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8459_SITE PLAN DAIRY STORE 335 SUFFIELD 3S � � A-)(6c- Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 M a q September 11, 2007 .mac James A. Greco r 19 Chapin Road o Hampden, MA 01036 Dear Mr. Greco: At its duly called meeting held on September 6, 2007, the Agawam Planning Board voted to return your site plan for a proposed gazebo to be installed at the rear of your Dairy Store, 335 Suffield Street,Agawam,MA. The Board has voiced concern over the unlimited access/egress from Suffield Street. The configuration of the existing parking encourages vehicles to back out on to Suffield Street. In the Board's August 6, 2007 letter to you,the Board raised this concern and asked that you make provisions to improve the safety of the site. In addition, in the Safety Officer's memo dated November 29, 2006 and attached, this issue was also raised. By returning this plan to you,the Planning Board is again requesting that you explore ways in'which to make your site safer for both your customers and the general public traveling on Suffield Street. If you have any questions, please contact the Planning Office at 786-0400, extension 283. Sincerely, Dennis B. Hopkins, Chairman Agawam Planning Board cc: Clerk Building Safety Officer Solicitor File Memo To: Planning Board From: Sgt. Richard Niles, Safety Officer Subject: Site Plan—The Dairy Store —335 Suffield Street Date: November 29, 2006 As submitted, the installation of a gazebo behind the store for Keno customers would not appear to present a safety hazard to pedestrian,bicycle, and or motor vehicle traffic. I would assume this gazebo would be utilized primarily by Keno players who are also tobacco product users. My principal concern would be an increase in the amount of Keno players would translate into an increase in vehicular traffic in and out of the store parking lot, which, in turn, may cause a decrease in safety for pedestrian, bicycle, and or motor vehicle traffic Respectfully Submitted Sgt. R.Niles Cronolo&v Greco/Dairy Store/Gazebo November 1, 2006 Application for Site Plan Review received from Inspection Services November 17, 2006 Memo to Nick from Debbie asking if the Dairy Store was a non- conforming use November 29, 2006 Memo from Safety Officer"My principal concern would be an increase in the amount of Keno players would translate into an increase in vehicular traffic in and out of the store parking lot, which, in turn,may cause a decrease in safety for pedestrians, bicycle, and or motor vehicle traffic March 20, 2007 Application for Special Permit sent to Board of Appeals by Service indicating that the applicant was seeking relief from Section 180-7, Paragraph A and B (non-conforming uses). April 19, 2007 Placed on Planning Board agenda April 24, 2007 Planning Board denies Site Plan because does not meet the requirements of 180-13 of the Zoning Ordinance July 2, 2007 New Site Plan submitted by Mr. Greco prepared by Thomas Wilson and Associates July 26, 2007 Another new plan submitted by Mr. Greco prepared by Thomas Wilson and Associates with zoning line moved. Gazebo now shown in Business A zone August 2, 2007 Planning Board at meeting asks for revisions to Site Plan including: ingress/egress, parking, fencing around gazebo, landscaping, lighting, and dumpster fencing in conformance with Section 180-13 of the Zoning Ordinance. August 14, 2007 Planning Board receives letter from Mr. Greco that he will not make any changes to his plan. July 18, 2007 Board of Appeals voted to deny the Special Permit because the plan indicated that the gazebo was located both in Business A and Residence A-2,though indicates in their decision that if the gazebo is located in the Business A zone, it will not require a Special Permit. %ALa&m ,State ,Lwev, 60 &an Sowd �iaix�ce. ?�acaaclrudetSd 42184-��38 ?el: (78r1 849-5555 ?ax: (78r1849-5546 ?tgo: (7W 9'4f-5678 TIMOTHY P. CAHILL MARK J CAVANAGH ?aea�a --d acel—Cf..e DGr�ctma August 28, 2007 Mr. James A. Greco Dairy Store 335 Suffield Street Agawam,MA O1001 RE: Dairy Store(Agent Number: #132218) Dear Mr. Greco: I have been requested to provide guidance on the Massachusetts General Laws, as well as the Code of Massachusetts Regulations,which both govern the operation of the lottery game known as Keno. Be advised that I currently find no prohibition to operating Keno, in an adjacent structure to your currently licensed premises, in the manner that you have proposed to the Town of Agawam Inspectional Services Division. In reviewing requests from agents that concern the online game Keno, the Massachusetts State Lottery has always shown significant deference to the town or city in which the license is located. If you have received the approval of the Town of Agawam,the State Lottery does not prohibit the manner in which you propose to operate Keno. Should you have any questions regarding.this,please do not hesitate to contact me. Ver tru yours, C les R. Mc yre General Couh I CRM/ps Cc: Mark J. Cavanagh, Executive Director TI$L�11'�f Supporting the 351 Cities and Towns of Massachusetts Visit our Web Site: www.masslottery.com C`0 r 521 CMR: ARCHITECTURAL ACCESS BOARD 521 CMR 24,00: RAMPS 24.1 GENERAL Any part of an accessible route with a slope greater than 1:20(5%)shall be considered a ramp and shall comply with the requirements of 521 CMR 24.00 24.2 SLOPE AND RISE Ramps shall have the least possible slope. 24.2.1 The least possible slope should be used for any ramp. The maximum slope of a ramp shall be 1.,12(8.3%). (There is no tolerance allowed on slope,Refer to 521 CMR 2.4.4d) 24.2.2 The maximum rise for any run shall be 30 inches(30"=762mm). See Fig.24a. 12 y 2 Surface of Ramp Level Horizontal Projection of Run AL Level Land€ng• Landin Ramp Slope. 9 Figure 24a Exceptions: A slope between 1:10 (10%) and 1:12 (8.3%) is allowed for a single rise of a maximum three inches(3"=76mm). 24.3 CLEAR WIDTH The minimum Blear width of a ramp shall be 48 inches(48"=1219mm),measured between the railings. See Fig.24b. 48' clear 1219 m -Wall 48' clear .............. 1219 M ni + n, Ramp Width and Handrail Height Figure 24b 24.4 LANDINGS Ramps shall have landings for turning and resting. At a minimum,landings shall be located at the bottom and the top of each ramp and each ramp run,and whenever a ramp changes direction. The maximum length of a ramp run between landings shall not exceed 30 feet (30' = 9m). Landings shall have the following features: See Fig.24c. 1127/06 521 CMR-93 - 521 CMR: ARCHITECTURAL.ACCESS BOARD 24.00: continued 62" min NOTE: Sae Figures 26d and 26e 15,4 I r610 Level Landing Level Landing i ve N •... r 0' 30' rnax 1524 9.1 m NOTE: See Figures 26d and 26e is FP ;.:L Level m N Level Landfng .. :'r`;' • Landing 45T ,r _` 60' m1n 3ti' max 60" mtn 30' Max 1524 9.1 m 1524 9.1 m Maneuvering Clearances at Doors .... env Level - r es N r Landing do 4 r " min 1524 9.1 m Minimum Landfng Size for Change of Direction Figure 24a 24.4.1 General: 'Landings shall be level and unobstructed by projgctions and door swings,except as permitted by 521 CMR 24.4.6, 24.4.2 Width: The landing shall be at least as wide as the ramp ran leading to it. 24.43 Length: The landing length shall be a minimum of 60 inches(60"= 1524m1n)clear. 24.4.5 Dimensions for turning:If ramps change direction at landings,the minimum landing size shall be 60 inches by 60 inches(60"by 60"= 1524mm by I524mm).See Fig.24c. 24.4.6 Doorways at Landings: If a doorway is located at a landing,then the level area in front of the doorway shall also comply with maneuvering clearances in Fli ,26d and 26e, 24.5 IiANDRAILS . Handrails shall be provided at all ramps. Handrails shall have the following features: 24-5.1 Location: Handrails shall be provided along both sides of ramp segments. 1/27/06 521 CMR-94 y t 521CMR: ARCHFMCTURAL ACCESS BOARD 24.00: continued 24.5.2 Heights: Handrails shall be provided in pairs,one at a height between 34 inches and 38 inches (34"-38"=864mm-965mm),and a lower one at a height between 18 and 20 inches(W-20" =457mm.-508mm),measured vertically from the surface of the ramp to top of handrail. 24.5.3 Continuous surface: Handrails shall be continuous without interruption,except by doorways and openings,so that a hand can move from end to end without interruption. 24.5.4 Extensions: Handrails shall extend at least 12 inches(12"=305mm)beyond the top and bottom of the-ramp and shall be parallel with the floor or ground surface(See Fig.2 4d),except where the extension would cause a safety hazard. 