8611_FORM A ELIZABETH ST. LOT 12 DEPALMA.pdfII II II
~8611 -FORM A -Elizabeth St. __
Lot 12 DePalma
Date: "I Hl12009
To the Department Officer making the Payment:
Received of D.L. Bean, Inc. as Listed Above --;=,...,,----the sum of 90.00 Dollars
fur the ~F~o~rm~A~F"'iIi~ng~F~ee----e-nd7-i-ng------_-_-_-_-_-_-_-_-_-_-_-_-_-_~~5~/~1~8~/~2~~0~0;9~------~------______ _
for colleclic j) #)/
rR/.(f/)( t1tLc~ &
A G A W A M P LAN N I N G BOA R D
36 Main Street
Agawam, Massacnusetts 01001
Tel. 413-786-0400 Ext. 245
FORM A
Application for Endorsement of Plan Believed Not 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
Date: May 18, 2009
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 APPLICANT __ ~R~a~l~p~h_D~e~P~a~l~m~a~ __________________________ ~ ______ ___
<::>
2.
3.
4.
<0 Address _____ ~2~6~7~H~il~l~s~~~·d~e~R~0~a~d~,~So~u~t~h~w~i~c~k~ ______________ ~~~_;i~.~(t_~
~ c."-) :J
-<: ~~ NAME OF SURVEYOR ___ ~D~.~L~.-=B~ea~n~,~I~n~c~' ________________________ 7--~~-~-~~~ __ _ to .is; r-
Address 40 School Street -Westfield, MA 01085 ~~~
-.1;-
c...> .b. c DEED OF PROPERTY RECORDED IN ____ ~H~a~m~p~d~e~n_C~o~u~n~t~y~ _____ .--~;:~.--~~~.~-~' ____ _
BOOk ______ ~1~7~18~8~_____________ page ______ ~4~O~~,~~~--f------
LOCATION OF PROPERTY: Property is located on the
sideline of Elizabeth Street.
easterly f" ,
5. DESCRIBE THE PROPOSAL IN THIS SUBMISSION: Plan revised Lot 1/12 and
creates Parcel A.
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 DEPARTMENT.
Signature of Owner ~~~~~1~/~~~~~~~ __ ~.~f1~~~~ ____________________ _
Address
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837 . .
. Tel. 413-786-0400 Fax 413.-786-9927
MEMO
TO: Building Inspector
FROM: Planning Board
SUBJECT:. Form A's (2) -Elizabeth Street -DePalma
DATE: . May 18, 2009
Please review and comment onthe attached two Form A's for DePalma on Elizabeth Street prior
to the Board's Mai21" meeting.
Thank you.
DSD:prk
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
May 21,2009
Ralph DePalma
267 Hillside Road
Southwick, MA 01077
Dear Mr. DePalma:
. Tel. 413-786-0400 Fax 413-786-9927
r-
At its duly called meeting held on May 21,2009, the Agawam Planning Board voted to approve
your plans under "Subdivision Control Law Not Required" for a parcel ofland located on Lot i 2
Elizabeth Street. Plans drawn by D.L. Bean, Inc. and dated 5-18-2009.
Sincerely,
Please be advised thatfailureto record the pian within six (6) mollths and provide proofof
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 DePalma and approved by the Agawam
Planning Board for a parcel ofland located on Elizabeth St. 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
May 21,2009
Ralph DePalma
267 Hillside Road
Southwick, MA 01077
Dear Mr. DePalma:
At its duly called meeting held on May 21, 2009, the Agawam Planning Board voted to approve
your plans under "Subdivision Control Law Not Required~' for 11 parcel ofland located on Lot 12
Elizabeth Street. Plans drawn by D.L Bean, Inc. and dated 5-18-2009.
Sincerely,
Please be advised thatfailureto record the pian within six (6) months and provide proofof
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. .
••••• " •••••••••••••••••••••••••••• ,' ••••••••••••••• .-•••• : '.' ••••••••••• 0, ••••••
To Agawam Planning Board
Please be advised thatthe Form A plan that was filed by DePalma and approved by the Agawam
Planning B~ard for a parcel ofland located on Elizabeth St. has been recorded at theJ;!ampden
County RegIstry ofDeeds. Book . 1> S~ , page. ~\ . . . ~\\r2;\~
S;",",,,oof Appli=t f\ A ~ . C\(.f' 1!>l' .. n'\ . .' .' y fVW' ..' ~\ ~ b.. t"<, "l;. 'i\\ \J . . . . . . . ~~'~ " \)vt~'< .
. ,<>,.\'1,' .• ) .,1" .. ,,\ .... \\ .. ",
• •
o
LEGEND
IRON PIPE fOUND
CONCRETE BOUND fOUND
IRON PIPE TO BE SET
RALPH DePALMA pARCEl 'A' IS LAND OF COMBINED WITH
TO BE CONVEYED TO ::?N AND SUSAN A. HEARN
LAND OF WAYN~;NTI~t)OUS PARCEL TO fORM ONE
LAND N/f
T. & E.
CRDUGH
LAN) OF
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WAYNE T. HEARN AND
SUSAN A. HJ;ARN
-lOT 8
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PLAN BOOK 1 03 PAGE 53
R=5877.15 l=190.89
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LOT 13
DETENTION
AREA
REVISED
LOT 12
1.1§ ACRES
LOT 3
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LOT 4
ILOT 11
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PARCEL A
18,279.6 SQ. FT. EXISTING WESTERN
MASSACflUSElTS ELECTRIC
COMPANY EASEMENT
EXISTING WESITRN MASSACHUSms
. -------/
_--....0"""" __ -,..___ /'
....... ./
-------------"....----..-' -I DRAINAGE EASEMENT -..-'-~--~--..-'-------------//7 /~ _____ _ ~ --l....,,~--______ -_ __.,.,___ ,/ -LAND N/. F / / DRAINAGE
-/ ~ "'""'" C. & J. / ...-----;'
-----------...:-.. CAMBRIDGE
APPROVALl~W%~;~~~~II~~~
CONTROL .. _.... .. _ . WN OF
PLANNING ~~~~~C~3S~TS AGAWAM, ~
/' .:1-\ 0 ... / // DATE.
CHAIRMAN.
McElUGOTI / / /
/ /
/ /
/ /
/ /
/ /
/ /
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& PLAN WERE THIS SU~6~ ACCORDANCE
PREPARe. EDURAL &
WITH . TH~L P~il~DARDS FOR ~~~H~~~CTICE OF LAND
SURVEYING IN THE SS
COMMONWEALTH ~ ...
/,
I CERTIFY E6H~T~ ~~~E RULES
CONFORM OF THE & REG
Rt::GISTER
ELECTRIC COMPANY EASEMENT
PROPERTY SHOWN IS OWNED BY
RALPH DePALMA
. BOOK 17188 PAGE 404 SEE H.C.R.D. BOOK 350 PAGE 109 ALSO PLAN
SCALE IN FEET 120'
0' 40' 80~' ___ iIll -=-==-I· .... -JI , c=-==-=::J I.
F'OR: (OW~~JH DEPLAMA
267 HILLSIDE ROAD
C'OUTHWICK MA.
-.J "=4Q'
SURVEYORS"
ENGINEERS