1. The Commonwealth of Massachusetts
Department of Public Safety Docket Number
Architectural Access Board
____________
One Ashburton Place, Room 1310 (Office Use Only)
Boston Massachusetts 02108-1618
Phone: 617-727-0660
Fax: 617-727-0665
www.mass.gov/dps
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:
Name: _______Union Square Plaza Building
Address: _____66-70 Union Square,
City/Town: ____Somerville, MA 02143
2. Name and address of owner of the parking lot (if known):
DONALD A. WARNER SENIOR VICE PRESIDENT
AIA, LEED AP
HDR Architecture, Inc. | 695 Atlantic
Ave, Boston, MA 02111-2623
HDRArchitecture.com office: 617.357.7775 | cell:
617.821.2707 | fax: 617.357.7759
email donald.warner@hdrinc.com
3. What is the total number of parking spaces in the lot? 22 How many lots? 1
4. Date when the parking lot was last repainted? _October 2009
5. Are any handicapped spaces currently provided? _xyes _____ no. If you answered no, go
to #7. If you answered yes, check the following items which you believe are in violation:
2 issues shown on next page, with recent photos.
Page 1 of 3 Rev, 01/10

2. __x__ Van accessible space does not have a sign designating it as “Van Accessible."
(Section 23.4.7e)
____ 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)
_x The sign is not set between 5 feet and 8 feet to the top of the sign. (Section
23.6.4)
Page 2 of 3 Rev, 01/10

3. 6. What was the most recent date you observed the violation? _10/28/10
7. Do you want to receive copies of all correspondence regarding the complaint and be notified
of any meetings or hearings? _yes __x_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):________________
Community Access Project, E. Feldman
E-mail:______CAPSom@verizon.net
9. Individual Signature (required): please see signature scan
Date: 11/12/10
Page 3 of 3 Rev, 01/10