2' in 2• In 30 3D Level Landing Level Lan ding ILl Handrail Extensions Figure 24d 24.5.5. Size:Handrails shall have a circular cross section with an outside diameter of 1'A inches(32mm) minihawn and two inches(54mm)maximum. 24.5.6 Shape. The handgrip portion of the handrail shall be round or oval in cross-section. See Fig. 24e, 245-7 Surface: The gripping surface shall be free of any sharp or abrasive elements. 24.5.8 Clearance: When a handrail is mounted adjacent to a wall,the clear space between the handrail and the wall shall be 1 r4 inches(I Vi" 38mm). Handrails may be located in a wall recess if the recess is a maximum of three inches(3"=76mm)deep and extends at least 18 inches.(]8" 457mm)above the top of the rail. See Fig.24e. 1/27/06 52I CMR-95 r-E: IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED, THE DATA CALLED FOR BELOW MUST BE SO SET FORTH T WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EKIS NIG CONDMONS A..,,s1$ii3 WHAT THE FUTURE CONDMONs WILL BE. New................p Plot flans and Plans, in duplicate must be tiled with this application before a permit will be granted. Addition.......M Alteration..... t] No........................................Zone..........................................Type............................................, Occupancy_p (Applicant not to Ell in spaces above this line) Demolition....p _ MOVing...........Cl Application for other than a Dwelling Permit (To Be Filled out in ink or on a typewriter) �i ` •• Agawam,Mass.,. it..�l... l�J. .. ..�` r.' To the Building Inspector:-- Application for a permit to build is hereby made according to the following:-- . �r....si.'{. 1f Tel.No.......... .......................... ....... 1. Location,Street and No .......... "................................................................... ��,�,� (Number shall be obtained from Dep of Public Works) 2. Nearest cross street......L..:[d i� ?1......... ... ....... p 4lS t.P 3. Owner's name ..�...�.`�lu.. !�.. .:.....HillH n N'lG, '• f 4. Architect's name...........................................................................................Address............................................................ 5. Builder's name...............................................................................................Address................. ....................................... b. Construction Supervisor Idc.................................................... . ...................................................... ............. ..... 7. Present Use of Building .....................................................................Proposed Use of Building...%rR. �.6.1a.� 1 T?af►J are�►� 8, Is it a corner lot?......0 ..Lot abuts on how many Streets or Public Alleys?......t.........Lot No. ................................. 9. Lot size: Frontage.. l. .S...................................................... l of Area...�..G. ... !�I~�................... . .................. ir 10. Size of building,Width in ft. .......�.�.. ... . .Length in ft...r .r....................... ei ht in ft................ .'..... 11.. Distance of building from street lute ....70....,.left lot line...�.r.......right lot line ..,rear lot line....� �.... . Roof To be filled in by DPW Stories 13 1 2 or 3 WATER AND SEWERAGE 12. Story heights Water Supply............................................... 13. Materials of wails Sewerage Disposal...................................... 14. Thickness of walls Signed...................................... 15. Materials of floor/roof 16. Design live load To be filled in by H15ALTH DEPT. 17. Design dead load Septic tank required').,.�.... ................ 18. Occupancy or use Permit Number..... .--••' ,•-.-„-�............... 19. No. of persons (families) _ r ) 20. No. of stairs .: 21. Nature of soil under footings is...........: ...................................................................................... . ..... K., 22. Depth of footings below grade...................ft.Will piles be used? ......................... N C-) 23. Area of building ...................................................sq.ft. Area of Addition.............................................. ..cry.....sq.ft. 24. Type of roof- flat .............................pitched..............................Material of roof covering............................................ 25. Are live loads noted on drawings?.............Are all other structural conditions noted on Drawings? .................... will be 26. Building is equipped with sprinklers?.......................Method of Heating.................................................................... 27. If a part or entire building is to be occupied for residential,hotel or similar purposes give the following particulars: rooms rooms 28, Total families in building ...................................No.of families each floor.......................................................................... .29. Number of exits for each family? ............................................Number of fire escapes? .............................. ,.................. 30. Has written approval been obtained from the State? ..... .................... :,_..,�.__,::y,................... ' 31. Will buil'irg cnuf:irm to the.Building.:end.Zoning OrdinXCCs" .. .................... .... .......I............................................... 32. If a garage,distance from nearest dwelling...............................................HONE-IMPROVEMENT....................•. 33. If an addition, alteration or demolition,when was building rejected? ..............t�.........................,................................. .. 34. When will work be started ....-..,.,_,1 „......... .... 19..............�ud com"61AT MRS'NUMBER.19........... 35. Estimated Total Costs..... i.,Qrl.............................................................................................................................. . .. No building or structure which is erected or altered,shale used,in whole or in part,for any purpose until a certificate of occupancy is issued by the Building Inspector. The undersigned certifies that the above statements are true to the tt tof *s knodg and belief. PERSONS CONTR C-NIN^4AAT,H UNREGISTERED no;ignature ferry owner CONTRACTORS DO NOT HA4'E''�,X DESCRIPTION OF WORW TO BE DONE aU ANTY FUN ,t (Use blank half of r i ,if necessary) �r . . . .. .. .....1 ...... ..;. ..tJtc ."Al g..., . .. '.. :,.... .. ...... .... ........ �...fr, .,. ... ,t �P�P . ..�1, ?. 1 .. .......,................. ......................._........ �... .� �. r PLOT PLAN ���� ��• SNOW ALL GUILD INGS ON LOT EXISTING on PROPOSED INDICATE • 4A- .' . . . NORTH No. ........................ Precinct ................. .. Application for Other Than • . a Dwelling Loc4don a� act" eL d:W11. ............................................................................... • . . . . . . .�� . . . I ............................................................................... . . • ♦ . • . • • • • PERMIT GRANTED p ................................ ............................................... �y .�. • • . 94CARWST �• • M NZARUS•l ST R U ST ST R E iLT }rRQP�RTY '` FT. FRONTAGE LINE Su STREET w. iii r iir_� `R TOWN OF AGAWAM August 14, 2007 PLANNING BOARD 36 MAIN STREET AGAWAM MA 01001-1837 Dear Members of the Planning Board: RE: Site Plan for the Gazebo at the Dairy Store After careful review of the last site plan which was submitted on August 2, 2007, and upon receiving your recommendation to make some fiu-ther changes, I find that it would be detrimental to my business to make these alterations. Namely,the restrictions on the front parking spaces. Such changes, I find, would be counter-productive to my business. I therefore, respectively resubmit my plan for your consideration. Please consider my position in this matter when you make a determination. Sincerely, James A Greco President of Greco Inc D/B/A Dairy Store EEC VED AUG 15 2007 F-ANWj '!0, BOAR A Town of Agawam ►�� ,i. 36 Main Street Agawam, Massachusetts 01.001-1837 Tel. 413-786-0400 Fax 413-786-9927 August 6, 2007 James A. Greco 19 Chapin Road Hampden,MA 01036 Dear Mr. Greco: At its meeting held on August 2, 2007, the Agawam Planning Board discussed your site plan for a proposed gazebo to be installed at the rear of your Dairy Store, 335 Suffield Street, Agawam, MA. Though your plans have been