8777A_FORM A - 1004, 1016 SPRINGFIELD STREET.pdf'llll A-
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Town of Agawam
Interoffice Memorandum
To:
CC:
From:
Date:
Subject:
Erik Wight, Building Inspector
Planning Board
9/8/15
Form A -Springfield Street -Smith
-..Iease review and comm. ent on the attached Form A for Smith on Springfield Street
----'prior to the Board's September 1th meeting.
MS:prk
FROM THE DESK OF ...
YOUR NAME
TITLE
TOWN OF AGAW/lJ./I
36 MAIN ST
AGAWAM. MA 01001
Date.
To the Department Officer making the Payment:
"' Received of Jean Smith as Listed Above
-=D,-o .... Ua-rs---• the sum of 50.00 ~~~~~--~--------~~--~~~ for the Form A Filing Fee ending 9/8/2015
for collectic
PAYMENT SUMMARY RECEIPT
Town <;-_f Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
DATE; 09/08/15 CUSTOMER#: 000000000
TIME; 14;31
CLERK: kad
RECPT#: 1083692 PREV BAL:
TP/YR: MS/2016 AMT PAID: 50.00
BILL: ADJSTMNT;
EFF DT: 09/08/15 BAL DUE:
MISCELLANEOUS PAYMENT
-----------------TOTALS-----------------
PRINCIPAL PAID:
INTEREST PAID:
ADJUSTMENTS:
DISC TAKEN;
AMT TENDERED:
AMT APPLIED:
CHANGE:
PAID BY: PLANNING
PAYMENT METH; CHECK
PAYMENT REF:
50.00
_ 00
_ 00
_ 00
50.00
50.00
.00
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1801
September 17, 2015
E. Wayne Smith, clo Tara Ruiz
236 South Westfield Street
Feeding Hills, MA 01030
Dear Mr. Smith:
Tel. 413-786-0400 Fax 413-786-9927
At its duly called meeting held on September 17,2015, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel ofland located ~~
on Springfield Street. Plans drawn by Durkee, White, Towne and Chapdelaine and datecL::;;
8/3112.015.: 'l
Sincerely,
AGAW~ARD
~2!-:/
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
Plarming Board, 36 Main Street, Agawam, MA 01001.
To Agawam Plarming Board
Please be advised that the Form A plan that was filed by Smith and approved by the Agawam
PI arming Board for a parcel of land located on Springfield Street. Plan has been recorded at the
Hampden County Registry of Deeds. Book , Page ____ _
Signature of Applicant _____________ _
TOWN OF AGAWAM, MASSACHUSETTS
FORMA
Application for Endorsement of Plan Not Believed to Require ApproYii
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COpy··
WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF
SECTION 11-B
August31'20 15 r;?
------------------' N
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TO THE PLANNING BOARD: ~
The undersigned, believing that the accompanying plan of his property in the Town It
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 E. Wayne Smith clo Tara Ruiz
Address 236 South Westfield Street I Agawam, MA
Phone # (413) 596-5288 Fax # email T JRuiz99@hotmail.com
2. Name of Surveyor Durkee, White, Towne & Chapdelaine
Address 356 Front Street / Chicopee, MA 01013
Phone # (413) 592-5164 Fax # _(413) 592-3267 email dwtc189D@aolcom
3. Deed of Property Recorded in .:..H"'a'-'m"-'p..:.d..:.en--=C-"o..:..u_nt:<..y ______ . ___ -::-:c ______ __
Book 20070 Page ___ 33 ______ __
4. Location of Property 1004 and 1016 Springfield Street
5, Describe the proposal in this submission:
Proposed change of the common boundary line of Lot 1 and Lot 2 so that the
land area of Lot 2 exceeds 2 Acres. This plan supersedes Plan Book 304, Page 124.
ATTACHMENTS -Two originals and three copies of plan by certified land
surveyor. Filing Fee -$50.00 plus $20.00 per lot.
Signature ofownerl:..~~e ~~36 South Westfield Street
Agawam, MA
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RON PIPE
FOUNa 140.61'
PLANNING BOARD
AGAWAM, MASS.
APPROVAL UNDER THE
LAW NOT REQUIRED.
SIGNED
DATE:Q-I'1-IS' DATE NOTES / REVISIONS
NOTE CO NT ACT DIG-SAFE PRIOR TO ANY
EXCAVATIONS 1-888-344-7233
SUBDIVISION CONTROL NOTE SUBJECT TO EASEMENTS, RESTRICTIONS
AND R.O.W.' S OF RECORD, IF ANY AND
APPLICABLE.
I CERTIFY THAT THIS PLAN WAS MADE IN
ACCORDANCE WITH THE MINIMUM RULES AND
REGULA TIONS OF THE REGISTRAR OF DEEDS.
SIGNED -C~~4-~~~"'::;'~=--
EDWARD No. 38378.
SCALE
I I I I I I
0' 20' 40' 60' 80' 100' 120'
OWNER OF RECORD -
ELLSWORTH W. SMI TH; aka
E. WAYNE SMI TH
DEED BOOK 20070,
DEED BOOK 20070,
PLAN BOOK 85,
PLAN BOOK 153,
PLAN BOOK 265,
PLAN BOOK 304,
SEE TAX MAP FlO.
PAGE
PAGE
PAGE
PAGE
PAGE
PAGE
31.
33.
15.
59.
107.
124.
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1
" APPROV AL NOT REQUIRED SUBDIVISION"
INDEXED PLAN OF LAND IN THE TOWN OF
SHEET 1 OF 1
FILE 2015-085.s90
AGA WAM, MASSACHUSETTS
HAMPDEN COUNTY -PJ{EPARED FOR
ELLSWORTH W. SMITH
DURKEE, WHITE, TOWNE AND CHAPDELAINE
CIVIL ENGINEERS AND LAND SURVEYORS
356 FRONT STREET
CHICOPEE, MASSACHUSETTS -01013
PHONE (413) 592-5164
DRAWN BY EJC
CHECKED BY _
APPROVED BY EJC
SCANNED _
DRAWING No. DATE:08<?1/201~ 87-4885
SCALE 1 -30 S.2015-085.1
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To Agawam Planning Board
Please be advised that the Form A plan that was filed by Smith and approved by the Agawam
Planning Board for a parcel ofland located on Springfield Street. Plan has been recorded at the
Hampden County Registry of Deeds. Book 37 ~( , Page _-,,)( ___ ,
Signature of Applicant C -C~ _~