KNOW ALL MEN BY THESE PRESENTS that_____________________________ of______________________________________________________________ hereby binds and obligates himself/herself and his/her executors, administrators, devisees, heirs, successors and assigns to the Town of Ipswich, a Massachusetts municipal corporation, in the sum of
_________________________________________ Dollars, and has secured this obligation by the deposit with Treasurer of said Town of Ipswich of said sum of money or negotiable securities.
The condition of this obligation is that if the undersigned or his/her its executors, administrators, devisees, heirs, successors and assigns shall fully and satisfactorily observe and perform in the manner and in the time therein specified, all of the covenants, conditions, agreements, terms and provisions contained in the following:
1. Application for Approval of Definitive Plan (Form C) signed by the Principal and dated______________________________________;
2. The Rules and Regulations Governing this Subdivision of Land in the Town of Ipswich adopted by the Planning Board; and
3. The Definitive Plan as defined by the above Rules and Regulations and as qualified by the Certificate of Approval (Form H) issued by the Planning Board dated______________________________________; then this obligation shall be void; otherwise, it shall remain in full force and effect, and that portion of the aforesaid security required to complete the Principal's obligation under this agreement shall become the sole property of said Town of
Ipswich as liquidated damage.
IN WITNESS WHEREOF the undersigned has hereunto set his/her hand and seal this___________________________ day of
__________________________, 19____.
KNOW ALL MEN BY THESE PRESENTS THAT WHEREAS the undersigned has submitted an application, dated_____________________, 19____ to the Ipswich Planning Board for approval of a Definitive Plan of a certain subdivision bearing the name of__________________________
_________________________________________________________________ and has requested that the Board approve such plan without requiring a performance bond,
THIS AGREEMENT WITNESSETH THAT, for the consideration that the Ipswich Planning Board waive the aforesaid requirement for a bond, the undersigned covenants and agrees with the Town of Ipswich as follows:
1. The undersigned will not sell any lot until the work on the ground necessary to serve such lot adequately has been completed in the manner required in the aforesaid application, and in accordance with the covenants, conditions and agreements thereof, (except for the following particular items of work, the performance of which shall be exempt from the conditions of this contract:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
2. The undersigned agrees to record this agreement in South Essex Registry of Deeds as required by the Rules and Regulations of the Ipswich Planning Board.
3. The undersigned agrees that this contract shall be binding upon his/her heirs, executors, and administrators, and particularly upon any grantees of the undersigned.
It is the intention of the undersigned, and it is hereby understood and agreed, that this contract shall constitute a covenant running with the land. Lots within the subdivision shall respectively be released from the foregoing conditions hereof upon the recording of a certificate of performance executed by a majority of said Planning Board which certificate shall enumerate the specific lots to be so released. There are no mortgages of record or otherwise on any of the land in the aforesaid subdivision except as described below and the present holders of said mortgages have assented to this contract prior to its execution by the undersigned.
IN WITNESS WHEREOF, the undersigned, applicant as aforesaid, does hereunto set his/her hand and seal this____________________ day of_______________, 19______.
Description of Mortgages (Give complete names and Registry of Deeds reference):
________________________________________________________________
________________________________________________________________
________________________________________________________________
Assents of Mortgages
________________________________________________________________
COMMONWEALTH OF MASSACHUSETTS
Date____________________________
Then personally appeared the above-named________________________ and acknowledged the foregoing instrument to be his/her free act and deed before me.
_____________________________
Notary Public
My commission Expires:
(Conditional Approval Release)
The undersigned being a majority of the Planning Board of the Town of Ipswich, MA hereby certify that the requirements for work on the ground called for by the Conditional Approval dated________________
__________________________, 19____ and recorded in Essex South
District Registry of Deeds, Book_____, Page_____ (or registered in_____________________ Land Registry District as Document
No.__________________, and noted on Certificate of Title
No._____________, in Registration Book _______________________,
Page__________) have been completed to the satisfaction of the Planning Board as to the following enumerated lots shown on Plan entitled________________________________________________________ recorded with said Deeds, Plan Book______, Plan______, (or registered in said Land Registry District,______, Plan Book______, Plan_________) and said lots are hereby released from the restrictions as to sale and building specified thereon.
