•date Engineering Department �- Inspection date THIS PERMIT-WILI: NOT BE VALID, AND THE.BUILDING .SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON, SATISFACTORY. COMPLIANCE .WITH TOWN REQUIREMENTS. v . Building Inspector 186-57 sse sor's map and lot- umber ......... 79) 429 im t ........................... . Sewage Permit number .. .. Housp Number #23 �FtNeTo�� TOWN OF BATS RE EAND 'B"ISTADLE, i Sao 1639. ,.� BUILDING- INSPECTOR , ' 0 YPY Ik• w°.J:;tCT TO .APP-a0VAA O3 Z" SAW;TABLE CONSERVATION ' ' Build new redence ..•..•COMMISSION .•...•....•. ' APPLIi4TION FOR PERMIT TO ................................................ "" "" TYPEOF CONSTRUCTION W.9.P.4...frg o... ............................................................ ................. ............... Jul .... c-.-.j R-+ng.� pra'.,y.:a •.,r.,�Ms/h,C;:a. _ - ,y �3 r..,`..+* The undersigned herebyn' applies for 'a permit according to-the following information: Location Lot #2 Haynard Road, Centerville� Mass. .. .................... ......... ........ ......... .. ,! ProposedUse ....... esAdence........................................................................... ...................................... . ..................... Zoning District ....R 1 ...•....................Fire District C,"entervi11e-0stCTville . Thomas G. Shack Jr. Washington D.C . Nameof Owner ...........................................�... ......................Address ................................/.................................................. Name of Builder The••Barc18y Corporation Address • 131 Old Post Rd.�Centerville,Masso Name of Architect The Barela� Corporation Address ..131._.Old Post Rd..XCenter�v311e_t...I�ass . Number of Rooms Rine (9) .............r' Foundatfon Poured Concrete Exterior ..............Wood R.S. Pine Roofing ............... Qh81t.......................:. .......... . . ........ . ............................. ........6................ Floors Wa.11. -.to.-wall. ...car•Pet................... interior Dr"all.......................... .. .... .... .......... .. ....... Fieating ............................. ...Plumbing .............. 4YO...BatYis......................................., Fireplace ....Approximate Cost �63t225.00 P YeS......................................... ......... .... .................................................. 977SP 1st i;o Definitive Plan Approved by Planning Board ________________________________19________. Area 504SP -...2nd fire �� .. Diagram of Lot and Building with Dimensions Fee ' Q SUBJECT TO APPROVAL OF BOARD OF HEALTHYV gyp a i 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above i construction. Name ^� TY�e Barclay Corporation N' ........ . y... Permit for ........two .,��Ivi, ._ 5rgle family dwelling rs ............ �' S Location r 23- Hayward Road I.............................. 6 .; Centerville N ' ............. E:+ C—+ E-t 0 Ovner Thomas G. Shack, Jr ' frame ro 1 ° r Type ox-Construction ....................................... � �, r, Ca tR GJ t� u Is..............................................................:.. I .:..e t� '-i q cr) Q � 'Plot Lot ...........�� e ............... o 0 1 P.) ` a � t+ V . � ti r Octi;;ber '2.9 :l 7 Permit Granted ;., O Dat��f Inspection `' —19 �4 Date Completed .... '+19 C"! 1 S3 'ice' PEP-MIT REFUSE® � �y t •' y -1 z^ .. t...............................M:..... 19 � - ;/44� ............ zl- n vu ;. f3 CM) 0 w Z� a Y tea, Appro ��' ...................; ........... 19 '' j ................ ......10............................. ................................................. i 1 5 �': ,,,�, . '•}+fi,-yf r �-,:�e -p 6 f j X� t.: Sa3'3 ' 1 A'ssessor's map and lot,number 186v57...... ......... .,... �G; -• �_ �` :. Sewage Permit number ..429 ..................................... Housn Number `23. , HE TOWN B9BHSTABLE; �p 16 3 q \00BUILDIM, INOPPfi:�T 0 a APPLICATION:FOR:PERMIT`.TO .:... BuAl�. ne.w residence .TYPE OF CONSTRUCTION ..........,..................................:..................:..................:................................:................ .....................uly..�.........:.... TO THE „INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: L•ot #2 Hayward ,Roads Centerville, :Mass r Location ............................................................... ....... .................. ..........:.................................................................... Re6idence Proposed Use ............................................ ............................................................! ................................................:: Zoning District .:...RD-1 Fire District ......C:enterVille.0sterville .. .................... ............... o Th6mas G c Shack, it ..................Address 1ashiri ton.. DCName ......... ... .... Name of Builder .The .Barclay Corporation • Address ..131 Old Post Rdv ,Centerville;Mass Name of Architect T.he. Barclay Corporation Address ...131 Old Post Rd o.,Centervi-lle, Dilass . .. ...........:................................................... Nomber of Rooms ......Nino (9) ,Poured: ConcretE ...........................................::..............Foundation ................... .... Exierior fit'+Qt�d R.S. Pine Roofing :..............'ABphal.t................................... ..... ..................•... ................... ............ Floors ';°all- to,-wall carpet Interior �T'y?,�1'all......................................................... ................. ..... TWo Baths Heating ........................... ..................... .............................Plumbing .........:........................................ i Fireplace .... .......YeS...................:..................... Approximate Cost;K og2 .......: 25 Ut? ......... ............ .. 977SF 1st flr Definitive Plan Approved by Planning Board --------------- --- 9 - -. i Area 504SF..:�:..2nd...fi 1r, Diagram of Lot and Building with Dimensions. Fee SUBJECT- TO APPROVAL OF BOARD OF HEALTH r -• I hereby agree to conform to all .the Rules and Regulations of the Town of Barnstable regarding the,above construction. ' Name /`�'C-P! � :. � ...5. z �'r...«� G` The B�rcla.y 'Corporation w 1 _ . . __,_ _ _ �. a, • '.-.: - . 1. i�.­1.�"­..�I,I�-e.��''..;"_.-"-�,-:.I.1'.,I�..�.,.'...-.1..i1,-,''"�;.��I,.."'1"��f.1i'�!il��i;'�';e".l_c-_"..7'.�"'";.I��,"'�"'--:..­�"'",�-�-�'-.." mas. G Jr . . A-186- . Shack Tho _ 5T, - - F . . y , a , . ,, .:� ; ,;- t" '.K t «. - i:`, - r _ " '; . r �� ,.• Ft ,t"' f.w a 2176 o' 7:7 No ...:...-1 ....:;Permit for .': s s R s .�. ...., ..-.,. , .,f �,, 4:d llin ,. - �in le, ,anvil .. - we _g r. _.-Y bs- .I __ _ x - - - µ : ; „ .. ' .:,,r , ' ',23.�Ha ward Road Y Location ........::.._ • - r <- ,, w. ,: �. - r i Centerville „ " :f: - ,-,,, :, .......:....... ... •' . , >a „> . t i : -,,. . .': .. r •` - .. 'r }. - - '� 9- - Thomas:•G. Shack,,Jr ' . . 'r., ,. 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Assessor's map and lot number ....186-5,'7..... .� 1C 2"wage Permit number ...........(19.)...42.9......................... 1WU$j C01WPL� 9TADLE, i House number ..................#2.3............................................... �III�p�OmwENT�LE 6� CODE 9,o Mb 9 11® ' a M0 a` TOWN OF TIOPJ$ BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...m.ak.e...2nd. . ...Story...on. exiat. . . injs.,.�ara e.................................. .. ... .. .. .. .. .. ....... . .. ....... ........ .. TYPE OF CONSTRUCTION ..................W.O.Q.41 .Frame........................................................................................ November„14.,..................1979.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...LQt..#2...ligyv rd...RQaa...,q...... .....................:................................................... Proposed Use .... Q 9.1AMA0....-..Dex1-S.tudy................................................................................................................. Zoning District .......RD.