HomeMy WebLinkAbout2017-06-06 Driveway Permit WSP MODIFICATION TOWN OF NORTH ANDOVER - DIVISION OF PUBLIC WORKS
Permit to Connect a Driveway to the Town Right-of-Way
Permit to be issued at each building permit signed
This Permit only approves connection to the Town Right-of-Way and not the overall
driveway design. Approval from Conservation or other Town Boards may be required.
The pavement elevation of all driveway entrances must be at least 4 inches below the edge of the
existing roadway's pavement at a distance of 6 feet from that edge of pavement into the roadway
shoulder.
Please legibly fill out the following information completely (blue or black ink)
Date of Application: Owner: X2- L
Address: 5- Phone:
Are Town trees involved Y / Compliance with MGL Chapter 87 required Y /
Are Town Boards involved? l / N , If yes, which Board(s) �itjjh , ( ,�,
Building Permit? Y / iv 1 Copy of Permit attached? Y / N A/
Approved plan attached? N Proposed plans submitted?(:!-)/ N
Driveway information„
A
r
New Existing %/ New driveway sq ft Expansion sq ft-Wb Existing sq ft
Can you show the location of water service shut off Y / 0 or N/A due to Well is in use
Storm water runoff flows to the street right-of-way? 0 / N
Work to be done in right-of-way? Y J N If yes, describe aGig
Runoff: mitigation (i.e. infiltration, grass areas,change grades, etc) provided? / N If yes, describe
Contractor Information: Name: l � �.
Q
Address: A. jl-noLl Phone(s): G( 7E"3 7 /J
This portion to be filled out
by the town
Approved b Date; 6 A,6 / Final Inspection Date:
Completed by: