8260_FORM A - SOUTHWICK STREET - MIRSKI sc) u + wick
Town -of Agawam
' 36' aim Street Agawam, .Massachusetts 010 " -183T
Tel.. 41.3-786-0400 Fax 413-786-9927
VA
- FORM A
-1i
ADDlication for EndorseMent of elaD Not Believed u'r Approval J
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY WITH
THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 33-B
Agawam, MA.,_� 20 E�f
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.
I. Name of Applicant
Address .„��41 �.., ,� v 14- ��1 �� vrrL., 4),/_
2. Name of Surveyor aAl S a
Address .s a t7
3. Deed of Property Recorded in
G
Book 7 G / / Page ��
4. Location of Property b So 27 4`' e'C/A" 3
n --y
5. Describe the proposal in this submission: -�'`�f1
,az i
ATTACHMENTS - Two originals and three copies of plan by certified land
surveyor. Filing Fep - 35.00.
Signature of Owner °�� Address ��
Tows. of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
4fit0 MP
TeI. 413-786-0400 Fax 413-786-9927
June 5, 2003
Michael Mirski
114 South West Street
Feeding Hills, MA 01030 —
Dear Mr. Mirski:
At its duly called meeting held on June 5, 2003, the Agawam Planning Board voted to approve
your plans under "Subdivision Control Law Not Required" for a parcel of land located on <j
Southwick Street. Plans drawn by Anderson Associates and dated April,2003.
Sincerely,
AGAWAM ANNING BOARD
Please be advised that failure to record the plan within six(6) months and provide proof of
recording will negate the action ofthe 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 Mirski and approved by the Agawam
Planning Board for a parcel of land located on Southwick Street has been recorded at the
Hampden County Registry of Deeds. Book , Page
Signature of Applicant
01 'own of Agawam
,see 36 Main Street Agawam, Massachusetts 01001-1837
0 Mpy`� Tel. 413-786-0400 Fax 413-786-9927
June 5, 2003
Michael Mirski
t 14 South West Street
Feeding Hills, MA 01030
Dear Mr. Mirski:
At its duly called meeting held on June 5,2003, the Agawam Planning Board voted to approve
your plans under "Subdivision Control Law Not Required" for a parcel of land located on
Southwick Street. Plans drawn by Anderson Associates and dated April, 2003.
Sincerely,
AGAWAM nANNING BOARD
Please he advise d that failure to record rife 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 Mirski and approved by the Agawam
Planning Board for a parcel of land located on South ick Street has been,recorded at the
Hampden County Registry of Deeds. Book Page .'!
Signature of Applicant ,t
TOWN OF AGAWAM
INTEROFFICE
y �
Mph
MEMORANDUM ��RTEQ
To: Planning Board
CC: File
From: Engineering
Date: June 5, 2003
Subject: Form-A - #221 - Southwick Street - Miriski
Per your request dated May 21, 2003, we have reviewed the plan entitled, "Plan of Property in
Agawam, MA; For: Michael Mirski, 593 Southwick Street, Feeding Hills, MA; By: Anderson
Associates; Scale 1"=40% Date: Apr. 2003", and we have the following comment:
1. The distance between the two pins (along bearing S81°41'47"E) on the northeast corner of
Lot 15 A should be added to the plan.
If you have any questions, please do not hesitate to contact our division.
Sincerely,
Michael C. Chase. E.I.T.
Civil Engineer II
H:IENGINEERIF0RMA1221101.wpd
No. May 2I, 20 03
To the Departmental Officer making the Payment:
Received of Irving Brooks , the sum of
Thirty-five and 00/00
Dollars,
for the Form A Filing Fee ending for
collections as per schedule of this date, filed in my office.
?'reasurer,
Town of Agawam
' 36 Main Street Agawam, Massachusetts 01001-1837
MP
Tel. 413-786-0400 Fax 413-786-9927
0
MEMO
TO: Building Inspector&Engineering Department
FROM: Planning Board
DATE: May 21, 2003
SUBJECT: Form A- Southwick Street- Mirski
Please review and comment on the attached Form A for Mirski on Southwick Street prior to the
Board's June 5`b meeting.
Thank you.
DSD:pre
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This plan prepared in accordance 40 0 20 40 ao 160
with the rules and regulations of
IZ3 R 0 Nl A.L.
the Registry of De s' This plan does not constitute a
HUOT LA, suloclivislon therefore approval IN FEET
hi 7R
Date, %) 317S5�No.�317,85
under the Subdivision Control 1 inch = 40 it.
Law Is not required,
Date DRAWN BY:
PLAN OF ; PROPERTY IN Agawam Planning Board
DRAWING
A G AWA M M A
OF
--------------
Michael Mirski
593 Southwick Street
Feeding Hills, MA
ANDERSON ASSOCIATES
1130 WILLIAMS STREET
LONGMEADOW, MA, 01106
Land Surveyor Land Planning Consultant
NO. DATE DESCRIPTION BY SCALE:1 40'- DATEAp' r., 2003