revised a number of times, they still do not provide the information necessary for the Planning Board to act on the plan. Please provide a revised plan addressing the following: • Due to a present unsafe condition of an unrestricted access to Suffield Street and the potential for vehicles to back out into the heavily traveled way, the plan shall be revised to show a restricted curbcut on to Suffield Street. • Some of the front parking spaces may have to be eliminated to accommodate the new curb cut. • Fencing must be placed around the gazebo to separate it from the parking lot for safety purposes. • A landscape plan indicating size, location and species must be provided. The following landscape note must be placed on the plan: "All plantings must be maintained and that portion of the public way abutting the parcel and including the treebelt shall be maintained in a safe and attractive condition by the owner of the parcel. • Cut sheets for the proposed lighting must be provided. The lighting must be shielded so as not to shine on the adjacent residential properties. • All dumpsters must be fenced, gated and screened. If you have any questions,please contact the Planning Office at 786-0400, extension 283. If your plan is ready for the September 6, 2007 meeting,please contact the office. Sincerely, Dennis B. Hopkins, Chairman P� Agawam Planning Board cc: Board of Appeals Engineering Thomas Wilson&Associates File Memo To: Planning Board From: Sgt. Richard Niles Subject: Site Plan—The Dairy Store—Suffield Street Date: 07/17/2007 Since nothing seems to have changed from the last two(2) site plans, I am re- submitting those survey reports. Respectfully Submitted Sgt. R. Niles Safety Officer Agawam Police Department r TOWN OFAGAWAM 36 AMIN STREET AGAWAM, MA 01001AT- 05 DECISION OF BOARD OF APPEALS Petition of: Caryn and James Greco Premises affected: 339 Suffield Street Date: July 18, 2007 Case#: 1789 The Agawam Board of Appeals conducted several public hearings between May 14, 2007 and July 18, 2007 and a public meeting on July 18, 2007 at the Agawam Public Library Conference Room, 750 Cooper Street, Agawam,MA, for all parties interested in the appeal of Caryn& Jaynes Greco, who are seeking a Special Permit in accordance with Section l 80-7, Paragraphs A &B of the Zoning Ordinances which would allow for the construction of a gazebo behind the Dairy store at the premises identified as 339 Suffield Street. After the public hearings, and after a thorough review of the facts presented, the Agawam Board of Appeals made the following findings: 1. The subject property is located in Business A, Residential A-2 and Agricultural Zones. 2. The petitioners wish to construct a gazebo behind the Dairy store. Keno is currently played inside the Dairy store. The proposed gazebo would allow their customers to play Keno outside. 3. The proposed gazebo is located in both the Business A and Residential A-2 districts. 4. The proposed structure, which is to be an extension of the Dairy store, is not an allowed use in a Residential A-2 district. 5. Memos were received from both the Planning Board and the Safety Officer. When the petitioner initially brought this petition before the Board, it was thought that the entire proposed gazebo was located within the Business A district. At that time, the Board questioned whether or not a Special Permit was required for this proposal and was waiting to hear from the hispector of Buildings. It was only after a professionally drawn plan was submitted to this Board that the proposed gazebo was found to partly lie in a Residential A-2 district. Such an extension of the Dairy store would require the granting of a use variance since the use is not allowed in a Residential A 2 zone. Page 1 of 2 e t DECISION(Page 2) Caryn &James Greco Case# 1789 Based on its findings, by a unanimous vote of its three members,the Zoning Board of Appeals hereby denies the petitioners' request to construct a gazebo behind the Dairy store. However, if the location of the gazebo is changed so that it will lay entirely within the Business A district,the Board members have agreed that a Special Permit is not required since both the business and residence are allowed uses in a Business A district. This decision is subject to appeal in accordance with MG.L., Ch. 40A within 20 days after this decision is filed with the Agawam Town Clerk. Date of filing with the Agawam Town Clerk is stamped at the top of this decision. 24 c3�} Fred Harpin Joseph Conte Doreen Prouty .0za Page 2 of 2 07/17/2007 13:38 FAX 4138210631 16 002/002 TOWN OF A GAWAM Department of Public Works " 1000 Suffield Street o Agawam, MA 01001 Tel (413) 8210600 • Fax (41 3) $210631 John P. Stone . SupeirintaWent NIEMORANDUM To: Planning Board CC: File From: Engineering Division Date: July 12,2007 Subject: Site Plan—'Me Dairy Store—Suffield Street—SF 499 Pur your request dated July 2, 2007, we have reviewed the Site Plan entided; "The Dairy Store, Suffield Street, Agawam, MA; Prepared for The Dairy Store Realty Trust, 335-339 Suffield Street, Agawam, MA; Prepared by: Thomas Wilson & associates, 99 East Circle Dr., E. Longmeadow, MA; Scale: 1" = 30'; Dated: July 2, 2007", and we approve the Plan. If you have any questions please do not hesitate to contact this division. Sincerely, Vladimir Ciceres Michael C. Chase,E.I.T. Civil Engineer I Interim Town Engineer s:lspt499 dairy store 335 suf rldlmemo 2.doc A 'own of Agawam 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 MEMO TO: Engineering Dept, Poltcef Dept., Fire,Dept, FROM: Planning Board SUBJECT: Site Plan- The Dairy Store - Suffield Street DATE: July 2,2007 Please review and comment on the attached Site Plan for The Dairy Store on Suffield Street prior to the Board's July 19`h meeting. Thank you. DSD:prk Memo To: Board of Appeals From: Sgt. Richard Niles Subject: Case 1789--Gazebo behind the Dairy Store.—339 Suffield Street Date: 04/06/2007 Attached you will find the site plan survey conducted on November 29, 2006 for what would appear to be the same location. Respectfully Submitted Sgt.R.Niles Safety Officer Agawam Police Department AGAWAM POLICE DEPARTMENT Chief Robert D. Campbell 681 Springfield Street, Feeding Hills, MA-01030 'ouc� Telephone- (413)786-4767 1 FAX(413)786-4821 Fax Cover Sheet fq0t Send To: C7 q r-CP Attention: Fax number: From: Number of pages Including cover page This communication is intended only for the addressee(s) and may contain confidential or privileged information. If you are not the intended addressee, any use, disclosure, copying or communication of the content is prohibited. If you receive this message by error,please notify this agency. TOWN OFAGAWAM 36 MAIN STREET - AGAWAM, MA 01001 E BOARD OF APPEALS MEMO Date: April 2,2007 To: Building Dept. Planning Board Conservation Commission DPW Fire Dept. Police Dept. Assessor Engineering Dept. Health Dept, From: Board of Appeals Subject: Caryn S. &James A. Greco Please be advised that the Agawam Board of Appeals is in receipt of a new application. Case#1789 (7:30PM) who is seeking a Special Permit in accordance with Section 180-7, Paragraphs A& B of the Zoning Ordinances which would allow for the construction of a gazebo behind the Dairy store at the premises located at 339 Suffield Street The Agawam Board of Appeals hearing date is scheduled for Monday, May 14,2007, starting at 7:30 P.M. and will be held at the Agawam Public Library Conference Room, 750 Cooper Street, Agawam, MA. Plans are in the Board of Appeals office for your review, comments, and any recommendations you may have, so we can consider these recommendations and comments in our final decision. If no comments°and or recommendations are received within thirty-five (35) days from the above referenced date,we will assume there is no opposition. Sincerely, Doreen Prouty Chairperson DP:jb =2 , F ', cc: 5 Board Members Town Council Town Solicitor Mayor I 4 ii 3- .�"t�d � r Q s,rif •r' iraae • � 9i � a , �, �. Q. Iw ter•. ■. -r- • - .. d ~.• ■T •. a %n. .• • • � • • ■ • � • �•- - .. No • .• :. ;...:. rr 70 in � • �� :� .� � to - • • • - :mot Of s rn v c a i J ' -t.. .. ^r -Air IE , _ � r 1111, �,..