Fill - Free fillable Curbcut (Commonwealth of Massachusetts) PDF form

CHARLES D. BAKER

GOVERNOR

Co

mmonwealth of Massachusetts

Division of Professional Licensure

Office of Public Safety and Inspections

Architectural Access Board

1000 Washington St., Suite 710 • Boston • MA • 02118

V: 617-727-0660 • www.mass.gov/aab • Fax: 617-979-5459

EDWARD A. PALLESCHI

UNDERSECRETARY OF

CONSUMER AFFAIRS AND

BUSINESS REGULATION

KARYN E. POLITO

LIEUTENANT GOVERNOR

DIANE M. SYMONDS

COMMISSIONER, DIVISION OF

PROFESSIONAL LICENSURE

MIKE KENNEALY

SECRETARY OF HOUSING AND

ECONOMIC DEVELOPMENT

Docket Number: ______________ddd

(Staff Use Only)

CURB CUT COMPLAINT FORM

Section 21, 521 CMR

PLEASE BE ADVISED THAT THIS FORM IS A MATTER OF PUBLIC RECORD AND WILL

BE DISCLOSED UPON REQUEST.

1. List the name of the street/intersection believed to be in violation of the Rules and

Regulations. Please give EXACT street locations. (Use separate forms for each

street/intersection)

Address: ______________________________________________________________

City/Town: _____________________________________________________________

2. In order for the Board to take action on the complaint, the following work must be completed

or in the process of being performed. Please check where appropriate:

____ Curb cuts are currently under construction, repair, or reconstruction.

____ Curb cuts have been repaired, reconstructed or constructed on:

____ between June 10, 1975 - August 31, 1996. Approximate date: ______________

____ after September 1, 1996.

3. Please check the following items which you believe are in violation and please identify the

location of the violation by the closest street address or telephone pole number:

____ Curb cuts are not provided where an accessible route crosses a curb. (Section 21.2)

____ Curb cut is not provided at each corner of intersection, located within the crosswalk

and/or the pedestrian path of travel. (Section 21.2.1)

Page 2 of 4 Rev, 1/2018

____ Curb cut is not perpendicular to the curb at the street crossings and/or does not have

a level landing at the top. (Section 21.2.1)

____ At marked crossings, the bottom of the ramp run, exclusive of flared sides, is not

contained within the marked crossing. (Section 21.2.1)

____ Curb cuts are being constructed or reconstructed on one side of the street and curb

cuts are not provided on the opposite side of the street. (Section 21.2.2)

____ Curb cuts are not provided at driveways intersecting sidewalks when the driveway has

side curbs. (Section 21.2.3)

____ Raised island in crossing is not cut through level with the street and/or does not have

curb cuts at both sides and a level area at least 48 inches long between the curb cuts

in the part of the island intersected by the crossings. (Section 21.2.4)

____ Curb cuts are obstructed by parked vehicles. (Section 21.2.5)

____ Maximum slope exceeds1:12 (8.3%). (Section 21.3)

____ Cross-slope of curb cut center slope exceeds 1:50 (2%). (Section 21.3)

____ Transition from curb cut to walk, gutter, or street is greater than a ½ inch high.

(Section 21.4)

____ Grading and drainage are not designed to minimize water pooling, ice accumulation,

or water flowing at the bottom of the curb cut. (Section 21.5)

____ Curb cut center slope is less than 36 inches, exclusive of flared sides. (Section 21.6)

____ A landing at the top of the curb cut is not 48 inches in length. (Section 21.6.1)

____ The slope of the landing exceeds 1:50 (2%) in any direction. (Section 21.6.1)

____ The sides of the curb cut are less than 24 inches at the curb. (Section 21.7)

____ Maximum flare slope exceeds 1:10 (10%). (Section 21.7)

Page 3 of 4 Rev, 1/2018

____ Curb cuts with returned sides are provided and are not protected by handrails, street

furniture, or landscaping. (Section 21.8)

____ Built-up curb cut is provided and projects into vehicular traffic lanes. (Section 21.9)

____ Pedestrian street crossing controls (if provided):

____ Controls are not raised from or flush with their housings and/or are not a

minimum of two (2) inches in the smallest dimension. (Section 21.10.1)

____ Force required to activate controls exceeds 5 lbs.

____ Controls are not located as close as practicable to the curb cut serving the

controlled crossing and/or do not permit operation from a clear ground space.

(Section 21.10.2)

____ Pedestrian-actuated controls are not at a maximum of 42 inches above the

sidewalk. (Section 21.10.3)

____ A stable and firm area, complying with Forward Reach (Section 6.5) and Side

Reach (Section 6.6), is not provided at the controls. (Section 21.10.4)

____ Where parallel approach is provided, controls are not within ten (10) inches

horizontally and/or are not centered on the clear ground space. (Section

21.10.4)

____ Where a forward approach is provided, controls do not abut and/or are not

centered on the clear ground space. (Section 21.10.4)

4. Please include any other details you believe may be relevant. The Board’s staff also

recommends you include photographs of the violation if possible. (Please use additional

sheets if necessary):

_________________________________________________________________________________________

Page 4 of 4 Rev, 1/2018

4. What was the most recent date you observed the violation? _________________________

5. Name and address of person/organization filing this complaint (if organization is filing,

please provide the Board with the name of a contact person)(required):

Name: ___________________________________________________________________

Mailing Address:

_________________________________________________________________________

E-mail:___________________________________________________________________

Telephone:________________________________________________________________

6. Individual Signature (required):________________________________________________

Date: ____________________

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