-3........................................................Fire District ..C.CIS.t.erville?n0St.er..ville.................. 5119 Dalecarlia Drive Name of Owner ..Thomas G. Shack Jr. Address Bethesda Maryland 20016 .................................................... 131 Old Post Road Name of Builder ...The. Bar,Clay Corp.,....................Address ,.Centerville,:...MABS o ................................. .Name of Architect .........Same...............................................Address .................Ulm....:..................................................... Numberof Rooms .........Q..ne..................................................Foundation .............................................................................. Exterior .............Sid...dine....................................................Roofing ......AS.PNK1t... hinglv...4.................................... Floors ................................Interior .....AX'Y OL.1..1.........................Pak................. .. Heating ...... ....................................................................Pfumbin g ................................................................................ Fireplace .......Approximate Cost $9 000.00 Definitive Plan Approved by Planning Board _______________________________19________. Area .2.0.1 X. 201 Diagram of Lot and Building with Dimensions Fee ......................- SUBJECT TO APPROVAL OF BOARD OF HEALTH i T I hereby agree to conform to all the Rules and Regulations o f the own of Barnstable regarding the above construction. The Barcla_y/Corp. Name .. ....• ....... s�� ��............. e � . r Shack, Thomas G. Jr. 1 No 21833•„•.. Permit for Add..2,nd••.f- loor•••t-o F � .................... ............................................ ' { r I Location IQ.t..#2..Hayward..Rd....................... ' ... .................................. Owner ...... tomaa..G :.Shack. Type of C`nstruction f YP p ........frame....................... t r, r� $ � 1 ,Plot ............................ Lot ................................ J , c �u Nov. 1[ 79 Permit Granted ................................. 19 Date of Inspection .. 5� Date Completed 62✓... �..`a19 t PERMIT REFUSED • ,y �, r� _, .............................. ....... 190 V. ... %............................._................ (fl I� f'r1 > .............................................. i 4j rW 5 t J ......� .. ✓ ........................ .................!. y Approvedr'......` ...................................... 19 ................ ......................................................_... } .......... t L T Assessor's map and lot number ...... .. ......... E T H t0 .. / i;_ i ter_ `,� f I Sewage Permit number ...................,....:•............................... BABHSTADLE, i ' House number .................. ?R'a............................................... �I 'ac MAGIL 0 MAX a'e TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..mEk a...2nd Story on existing ara b TYPE OF CONSTRUCTION ..................A01.0.d....F..r:;F ...............:r ............................................................. ' .... November 14, 79 ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �r Location ... _ .... ................................. ........................... ... ProposedUse ... .................................................................................................. r Zoning District M-nl .........Fire District 5119 Dalecarlia Drive Thomas C Shack Jr. t�ethesda 61arY1and 20016 Nameof Owner .....................................................................Address �!. ... ................................ .131 61d Post Road dame of Builder ...the Barclay...C.o.rp.....................Address .. vjg.a Mas s ........... . Nameof Architect .IA.W...............................................Address ................S.athe.......................................................... Number of Rooms .........One, ................................................Foundation Exierior ...............T, Plne Roofing ..... st�ht��t h 1� �B ............................q.PA.................................... Floors p;zk ...........................................................Interior Drmnl.."........ R. Heating . *t,rti.. Plumbing Fireplace .. .....................................Approximate Cost $9 s OOG»00 Definitive Plan Approved by Planning Board -------------------_-----------19________. Area 20. 20 t Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. The Bare lay ,Corp , Name ... °"ae.... ............................................................... c '�' ��.:. •..,�:., -' 'F �. is 9,.: '.:e ._ ,t?,.. > .: , ,�... ...- ..�.i... , ,,a •,.. .. ... ,. !: .. � ,._. Shack, Tbn0ao G. Jr. . 21833 Permit �'- -----.. --..^--.. .. . . . ----- ........................................ Locatio ^-------. .~~� ______.0 Ile________---.. Thomas Q, � .',- of Construction_ ---._— ° . . � P| Lot . , - Date of Inspectio.. ......./.............................19 ~~'~ Completed .......................................1 ' PmRxmnx REF)SED ^ ---' V ' .............................. — . — —.. ---. . � « .�J —.L—.. ' _. .. '� ..... 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APPROXIMATE ALIGNMENT OF DREDGED CHANNEL IS BASED ON z 'REACH#2, MAIN CHANNEL,'CENTERVILLE RIVER, COUNTY OF'BARNSTABLE, �. 0 R DEPARTMENT OF DREDGING, DATED FEBRUARY 2, 2006" AND IN COMPARISON W' WITH.SOUNDINGS CONDUCTED ON OCTOBER 3, 2012. a o Z ATE LOCUS MAP N.T.S. SHEET 1 OF 2 P L A N V I E W ROBERT F. LITTLETON, JR. - 0 20 . .40 JULY;'19, 2013 ISM N. SCALE: 1' - 4 u=2.0 N lb' Jv 9 LAWN /5:9 J.3 Z$ N 1�tiO ,y BRUSHLINE K-0.8 ^ / O C� x 61 F. _. x-3.4 / BOAT 3:7 Al RACK k-4.5 3.3 4.6 8 4 7" 4' O 0.8 4; £ x- PROPOSED S�qS. FENDER 44 �2 ON -2.4u 5.0 3.9 44 0 ICINGS ��C,�Q,� ��` �Sk �o��. TREES , Q ��.' -5.7 QQO� v� -6:Ou A, 40 4.3 3.7 OBSERVED HIGH WATER REMOVE 3 i 10/3/2012 0:0 4 PILING ,^^; =7.6 _ 51 PROPOSED x 4.4 FENDER u OI�INGS .. ^ -7.6 > x-7.7/ x-4 x- u-3.8 . x-0.7 MOORING K-7.7 K-4.5 4.2 u-7:9 -0.2_ ��n .-0.6 MOORING. / -7.7 „ (SKIFF) o / u 7.4 o, 1 x-4.3 x-0:5 / H-6.8 Py`� x 4.2 x-5.3 x-7 PLANS ACCOMPANYING PETITION OF ROBERT F. LITTLETON,_JR: PROPOSED RECONFIGURED DOCK 23:HAYWARD ROAD CENTERVILLE, MA COUNTY OF BARNSTABLE JULY 19;:2013 0:\2012\2012,036\SURVEY\WORKSHEET\2012-036CH-91.dwg 0A - o;v �z oc om . Z 0 4"x4".PILINGS 12, PILINGS o 3 X14 RAMP DEC EL: = 5.5 Z 8'X25' FLOAT M.H.W. EXISTING MOORING FLOAT _ . —7 7 DETAIL B—B DETAIL C=C / w DETAIL D-D o 0 PROFILE OF PROPOSED DOCK SCALE:: 1 ,, _ 20, • SURVEY DATES. JULY 11, 2012 & OCTOBER 2, 2012 (NGYD29) SOUNDINGS WERE PERFORMED ON: OCTOBER 3, 2012 DATUM: MLW BELOW OBSERVED HIGH WATER TIDAL RELATIONSHIP TO NGVO29: o" 2.2' MEAN SPRING HIGH WATER o 1.8' MEAN"HIGH"WATER co,+ 0.4' MEAN WATFR,,LEVEL N NATIONAL GEODETIC VERTICAL DATUM(.(NGVD29) o.o c _1.0' MEAN.LOW WATER (EL 0) 1 . Co=. NOTE m m m r�* THE TIDAL PROFILE INFORMATION SHOWN WAS OBTAINED FROM THE 'TIDAL FLOOD co N I . PROFILES NEW ENGLAND COASTLINE' PREPARED BY THE.NEW ENGLAND DIVISION OF m THE ARMY CORPS OF ENGINEERS DATED SEPTEMBER, 1988. (SE 3-4352) o r o _ ri �a. _ - _ CERTIFY THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS. REGISTERED LAND SURVEYOR 4t. x 4" POSTS SHEET 3 OF 3 4, ROBERT F. LITTLETON, JR. JULY 19, 2013 2"X 8" ELECTRIC SERVICE THRU-FLOW DECKING WATER. SERVICE HEIGHT VARIES 2°X 8" CROSS BRACE (OPTIONAL) . SALT MARSH 4, DETAIL B-B 4» X 4.. HANDRAIL N.T:S. 2"X 8» DECK 1 SPACING (TYP) EL. 5.5 (MLW) 3"X 8" & 3"X 12" JOISTS 3"X 8" o 0 2"X 10 CROSS BRACE (OPTIONAL) DETAIL G-C , N.T.S. 25' . ALL PILINGS 12" - MEAN HIGH WATER EL = 2.8' POLYETHYLENE FLOAT MEAN LOW WATER EL = 0.0' /\\j\\j\\j\\j\\j\\j\\j\\j\\j\\j\\j\\j\\j\\j\�j\ j\\j \j\\j\\� DETAIL D-D N.T.S. 0:\2012\2012-036\SURVEY\WORKSHEEf\2012-036CH-91.dwg o .