8737_FORM A - 627 SOUTH WEST STREET.pdfb13l-
fO('f{\ A -
~~l J:u~\-)
~')\-0\{ ~-\-
A G A W A M P LAN N I N G BOA R D
36 Main street
Agawam, Massachusetts 01001
Tel. 413-786-0400 Ext. 245
FORM A
Application for Endorsement of Plan Believed Not to Require Appro~l
o
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COpy WITH 0'-,
THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 11-B
Date: January 24, 2014
TO THE PLANNING BOARD:
The undersigned, believing that the accompanying plan of his property
in the Town of Agawam does not constitute a subdivision within.the
meaning of the Subdivision Control Law, herewith submits said plan
for a determination and endorsement that Planning Board approval
under the Subdivision Control Law is not required.
1. NAME OF APPL I CANT ___ ..:D~l:::· a:::n;::e=_.:J!:e:!s::.::e~r:.:s~k:.:i=---________________ _
Address ______ ~5~9~5~S~o~u~t~h~w~e~s~t=_.:S::.::t~r~e~e~t~ _____________ _
2. NAME OF S U RV E Y 0 R ___ --'R::..,;L::.e::.v:,:e:;s:;;q;!,:u:;;e:...:A:;s:;s:;o:;c;.:i:;:a:.:t:.:e:.:s:2,c...;:I"'n"'c:.:.:....I./--"Ma=r~c,-"EC!,-"S",h",u~t""e __ _
Address 40 School Street, Westfield, MA 01085
3. DEED OF PROPERTY RECORDED IN_-=H=am=p~d=e:;n:...:C~o~u::.n~t~y~Re~g~l:.:'s:.:t::.:r~y~o~f~D~e~ed~s~ __ _
BOOk_~1~8~4~7=5 ______________ __ Page ___ 3~2~ _____________ _
4. LOCATION OF PROPERTY:
Property is located on the easterly side line of Southwest Street.
5. DESCRIBE THE PROPOSAL IN THIS SUBMISSION:
Create a new lot around existing house and out buildings.
ATTACHMENTS -TWO ORIGINALS AND THREE COPIES OF PLAN BY CERTIFIED
LAND SURVEYOR. THE PLANS WILL BE DISTRIBUTED AS FOLLOWS: 1 ORIGINAL
TO THE TOWN OF AGAWAM ENGINEERING DEPARTMENT, ONE ORIGINAL TO BE
RECORDED AT REGISTRY OF DEEDS BY THE APPLICANT, ONE COpy FOR THE
ASSESSORS OFFICE, ONE COPY FOR THE PLANNING BOARD OFFICE, AND ONE
CERTIFIED COPY FOR THE BUILDING DEPARTM~T.
5ign."". 0' O~ec ~4~
Address 595 Southwest ~:, Agawam, MA 01001
,.
From: LETTER OF TRANSMITTAL
R LEVESOUE ASSOCIATES, INC. Date: .,;;-{, 2 0/'/
A Land Planning Services Company Project No: 13/6/C,
www.rlaland.com Proiect Name: AN,iZ :5d ;_,,;-H' U.!'c7s T 57':
40 School Street. P.O. Box 640, Westfield, MA 01086 RE: J
413-568-0985 (0) 413 -568-0986 (F) /
o • '7 .
To: Il'AtVtVo rJi. :E /:;,'11rYJv/v,""f ()rvdo/';'I«=,vi V )
3t; /l'J,4/..J 07-;l tll-.v/J N/ #4
Attention:
We Are Transmitting to You: o Under Separate Cover VIA 0 Attached
Qlans 0 Approval of Subcontractor 0 Copy of Letter
o Specifications 0 Order on Contract 0 Photograpbs
o Report 0 Original Drawings 0 Proposal
o Form DOther frhyiAL
Number DWGJRevision Drawing Description ofCopies Date Number
Z //22-20/,/ / m/C,f.€'-4NZ-p,(,q --.J
S " ., C'c;/?/<-s 0;:: /'1NZ/'?/I"....J
b,ese are Transmitted as Noted Below:
(~ r Approval 0 Approved as Submitted o Resubmit __ Copies for Approval
o For Information 0 Approved as Noted o Resubmit __ Copies for Distribution
o ForAclion 0 For Corrections o Return Corrected Prints
X As Requested 0 For Review and Comments 0
Remarks:
R~CEntEg
F~8 (16£614
AGAWAM
PLANNING BOARD 0
'"' ., a ·a ~
0 ~ u / em!
Note:
By: -/ cI /VIA v'ci
If Enclosures are not as noted, please nolify us at once. 0
White: Addressee Yellow: Project Notebook Pink: Main File
Date. 216/2014
To the Department Officer making the Payment:
Received of R. Levesque Associates as Listed Above
• the sum of 50.00 --'D"'o"'Ua-rs---
for the Form A fee ending 216/2014
for coUectic
Treasurer
PAYMENT SUMMARY ~ECEIPT
Town of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
DATE: 02/06/14 CUSTOMER#: 000000000
TIME: 15; 20
CLERK: mac
RECPT#: 935490 PREV BAL;
TP/YR: MS/2014 AMT PAID: 50.00
BILL: ADJSTMNT:
EFF DT: 02/06/14 BAL DUE:
MISCELLANEOUS PAYMENT
-----------------TOTALS-----------------
PRINCIPAL PAID;
INTEREST PAID:
ADJUSTMENTS:
DISC TAKEN:
AMT TENDERED;
AMT APPLIED;
CHANGE:
PAID BY; PLANNING
PAYMENT METH: MULTIPLE
PAYMENT REF:
50.00
.00
.00
.00
50.00
50.00
.00
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
February 20, 2014
Diane J eserski
595 SQuth West Street
Feeding Hills, MA 01030
Dear Ms. Jeserski:
Tel. 413-786-0400 Fax 413-786-9927
At its du1y called meeting held on February 20,2014, the Agawam Planning Board voted tit
approve your plans under "Subdivision Control4w Not Required" for a parcel ofland lociil:ed
on South West Street. Plans drawn by R. Levesque Associates and dated January 22,2014.
" "
Sincerely, 6
N co
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 and return to the Agawam
Planning Board, 36 Main Street, Agawam, MA 011001.
......................................... " ......................... ", ...... .
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Jeserski and approved by the Agawam
Planning Board for a parcel of land located on South West Street has been recorded at the
Hampden County Registry of Deeds. Book , Page ____ _
Signature of Applicant.:.." ___________ _
Town of Agawam
36 Main Street Agawam. Massachusetts 01001-1837
Tel. 413-786-0400 Fax 413-786-9927
February 20, 2014
Diane J eserski
595 South West Street
Feeding Hills, MA 01030
Dear Ms. Jeserski:
At its duly called meeting held on February 20, 2014, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel ofland located
on South West Street. Plans drawn by R. Levesque Associates and dated January 22, 2014.
Sincerely,
AGAWAMPL~~G£OARD
d
Please be advised thatfailure to record the plan within six (6) months and provide proof of
recording will negate the action of the Board. Detach on dotted line and return to the Agawam
Plarining Board, 36 Main Street, Agawam, MA 011001.
" To Agawam Planning Board f
Please be advised that the Form A plan that was filed by Jeserski and approved by the Agawam
Planning Board for a parcel of land located on South West Street has been recorded at the
Hampden County RegistryofD:eds. ~e .31
s;gw. .. .,,,fApplio<", ~1;1
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 y~ ,.
SUBJECT: Form A -South West Street -Jeserski
DATE: February 6, 2014
Please review and comment on the attached Form A prior to the Board's February 20'hmeeting ..
. Thank you.
DSD:prk
z DENISf
Q« lA ",-' ~
-_.
LOCUS AMP N.T.s.
REMAINING LAND DF
DIANE D. JESERSKI
ADEQUATE FRONTAGE AND ARDl REMAINS
TO SATISFY PRESENT ZONING REQUIREMENTS AREA
.0 '"
'" 0>
LOT A
3.50 ACRES
\
\
\
\
\
\
\
\
\
\ ,
\
\
\
\
\
\
\ ,
\
\
~%"
.'" C\j \ !1'~ \
i V -~~ '\ i ~ , ~ \~-
BUSINESS B _ -/_--+_ / ____________________________ -;>-~ __ "' BUSINESS B \
Jgj!f. Yr:!E.-----BUSINESS A I -----------------------------------\----B-US.-Z-WESS-A------+ --------------------\
----DRIVEWAY DlSEMENT TABLE I \
I \
I \
LINE BEARING DISTANCE
Ll S 53"36'34" E 22.69'
L2 S 61'59'41" E 41.92'
L3 S 50'31'48" E 28.85'
L4 S 33'09'14" E 25.18'
LAND N/F
ARTHUR G. VANDOMO
TRUSTEE OF THE ARTHUR G. VANDOMO
REVOCABLE LIVING TRUST I ~~ \ G~~" --~ \ L5 S 20'13'25" E 18.31'
L6 S 05'40'26' W 21.94'
L7 S 10'23'03" W 20.65'
(SE£ PLAN BOOK 147 PAGE 91
L8 N 58'30'00' W 16.78'
L9 N 05'39'32' E 19.14'
LID N 11'08'33" W 25.78'
L11 N 36'56'57" W 26.49'
L12 N 50'55'43" W 26.42'
L13 N 63"55'26' W 44.48'
L 14 N 76'41'35" W 8.16'
~/ /~<.J(I
s// //~~ Ii
I I I I DRIYf"WA Y , I ~ , 1-EASEMENT -----I, I ...,
(S£E TABLE ABOVE) 'J; /
I , , ,
I , , '", , I-
I ,-' I ,
WI
81N • v o . ~I:i) ~r
I
NOTES; I , , I I
i)
2)
'!'HE f.lREMf§Ell gHOWN Hl1!m!ON llAY §l1! §unJl1!e'l' '1'6 IUeH'l'§ AND I!A§l1!Yl1!N'I'§ AS eoN'I'AINED IN
THE VARIOUS DEEDS OF RECORD DESCRIBING SAID PREMISES. THE LOCATION AND EXTENT OF ANY
SAID RIGHTS AND EASEMENTS IS NOT THE SUBJECT OF THIS SURVEY.
PLAN REFERENCES PLAN BOOK 178 PAGE 129 ALSO PLAN BOOK 147 PAGE 91
250' ±
_ N 2,02'00" E
, I , I , I
'" ! ' ...I, I
I I I I r' I I_
I I '" , ' , I
I I , ,
-I I
....J f ~ r"' I \ .->
: 21.93' \"
I
I
I
I
42.76'
..-/
-
HOUSE
/627
SOUTH WEST STREET
(PUBLIC 4 RODS WIDE)
56 PLAN BOOK 178 PAGE 129
363.59'
N 31'30'00' E
EDGE OF PA Yf"MENT
,
\ ,
~~ ,
\ ,
\z
.->'\~ ~ ~~
.-> ... "' ..... -I
\ '~ ,
35.62'
N 32'44'15" E
214.72'
HAS BEEN PREPARED IN
,i=r.l.C
'" PS AND REGULATIONS OF
PROFESSIONAL LAND SURVEYOR
APPROVAL UNDER SUBDIVISION
CONTROL LAW NOT REQUIRED:
THIS PLANNING BOARD ENDORSEMENT
DOES NOT IMPLY COMPUANCE WITH
THE MASSACHUSETTS WETLANDS
PROTECTIO~,~~~~ ZONING BY-LAW.
DATE: .~~;j{ N
AGAWAM PLANNING BOARD
LEGEND
o
•
~
IRON PIPE (FOUND)
IRON PIPE (SET)
COMPUTED POINT
OWNER:
Diane D. Jeserski
PLAN OF LAND IN
AGAWAM, MASSACHUSETTS
SURVEYED AND MAPPED FOR
DIANE D, JESERSKI --------_.---------
JANUARY 22, 2014 SCALE: 1"=30'
PREPARED BY
RLA
R LEVESQUE ASSOCIATES, INC
40 School Street
P,O. Box 640
Westfield, MA 01086
ph: 413,5680985 fax: 413,5680986
rlaland,com
0' 30'
~
60'
I
90'
RLA JOB NO, 131016