8792_FORM A - BIRCH HILL RD. - HALLS'19A
Forry-\ R
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To Agawam Planning Board
Please be advised that the Form A plan that was filed by Hall and approved by the Agawam
Planning Board for a parcel of land located on Birch Hill Road. Plan has been recorded at the
Hampden County Registry of Deeds. Book 3 ?� , Page qq
Signature of Applicant
HERITAGE SURVEYS, INC.
Professional Surveyors and Engineers
241 College Hwy & Clark St, P 0 Box 1
Southampton, Massachusetts 01073-0001
Bruce A. Coombs, President
Professional Surveyor, MA, CT & VT
E-mail: bruoe@heritagesurveys.com
Telephone (413) 527-3600
Facsimile (4I3) 527 8280
Website. heritagesurveys.com
TO: Agawam Planning Dept. DATE: March 28, 2016
JOB #: 2146
SUBJECT: Birch Hill Road
WE ARE SENDING YOU:
COPIES
DATE
PLAN #
DESCRIPTION
2
02/26/ 16
2146
Mylar of Plan of land in Agawam, MA
Parcels 1-3
S
_showm
Prints of above
3
Form A
1
Check for $90.00
Please contact this office if you should have any questions or comments.
Sincerely,
kk'
WatsonPeter B.
Uate. 3/2812016
To the Department Officer making the Payment:
Received of Ann T. Hall as Listed Above
she sum of 90.00 Dollars
for the Form A Filing Fee 3/2812016
for collectic
Treasurer
PAYMENT SUMMARY RECEIPT
Town :Of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
DATE: 03/28/16 CUSTOMER#: 000000000
TIME: 15:36
CLERK: AITMY.BOYd
RECPT#: 1138654 PREV BAL:
TP/YR: MS/2016 AMT PAI➢: 90.0❑
BILL: ADJSTMNT:
EFF DT: 03/28/16 BAL DUE:
MISCELLANEOUS PAYMENT
---- -------TOTALS-----
PRINCIPAL PAID: 90.00
INTEREST PAID: .00
ADJUSTMENTS: .00
DISC TAKEN: .00
AMT TENDERED: 90.00
AMT APPLIED: 90.00
CHANGE: .00
PAI➢ BY: PLANNING BOARD
PAYMENT METH: CHECK
PAYMENT REF:
TOWN OF AGAWAM, MASSACHUSETTS
FORM A
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY
WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF
SECTION 11-B
March 23, 2016
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 Lava, 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 Ann T. Hall
Address_ ,132 Birch Hill Road, Agawam.) MA
Phone # 413-786-8328 Fax # email
2. Name of Surveyor Heritage Surveys. Inc. ,-
Address 241 Colle a Hwy & Clary St Southampton, MA
Phone # 413-527-3600 Fax # 413-527-8280 email: peter(q_)heritagesurveys.com
Deed of Property Recorded in Hampden County Rgeistry of Deeds .-
Book 16623 Page 10
4. Location of Property : 132 Birch Hill Road
5. Describe the proposal in this submission: This plan has been prepared to create Parcel 1 &
Parcel 2 and eliminate the existing deed lines in Parcel 3 as shown on the accompanying plan by
Heritage Surveys, Inc., dated February 26, 2016.
ATTACHMENTS - Two originals and three copies of plan by certified land
surveyor. Filing Fee - $50.00 plus $20.00 per lot.
Signature of Owner ,1,1ir 4 Address i3:1 , ;rch �� dd
Town of Agawam
Interoffice Memorandum
To:
Erik Wight, Building Inspector
cc:
From:
Planning Department
Date:
3/28/16
Subject:
Form A - Birch Hill Road - Hall
Please review and comment on the attached Form A prior to the Board's March 318t
meeting.
Thank you.
prk
FROM THE DESK OF...
