8865_FORM A - COTTONWOOD LN AND ADAMS STREET - GORDON�acm
cot+o r. w CC4
--
F' "C
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1801
Tel. 413-786-0400 Fax 413-786-9927
September 6, 2018
Thomas M. & Wesley Gordon
5 Cottonwood Lane
Agawam, MA 01001
At its duly called meeting held on September 6, 2018, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land located
at 5 Cottonwood Lane and 101 Adams Street. Plans drawn Smith Associates Surveyors, Inc. and
dated August 24, 2018.
Sincerely,
:.7
Please be advised that failure 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
Planning Board, 36 Main Street, Agawam, MA 01001.
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Gordon and approved by the Agawam
Planning Board for a parcel of land located on 5 Cottonwood/ 10 1 Adams Street. Plan has been
recorded at the Hampden County Registry of Deeds. Book , Page
Signature of Applicant
TOWN OF AGAWAM, MAS
51a - co(0
damopis C
Application for Endorsement of Plan Not Belie
FILE ONE COMPLETED FORM WITH THE PLANNIN(
WITH THE TOWN CLERK IN ACCORDANCE WITH T
SECTION 11-B
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 _ j E . M- + WC� i�'kC-40 1 i 04
Address vfOOD {:nJ-C_ -cl
Phone # Fax # email -�W� C4/vt_
2. Name of Surveyor DA&)I f:t- W- d iSk/00 to ITM A'S306 �AK-U6 Yoers
Address q& r3 5,4t•Du11,J E,clSr f.17106Mgl#-4oWr M,4 b IOZ6
Phone # %- 52s- E901 Fax -9 yl3- 5 ZS 8V I email dt"'16I S @yqhoa• C.ul
3. Deed of Property Recorded in P4PAPDF-hi C4vANrI-y Re6iSTtty aF DEMS
Book l'age�jr�"�..-=
4. Location of Property _� Cd FMntWnop b4ivC t o i AoAMS STn wr
5. Describe the proposal in this submission:
, v i PiF o F- A p jam nhe at-6tt o r 79-iF
ATTAUffYWo NTS - Two originals and three copies of plan by certified land
surveyor. Filing Fee - S50.00 plus $20.00 per lot.
Signature of Own AaA_ dress �a�e
TOWN OF AGAWAM, MASSACHUSETTS
APPAicafion for Endorsement of Plan Not Believed to Require Anproval
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY
WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF
SECTION 11-B
01L'ae-IA� 20 IL_
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 f jt-(�n %1^ I- we% iOL�'p'Rt7��
Address ! 001F 'G 0,4000 -C �46AW4,"1.
Phone#` /3-2011-7,36 S Fax# ern�iil�W�'3- D [�9iv1Q1,. COM-
2. Name of Surveyor V,c OC-t W 0 i32rEn! i M A5306 &.ArevE yo2S�C•
Address k& 8 5,4L VW10 �f-- EAST MA 0 10Zp
Phone# Fax# email _dk116 IF-S& ohoo-(-try
3. Deed of Property Recorded in O or iP DW CouNry R-E64sTMLf OF DeEroj
Book , t 42!5&2 7— Page w! b- to le
4- Location of Property 5 Co rmeJ oop LAVE 10 l ADAMS cST(L err
5. Describe the proposal in this submission:
D )U i P 01wY A P rllzm ME R-E"K O f
14-r` 10 40A A-1f S� -0 13C e-DnJV ''►-b f r�rt,�u,�.► It
AW— c)F fhajL tAr'�z
ATTACHAENTS - Two originals and three copies of plan by certified land
surveyor. Filing Fee - $50.00 plus $20.00 per lot.
Signature of Own AaAodress�7li�LUdIJ
11 � '
Town of Agawam
Interoffice Memorandum
To: Erik Wight, Building Inspector
CC:
From: Planning Board
Date: 511118
Subject: Form A - Cottonwood Lane / Adams Street - Gordon
Please review and comment on the attached Form A for Thomas & Wesley Gordon by
the Smith Associate Surveyors before the Planning Board's next meeting on Thursday,
September 6, 2018.
Please return the plan to our office after your review.