Lots designated on said Plan as follows:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________i
_______________________ Majority Of
_______________________ The Planning
_______________________ Board Of The
_______________________ Town of
_______________________ Ipswich
COMMONWEALTH OF MASSACHUSETTS
_______________________, ss. ___________, 19_____
Then personally appeared_________________________________, one of the above-named members of the Planning Board of the Town of Ipswich, MA, and acknowledged the foregoing instrument to be the free act and deed of said Planning Board, before me,
______________________________
Notary Public
My Commission Expires:
(Certificate of Approval shall be shown on the Definitive Plan. Reference to any qualifications and specifications shall be noted on the Plan.)
The undersigned being a majority of the Planning Board of the Town of Ipswich, MA hereby certify that the accompanying Definitive Plan is approved for subdivision in accordance with the Rules and Regulations Governing the Subdivision of Land.
1. Name of Subdivider____________________________________________
Address____________________________________________
2. Description of Land___________________________________________n
______________________________________________________________
This Certificate of Approval is granted with the following qualifications and specifications:_______________________________
_________________________________________________________________
_________________________________________________________________
_____________________________ _______________________________
_____________________________ _______________________________
_____________________________ Planning Board Members
COMMONWEALTH OF MASSACHUSETTS
______________________, ss. _________________, 19_______
Then personally appeared _______________________________, one of the above-named members of the Planning Board of the Town of Ipswich, MA, and acknowledged the foregoing instrument to be the free act and deed of said Planning Board, before me,
______________________________
Notary Public
My commission Expires:
It is hereby certified by the Planning Board of the Town of Ipswich, MA, that a duly called and properly posted meeting of said Planning Board, held on_________________________, 19_______, it was voted to disapprove a definitive plan entitled:
____________________________________________________________________
____________________________________________________________________v
____________________________________________________________________ submitted by________________________________________________________ originally filed with the Planning Board on_________________________ concerning property located at______________________________________ for the following reasons:
A copy of this certificate of disapproval is to be filed with the Town Clerk and a copy to be sent to the applicant.
______________________________
______________________________
______________________________
______________________________
______________________________
Ipswich Planning Board
A true copy, attest:
_____________________________
Clerk, Ipswich Planning Board
[Amended 5-18-95]
Subdivision Name:___________________________________________
Plan Title:___________________________________________
PRELIMINARY INSPECTION
Prior to any formal inspections, the subdivider shall provide the following permits for the Subdivision Inspector's review (unless all permits are "in hand" or shown to be otherwise not applicable, the Subdivision Inspector will not be authorized to be on the job)
______ Planning Board Approval.
______ Planning Board Special Permit (cluster zone if applied for).
______ Street Opening Permit.
______ Sewer Extension Permit (from the Town and from the State).
______ Water Extension Permit (including the pro form a water pressure and flow calculations).
______ Building Permit(s).
______ Conservation Commission, orders of Condition, Determination of Applicability or Letter of No Apparent Jurisdiction.
______ All requirements of Form L have been met and all other permits issued.
______ All easements have been obtained.
______ Site Orientation and free flagging.
FIRST INSPECTION
______ 4" street trees set at least five feet back from pavement;
______ and 12" lot trees; fenders installed?
______ Assure no fill has been placed.
______ Assure no loam has been removed, except in street area.
______ Removal of all stumps, brush, roots, and boulders in right of way.
______ Removal of topsoil in roadway and sidewalks to a depth of at least 15" below finish grade, or deeper to assure sound foundation.
SECOND INSPECTION
______ Drainage system (no backfill):
( ) Assure all drains are of reinforced concrete, with headwalls and endwalls or riprap - minimum 12" diameter.
( ) Minimum slope 1/2% to a positive outfall.
( ) Catch basins 2' back from edge of pavement.
