23D-168 (10) i
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J [ FE8 �998 ..�
- --�-� % FORM A
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DEPT OF BU,iL;"�; l S;ECTIONS
NOR(l,AMPIO;&MA 01060 fqje_ NORTHAMPTON, MA
/.i
• . APPLICATION FOR ENDORSEMENT
OF PLAN BELU-�VED NOT TO REQUIRE APPROVAL
ile six com leted forms and plans and one mylar with the CityClerk and the PlanningBoard in accordance with the
P
requirements of Section 3.02.
I (we) believe that the attached plan of property in the City of Northampton does not constitute division within the
meaning of the Subdivision Control Law, and herewith submits said plan for a determination and endorsement that
Planning Board approval under the Subdivision Control Law is not required.
I-_I � �
1. Applicant(print or type): EciWCMt, 1 J`". r1r ri5 Signature: (,/"/Z✓L,„,/ ,, I `t.--vi--
Address: /34 N IC h1/evei T YYGte( N6Y-i►7anerl/7Phone: 554-6 SSS
V / .
2. Owner(print or type): &u S S. 'is Signature: > //,// (,�'t:'( G� i.,1/1/4 �
Address: I34 Maplewood Tyr-au Ak--fYistin p or7 Phone: 5844555
4Irvier g.ni/cy Jr. .
3. Surveyor(print or type): $ 45S0u 4.475, Inc. Signa !
30 /ndtcsMe4 1 -;ve Fast Alor-/-ha,mpion 5a4-7444
Address Phofie
14. Deed or property recorded in Hampshire County Registry of Deeds or Land Court:
L.C. Book 1 Page 117 .
•
5. Location and Description of Property:
[.oT 4, 4 l.oT-7 av TAG cwe57 we of RANc.e I o T ZgAGE
6. Assessor's Map ID:23DLot(s): 158i t(s94 16b___, l0+, lo(a
Date Submitted for Planning Date Plana' a
Board Approval: D
City Clerk(signature): City Cle (signs 'kA-3
(1/1/98)
1
SUBDIVISION REGULATIONS PAGE 60
r
PROCEDURE FOR ACCEPTING FORM A'S
APPLICATION FOR ENDORSEMENT OF PLANS BELIEVED NOT
TO REQUIRE APPROVAL UNDER THE SUBDIVISION CONTROL LAW
NO APPLICATIONS SHALL BE ACCEP 1 LD WITHOUT ALL OF THE FOLLOWING:
A. The original, reproducible (mylar) drawing of the Plan, with the endorsed Seal of a Professional Land
Surveyor,registered with the Commonwealth of Massachusetts,
B. Six(6)prints of the Plan, •
C. Six(6) copies of the fully completed and endorsed Form A
$100 per sheet fee made payable to the City of Northampton.
E. If any portion of a plan falls within 500 feet of a published control point shown on the most recent version of
a plan available in the Office of Planning and Development entitled"City of Northampton, Control Points,"
the plan must have at least four survey-quality(centimeter,or its English equivalent,accuracy)points on each
sheet tied into the Massachusetts State Plane Coordinate System(NAD 1983 datum), using said published
control points or the global positioning system. The plan must note the coordinates of the four tie-in points,
the datum,and the source and location of monuments used for data.
F. Any plan which does not include the tie-in points in the above paragraph must include a plan showing all
survey details at the same scale(s)as the Northampton Assessors' and Zoning Map for that area. The plan at
f the scale of the Assessor's&Zoning Map may be.the recordable plan or a second non-recordable copy of the
`� plan.
9" tip
'i, G. Plans shall show all buildings owned by subject landowner(s)within 100'of any newly created property lines.
Application should be delivered to the City Clerk for date stamping and then delivered to the Office of Planning and
Development. All accepted Applications will be acted upon within twenty-one(21)days of their acceptance.
• Once an Application has been acted upon,the Applicant receives back only the original,reproducible(mylar)drawing. .
The six(6)prints and the six(6) "Form A's" shall remain in the Office of Planning and Development for distribution
and the Filing Fee shall be deposited with the City(regardless of whether the Plan has been approved or disapproved).
SUBDIVISION REGULATIONS PAGE 61