�. -�:: �'.r,•.,r•:' - tee _si r r AV �.t20Q7curopa-To chnoioyrl (J(J 8 le •r h Memo To: Planning Board From: Sgt. Richard Niles, Safety Officer Subject: Site Plan--The Dairy Store— 335 Suffield Street Date: November 29, 2046 As submitted, the installation of a gazebo behind the store for Keno customers would not appear to present a safety hazard to pedestrian, bicycle, and or motor vehicle traffic. I would assume this gazebo would be utilized primarily by Keno players who are also tobacco product users. My principal concern would be an increase in the amount of Keno players would translate into an increase in vehicular traffic in and out of the store parking lot,which, in turn, may cause a decrease in safety for pedestrian, bicycle, and or motor vehicle traffic Respectfully Submitted A( - A,�-. Sgt. R. Niles 1 Town of Agawam - '� 36 Main_ Street Agawam, Massachusetts 01001-1837 Ay` Tel. 413-786-0400 Fax 413-786-9927 MEMO TO: Engineering Dept., Poli a ept., Fire Dept., ADA Committee FROM: Planning Board SUBJECT: Site Plan-The Dairy Store - 335 Suffield Street DATE: November 7, 2006 Please review and comment on the attached Site Plan for The Dairy Store at 335 Suffield Street prior to the Board's November 1 6"meeting. Thank you. DSD:prk AGAWAM PLANNING BOARD r^p Form D Application for Site Plan Approval Please complete the following form and return it and 10 copies of the Site Plan to: L Agawam Planning board CZ3 --4 Office of Planning and Community Development E o 36 Main Street ' ~ -~- Agawam, MA 01001 rrn �d �n T 1. Na.rne of Business Cj 1 r S dice 11 � Address 21ff Iu]" Teiepbone (q 13) U6 -:33 cl l Fa�c 2. Name of Applicant/4wner Addres t L0) !Ln4fe DJ Telephone_�(a) ��?_• , I _ Fay 3. Name of Engineer/Arcl itect-- SDI P f' a 7-6 o d r d C r en Address • 4 E G(U D o Telephone ( aA d --0 M 4. Please give a brief description of the proposed project: h o cat nn�rnn o d� er 3.7 o v �JCV Cb Q ti cti ry y 0! "IA1 44 3,l s-gym u. N En � Q Q (0 co • - k " 4 /IVD AD CD r3 G oh N N _ _ r,n —-.,�,�_ •'tip � e Site Plan Review Page 2 Desviption of Site: An existing parking lot. Provision for Traffic Flow: Current access to the site is unrestricted. Car pull in and back out on to Suffield Street at an area where accidents are common. Curbing should be installed along the frontage with a specified curbcut to enter and exit the site. Parking: The plan shows 31 (2 handicapped) parking spaces. The 5 spaces in the front of the building and at least 2 diagonal spaces adjacent to the house should be removed. These spaces are unsafe and result in cars backing out on to Suffield Street (see above comment). Drainage: Not provided. Pub[ic Utilities: Not provided. Landscaping/Screening and Buffers: Not provided. A landscape plan indicating size, location and species must be provided. The following landscape not must be place on the plan: "Ail plantings must be maintained and that portion of the public way abutting the parcel and including the treebelt shall be maintained in a safe and attractive condition by the owner of the parcel." Sign Location: O.K. Exterior Lighting: Cut sheets of the proposed lighting must be provided. The lighting must be shielded so as not to shine on the adjacent residential property. Rendering or Elevations: O.K. Dumpster Location: All dumpsters must be fenced, gated and screened. Other Comments or Concerns: Customer activities should be maintained within the building. The proposed use to play Keno, smoke and drink coffee is more in keeping with a bar or social club, not a convenience store, It may result in noise, loitering and other behaviors that do not appear to be in keeping with the Towns best interest. I AGAWAM OFFICE OF PLANNING & COMMUNITY DEVELOPMENT SITE PLAN REVIEW REVIEWER: D. Dachos DATE: July 12, 2007 DATE RECEIVED: July 2, 2007 DISTRIBUTION DATE: July 2, 2007 PLANNING BOARD MEETING DATE: July 19, 2007 APPLICANT INFORMATION 1. Name of Business: The Dairy Store Address: 339 Suffield Street, Agawam, MA 01001 2. Owner: James Greco c/o Attorney William Walsh Jr. Address: 73 State Street, Suite 200, Springfield, MA 01103 Telephone: 746-9500 Fax: 746-7181 3. Engineer: Thomas Wilson Address: 99 East Circle Drive, East Longmeadow, MA 01028 Telephone: 525-1387 Fax: 525-7181 PLAN REVIEW Scale: 1" = 30' Date: May 30, 2007, revised June 30, 2007 Title Block (Street Address, Applicant's Name, Address, Scale, Name of Preparer of Plan): O.K. Description of Project: Proposed installation of a free standing, pre-fabricated gazebo at the rear of a convenience store. �J: ._ i �u a �. i �t J � � � K, l� l ` .. i `,� ` .,_ i..fi � r ��. ��. v i � �� � ,►. / � _ i _ + (: y � f r �'' .r i I �� •� _ _—� ��� _ __� _ .�_i i F- _—�—� �I '" _. - — ___- —__�—__ —_ AGAWAM PLANNING BOARD Form D Application for Site Plan Approval Please complete the following form and return it and 10 copies of the Site Plan to: Agawam Building Department 1000 Suffield Street Agawam,MA 01001 1. Name of Business THE DAIRY STORE Address 339 SUFFIELD STREET, AGAWAM, MA 01001 Telephone (413) 786-3399 Fax (413) 746-0510 2. Name of Applicant/Owner JAMES GRECO C/O ATTORNEY WILLIAM T. WALSH,, JR. Address 73 STATE STREET, SUITE 200, SPRINGFIELD, MA 01103 Telephone (413) 746-9500 Fax (413) 746i-0510 3. Name of Engineer/Architect THOMAS WILSON Address 99 EAST CIRCLE DRIVE, EAST LONGMEADOW, MA 01028 Telephone (413) 525-1387 Fax (413) 525-7181 4. Please give a brief description of the proposed project: PETITIONER SEEKS TO ADD A FREESTANDING, PRE—FABRICATED GAZEBO TO A SITE IN HIS PARKING LOT BEHIND THE MAIN BUILDING. RECEIVEM JUL 0 6 2W Revised 2/1/07 p�, ANNNING1B OAW I AGA#AM FIRE DEPAR ENT „ 800 MAIN STREET 0 AGAWAM, MA 01001 T TELEPHONE (413) 786-0657 FAX(413) 786-1241 e-mail afdchief@agawam.ma.us Stephen M. Martin Chief of Department 1RES P Michael Mereadante Provisional Deputy Chief Georgiann Thompson Administrative Assistant MEMORANDUM TO: Planning Board FROM: Fire Chief Stephen M. Martin DATE: July 16, 2007 RE: Site Plan-The Dairy Store` Suffield Street The fire department has no objection to the site plan for the addition of a gazebo on the property. Tha on very much, Step n M.Martin Fire Chief MEMO TO: Engineering Dept, Police Dept., Fire Dept, FROM: Planning Board SUBJECT: Site Plan - The Dairy Store- Suffield Street DATE: July 2, 2007 Please review and comment on the attached Site Plan for The Dairy Store on Suffield Street prior to the Board's July 19`E'meeting. Thank you. DSD:prk Town of Agawam Health Department Mp 36 Main Street Agawam, Massachusetts 01001-1837 TeL 413-786-0400 x 207 Fax 413-786-9927 INTER-OFFICE MEMO June 18, 2007 To: Deborah Dachos, Director Planning and Community Deveiopemeirt From: Randall White, Health Agent RE: Dairy Store, Suffield St. James Greco requested that I provide a response to the Planning Board regarding allowing smoking in a gazebo at the rear of the Daity Store. In accordance with 105 CMR 661.200"Smoking in Outdoor Spaces", smoking would be allowed in the gazebo providing no Coverings or screens were placed on the wail areas. (Refer to enclosed regulation) FIT, :0 D jUN 18 2007 105 CMR 661.000: Regulations Implementing Chapter 270, s.22 661.001: Pu ose The purpose of 105 CMR 661.000 is to provide standards for the implementation of c. 270, s.22, which establishes restrictions on smoking in the workplace. The requirements in the regulations are intended to clarify or supplement the statutory requirements. Nothing in these regulations shall be interpreted as limiting or preempting further restrictions on smoking by any local by-law, ordinance or regulation. 661.002:Authority 105 CMR 661.000 is authorized and in part mandated by c. 270, s.22. 661.003: Definitions Membership Association shall be as defined in c.270, s.22. Outdoor space shall be as defined in c.270, s.22. 