YOUR NAME
TITLE
TOWN OFAGAWAM
36 MAIN 5T
AGAWAM, MA 01001
Email address Here
413-786-0400 X Extension
Fax: 413-786-9927
TOWN OF AGAWAM, MASSACHUSETTS
r
FORM A
ApplicationforEndorsementofPlanNotBelievedtoRea uireAgprovaI w
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPYc
WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF
SECTION 11-B
March 23, 2016
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 Ann T. Hall
Address 132 Birch Hill Road, Agawam, MA
Phone # 413-786-8328 Fax # email
2. Name of Surveyor Heritage Surveys, Inc.
Address 241 College Hwy & Clark St, Southampton, MA
Phone # 413-527-3600 Fax # 413-527-8280 email: peter&a heritagesurveys corn
3. Deed of Property Recorded in Hampden County Registry of Deeds
Book 16623 Page 10
4. Location of Property : 132 Birch Hill Road
5. Describe the proposal in this submission: This plan has been prepared to create Parcel 1 &
Parcel 2 and eliminate the existing deed lines in Parcel 3 as shown on the accompanying plan by
Heritage Surveys, Inc., dated February 26, 2016.
ATTACHMENTS - Two originals and three copies of plan by certified land
surveyor. Filing Fee - $50.00 plus $20.00 per lot.
Signature of Owner -Lm Address / 3
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MAR 23 2016
AGAvv,-,,Iifl
PLANNING BOARD
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1801
Tel. 413-786-0400 Fax 413-786-9927
March 31, 2016
Ann T. Hall
132 Birch Hill Road
Agawam, MA 01001
Dear Ms. Hall:
At its duly called meeting held on March 31, 2016, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" -for a parcel of land located
on Birch Hill Road. Plans drawn by Heritage Surveys, Inc. and dated February 26, 2016.
Sincerely,
Please be advised that failure to record the plan within six (6) months and provide proo. f 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 01001.
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Hall and approved by the Agawam
Planning Board for a parcel of land located on Birch Hill Road. Plan has been recorded at the
Hampden County Registry of Deeds. Book , Page
Signature of Applicant
r
r
,r I
r
I
o
0 JOHN W. SAULENAS, III
BOOK 20428 PAGE 17
Cu PLAN BOOK 284 PAGE 61
Q � I
Q ,
EXISTING ACCESS
i' FOR EASEMENT
ANN T. HALL, TRUSTEE
THE ANN T HALL
REVOCABLE INDENTURE OF TRUST
DATED DECEMBER 11, 2001
BOOK 16856 PAGE 346
PLAN BOOK 225 PAGE 89
ANN T. HALL, TRUSTEE
THE ANN T. HALL
REVOCABLE INDENTURE OF TRUST
DATED DECEMBER 11, 2001
BOOK 16623 PAGE 14
PLAN BOOK 293 PAGE 108
THIS SURVEY AND PLAN WERE PREPARED IN ACCORDANCE WITH THE
RULES AND REGULATIONS OF THE REGISTERS OF DEEDS, AND THE
PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND
SURVEYING IN THE COMMONWEALTH OF MASSACHUSE77S.
2/26/16
DATE
REGISTERED LAND SURVEYOR
73.45152"
178.19 oN
s,�
PARCEL 3
AREA=
4.691 ACRES
ANN T. HALL, TRUSTEE
THE ANN T. HALL
REVOCABLE INDENTURE OF TRUST
DATED DECEMBER 11, 2001
BOOK 16623 PAGE 10
489s27'
S88'06'56
JAMES A. RICCO, Jr.
500K 19559 PAGE J94
PLAN BOOK 166 PAGE 53
PLANNING BOARD
AGAWAM, MASSACHUSETTS
APPROVAL UNDER SUBDIVISION
CONTROL LAW NOT REQUIRED
DATE
o. fig, 35"E
Nl '
1 a2.63
ANN T HALL
•_
---------- BOO
K 8363 PAGE 221 ---
S84040'43 `E .........
217
8. 1 45,g8 190.71
.h
GREENHOUS
PARCEL 1
AREA= R
cv
32,272E s_fco
� N7327 4
0
PARCEL 2 -Z
AREA=
32,272E s.f .N
�I
ANN T. HALL, TRUSTEE
THE ANN T. HALL
REVOCABLE INDENTURE OF TRUST
DATED DECEMBER 11, 2001
BOOK 16623 PAGE 12
LEGEND
BOUND FOUND El
IRON PIPE FOUND 0
IRON ROD FOUND o
IRON PIPE SET •
MINIMUM ZONING REQUIREMENTS
DISTRICT
AREA
LOT
LOT
MAX
(S.F.)
