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)
PARKING LOT COMPLAINT FORM
Section 23, 521 CMR
PLEASE BE ADVISED THAT THIS FORM IS A MATTER OF PUBLIC RECORD AND WILL
BE DISCLOSED UPON REQUEST.
1. Location of the parking lot believed to be in violation of the Rules and Regulations:
Building Name or Description:
__________________________________________________________________
Street Address:
__________________________________________________________________
City/Town:
__________________________________________________________________
2. Name and address of the building owner or manager (if known):
Name: _______________________________________________________________
Mailing Address:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Page 2 of 4 Rev, 01/2019
3. What is the total number of parking spaces in the lot? _________ How many lots? _______
4. Date when the parking lot was last repainted? ____________________________________
5. Are any handicapped spaces currently provided? _____ yes _____ no. If you answered
no, go to #7. If you answered yes, check the following items which you believe are in
violation:
a) Check any of the following which apply:
General
____ Handicapped parking spaces are not the closest spaces in the lot to the accessible
entrance. (Section 23.3.1)
____ An accessible passenger drop-off area is not provided within 100 feet of an
accessible entrance, when handicapped parking spaces are located more than 200
feet from an accessible entrance. (Section 23.3.3)
____ Where sidewalks are provided at handicapped parking spaces, a curb cut is not
installed at the access aisle of each handicapped parking space or pair of spaces.
(Section 23.5)
____ Accessible route to an accessible entrance is not provided wherever passenger
loading zone or parking area is provided. (Section 23.7.1)
____ Passenger loading zones do not provide an access aisle at least 60 inches wide,
adjacent and parallel to the vehicle space. (Section 23.7.2)
____ Valet parking does not provide a passenger loading zone located on an accessible
route to the entrance. (Section 23.8)
Space Design
____ Handicapped parking space is less than 8 feet wide, plus the access aisle. (Section
23.4.1)
____ Handicapped parking space is not level and does not have a uniform, paved or hard
packed smooth surface. (Section 23.4.4)
____ Handicapped parking spaces are not marked by high contrast painted lines or
delineation. (Section 23.4.5)
Page 3 of 4 Rev, 01/2019
____ Access aisle adjacent to handicapped parking space is less 5 feet wide. (Section
23.4.6b)
____ Access aisles are not level. They are not clearly marked by means of diagonal
stripes. (Section 23.4.6 d & e)
____ Handicapped parking space is not identified by a sign indicating that it is reserved:
____ A sign is not located at the head of each space. (Section 23.6.1)
____ The sign is more than 10 feet away. (Section 23.6.1)
____ The sign does not show an international symbol of accessibility. (Section
23.6.2)
____ The sign is not set between 5 feet and 8 feet to the top of the sign. (Section
23.6.4)
Van-Accessible Spaces
____ Van accessible space is not provided. (Section 23.2.2)
____ Van accessible spaces are less than 8 feet wide. (Section 23.4.7d)
____ Access aisle of 8 feet is not provided at van accessible space. (Section 23.4.7e)
____ Van accessible space does not have a sign designating it as “Van Accessible."
(Section 23.4.7b)
____ A minimum of 8 feet, 2 inches of vertical clearance is not provided at van accessible
spaces and accessible passenger loading zones, and along at least one vehicle
access route to such areas from site entrances and exits. (Section 23.4.7a)
b) 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, 01/2019
6. What was the most recent date you observed the violation? _________________________
7. Do you want to receive copies of all correspondence regarding the complaint and be notified
of any meetings or hearings? ____ yes ____no
8. 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:________________________________________________________________
9. Individual Signature (required):________________________________________________
Date: ____________________