661.100: Smoking„Restrictions in„Membership Associations (A) Smoking shall be prohibited in an enclosed indoor space of a membership association during the time that the space is: (1) open to the public_ A membership organization shall be regarded as open to the public when it has signs or advertising inviting or encouraging non-members to enter the premises or takes other action that may reasonably be regarded as inviting or allowing non- members to enter the premises; (2) occupied by a non-member who is not a guest. A non-member shall be regarded as a guest if entering the premises: (a) accompanied by a member, provided the member remains on the premises while the guest is present; and: (b) signing a guest register that clearly specifies the name and address of the guest and the inviting member; (3) rented from the association for a fee or other compensation; or (4) occupied by a contract employee,temporary employee or independent contractor. (B) Smoking may be permitted if the premises are occupied solely by the following: (1) members of the association_ A person shall not be regarded as a member if entering the premises under terms of a membership that differ in duration, cost or privileges from the terms of a full membership in the association; (2) one or more salaried employees of the association; (3) invited guests of the members, as determined in accordance with 105.661.100(A); and (4) visiting members of an affiliated chapter or branch of a fraternal lodge organization. (C) Smoking may be permitted in a distinct part of the premises of a membership association, provided that this part: (1) is physically separated from any area open to the public or occupied by a non-member who is not a guest. The separation shall be sufficient to prevent any migration of smoke into the public area_ Any doors separating the areas shall be self closing; (2) is occupied solely by those persons specified in 105 CMR 661.100(B). The membership association shall adopt and effectively implement a policy that ensures only such persons are permitted to enter the part of the premises where smoking is permitted; and (3) there are no signs inviting or encouraging the public or non- members who are not guests to enter. 661.200: Smoking in Outdoor Spaces Smoking may be permitted in an outdoor space, provided that the outdoor space is physically separated from an enclosed work space and there is no migration of smoke into the work space, in accordance with the following requirements. (A)As provided in c.270, s22, any outdoor space that has a structure capable of being enclosed, regardless of the materials or removable nature of the walls or covers, shall be regarded as an enclosed space when the walls or covers are in place. (B) The outdoor space shalt be open to the air at all times. For purposes of 105 CMR 661.000, this shall mean that the space has thorough, unobstructed circulation of outside air to all parts of the outdoor space. An outdoor space shall be presumed to meet this test if: (1) the space has a ceiling and at least one half of the total surface area of the walls and other vertical boundaries of the space permits unobstructed flow of outside air into the space;or (2) the space has no ceiling and no more than two walls or other vertical boundaries of the space that obstruct the flow of air into the space exceed eight feet in height. (C) For purposes of 105 CMR 661.000, a ceiling shall include any top or covering that is placed or may be placed over a space, or any other structure or arrangement above the space (including substantial coverage by umbrellas or awnings)that may impede the flow of air into the space, regardless of the type or nature of the materials or the partial or removable nature of the covering. (D) The local board of health shall be notified in writing prior to initiating construction or renovation of an outdoor space for the purpose of permitting smoking, if such construction or renovation requires notification of the local building department or a licensing authority. 661.300, Professional Testing Laboratories Medical or scientific research on tobacco products may be conducted in a professional testing laboratory, provided that the laboratory notifies the Department of its activities, in accordance with polices and procedures established by the Department, and provides such documentation as specified by the Department of compliance with federal regulations on Protection of Human Subjects, 34 CFR Part 97_ 661.400: Enforcement (A) The department and the Alcoholic Beverages Control Commission is hereby authorized to enforce the provisions of c.270, s.22 through use of the non- criminal disposition procedures specified in c.40, s.21D. (1) The fine imposed pursuant to this section shall be $100 for the violation, $200 for a second violation occurring within 2 years of the date of the first violation, and $300 for a third or subsequent violation within 2 years of the second violation. Each calendar day on which a violation occurs shall be considered a separate violation. (2) The disposition of fines assessed in accordance with 105 CMR 661.400 shall be in accordance with c.29. s.2. (3) As specified in c.270, s.22, each city or town shall file with the Department, on an annual basis in accordance with procedures established by the Department, a report indicating the number of citations issued for non-compliance with c270, s.22 and these regulations, the basis for the citations, fines assessed and collected, and such addition information about enforcement as specified by the Department. (B) In accordance with c.270, s22, local boards of health shall have the authority to revoke or suspend a license of a building, vehicle or vessel to operate if an owner, manager or other person in control is found to repeatedly violate the requirements of c.270, s.22 Cegregious non- compliance"). For purposes of 105 CMR 661.000, 5 or more citations from enforcing authorities within 2 years of the first citation, or such violations as specified in regulations of the board of health, shall constitute egregious non-compliance. Such action shall be taken in accordance with local board of health regulations for the suspension or revocation of a license or permit. Page 1 of 9 AN ACT IMPROVING PUBLIC HEALTH IN THE COMMONWEALTH. Whereas, The deferred operation of this act would tend to defeat its purpose, which is forthwith to protect the health of the employees of the commonwealth, therefore it is hereby declared to be an emergency law, necessary for immediate preservation of the public health and convenience. Be it enacted by the Senate and House of Representatives in General Court assembled and by the authority of the same, as follows: SECTION 1. Section ?_f cf'_clla��ter 170 of the General Laws is hereby repealed. SECTION 2. Said chapter_270 is hereby further amended by striking out section 22, as appearing in the 2002 Official Edition, and inserting in place thereof the following section:- Section 22. (a) As used in this section,the following words shall have the following meanings,unless the context requires otherwise: "Business agent', an individual who has been designated by the owner or operator of any establishment to be the manager or otherwise in charge of the establishment. "Compensation",money, gratuity, privilege, or benefit received from an employer in return for work performed or services rendered. "Customer service area", an area of the workplace that a business invitee may access. "Employee", an individual or person who performs a service for compensation for an employer at the employer's workplace,including a contract employee,temporary employee, and independent contractor who performs a service in the employer's workplace for more than a de minimis amount of time. "Employer", an individual,person,partnership, association, corporation,trust, organization, school, college,university or other educational institution or other legal entity, whether public, quasi-public, private, or non-profit which uses the services of I or more employees at 1 or more workplaces, at any 1 time,including the commonwealth or its agencies, authorities or political subdivisions. "Enclosed a space bounded by walls, with or without windows or fenestrations, continuous from floor to ceiling and enclosed by 1 or more doors,including but not limited to an office,function room or hallway. "Lodging home", a dwelling or part thereof which contains I or more rooming units in which space is let or sublet for compensation by the owner or operator to 4 or more persons. The residential portion of boarding houses, rooming houses, dormitories, and other similar dwelling places are included in this definition. Hospitals, sanitariums,jails,houses of correction,homeless shelters,and assisted living homes are not included in this definition. "Membership association", a not-for-profit entity that has been established and operates, for a charitable, philanthropic, civic, social, benevolent, educational, religious, athletic, recreation or similar purpose, and is comprised of members who collectively belong to: http://www.mass.gov/legis/laws/seslaw04/s1440137.htin 6/14/2007 Page 2 of 9 Q) a society, organization or association of a fraternal nature that operates under the lodge system, and having 1 or more affiliated chapters or branches incorporated in any state;or (ii)a corporation organized under chapter M, or (iii)an