8751_FORM A - 107 FAIRVIEW STREET.pdf'llS \ -
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MEMO
TO: Erik Wight, Building Inspector
FROM: Planning Board
SUBJECT: Form A -Fairview Street -Fusick
DATE: July 29, 2014
Please review and comment on the attached Form A for property on Fairview Street prior to the
Board's August J'h meeting.
Thank you.
DSD:prk
uate: fl2812014
To the Department Officer making the Payment:
Received of United Bank Money Order as Listed Above
the smn of 50.00 -r;D:-:Co;;::lIa:-::rs~--
for the Form A fee ending 712812014
for collectic
PAYMENT SUMMARY RECEIPT
Town of Agawam
TOWN HALL
36 MAIN STRFT
AGAWAM MA.JIOOI
I
DATE: 07/29/14 CUSTOMER#:
TIME: 11:24
CLERK: kad
RECPT#; 985664 PREY BAL:
TP/YR: MS/2015 AMT PAID:
BILL: ADJSTMNT:
EFF DT; 07/29/14 BAL DUE;
MISCELLANEOUS PAYMENT
---TOTALS--
PRINCIPAL PAID:
INTEREST PAID:
ADJUSTMENTS:
DI.SC TAKEN:
AMT TENDERED:
AMT APPLIED:
CHANGE:
PAI.D BY; PLANNING
PAYMENT METH: CHECK
PAYMENT REF:
50.00
.00
.00
.00
50.00
50.00
.00
000000000
5D.00
\
TOWN OF AGAWAM, MASSACHUSETTS
FORMA
ApolicationfoT Endorsement of Plan N(jtBelieved to Require Approval
"" FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE CO~
WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OPe
SECTION 11-B. r-
__ ...:J:..:u:.:l:;:.y...:2:..42, __ -_-O,20 14
TO THE PLANNING BOARD:
The undersigned, believing that the accompanying plan of his property in the Tovm of C1
Agawam does not constitute a subdivis.ion within the meaning of theSubdMs10n .
Control Law •. herewith submits saId plan for a determinatiOn and endorsement that
Planning Board approval under the SUbdivisIon Control Law is not required.
L Name of Applicant Michael G Fusick and Andrea J fusick
Address 107 Fairview Street, Agawam, MA 01001
Phone # 413.896 .1116 Fax.# n/aemai1 mfusick@aol.com
2. Name of$urveyor Anderson Associ a tes, "
Address 375 Walnut Street Ext., Agawam, MA OlDOl
Phone # 413.525.4145 Fax# 413.273.1776 email, ______ _
3, Deed of Property Recorded in Hamgden County Reg; stry of Deed~
Book 20041 'page --=3:.:2:.:0 ___ _
4. Location of Property 107 Fairview Street, Agawam, MA OlDOl
5. Describe the proposal in this submi.ssion:
We have entered into a·sales agreement to purchase a piece of land
approximately 34' x 90' in anticipatition of obtaining a building
permit to add a breezeway and two car garage to our existing home.
The parcel to be purchased is identified as Parcel B on the attached plan.
ATTACHMENTS -TWo originals and three copies of plan by certltied land
surveyor. Filing Foo-, $SO,OO plu~ $2().OO per lot.
SignatuteOfownex~ V't-Ad<;lress 107 Fajrvjew Drive vp ~~ Agawam, MA 01030
July 16,2014
Town of Agawam
Clerk's Office
36 Main St, Agawam, Massachusetts 01001-1837
Tel. 413-786-0400 X 8215 Fax 413-786-9927
Email: clerk@agawam.ma.us
To Whom it May Concern;
According to records filed in thc Town Clerk's Office, Fairview Street was accepted as a
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
August 8, 2014
Michael and Andrea Fusick
107 Fairview Street
Agawam, MA 01001
Dear Mr. & Mrs. Fusick:
Tel. 413-786-0400 Fax 413-786-9927
At its dilly called meeting held on August 8, 2014, the Agawam Planning Board voted to approve
your plans under "Subdivision Control Law Not Required" for a parcelofland located on
Fairview Street. Plans drawn by Anderson Associates and dated June 2014.
Sincerely,
AGA~
Please be advised thatfailure to record the plan within six (6) months and provide proofif
recording will negate the action of the Board. Detach on dotted line and return to the A~
Planning Board, 36 Main Street, Agawam, MA 011001. . '?
......................................................................... (
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Fusick and approved by the Agawam
Planning Board for a parcel of land located on Fairview Street has been recorded at the Hampden
County Registry of Deeds. Book , Page ____ _
Signature of Applicant _____________ _
I.P. SET
SOB'22'SS"W
62·.30' SUs'S6'31"W '.P. 5(,
S05 '39' 43"E I 11.42' I.P.5(, I.P.5(,
Michael G. Fusick I 26.69' ~8.54
Parcel A I 1£ I 7175 s.t. II!: r·~'x/!) " 'i Parcel B
" I 3134 s.f. " 0 I '" UJ ? <Xl
'" I a 0 en a I en 'c T' 0 .. en ;3 I w !oJ -0 ,.. • {J co D~ ~ co ~ y" -'" "-co -20.98'-~ UJ CD
"-EXlsnNG R£sI£EN '" r> w !oJ It07 C£ '" ,.... • 0 "-co a «
Z ~ '" (J z ~ ::2 ,..
~O.29' co VI
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I I.P. seT 7.17' I.P. FN. 6668' ! 0 NOS'23'4S"E loP. FN. 34.00' SOO'27'50"E I.P. 5£T l
SOO'53'23"W 0
F A I R V I E W S T R E E T 'B ''1
N / F Genesis Health Ventures of MA Inc.
5.24'
S05'39' 43"E L
237.18'
Christine E. Lockwood EXISTING RESIDENCE Parcel C ,121
28,537 s.l.
---
76.69' ------
1
~I '" "'I
I 223.41'
SOO'SJ'23"W
Harvest Quail Run Estates R t· e ,rement Residence LLC
Easement in Favor of # 121 & 124 F' . aorv,ew Street
N / F Mary Sliech
#124 Fairview Street
N04'39'07"W
39.76'
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" (J>
?' N
CD OJ,
o~ ' 0
eri --159.56' ----------------
./
./ ---./
This pla.n cJoes not constitute a.
subdivision therefore a.pprovo.l
uncJer the SubcJlvlslon Control
La. w Is not requlrecJ.
Del tel ~H1Jf
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Note: Parcel B to be combined
with Parcel A Land of
Michael G. Fusick
,
SCALE: 1" 20' DATE: June 2014
GRAPHIC SCALE
( IN FEET )
1 inch = 20 ft.
ANDERSON ASSOCIATES
LAND SURVEYOR, LAND
PLANNING CONSULTANT,
SITE DESIGN
375 WALNUT STREET EXTENTION
P.O. BOX 382
AGAWAM, MASSACHUSETTS 01001
Tel. 413 525-4145
Fax 413 273-1776
z
PREPARED FOR:
Christina E, Lockwood
121 Fairview Street
Agawam, MA
NO. DATE DESCR/P nON
This plo.n prepo.recJ in o.ccorcJo.nce
with the rules a.ncJ regula. tions of
the Registry of DeecJs.
Da.tel -SVL~ I Sj 1-[) 1'1
L-____ -1.... ____________________________ --====~ .. = ..... _~ .. = .... ========~=========-=--... -.--..J..'::.:..:::.::::::.;::.;,;:;;,,=:== .... .:;::~:=. __ .... _:::: .. ._==_-'-:-..:J