Thank you,
Amanda
FROM THE DESK OF...
AMANDA BOISSONNEAULT
ADMINISTRATfVE ASSISTANT
TOWN OF AGAWAM
36 MAIN ST
AGAWAM, MA 01001
aboissonneault@_agawam. ma. us
413-786-0400 X 8739
Fax: 413-786-9927
TOWN OF AGAW.,
F
Application for Endorsement {
PILE ONE COMPLETED FORM WIT
WITH THE TOWN CLERK IN ACCO
SECTION 11-B
TO THE PLANNING BOARD:
�xfr� (CP (s
w�o�hec ct�m�rs
SmG1irP 'Oval
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 Heard approval under the Subdivision Control Law is not required.
Name of Applicant T�pr M t W�i.�y GdRQo J
Address 5 c rmA)64000 _ &Aw
Phone #
Fax #
email
2. Name of Surveyor DAPJ(EL, W, C 99-1 J ^' $ µ M4 j SI&C, CAAr€v* YCKI� fa1G
Address qis 8 1"j4wwl s EAST- {•OnlGm F/4-oow D t OZ&
Phone # Kt 3 - SZ5- 9 0 { Fax # ` i 3- S 2S $9k I email nnoP I S @�ghoo.
3. Deed of Property Recorded in P AtA F owl Cov tjrry R-EGtSSa-+ f d F D avS
Book 2027 Page 2081 -� �
l b5�- r !as --141"
4. Location of Property 5 Co rMOWOop (AWE 9 {d 1 A-04M f STpL.EET-
5. Describe the proposal in this submission:
OW(DE OFF A pAjL LE-L j -AoM TNT ac)&K OF TfzeL4-AV
Ar !oi AoAm -( S-r- TV 36 caA-ua f&P Ta &On,00,c.40E
AIJ j--J7-F6 Pft*- OF V-tQJL tares #r 6 e-orn>,vtw000 La.E ,
ATTACHMENTS - Two originals and three copies of plan by certified land
surveyor. Filing Fee - $50.00 plus $20.00 per lot.
Signature of Owner r / dress C/o �( a
f. F
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
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 TftmA4 fA. + W f- iLC [ A& 4 004
Address �_ 57 C01M 6-000 (A-�nJ, fAuAA,,1 . A44 -
Phone # Fax # email
2. Name of Surveyor DA#J(C-t. W d arUe1 M ITM ASS06 6.treyE LfoeU ,UL.
Address ("�A-LDWIA) Sf-. EA31- L0fj6MEA00wL M4 _ 0-1028
Phone# 413-S25-990I Fax# Y13-57-SSfg1 email e�a.�nO�iS@ a -Copt
3. Deed of Property Recorded in .OrApDE)V CovtorLf RVGtSTrz OF Dezro1
ILOBook [5b 2 Page I&S - 'TRAM:'
4. Location of Property 5 CorMA Jdop mil; f D I AoAMS 5mey- 7
5. Describe the proposal in this submission:
fir- 1al 404m ' Sr 7v Q1F e-oAvsf� M 6-Ortoo � A 40E
A -A) 1A/rE-6n4,L pftr oF TtitwtL. oAv 4r 6 e-orr>',�aw IAA-c .
ATTACHMENTS - Two originals and three copies of plan by certified land
su eyor. FilingFee$50.00 plus $20.00 per lot.