established religious place of worship or instruction in the commonwealth whose real or personal property is exempt from taxation; or (iv)a veterans' organization incorporated or chartered by the Congress of the United States, or otherwise, having 1 or more affiliated chapters or branches incorporated in any state. Except for a religious place of worship or instruction, an entity shall not be a membership association for the purposes of this definition,unless individual membership is required for all members of the association for a period of not less than 90 days. "Outdoor space", an outdoor area., open to the air at all times and cannot be enclosed by a wall or side covering. "Public building", a building owned by the commonwealth or any political subdivision thereof, or in an enclosed indoor space occupied by a state agency or department of the commonwealth which is located in a building not owned by the commonwealth. "Public transportation conveyance", a vehicle or vessel used in mass public transportation or in the transportation of the public, including a train, passenger bus, school bus or other vehicle used to transport pupils, taxi, passenger ferry boat,water shuttle or other equipment used in public transportation owned by, or operated under the authority of the Massachusetts Bay Transportation Authority, the Woods Hole,Martha's Vineyard&Nantucket Steamship Authority, Massachusetts Port Authority; state transportation department; or a vehicle or vessel open to the public that is owned by, or operated under the authority of a business, including tour vehicles or vessels, enclosed ski lifts or trams, passenger buses or vans regularly used to transport customers. Notwithstanding the foregoing, a private vehicle or vessel not open to the public or not used for the transportation of the public during the times of use, including a private passenger vehicle, a private charter or rental of a limousine,bus or van or the private rental of a boat or other vessel, shall not be considered a public transportation conveyance. "Residence", the part of a structure used as a dwelling including without limitation. a private home, townhouse, condominium, apartment, mobile home; vacation home, cabin or cottage; a residential unit in a governmental public housing facility; and the residential portions of a school, college or university dormitory or facility. A residential unit provided by an employer to an employee at a place of employment shall be considered to be a residence; if the unit is an enclosed indoor space used exclusively as a residence, and other employees, excluding family members of the employee, or the public has no right of access to the residence. For the purposes of this definition, a hotel, motel, inn, lodge,bed and breakfast or other similar public accommodation, hospital, nursing home or assisted living facility shall not be considered a residence. "Retail tobacco store", an establishment which is not required to possess a retail food permit whose primary purpose is to sell or offer for sale to consumers,but not for resale,tobacco products and paraphernalia, in which the sale of other products is merely incidental, and in which the entry of persons under the age of 18 is prohibited at all times, and maintains a valid permit for the retail sale of tobacco products as required to be issued by the appropriate authority in the city or town where the establishment is located. http://www.mass.gov/legisAaws/seslawO4/s1040137.htm 6/14/2007 WILLLIM T. WALSH, JR. ArMRNEYAT L4 w 73 STATE STREET;SUITE 200 SPRINGFIELD,MASSACHUSEM 01103 TELEPHONE(413) 746-9500 FACSIMILE(413) 746-0510 E-MAIL ADDRESS attywalsh73@netscape.net June 7,2007 Mr. Dennis B. Hopkins Chairman, Agawam Planning Board Town of Agawam 36 Main Street Agawam, Ma 01001-1837 Re: Dairy Store, 339 Suffield Street, Agawam, Ma. Dear Mr. Hopkins: I am enclosing sixteen(16)copies of an amendment to the site plan previously submitted. As you may see, it is a closer depiction of the relative size of the proposed gazebo to the surrounding buildings and property lines, Thank you for your attention to this matter. Please do not hesitate to call me with any questions and/or comments. Yours truly, William T. Walsh,Jr., Esquire WTW/kd Enclosures a i WILLUM T. WALSH, JR. ATTORNEY AT LAW 73 STATE STRFEr SWE 200 SPRINGFIELD,MASSACHUSEM 01103 TELEPHONE(413) 746-9500 FACSIMILE(413) 746-0510 E-MAIL ADDRESS attywalsh73*etscape.get May 31, 2007 Mr. Dennis B:.Hopkins Chairman, Agawam Planning Board Town of Agawam 36 Main Street Agawam, Ma 01001-1837 Re: Dairy Store, 339 Suffield Street,Agawam, Ma. Dear Mr. Hopkins: I am enclosing the following items for your consideration: 1. Sixteen(16)copies of the Site Plan. Please do not hesitate to call me with any questions. Thank you. for your attention to this matter. Yours truly, William T. Walsh,Jr., Esquire WTW/kd Enclosures. A Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1837 *. . Tel. 413-786-0400 Fax 413-786-9927 April 24, 2007 0 James A. Greco 19 Chopin Road a Z Hampden, MA 01035 Dear Mr. Greco: !V try c At its duly called meeting held on April 19, 2007, the Agawam PIanning Board voted to dex-Athe' r= Site Plan for the proposed gazebo at the Dairy Store at 335 Suffield Street. The information which you have submitted in no way satisfies the Site Plan requirements as outlined in § 180-13 of Agawam's Zoning Ordinance. In order for the Planning Board to conduct a Site Plan Review all information as defined in this section must be placed on a professionally prepared plan. In addition,based upon the information you provided that the gazebo would be used by patrons of your convenience store to smoke, watch Keno via a television in the gazebo and drink coffee, the Board questions whether such uses are accessory to your convenience store use. Convenience stores are defined as a retail establishment offering for sale a limited line of groceries and household items intended for the convenience of the neighborhood. The Board is also of the opinion that allowing such uses exterior to a convenience store are not in the best interest of the Town of Agawam and are in conflict with the purpose of Agawam's Zoning Ordinance to promote "...the health, safety, convenience, morals and welfare of its inhabitants...". Finally, the Board believes that allowing a gazebo for the primary purpose of smoking is a circumvention of the Town's Smoking Ordinance and will create an unacceptable precedent encouraging other convenience stores to promote loitering and general disturbance in areas not intend for these uses. Sincerely, �s c� Dennis B. Hopkins, Chairman Agawam Planning Board cc: Clerk, Attorney Walsh, Board of Appeals, Building, File MEMORANDUM To: Planning Board From: Deborah Dachos, Director of Planning and Community Development Subject: Dairy Store- Suffield Street Date: April 13, 2007 Attached please find the review which 1 prepared when this plan was originally submitted on November 6,2006. Nothing has changed on the plan since that review. The Planning Office does not feel that outdoor gambling is in the best interest of the Town nor in keeping with the neighborhood.. The Planning Office also questions the primary use of this building. Keno does not appear to be accessory to a convenience store. A convenience store is defined as a retail establishment offering for sale a limited line of groceries and household items intended for the convenience of the neighborhood. AGAWAM OFFICE OF PLANNING & COMMUNITY DEVELOPMENT SITE PLAN REVIEW REVIEWER: D. Dachos DATE: November 14, 2006 DATE RECEIVED: November 6, 2006 DISTRIBUTION DATE: November 7, 2006 PLANNING BOARD MEETING DATE: November 16, 2006 APPLICANT INFORMATION 1. Name of Business: Dairy Store Address: 335 Suffield Street, Agawam, MA 01001 2. Owner: James A. Greco Address: 19 Chopin Road, Hampden, MA 01035 Telephone. 566-5762 Fax: 3. Engineer: Skips Outdoor Accents Address: 1265 Suffield Street, Agawam, MA 01001 Telephone. 