Fillable Form 1.: TOWN OF SHREWSBURY Richard D. Carney (SELCO)

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Form 1.: TOWN OF SHREWSBURY Richard D. Carney (SELCO)

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TOWN OF SHREWSBURY HIGHWAY DIVISION
DRIVEWAY PERMIT APPLICATION
TOWN OF SHREWSBURY
Richard D. Carney Municipal Office Building
100 Maple Avenue, Shrewsbury, MA 01545-5338
T: (508) 841-8513 E: Highway@shrewsburyma.gov
A LL APPLICANTS MUST COMPLETE ITEMS 1 THROUGH 9
1.
Dig Safe Number: Date: Valid thru:
2.
Project Address
Street number (or range) and Street Name
3.
Owner 4. Start Date / Completion Date
5.
Telephone / Email
6.
Contractor
7.
Contractor Address
Telephone Email
8.
Check appropriate description of work: Resurface Driveway New Driveway Construction
9.
Description/Explanation:
T ERMS AND CONDITIONS OF THE WORK:
A.
All work in Public Ways shall be done in such a manner to protect the Public from Liability or accident. The Contractor or
Owner shall be responsible for all necessary barricades, signs and other Traffic Control devices. Work within the Public Way
only to be performed between April 1 and December 1 in any calendar year.
B.
The Contractor or Owner shall be responsible for property disposal of all surplus materials. Surplus material may not be
stored within the Public Way.
C.
The Contractor shall notify the Highway Division for an inspection 24 hours before completing work.
D.
Driveway grades at the applicant’s property line shall be a minimum of 8-inches and not more that 12-inches higher than the
existing edge of the roadway pavement at the gutter line and width should not exceed 24-feet. The Town will not be
responsible for problems created by the improper installation of driveways.
E.
If the driveway crosses a public sidewalk, grades adjacent to the crossing shall meet ADA/MAAB requirements.
F.
All work shall be completed in 180 days of issuance of the permit within the Public Way.
G.
No brick or stone pavers, granite cobbles, concrete or stamped concrete will be allowed, within the Public Way, without
written approval from the Board of Selectmen.
H.
A $1,000.00 Cash Bond is required; the bond will be returned upon completion of the work and approved inspection.
I.
A maximum of two (2) curb cuts will be allowed for each residential property
I have read and understood the above terms and conditions: Date
Signature of Applicant/Contractor
Check #:
Received by:
Cash:
Fee Paid:
Permit Fee $50.00
Bond Released $
Bond Received $
Date
Approved
Permit Approved by:
Date:
Inspected by:
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Form 1.: TOWN OF SHREWSBURY Richard D. Carney (SELCO)

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Completed 5 August 2020

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