( ) Are the basins located at:
( ) all low points of drainage?
( ) all sags in the roadway?
( ) all intersections?
______ Water System (Town Engineer):
( ) Pipe meets minimum diameter and class standards as set by Water Division?
( ) Is pipe bedded and joined properly?
( ) Has pipe been pressure-tested?
( ) Has pipe been disinfected?
( ) Are all gates, valves and hydrants (and hydrant pipes) installed as shown on the plan? Are the gates and shut-off valves operational?
( ) Have water services to all buildable lots been properly connected to the water main?
( ) Have as-built field notes/ties been kept for all gate valves, curb cocks, tees, elbows, dead-end house services marked by 3' pipe above ground?
( ) Breakaway flange 2" above finish grade?
( ) Each nozzle and pumper outlet at least 18" above grade once installed?
( ) Anchored by mechanical means or thrust blocks?
( ) Yard of 2" stone around hydrant for drainage?
( ) Stone placed to 6" above hydrant drain?
( ) All hydrants at least 20' away from intersections and within 1' of curb line?
( ) Has the hydrant been flow tested and inspected for proper drainage?
______ Sewerage System (Town Engineer):
( ) Does pipe meet diameter requirements and class standards as set by sewer Division?
( ) Is pipe bedded and joined properly?s
( ) Has pitch been checked from SMH to SMH?
Have all SMH's been leak tested?
( ) Are all service wyes installed, and field notes of tiles for the wyes?
( ) Has pipe been tested for infiltration?
______ Electrical System (sign-off by Department Manager as system is installed by I.E.L.D.).
THIRD INSPECTION
______ Backfilling and compaction of trenches:
( ) Test for 95% compaction?
( ) Have core samples been taken and tested by a laboratory satisfactorily?
( ) Was at least 12" of gravel base lain?
FOURTH INSPECTION
______ Assure 95% compaction of subgrade materials. Use testing company.
______ Assure roadway crown of at least 1/4" per foot.
______ Gravel base 12" (identify source of gravel and test if against this standard):
( ) 3 inch sieve at 100%
( ) inch sieve at 50% - 85% passing
( ) 3/8 inch sieve at 45% - 80% passing
( ) #4 sieve at 40% - 75% passing
( ) #10 sieve at 50% passing
( ) #40 sieve at 8% - 35% passing
( ) #200 sieve at 5% passing
______ Assure subgrade street does not exceed slopes:
( ) primary streets 5% grade.
( ) secondary streets 6" grade.
( ) residential streets 8% grade.
( ) 5" wide, 17" thick reinforced concrete, set 12" below grade, with 6" compacted gravel footing.
( ) granite curbing in the following cases:
( ) all finished street grades greater than 5%.
( ) headwalls and endwalls for storm drains and catch basins.
( ) at all intersections of streets.
______ Obtain job mix formula for asphalt surfaces.
SIXTH INSPECTION
______ Check thickness of base course (2"):
( ) Take core samples.
______ Check for width of pavement: per Figure 1 requirements
SEVENTH INSPECTION
______ Test, by core samples, thickness of finish course (1").
______ Compare by extraction analysis to job formula.
EIGHTH INSPECTION
______ Sidewalks, 10 " subgrade established by removal of existing materials.
______ Grass strips - 8" compacted topsoil and seeding.
______ Side slopes finish grade per Section 6.8.5. Loomed and seeded as per grass strips.
______ Street trees planted per DPW instructions?
______ Street lights installed per Light Department standards?
______ 4' long, 6" square, monuments installed to grade at all locations on definitive plan.
______ Hydrant pipe 7' above grade, 3' in ground, set in concrete, painted red, 2' to the rear of the hydrant.v
______ Street name signs - 2" diameter posts, 7' clearance above grade, 30" in ground set in concrete. Signs to be cast, double-faced of current Town Standard.
NINTH INSPECTION
______ Final cleanup.
______ Completion of Form J.
______ Maintenance:
( ) All drains and catch basins cleared during lot construction?
( ) Completion of Form K.
COMMENTS