786-0990 Fax: 786-0989 PLAN REVIEW Scale: No Scale Date: No Date Title Block (Street Address, Applicant's Name, Address, Scale, Name of Preparer of Plan): No title block Description of Project: Proposed installation of a 14' X 24' pre-built gazebo at the rear of an existing dairy store. f • Site Plan Review Page 2 Description of Site: At rear of store on paved parking lot. Provision for Traffic Flow: Unchanged. Parking: The plans shows no additional parking. The proposed gazebo will be located in the parking area behind the building which is now used for parking. Drainage: See engineering comments. Public Utilities: Unchanged. Landscaping/Screening and Buffers: Not provided. Sign Location: Unchanged, Exterior Lighting: Not provided. Rendering or Elevations: Not provided. imp-ster--Location=—All-dumpster-s--must-be-fenced,-screened-and-gated: - - Other Comments or Concerns: Customer activities should be maintained within the building. PV Memo To: Planning Board From: Sgt. Richard Niles Subject: Site Plan—The Dairy Store— Suffield Street Date: 04/09/2007 Attached you will find the site plan survey conducted on November 29, 2006. There do not appear to be any changes in the original submission request; therefore that original survey is being resubmitted. Respectfully Submitted Sgt. KNes Safety Officer Agawam Police Department APR 10 2007 . n LJ r- r Memo To: Planning Board From: Sgt. Richard Niles, Safety Officer Subject: Site Plan--The Dairy Store—335 Suffield Street Date: November 29, 2006 As submitted, the installation of a gazebo behind the store for Keno customers would not appear to present a safety hazard to pedestrian, bicycle, and or motor vehicle traffic. I would assume this gazebo would be utilized primarily by Keno players who are also tobacco product users. My principal concern would be an increase in the amount of Keno players would translate into an increase in vehicular traffic in and out of the store parking Iot,which, in turn, may cause a decrease.in safety for pedestrian, bicycle, and or motor vehicle traffic Resspectfully.Submitted Sgt. R. Niles j 04/13/2007 14: 19 FAX 413821 C41 IM002/002 i F TOWN OF AGAWAM Department of Public Works 1000 Suffield Street Agawam MA 01001 h. Tel (413) 821-0600 Fax (413) 821-0631 Ma John P. Stone—Superintendent MEMORANDUM To: Planning Board From: Engineering Division CO. Jack Stone—DPW Superintendent Date: November 15,7006 Subject: SP—499: the Dairy Store—335 Suffield St. Per your request dated November 7, 2006 Engineering has reviewed the site plan. Because this gazebo is being installed on existing impervious area there is no need for drainage calculations or a Storm Drain Permit. Engineering has no additional comment at this time. Sincerely, X//�- Z.e- O Mic .l Mag '�K.I-T. Michael C. Chase,E.I.T. Ci gineer Interim Town Engineer s.*W99 defy MoreM sufwlffw aLdo MEMO L TO: Engineering Dept., Police Dept., Fire Dept.,ADA ttee FROM: Planning Board SUBJECT: Site Plan - The Dairy Store- Suffield Street DATE: April 2, 2007 Please review and comment on the attached Site Plan for The Dairy Store on Suffield Street prior to the Board's April 19`'meeting. Thank you. DSD:prk A Town of Agawam Board of Appeals 36 Main Street Agawam,MA 0I001 E MEMO APR 0 2 2007 PLAN, 30ARD DATE: April 2,2007 TO: Planning Board FROM: Board of Appeals RE: Site Plans for: Caryn S. &James A. Greco (Dairy Store) r 339 Suffield Street Reason: Special permit application filed with the Board of Appeals for construction of a gazebo behind the Dairy Sore. Attached please find 10 copies of the site plan for the above referenced property. These plans are for your review and comments,and any recommendations you may have so we can consider these recommendations and comments in our final decision. If you do not respond to this Board within thirty-five(35) days of the above referenced date,we will assume that you have no objections. A "I I'SAY AGAWAM PLANNING BOARD Form D yyS Application for Site Plan.Approval 4 Please complete the following forms and return it and 14 copies of the Site plan to. Agawam Planning board Office of Piannng and Commurmy Development 35 Main Street Agawam, MA 01.001 UJ rnrri 1. Name of Business_ Address 3-5- Telephone 6 - 3 3 �� Fax 2. Name of ApplicanVOwner� - Address tj f lbJT42-fe" 03 Telephone — Fax 3, Name of Engineer/Archit iftLc Address J EF f G ul M6 01 00 ss Teleph �e( (3 Fay J. 4. Please give a brief description of the proposed project:� ;�.�n-�; gnu 4 TOWN O.F AGAT+ I Q A 361vLAIN STREET 0 93 AGA.WAM, AL4 01001 BOARD OF APT' �^ APR 0 2 Z007 n e 30ARP ase LAN I �.: _ �, Filed Hearin Application to Board of Appeals for SPSPF AL as provided in the Zoning and other By-laws. Applicant 3A�M Y A. GRECO AND Address 19 CRAPIN ROAD, HAMPDEN, MA 01036 Application is hereby made for SP—ECIAL P IT as provided by Section 190-7 Paragraph B of the By-law. Premises affected are situated on SUFFIELD Street; 200 feet distant from the corner of COOPER Street and known as street number 339 Property is zoned as . _ BZA APPLICANT SEEKS SPECIAL PERMIT TO ERECT A 14' X 24' PRE-BUILT GAZEBO BEHIND HIS COMMERCIAL BUILDING AT THE ABOVE ADDRESS; SAID. ADDRESS CONTAINS A COMMERCIAL BUILDING AND A SINGLE-FAMILY RESIDENCE AND IS VIEWED BY THE BUILDING INSPECTOR AS NON-CONFORMING FOR WHICH ANY CHANGE WOULD REQUIRE A SPECIAL PERMIT. LAW OFFICES OF �-- WlL�144 T. WALSH, JR. , ESQUIRE 73 -STATE STREET, SUITE 200 Signature of owner or his authorize SPRINGFIELD, MA 01103 gent 413-746-9500 NOTICE: THIS APPLICATION MUST BE F LED OUT IN TMf OR TYPEWRITTEN f. BK 104`8 PG02e 10--07--- ?' re:1, ell "J� 0'r Y� DEEDeA np U 2 1U01 WWAMES A. GRECO and CARYN S. GRECO of t CLA d,4Hartpd In Consideration.of ONE 00/100($1.00)DOLLAR GRANT TO THE DAl RY STORE REALTY TRUST under Declaration of Trust dated October 7, 1998, James A. Greco and Caryn S. Greco, Trustee of 19 Chapin Road,Hampden, MA 500K ibLl-79 with warrant cmwnwtls Certain real estate in Agawam, Hampden County,Massachusetts being known and designated as Parcel C as shown on Plan of"ts recorded in Hampden County Registry of Deeds in Book of Plans 26, page 39, said lot being more particularly bounded and described as follows: WESTERLY by Suffield Street, One Hundred Fifty-Five feet; b ,tn NORTHERLY by Parcel I) as shown on said plan, Three Hundred Forty-Three and 46/100(343.46)feet; m NORTHEASTERLY by land of owner unknown, One Hundred Ninety-One and 33/100 (191.33) feet. aEASTERLY by Parcel F,as shown on said plan,one Hundred Two and 22l100 w (102.22)feet; and w SOUTHERLY by Parcel as shown on said plan,Fine Hundred(500)feet. rn M m u� Bong the same premises conveyed to the Grantors herein by deed of Leo D. Moccio dated M September 29, 1998 and recorded in said Registry in Book,L(N , Page A TRUE PHOTOCOPY AS RECORDED IN HAMPDEN COUNTY REGISTRY OF DEEDS AND IT 1S SO CERWiED BOOK 10 PAGE ATTEST: 7 fT f REGISTER SK 104 r 8 PCO29 76030 lei,6y hand and seal this7th day of October, 1998. STANLEY A. M ACHHTKA, ESQUIRE J S A. GRO40 CAR S GREC4 COMMONWEALT14 OF MASSACHUSETTS Hampden. ss Octobet 7, 1999 /and Caryn S Grco Then personalty appeared the above named tAA. RECO and acknowledged the foregoing instrument to be his free act aM deed,b ANACHETKA Notary Public My Commission Expires.August 3, 2001 bDMALD E. ASHrz, REGMnM HkWDEN Cdtlhl?'Y P SISTRY OF BM 10-0 r--1998 & 01 =07 WARRANTY DEED KNOW ALL MEN BY THESE PRESENTS, that 1, LEO D. MOCCiO of 339 Suffield Street, Agawam, Hampden County, Massachusetts I for consideration paid and in full consideration of$225,000.00 grant to JAMES A. GRECO and CARYN S. GRECO both of 19 Chapin Road, Hampden, Massachusetts, as tenants by the entirety and not as tenants in common with warranty covenants Certain real estate in Agawam, Hampden County, Massachusetts, being known and designated as Parcel C as shown on Plan of Lots recorded in Hampden County l Registry of Deeds in Book of Plans 26, Page 38, said lot being more particularly E bounded and described as follows: a WESTERLY By Suffield Street One hundred Fifty-five (155)feet; NORTHERLY by Parcel D as shown on said plan, Three Hundred Forty- three and 46/100 (343.46)feet; 10 NORTHEASTERLY By and of owner unknown One Hundred Ninety-one and k 33/100 (191.33)feet; to ,o EASTERLY By Parcel E as shown on said plan One Hundred Two and 22/100 (102.22) feet, and 44 4-4 SOUTHERLY by Parcel as shown on said plan Five Hundred (500)feet. SUBJECT to restrictions of record if in force and applicable. Being the same premises conveyed to Alphonse A. Moccio et als by deed dated September 9, 1988 recorded as aforesaid in Book 6970, Page 378. Alphonse A. Moccio died on August 11, 1998, see M-792 recorded this Registry in Book 9547, Page 191. Loretta Moccio died on February 25, 1998, See M-792 recorded herewith. A TRUE PHOTOCOPY AS RECORDED IN C> e., HAMPDEN COUNTY REGISTRY OF DEEDS Cl r, :' AND ED IT IS SO CERTiFIr- �- a �; BOOK D PAGEcz� g` uul, �rw0 ML x ATTEST. REGISTER WITNESS my hand and seat this ` day of_,, r f 1998. Leo D. Mocclo COMMONWEALTH OF MASSACHUSETTS Hampden ss. Xf a 1998 , Then personally appeared the above named Leo D. Moccio and acknowledged the foregoing Instrument to be his free act and deed. Teryl Deegan, Notfiry Public My commission expires: 9/2199 D NMD E. ASHE, REGMIER � G{tlll�t li�GiSl� OF W* I Iry /8 m Cq�'�r N41 w a , U- Fr ei Chi N / b� L a"C +'z, h 80.84 (Q Q 4 EQ / o N (0 I : _ n - co 40 C5CXI in Ob l" Ilk 1007 9 n b d V E31 'MAR P 1: q 4 I at =z >; Sii�uc Wl WV 1 t` f o Q ql y t 'PLOT PL,4nl E SKOW ALL. ISVI .DINGS 004 LOT ' E x 1 ST I N G 4R Mtopo sc D ! �S•PEVI'` ON BERV10ES'. WDICATI NO. ..: ......... _.. Freriaers .......................... ?