8861_FORM A - MAIN AND ELM STREETS - ALDRICHWN,k, / � \ ,
Date. 6M )20', b
To the Department Officer making the Payment:
Received of BSC Companies Inc. as Listed Above
the sum of 50.00 Dollars
for the RDA Filing Fee _ 6/21/2018
for collectic
Q
Treasurer
date. b12 , f 4u
To the Department Officer making the Payment:
Received of Double D Investments, LLC
the sum of 70.00
for the Form A Filing Fee
for collectic
6121 /2018
as Listed Above
Dollars
Treasurer
PAYMENT SUMMARY RECEIPT
Town of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
DATE; 06/21/18 CUSTOMER#: 000000000
TIME: 15:23
CLERK: karen.dr
RECPT#: 1343901 PREV BAL:
TP/YR: MS/2018 AMT PAID: 7C.00
BILL: ADJSTMNT:
EFF DT; 06/21/18 DAL DUE:
MISCELLANEOUS PAYMENT
----------------- TOTALS ---------
PRINCIPAL PAID: 70.OD
INTEREST PAID: .r.3
ADJUSTMENTS: .00
DISC TAKEN: .00
AMT TENDERED: 70.00
AMT APPLIED: 70,00
CHANGE: .00
PAID BY: PLANNING
PAYMENT METH: CHECK
PAYMENT REF:
PAYMENT SUMMARY RECEIPT
Town of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA C1001
DATE; 06/21/18 CUSTOMER##; 000000000
TIME: 15:24
CLERK: karen.dr
RECPT4: 1343902 PREV BAL:
TP/YR; MS/2018 AMT PAID: 50.00
BILL; ADJSTMNT:
EFF DT: 06/21/18 BAL DUE;
MISCELLANEOUS PAYMENT
-----------------TOTALS-----------------
PRINCIPAL PAID: 50.00
INTEREST PAI➢: .00
ADJUSTMENTS; .00
DISC TAKEN; .00
AMT TENDERED: 50.00
AMT APPLIED: 50.00
CF.ANGE : . 00
PAID BY: PLANNJNING
PAYMENT METH CHECK
PAYMENT REF:
A*
*_�
Town of Agawam
Interoffice Memorandum
To: Erik Wight, Building Inspector
cc:
From: Planning Board
Date: 6/21 /18
Subject: Form A - Main/Elm Streets - Aldrich
Please review and comment on the attached Form A for Aldrich at you earliest
opportunity. Thank you.
:prk
FROM THE DESK OF...
YOUR NAME
TITLE
TOWN OFAGAWAM
36 MAIN sT
AGAWAM, MA 01001
Email address Here
413-786-0400 X Extension
Fax: 413-786-9927
TOWN OF AGAWAM, MASSACHUSETTS
FORM A
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
June 19, 20 18
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.
l . Name of Applicant Gary Aldrich & Melissa Aldrich
Address 740 Main Street, Agawam, MA 0 100 1
Phone # (413) 563-3779 Fax 4 email garyaldrich@comcast.net
2. Name of Surveyor Paul S Smith / Paul S Smith Land Surveying
Address 319 Shaker Road, East Longmeadow, MA
CT -
Phone 4 (413) 525-4700 Fax 4 email
3. Deed of Property Recorded in Hampden Country Registry of Deeds -
Book 15139 page 529 4 r
4. Location of Property 740 Main Street, Agawam, MA 01001
5. Describe the proposal in this submission:
To subdivide 740 Main Street, Agawam, MA (which currently consists of 1.52-acres according to the ached
site plan completed by Paul S Smith, dated May 17, 2017) into two lots. Lot 1 on said site plan will consist of
0.36-acres and will have adequate frontage and area along Elm Street, leaving the remaining acreage of
1.16-acres with the existing single family home which fronts Main Street.
ATTACHMENTS - Two originals and three copies of plan by certified land
surveyor ling fee - $50.00 plus $20.00 per lot.
Signature of Owner ✓' Address 740 Main street
F _ 61"0 Agawam, MA 0 100 1
Town of Agawam
City Clerk's office
Vincent F. Gioscia, City Clerk
July 17, 2018
I hereby certify that the Agawam Planning Board did not take action within the
twenty-one (21) day period on an application received June 21, 2018 for a Form A by
Gary Aldrich and Melissa Aldrich.
The locati
Vincent G
City Clerk
f this property is corner of Elm Street and Main, 740 Main Street.
y
t �
-
v.
36 Main Street, Agawam, MA 01001 Tel: (413) 786-0400 ext. 8215 Fax: (413) 786-9927
Town of Agawam
Planning Board
36 Main Street, Agawam, Massachusetts 01001-1801
Tel. 413-726-9737 Fax 413-786-9927
July 13, 2018
Vincent Gioscia
Town Clerk
36 Main Street
Agawam, Massachusetts 01001
Dear Mr. Gioscia:
Attached is an application for a Form A that was submitted on June 21, 2018 by Gary Aldrich &
Melissa Aldrich. The Planning Board did not take action on this plan. The twenty-one (21) day
time period for action has lapsed.
Sincer ,
Mark R. Paleologopoulos, Chairman
Agawam Planning Board
MRPlamb
cc: Assessors
Clerk
File #8861
Inspection Services
PLANNING BOARD ENDORSEMENT UNDER THE SUBDIVISION
CONTROL LAW SHOULD NOT BE CONSTRUED AS EITHER AN
ENDORSEMENT OR AN APPROVAL OF ZONING LOT AREA
REQUIREMENTS.
I CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN ACCORDANCE
WITH THE RULES AND REGULATIONS OF THE REGISTRY OF DEEDS
PAUL S. SMITH MAY 3, 2017
J / J T I TV TV r
J
S ELM TR€€T
APPROVAL NOT REQUIRED
PLAN OF LAND
MAIN STREET
ELM STREET
AGAWAM, M A
OWNED BY
GARY & MELISSA ALDRICH
,SUN 21 Z018
AGAWAIM
PLANNING BOARD
01 30'.• •o