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2. 
3. City of Laconia, NH
   Department of Public Works
4. NOTE THAT QUESTIONS FOLLOWED BY AN ASTERISK * REQUIRE AN ANSWER IN ORDER TO SUBMIT YOUR APPLICATION
6. Owner's Name*
7. Date*
   Date
9. Owner's Mailing Address*
11. Property Address
    (if different than the Owner's Mailing Address)
13. Telephone Number*
14. Email Address*
16. Contractor's Name*
18. Are you changing the footprint of an existing driveway?*

    1. No, the new footprint will be exactly the same.
    2. No, this is new construction.
    3. Yes
20. Is there existing asphalt that needs to be removed?

    1. No, the base layer of asphalt is ok.
    2. No, there is no existing asphalt.
    3. Yes, the base layer has degraded.
22. Are new curb cuts required?

    1. Yes
    2. No
24. Attach a scan of the contractor's estimate here.
26. If the estimate does not include a sketch, attach a picture of a hand-drawn sketch here.
    Include the location of buildings. If the footprint of the driveway will change, include the dimensions of both the existing and the new pavement. If installing a culvert, provide size, material and direction of flow.
28. Is there anything else we should know about this project?
    Is there anything unusual about this project or something not clear in this application?
30. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
32. Electronic Signature
36. Permit Number
    Circle One: Public Rd-----Private Rd
38. Zoning Approval
    Circle one : Commercial----- Residential
40. Approved By
42. Approval Date
44. Driveway Regulations
    New or modified driveways must be in compliance with current zoning regulations and City policies.
46. The grade of the driveway’s approach to the right of way will be such that it permits a safe and controlled approach to the highway in all seasons and so designed that no water will discharge from the approach upon the paved surface of the highway.
48. The driveway will not obstruct the natural flow of water runoff in any manner.
50. The owner/applicant will install ditches and culverts as necessary. Public Works must approve the plans for any ditches and the size and material of the culvert. The minimum size of any culvert is 12 inches.
52. Anyone who disturbs any shoulders, ditches, sidewalks, embankments, or surfaces, or improvements for travel of any highway shall restore them to the satisfaction of the Director of Public Works.
54. All excavated topsoil from the City right of way shall be reutilized in the City right of way. The contractor shall be solely responsible for the handling, transport, and disposal of any surplus material generated by the project and shall comply with all federal, state and local laws, ordinances and rules in doing so.
56. Erosion control measures must be employed to ensure that sediment laden water: does not flow into lakes, ponds or flowing bodies of water; does not flow into the City’s streets or sidewalks; and does not flow onto abutting properties.
58. PW may, at their discretion, require the construction of temporary stabilized construction entrances and may direct the owner to have a street sweeper at the owner’s cost clear the city street of gravel/soil deposits accumulated from construction of the driveway.
60. The owner of the property for the driveway shall have continuing responsibility for the adequacy of the access and any grades, culverts or other structures pertaining to such access whether in the right of way or not.
62. Any curbing, cobblestones or other materials of value excavated from the City’s right of way are understood to be the property of the City of Laconia and will be salvaged or disposed of at the City’s discretion.
64. All requests for driveway permits for commercial property must be reviewed and approved by the Department of Planning and Community Developed before Public Works will issue a permit.
66. I do hereby agree to construct said driveway in complete compliance with City of Laconia ordinances and regulations, any State agency requirements and any directions received from the Public Works Department and under the conditions of this permit.

70. Please do not pay until your driveway plan has been approved. Once approved, we will issue the driveway permit upon receipt of payment. The cost of a driveway permit is $35. We cannot accept credit card payment online or over the phone at this time. Checks (written to the "City of Laconia") can be dropped off at the DPW during business hours (Mon-Fri 7:30am-4:00pm) or can be mailed to: Laconia Department of Public Works, 27 Bisson Ave., Laconia, NH 03246.

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72. Submit

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