HomeMy WebLinkAbout2001 SPR MA Highway Permit MAss HIGHWAY�
Massachusetts Highway Department
Application f1 1 Access State Highway
To be completed by the applicant. See reverse for instructions.
1. Town/City North Andover
2. State Highway route number and/or name State Route 114(Turnpike Street)
3. Description of property and/or facility for which access is sought(attach sheets if necessary).
Access is sought fora proposed 2-story(20,250 s office/retail development, Approximate lot size is 2.03 acres. (plan attached)
4. Description of work to be performed within State Highway Layout(attach additional sheets if necessary).
Construct one curb-cut on Route 114 in conformance with MassHighway standards,extending from Sta. 196+62(left)to Sta.
197+46(left). A secondary diiwwa will be constructed on Begy Street local road), There are no existing curb-cuts to the
property on Route 114,
5. Dig Safe number: 2000 020 4415
6. Applicant Information 7. Property Owner
Name Jean P,Proulx Name
Mailing address 1812 Turnpike Street Mailing address
North Andover,MA 01845
Telephone numb r (978)686-2277 Telephone number
Signature e.rf {"r Signature
Date /,/�/oo Date
Return completed application to District Highway Engineer for your Town/City. Refer to reverse side for appropriate address.
1. Application number 5. Section 61 finding
2. Date received 6. Mass historic action
3. Fee amount 7. Plans returned
4. MEPA required Revision submitted
ENF-EOEA Cert. 8. Application complete
EIR-EOEA Cert. 9. Permit issued
Other-EOEA Cert, 10. Permit denied
"ALL MASSACHUSETTS HIGHWAY DEPARTMENT PERMITS TO ACCESS STATE HIGHWAY PROJECTS ARE SUBJECT TO
THE RULES AND REGULATIONS OF THE ARCHITECTURAL ACCESS BOARD 521 CMR 1.00 et seq.".
InstTuctions for1 • J
ApplicIrion1 { Access
General
The MHD is granted authority to issue State Highway
Access Permits by M.G.L.,Chapter 81,Section 21. Fee
Access is defined as: A check payable to the Commonwealth of Massachusetts for
I. Any physical work performed within the State Highway the appropriate permit application fee must accompany the
Layout;and/or, permit application.
11. Provisions for motor vehicles to enter or exit a State
Highway facility from abutting properties. Fee Schedule for Access and Utility Permits
A. Application for residential developments of 5 units or Residential Access Permits
less shall include a sketch which indicates lot size,frontage 5 or less units $25.00
along the State Highway,building locations(s),and proposed From 6 to 49 units $100.00
driveway location(s)with respect to State Highway baseline. Greater than 49 units $2,000.00
B. Application for all non-residential developments and
residential developments greater than 5 units must include Non-Residential Access Permits
engineered access plans(minimum of 2 copies)at an Less than 25,000 square feet $500.00
appropriate scale(1 inch=20 or 40 feet)which clearly From 25,000 to 300,000 square feet $1,000.00
show all proposed work and: From 300,000 to 750,000 square feet $2,000.00
1. State Highway Layout line and baseline Greater than 750,000 square feet $3,000.00
(information available at District offices),
2. Property corners and dimension and bearing of lot
lines, Non-Municipal Utility Permits Not in Conjunction with
3. Location and dimensions of proposed drive(s), Access Permits
4. Location of existing drive(s), Annual blanket utility permit $500.00
5. Complete details of existing and proposed drainage. Capital improvements to a utility $500.00
Specific instructions (print or type)
Line 1. Line 6.
List name of municipality in which access is sought. Individual or business making application must complete
Line 2 the required information,including date of application and
List name or number of State Highway Route(s)to which signature.
access is sought. Line 7.
Line 3. Complete this section only if the individual or business
If access is sought under Definition II above,briefly describe making application is other than the property owner of the
facility for which access is sought, land for which access is sought.
Example 1;
Private single family residence at 100 State Road.
Approximate size of proposed building 2,500 s.f.
Approximate lot size 0,75 acres.
Example 2: Return completed application and fee to appropriate District
500,000 s.f.enclosed shopping mall adjacent to State Route I- Office listed below. Please contact the Permit Engineer at
290 and Route 20. Approximate lot is size 67 acres, this address If additional information is required.
Line 4.
Briefly describe the proposed work to be performed within District 1 - District 4
the State Highway Layout. 270 Pittsfield Road 519 Appleton Street
Example 1; Lenox,MA 01201 Arlington,MA 02174
Remove 50 feet of existing granite curb on south side of (413)637-1750 (781)641-8300
highway in order to construct driveway access and modify
the roadway geometry to accommodate left-turn lane. District 2 District 5
Example 2. 811 North King Street 1000 County Street
Excavate 10 foot x 10 foot section of roadway at Station Northampton,MA 01060 Taunton,MA. 02780
100+00 in westbound lane in order to install water services to (413)584-1611 (508)824-6633
residence at 100 State Street.
Line 5.
District 3
A Dig Safe number must be obtained by calling 1-888- Di Di Belmont Street
344-7233. If construction within the State Highway Layout Worcester,MA 01604
does not commence within the period allowed by Dig Safe,a (508)754-7204
new number must be obtained prior to beginning
construction