8754_FORM A - JASMINE LANE.pdf~lSL~ -
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Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
November 6, 2014
Joseph Kot
124 Witheridge Street
Feeding Hills, MA 01030
Dear Mr. Kot:
Tel. 413-786-0400 Fax 413-786-9927
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At its duly called meeting held on November 6, 2014, the Agawam Planning Board voted-
to approve your plans under "Subdivision Control Law Not Required" for a parcel of land
located on Cooper Street/Jasmine Lane. Plans drawn by Anderson Associates and dated
Oct., 2014.
Sincerely,
.AGAW~ ~
. -----
"'-.:.:;.7_e be a . d thatfailure to record the plan within six (6) months and provide
proof of recording will negate the action of the BO(lrti. . 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 Aplan that was filed by Kot and approved by the
Agawam Planning Board for a parcel of land located on Cooper St./Jasmine Lane has
been recorded at the Hampden County Registry of Deeds. Book 3 J I ' Page ~\ . . . ,
Signature of Applicant ____ __,----__.----
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
_-,=O:....>c~, t.l.-"'--.L-h.""-7, ___ ,20 lY 7
TO THE PLANNING BOARD:
-u 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 ,C;;
Planning Board approval under the Subdivision Control Law is not required,
L Name of Applicant JQ.sRe H k't:> T
Address 22 -I ~ '<.4(Hb"4qt." SI f: rI '
Phone # _______ Fax # ______ email ______ _
2, Name of Surveyor A dhP' i'2,\QcJ It s. \ 0 c, It} Tn c;.,
Address 37:;-WA I.Nl2T,$'t'. allt A <DtjuJJ\ m nUl. I
Phone # 410 525,-'-/1\/ C Fax # "1/3 27'HJ J' email ______ _
3, Deed of Property Recorded in III1~e'DfiN COUal1 ,
Book 192.7 L Page '5 ~r-
4, Location of Property (OOPI?a.. $7". "\ uri.) r(J1r..J j-:;' l rial £?
5, Describe the proposal in this submission: Kit V tJ a J" 0 "( So I 4: '2. T u
eGa ARov VI \) t2 }C.,,5l'/~ b G A 1\.1'1 G. t::; .
ATTACHMENTS -Two originals and three copies of plan by certified land
surveyor. Filing Fee -$50.00 plus $20.00 per lot.
Signature of Owner dtfh !/. A . .? Address 1fj!if'Ae-J?¥f d, cyJ#A
Town of Agawam
Interoffice Memorandum
To:
CC:
From:
Date:
Subject:
Erik Wight, Building Inspector
Planning Board v.s. '9
10/22/14
Form A -Cooper Street/Jasmine Lane -Kot
Please review and comment on the attached Form A for Kot prior to the Board's
November 6th meeting.
Thank you.
DSD:prk
FROM THE DESK OF ...
YOUR NAME
TITLE
ToVIIN OF AGAWAM
36 MAIN ST
AGAWAM, MA 01 001
Email address Here
413-786-0400 X Extension
Fax: 413-786-9927
j)ate . 10/2LJ2U14
. To the Department Officer making the Payment:
Received of Anderson Associates as Listed Above -=,.-::------the swn of 50.00 Dollars
fur the ~F~0-nn~A~f~ee--------en~dm~g----~=====~~~~====1~0~n~~v=~=2~071~4= ____________________ __
for collectic
Treasurer
• PAYMENT SUMMARY REC8IPT
Town of Aga ..... am
TOWN HALL
36 MAI N STREET
AGAWA.~ MA 01001
DATE: 10/22/14 CUSTOMER# : 000000000
TIME: 09:50
CLERK: mac
RECPT#: 999625 PREV BAL:
TP/YR; MS/2Q15 AM!' PAID: 50. 00
BILL: ADJSTMNT:
EFF DT: 10/22/14 BAL DUE:
MISCELLANEOUS PAYMENT
-------- - ---- --- -TOTALS ------ - ----- - - -- -
PRINeI PAL PAID :
INTEREST PAID:
ADJUSTMENTS ;
DISC TAKEN ;
AMT TENDERED:
AMT APPLIED;
CHANGE:
PAID BY: PtJWNING
PAYMENT METH: CHECK
PAYMENT REF: 6838
so. 00
.00
.00
.00
50.00
50.00
.00
BRIEN STREET
164.18' N
/
169.55'
S5 '2533
Lot 7
I
I
~
I
I
N / F Jennie Grimaldi N I F Frank Morassi
/
/
/
THs plo.n does not constitute 0.
sUodlvlslon therefore o.ppr ovo.l
urder the Subdivision Control
Low Is not required.
Do.tel _,.~~~;Ut'LZ-__ ~_
/
/
Lot 6
79.83'
JASMINE LAN E
S53'25'33"E
213.22'
Lot 2A
20,019 s. f.
191.00'
S '19'54"E
N / F Theodore Pidgeon
N 3'25'33"W
89.18'
Lot 3
N / F Kenneth Cizek
PLAN BOOK 369 PAGE 2
SCALE: 1" -40' DATE: Oc t.,
GRAPHIC SCALE
40 0 20 40 80 ~.-11111 •• I I I
( IN FEET)
1 inch = 40 ft.
2014
160
I
ANDERSON ASSOCIATES
LAND SURVEYOR, LAND
PLANNING CONSULTANT,
SITE DESIGN
375 WALNUT STREET EXTENTION
P.O. BO X 382
AGAWAM, MASSACHUSETTS 01001
Tel. 413 525-4145
Fax 413 273-1776
PLAN OF REVISED LOTS
IN AGAWAM , MA
PREPARED FOR :
Kat Custom Homes, Inc.
534 Union Street
West Springfield, MA
NO. DATE DESCRIPTION
DRAWING NO .