`
Signature of Owner r /Xlddresso l �o
J. F
7q if
6 /1el F
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 I 'I-B
cf&yjr 31 20 _e
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 l MA3 M. t- W>+SLKj GO AD
Address 5 CO A �00fJ _ AMtVft 144
Phone # Fax # email
2. Name of Surveyor i7 / 016 t, W, D 94-I U �- t m 1114 Assoc, 66A mVE YMS Ax.
Address NG 6 f�AL.P OJ czg- -E.4Sr L4)n16ME/)r00Wi M,4 0-10Z8
Phone# Nl5-5254 0( Fax# 113-5ZS Ugl email. _e['crriribpIS A .Um
3. Deed of Property Recorded in # A (-I F Doh! Cnu NT"�j Gt S rfz K a~ a ��35
Book 2o2-2S _ _ 20� DAJ as
—1 hs6-2 - Page 161, `[RVIC
4. Location of Property 5 Co TTOn)WO00 CONE E [ 01 A-OAM9 STxey-
5. Describe the proposal in this submission:
D I V 1 DE OFF A QRjL t-zz FftvM IW 9&-#K d f- 7-12_64ey L4 J
t4r !01 MBA s 5T = 1-0 66 COAJV�Qq Ta &"OrzQvA., AWO /440E
P4 n1 1AJM6( 41L P,0� OF 11faqlL G4A 5 Corr -,�f a .E-
ATTACHMENTS - Two originals and three copies of plan by certified land
surveyor. Filing Fee - $50.00 plus $20.00 per lot.
Signature of Owner AddressOUE
,s .CLAI
DrIlp
r/A
f
Town of Agawam
Schedule of Departmental Payments to Treasurer
No: Planning Board - DATE 8/31/2018
ORG. AND OBJECT SOURCE AMOUNT TOTAL
22010 42400 Thomas Gordon 50.00 50.00
0 0 _
0 0 0 _
0 0 Form A -
0 0 Cottonwood Lane -
0 0 0
T"OMAS M. GORDON 6960 -
wEsLELecORoaN
5 COTTONWOOD LN 53 xnrz� �3
,aOnwnM , Ma 41001
73 - -
.0�
� .6eEe
For M/ _
A
1:21137051*54 5001463u" 69 io
0 0 0 - _
0 0 0
0 0 0 -
Total 1 11 50.00
No. Date: 8/31 /2018
To the Accounting office
The above is a detailed list of moneys collected by me, amounting in the aggregate to
the sum of 50.00 Dollars,
for the Form A ending 8/31/2018
which 1 have paid to the Treasurer, whose receipt I hold therefor.
Planning and Community Development
-)ate. U)J'J JlU .8
To the Department Officer making the Payment:
Received of Thomas Gordon as Listed Above
the sum of 50.00 Dollars
for the Form A ending 8/31/2018
for collections as per schedule of this date, filed in my office.
Treasurer
PAYMENT SUMMARY RECEIPT
Town of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
❑ATE: 06/31/16 CUSTOMER#: COCC00000
TIME: 15;03
CLERK: Amy.Royd
RECPT#: 1360160 PREY HAL:
TP/YR: MS/2019 AMT PAID: 50.00
BILL: ADJSTMNT:
EFF DT: 08/31/18 BAL DUE:
MISCELLANEOUS PAYMENT
-----------------TOTALS -----
PRINCIPAL PAID: SO.00
INTEREST PAID: .00
ADJUSTMENTS: .00
DISC TAKEN: .00
AMT TENDERED: 50.00
AMT APPLIED: 50.00
CHANGE: _00
PAID BY: PLANNING
PAYMENT METH; CHECK
PAYMENT REF;
0
e
I CERTIF'
RULES AND REGULATIONS OF THE REGISTERS OF
DEEDS IN PREPARING THIS PLAN.
'7
DANIEL W. O'BRIEN P.L.S. #36388 DATE
PLANNING
AGAWAM,
BOARD
MASSACHUSETTS
APPROVAL UNDER THE SUBDIVISION
CONTROL LAW NOT REQUIRED
(HCRD 20891/333)
LEGEND
0 IRON PiN OR PIPE FOUND
0 REBAR IRON PIN SET
m CONCRETE BOUND FOUND
NOTES GSB GRANITE STONE BOUND FOUND
1. PARCEL "A" AS SHOWN HEREON IS TO BE DIVIDED OFF" FROM LAND OF DAVID TREHEY HCRD HAMPDEN COUNTY REGISTRY OF DEEDS
AND CONVEYED TO THOMAS M. & WESLEY GORDON. SAID PARCEL IS TO BE COMBINED K6-2y-18 ASSESSOR'S PARCEL NUMBER (TYP)
WITH AND MADE AN INTEGRAL PART OF OTHER LAND OF GORDON KNOWN AS LOT #25.
THE NEW COMBINED PARCEL IS TO KNOWN AS LOT #25A.