FRONTAGE
WIDTH
FRONT
SIDE
REAR
HEIGHT
(FT.)
(FT.)
(FT_)
(FT.)
(FT.)
(FT.)
RA 1
17,000
125
X
35
15
25
35
RECEIVED
NOTES: MAR 2 8 2616
1. THE PURPO§E QP THIS PLAN I5 TO GP€aT€ PARG€L5 1 & 2 AGAWAM
AND ELIMINATE THE EXISTING DEED LINES IN PARCEL 3. PLANNING BOARD
..a
' r` — — —--
r r
rr �
i
i r
1f r r
!r I
o
�Q JOHN W. SA ULENAS, 111
-� BOOK 20428 PAGE 17
PLAN BOOK 284 PAGE 61 ;r
Q �
Q r
r �\
ANN T. HALL, TRUSTEE
THE ANN T. HALL
REVOCABLE INDENTURE OF TRUST
DATED DECEMBER 11, 2001
BOOK 16856 PAGE 346
PLAN BOOK 225 PAGE 89
ANN T. HALL, TRUSTEE
THE ANN T. HALL
REVOCABLE INDENTURE OF TRUST
DATED DECEMBER 11, 2001
BOOK 16623 PAGE 14
PLAN BOOK 293 PAGE 108
THIS SURVEY AND PLAN WERE PREPARED IN ACCORDANCE WITH THE
RULES AND REGULATIONS OF THE REGISTERS OF DEEDS, AND THE
PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND
SURVEYING IN THE COMMONWEALTH OF MASSgCHUSETTS.
2/26/16 clfz-��4,
DATE
REGISTERED LAND SURVEYOR
3lw
3`*5�52�E �
7
17$•�9
PARCEL 3
AREA=
4.691 ACRES
ANN T. HALL, TRUSTEE
THE ANN T. HALL
REVOCABLE INDENTURE OF TRUST
DATED DECEMBER 11, 2001
BOOK 16623 PAGE 10
489.2 7'
S88"06'56'"W
JAMES A. RICCO, Jr.
BOOK 19859 PAGE 384
PLAN BOOK 166 PAGE 53
PLANNING BOARD
AGAWAM, MASSACHUSETTS
APPROVAL UNDER SUBDIVISION
CONTROL LAW NOT REQUIRED
DATE 3! �
.4g' 35„E
N7o ,
� a2'63
1 .a8
ZZg.S e�5
` p
KENNELS WITH
ROOF OVERHANG
-----------------------
DEED _
LINE
o�
W rz
I '
r EXISTING
f 1 112 STORY
rf WOOD FRAME
HOUSE
;
GREENHOUSE L I
EXISTING -`-
ACCESSTEASEMENT
!; FOR ANN T. HALL
�__ -__ _ __--- BOOK 8363 PAGE 221
S84.40'4311E
190.710
PARCEL
AREA=
32, 272 f
N�327 4
4�
?21. �>,
PARCEL 2
AREA=
32,272f s.f
S
643` 7
?p99s�F�
s.f
ANN T. HALL, TRUSTEE
THE ANN T. HALL
REVOCABLE INDENTURE OF TRUST
DATED DECEMBER 11, 2001
BOOK 16623 PAGE 12
QD
LEGEND
BOUND FOUND o
IRON PIPE FOUND 0
IRON ROD FOUND 0
IRON PIPE SET •
MINIMUM ZONING REQUIREMENTS
DISTRICT
AREA
LOT
LOT
MAX
(S.F.)
FRONTAGE
WIDTH
FRONT
SIDE
REAR
HEIGHT
(FT.)
(FT.)
(FT)
(FT.)
(FT.)
(FT.)
RA1
17,000
125
X
35
15
25
35
NOTES:
1. THE PURPOSE OF THIS PLAN IS TO CREATE PARCELS 1 & 2
AND ELIMINATE THE EXISTING DEED LINES IN PARCEL 3.