HomeMy WebLinkAbout2018-02-20 Driveway Permit 185 Mill Rd LDP 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 5 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: _Z"R ZJ&C
Address: Phone: q 2 F—
Are Town trees involved Y Jo Compliance with MGL Chapter 87 required Y / N
Are Town Boards involved/ N If yes, w 'ch Boards)
Building Permit? Y / N Copy of Permit attached? Y /ON
Approved plan attached/ N --P�esecF s-su i N
Driveway information
New V Existing New driveway sq ft Expansion sq ft Existing sq ft
Can you show the location of water service shut off ffY )j N or N/A due to Well is in use
Storm water runoff flows to the street right-of-way? Y /
Work to be done in right-of way? ] N If yes, describe
Runoff mitigation (i.e. Infiltration,grass areas,change grades, etc) provided?d/ N If yes, describe
Contractor Information: Name:
Address Phone(s): �
This portion to be filled out by the town
Approved by: Date: �' � Final Inspection Date:
pleted by:
C :