2. THE BOUNDARY BETWEEN LAND OF DAVID TREHEY, ADDRESSED AS #101 ADAMS ST„
AND LAND OF PATRICIA A. TREHEY, ADDRESSED AS #93 ADAMS ST., IS SUBJECT TO
A BOUNDARY LINE AGREEMENT RECORDED IN HCRD BOOK 8709, PAGE 39.
3. THE SIDELINE OF ADAMS STREET AS DEPICTED HEREON IS BASED ON THE 1908 COUNTY
LAYOUT AS RECORDED IN COUNTY HIGHWAY BOOK 4 PAGE 40.
BOOK 4 PAGE 40,
4. THE PREMISES SHOWN HEREON TO BE RECONFIGURED LIE IN THE RESIDENCE A--2 ZONE.
GRAPHIC SCALE
( IN FEET )
1 inch = 40 ft.
R
PLAN GE LAND
ADAMS STREET +
COTTONWOOD LANE
AGAWAM, MASS.
OWNED BY
AND
DAVID TREHEY
3162
° 2'
1" I.P.
UP 18"
1" I.P..W: '0.3'
® UP 32" ' 1" I.P.
0 1 UP 28"
ADAMS STREET
i" I.P.
UP 24"
N/F
DAVID TREHEY
MAL I - NO SCALE
FOUND 1" I.P. W/ COLLAR
IN BURIED WATER HEATER
NG p �
e
KN
EME 1ALL- NO SALE
N/F
ALFRED P. DUDLEY ET AL
(HCRD 17886/170)
I CERTIFY THAT I HAVE CONFORMED WITH THE
RULES AND REGULATIONS OF THE REGISTERS OF
DEEDS IN PREPARING THIS PLAN.
- -- (" 1?PCs /1�
DANIEL W. O'BRIEN P.L.S. #36388 DATE
N 57100100"
14�.&8'
ADAMS STREET
N 4830'00"
19. 125.0
0.22'-- 144.78' TOTAL -
1" I.P.
UP 18" TOTAL AREA
N/F $ �,�`n' 29,024 sq.fk.
WALIDE A. SOUFANE s14 `�` ry°�� 4` 0.67 acres
(HCRD 21069/533) ��`a"'
Ob` v C y1 A:)
//per
" Ncb
NN
Q
Gov DEED PARCEL I `
1" I.P. q-
�.` `vrr
�4" �a / r
ss�go � 2S -32
C7
I CERTIFY THAT THE PROPERTY LINES SHOWN HEREON
ARE THE LINES DIVIDING EXISTING OWNERSHIP, AND THAT
THE LINES OF STREETS AN] WAYS SHOWN ARE THOSE OF
PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED,
AND THAT NO NEW LINES FOR DIVISION OF EXISTING
OWNERSHIP OR FOR NEW NAYS ARE SHOWN.
DANIEL W. O'BRIEN P.L.S. #36388
(SEE DETAIL 2)
SHED
N/F
DAVID TREHEY
(HCRD 16562/163)
40.67'
(SEE, TA[L 1)
NOTI=S:,
1_ FOR TITLE TO THE PREMISES DEPICTED HEREON SEE DEED FROM
MARGARET M. SULLIVAN TO ERWIN G. CHAPMAN DATED JULY 31, 2001.
RECORDED IN HCRD BOOK 11786, PAGE 167. SEE ALSO DEEDS FROM
ERWIN G. & VIRGINIA F. CHAPMAN TO ERWIN G. & VIRGINIA F. CHAPMAN
AND MARCIA A. PAINS AS JOINT TENANTS. SAID DEEDS RECORDED IN
HCRD BOOK 8447, PAGE 235 AND HCRD BOOK 8556, PAGE 262.
GRAPHIC SCALE
40 0 2D 40 eo 160
(INFEET
I inch - 40 ft
m
A
0
GRANITE STONE BOUND
EXISTING IRON PIN / PIPE
REBAR SET
HAMPDEtN COUNTY REGISTRY OF DEEDS
PLAN OF LAND
#111 ADAMS STREET
AGAWAIM, MASS.
OWNED BY
MARCIA A. PAINE +
THE HEIRS OF
ERWIN G. 'CHAPMAN