8724_FORM A - 131 NORTH WEST STREET.pdf'67dY -
Form A -
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APP(2.0VAL
Co.vT~ol.... .....-:::~~,.. or R..E'Q..u 11t...E:'I>.
PL...,"" OF' DIVIS/ON OF' LAND
Ac..A.wAM. • MA.
OV/'JEl> Ii'" AR..THVR. ~. HAST(NC..s
L'( II 2...013
R.A. FORESI Associates
REGISTERED LAND SURVEYORS
WEST SPRINGFIELD, MA
TOWN OF AGAWAM, MASSACHUSETTS
FORMA
Application for Endorsement of Plan Not Believed to Require Approval
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY
WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF
SECTION 11-B
~f>1ffrlI5F£' / 10 20 j 3
I
TO THE PLANNING BOARD:
.....
The undersigned, believing that the accompanying plan of his property in the Town =
Agawam does not constitute a subdivision within the meaning of the Subdivision ~
Control Law, herewith submits said plan for a determination and endorsement that -0
Planning Board approval under the Subdivision Control L w is not required. 0
1.
2.
3,
4.
-0
Name of Applicant --+-\-:T-r-....... ¥-''''----I..--':.......L.---'--'~-:;-<_+~'-<7-____:;;;<"""~+.. ::J:~
Address / 'l . ~
Phone # 116-786 {"i38 Fax # ______ email _______ _
NameofSu~eyor_~R~,t\~~t=~cc~~'~:~t\~5~~~~~-~C~.~ _______ _
Address \ l \ l E( ....... S+. -5 ",,-:-k 1-.3
Phone # I::?'~ -0:7'3-5 Fax # ______ email _______ _
Deed of Property Recorded in _----'lH-"'a'-'''''~f'-'J.'''' .. '-''''''''----''C='· "'''"'-, ..J:f2..""""Y1"t-'-' >--s, --,-be:=,' f-I ____ _
Book '( l 9 8 Page T y: s 0
Location of Property *-1 S S-i *-131 ,J, Wed s±.
5, Describe the proposal in this submission:
AJJ 2..1 oLI SF -r;..u~#I)S'')'-c /?J£AR-OF J .
~131 (Lt,,J.D of FEJl ;.;,o.,T'/..., ,N>.c..z-'[G.}'1G.E' AS~l.C.j
-I 0 C{L~AIE N~W LeT J ToTAL-AtC~A '3~ 012.. SF.
ATTACHMENTS -Two originals and three copies of plan by certified land
/)/7or. FiI~ .. 00 plus $20.00 per lot. '. _.
Signature ofO~ C!-~Address / fj&.tIt Wr!Sl sT--
&ecHi'S tI,t.L .44.
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
Tel. 413-786-0400 Fax 413-786-9927
MEMO
TO: . Erik Wight, Building Inspector
FROM: Planning Board J>>'i>
SUBJECT: Form A -North West Street -Hastings
DATE: . September 10, 2013
Please review and comment on the attached Form A for Hastings on North West Street prior to
the Board's September 19th meeting.
Tbankyou.
TPWIDSD:prk
Uate.
To the Department Officer making the Payment:
Received of Jeff Hastings as Listed Above -,;,......,, ___ _
~the sum of 50.00 Dollars
fur the ~F~o-nn~A~re-e--------erutin~'-g------__ -_-_-_-_~_=_~_=_~-_-_-_-9~/~10~1~2~0~1~3~ __________________ ___
for collectic
Treasurer
PAYMENT ';UMMARY RECEIPT
Town of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
DATE: 09/10/13 CUSTOMER#: 000000000
TIME: 14:36
CLERK: kad
RECPT# : 906599 PREV SAL:
TP!YR: MS/2014 AMT PAID: 50.00
BILL: ADJSTMNT:
EFF DT: 09/10/13 BAL DUE;
MISCELLANEOUS PAYMENT
-----------------TOTALS--------------
PRINCIPAL PAID:
INTEREST PAID;
ADJUSTMENTS:
DISC TAKEN:
AMT TENDERED:
AMT APPLIED:
CHANGE:
PAID BY: PLANNING
PAYMENT METH: CASH
PAYMENT REF:
50.00
.00
.00
.00
50.00
50.00
.00
Town of Agawam
36 Main Street Agawam. Massachusetts 01001-1837
September 19,2013
Arthur Hastings
141 North West Street
Feeding Hills, MA 01030
Dear Mr. Hastings:
Tel. 413-786-0400 Fax 413-786-9927
, J;»
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At its duly caIledmeeting heldon September 19,2013, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land located
on North West Street. Plans drawn by R.A. Foresi Associates and dated July 17,2013.
Sincerely,
AGAWAM~P!1L~~
-
Please be advised that failure to record the plan within six (6) months and provide proof of
recording will negate the action of the Board. Detach on dotted line arid return to the Agawam
Planning Board, 36 Main Street, Agawam, MA 011 00 1. '
. "-' ....................................................................... .
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Hastings and approved by the Agawam
Planning Board for a parcel ofland located on North West St. has been recorded at the Hampden
County Registry of Deeds. ,Book , Page __ ~ __ '
Signature of Applicant .,-____________ _
,-'1
September 19,2013
Arthur Hastings
141 North West Street
Feeding Hills, MA 01030
Dear Mr. Hastings:
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
Tel. 413-786-0400 Fax 413-786-9927
At its duly calledmeeting held on September 19, 2013, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land located
on North West Street. Plans drawn by R.A. Foresi Associates and dated July 17,2013.
Sincerely,
AGAWAM~P!1L~~
Please be advised thatfailure to record the plan within six (6) months and provide proof of
recording win negate the action of the Board. Detach on dotted line and return to the Agawam
Planning Board, 36 Main Street, Agawam, MA 011 00 1.
. '.' ................. , ............................. , ........ , .............. .
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Hastings and approved by the Agawam
Planning B~ard for a parcel ofland located on North West S01as been recorded at the Hampden
County RegiStry of Deeds. Book 3SZ· , Page ~S .
Signature of Applic t ~f? ~ ~ ~ a . . .~ m3 ;:jJ-<J .