�llb �u��� .la-3 , . . ,.. • f � ' , M; . . . Application for Other Than 1 Q - a Dwelling : • - Locloivn . .......... ........;..................................... .......... .. .................».......................................•.•..s•..».,. .._.. - r .�, .a•� .• ., • • . . . . i . 1 -- -- -- - — • . . .�• • • . . • . . • i . w PRMIT GRANTED .N.. ........................• .a .ate/�/1 �a � •�i r • • ■ • • , s • . ■ • • . • • • • • • • • ..R • ■ • • • • • • • • • • Ty.• f} ��////yy tip„ ,-, ', NEA6+t�alC7 • PPROIPCKTY Fr. FRONTAGE . .. - �rr•�r L>f MR - 4; t�, r l � 'Fie •'� }/.•� ., - STREET . .. ... .. r. . - .- t f �'--`^r'.'��,Ti'll�����i"�� .!l, -i_ 1' :-r..•� .,.ve.,:.'" r.,.. tr;} r'. � 'i ,� .� _ :• jai , t � r E ' v X. ' F : D I v store k � es r f 4 -'r - � � r „n S oc ic MY E arx _st Jt - 44(( •. .�' F sy WEE ..f� � it .., 'T', .' >R __. t it i' y %" Y4E1. `• �i��! �F ?OkT Eurapu_7rchnatop se - i- W ;, F ; Memo To: Planning Board From: So Richard Niles, Safety Officer Subject: Site Plan—The Dairy Store 335 Suffield Street Date: November 29,2006 As submitted, the installation of a gazebo behind the store for Keno customers would not appear to present a safety hazard to pedestrian, bicycle, and or motor vehicle traffic. I would assume this gazebo would be utilized primarily by Keno players who are also tobacco product users. My principal concern would be an increase in the amount of Keno players would translate into an increase in vehicular traffic in and out of the store parking lot,which, in turn, may cause a decrease in safety for pedestrian, bicycle, and or motor vehicle traffic Respectfully Submitted Sgt. R. Niles t MEMORANDUM To: File From: Deborah Dachos Subject: Dairy Store Gazebo Date: November 20, 2006 Re: Conversations with Don Schmidt on November 15, 2006 The gazebo with its Keno television must be incidental and subordinate to the principal use. The principal use is a convenience store. Convenience stores are: "Any retail establishment offering for sale a limited line of groceries and household items intended for the convenience of the neighborhood." Keno does not appear to be incidental and subordinate. i 0 # MEMORANDUM To: Nick Urbinati, Inspector of Buildings From: Agawam Planning Board Subject: The Dairy Store - Suffield Street Date: November 17, 2006 During the Planning Office's Site Plan review for the proposed gazebo behind the Dairy Store on Suffield Street, it was determined that both a single family dwelling and the convenience store are located on the same parcel. The Assessor's cards for the parcel know as J12 6 28 have been attached for your information. The Planning Board is questioning whether this application should first be filed with the Board of Appeals as a change to a pre-existing nonconforming use. The Planning Board will await taking further action on this Site Plan until we receive your determination. Print Page 1 of 1 I 'A r` • : ; r f X. `* `f t_ ' +< ! � i t, . h vw 4. FT N ewe V. Interactive Map Parcel ID: 312 6 28 0 399 798 Owner: GRECO 3AMES A TRUSTEE Date: Parcel Address: 339 SUFFIELD ST Scale: 1"=399' (1:4786) 11/17/06 http•//hosting tighebond com/agawam/print aspx9maptype=5&image=http%3a%2P/o2fpr 11/17/2006 J12 6 28 1 of 2 RESIDENTIAL TOTAL ASSESSED:274,300 Map Block Lot CARD !68i l! Town of Agawam PROPERTY LOCATION IN PROCESS APPRAISAL SUM--AR No AIt N0 DireetioNStreet/Ci - Use Coda'; euilditi' Value::Yard Items t arid.5iz : Land;5(alue 7i":Value - - 339I SUFFIELD ST,AGAWAM 101 105,000 2,900 1.200 65,800 163,700 Legal D@SCription- User Acct., 325� 0,500 43,700 43,700 Imo. 0 OWNERSHIP - also . 'O*ar GRECO JAMES A TRUSTEE Ow; M:6t GRECO CARYN S TRUSTEE E 106e THE DAIRY;STQf7E REALTY TRUST,:: 105,000 2,900 1 70D; 99,5001 207.400 Entet tt!bt'Size 1700 .99,500 27a,3o0 T�tBII. nlq'19 CHAPIN ROAD Source:Market Ad Ca Totalbaltle .F sp Date 166,100 8,700j pe SQ unit ICac 135.62 lRa: 105 !n LaainrlType _ -- Patriot r% rties Inc. • : .. ., : . . . . . 11123187 TvmICR HAMPDEN PREVIOUS ASSESSMENT Parcel ID J12 628 -- USER DEFINED 5tlProv MA `.Cme O0tn Oc Y Iasi Yr Use _Cat: 81d ualue. Yrd;figm L'aflt!'Side L ri{i Vold Dt l Valu Asses`d Va1tf 1+1ot 8'; t'66 fd# 870 . _ ___ _] pate::::; F+Dst21 TYPe 2006 013 FV 166,100 8700 1.7 99,500 274,300 274,300 final after pub dlscl 11/22/2005 Prior Id# - - - - PRINT prior Id# .OWNER 2005 013 FV 136,300 8000 1.7 87,500 231,800 231,800 FY2005 COMMIT7E 1 11412 0�­ PREVIOUS 9r 2004 013 FV _ 130,200 6800 _1.7 79,500 216,500 216,500 FY2004 12/16/2 Pngr Id o ii 0550 2003 013 FV 130,200 ssoa 1.7 79,500 216,500 216,500 2/24120L)ita?„ 11:21 5 Prig Id# - 2002 013 FV i 125,100 6400 1.7 77,9W 209,400 W Year End Roll 1/712002 LAST R 1h`ior ld#; 5#W: - - 2001 013 FV 1 125,100 _6400 1.71 77.9W 209,4W FY2001 COMMITTE 101612000 kt ffiikPrier Id G 2000 013 FV 125,100 6400 1.7 77,900 209,400 11/161i999 0M610 11,271 norld yPri�i( -,OIL 1999 013 FV 127,000 510D 1.7, 75,200 207,300 FY99 9/29/1998 Postal. 1 - JC SALES INFORMATION PAT ACCT. 6811 ASRMap Na R'Parfiedcel EDE50MRIICRES APE Building 0. GRECOrJAMES A, 10478-028f Typ 1.Poo 81193 INTRA-OdRP Sate PtYC1Et1 'No Na Verif ass"�PCL:V81ue! Notild R Dlittl 6 This Parcel contains 1.7 ACRES of land mains with ( ) MOCCIO LEO 10478�025 10Rl199 225000 No N0 ,Built about 1953,Having Primarily ALUMINUM Yvan: 'Fxterior and ASPHALT Roof Cover,With 1 Units,2 MOCCIO 6970 378 j9l211198 FAMILY No N0 I _ Baths,0 HalfBaths,0 314 Baths,6 Rooms,and 3 Bd 2154 238 11r311952 No 11lo Indit8& - 0THER ASSES SMENTS BtfKeasort �13esi:riplNo _;{ i E - - - BUILDING PERMITS ACTIVITY INFORMATION Datc Nurnbor,,;. IiCri Amount Cltl:9L 1/Isif Fed Cnd F,13d"crl r_ IRS 4/16/200 116-03 RENOVAT 7,260 C REROOF 6130M988 CHG HEARING 100 E.B.WITHINGT Ite Code Desq r Item Cod Deser 5/11/199 174-99 SHED 1,000 C 511711999 SHED V2.311887 MEAS&INSPCTD 131 DEAN MOORHOU Z BA BA 100 L`'.1 TYPCL Census: _ Flood Hai.,NONE Tgl' "Iti s fti;5 HEAVY T � I LUC Na of th.f:r ors Ptip 1 - F�lc(. Valge Kl C3ode. ; Fact!' Inds.,_; UrtiRs ;act ..:Vsfue .Prlc@. - -..,.Intl h:. - 1r :ClFlss ._.._ ttt 101 ONE FAM 43560 SO FT SITE 0 2.23 0.900 CA USE -10 111ti7.425 325 50 87.400 101 ONE FAM 0.7 ACRES EXCESS 023,100. 0.750 CA USE -25 1 '12,128 12,100 ota'FACIH 1.7 Tptai SFfS 74052.00 Earcei EU 093 IRESICOM Pr ne'I B Cf'COM AV J TofaF 99,552 $pl Grr< `tD IR 99,5D0_ Disdaimer:This Information is believed to be correct but Is subject to change and is not warranteW. Database:FY2006 apra 2006 =A I tKILIM INFORMATION BATH FEATURES COMMENTS SKETCH TYpea CAPE Full Be 2 - RatinAVERAGE Sty H011T-m-1-T' A Bath I R (Llv) Units 1 Total:13/4 Bat— Ratin _Fo�unda�iqT -CONCBLUCk A 3QB Ratio Fnarme:1 WOOD 1/2 Bat Rath Prime Wa 3 AL.U.MINUM rKRI-3th— katin Sdowall- 1 OthrFix 1 Ratio AVERAGE 7 RESIDENTIAL GRID :RoofStru I -GABLE OTHER- FEATURES lit Res G Des] -ko—ofCov I A�-FiH—ALT SIABT RRI, IFBH8 L 0: Kits: 1 Rath AVERAGE C I . Otho 2 Color A Kits: Ratin U CAR .View aV: Ratin Mv,I- L EFP GENERAL INFORMATION WSF16 Ratin FLR R 21 2 7-i Fr a-d-e T-d -AVERAGE CONDO INFORMATION I Low J TQS Year Bit 1953 EffYrbj� H Co 6a: I I SR 13 ath� - q 15 ]�B� -­ I FFL .Alt LUC Alt W -7U nit BMT �rlsdidt �act�, j Roor. REMODELING RES BREAKDOWN Exterior ln± No Un RMS �-BRS �F-C. tenor Lump um Narne: 1 6 3 - Cons t MDd-j %Own ---- -Addhion IA INTERIOR INFORMATION DEPRECIATION T�14YW60njAv -_-AWri a 3A fC1tchdh. 1.— :�-U—hctlonal :%i P.IU a:.ths: Phiii Int 2 PLASTER I B at nI SdoInt W — Partition-T -TVP--1dA--L Special T Io Tim 7 %[HeaI Is i% General Prim Floo,3 HARDWOOD Override, L SUB AREA SUB AREA DETAIL 3- T�tal.. i-A Code Description' Ar6a SQ Rate--'-dkv—under LrViiijei-s-u-bT%-T. Bsmnt Flr-- SUMMARY COMPARABLE $ALES pi�ri� � % flu 1__�LC SUMMA . ....-7 1 . :1 : jType - I- - -- - BMT BASEMENT 884 14.890! 13,162 keo Basic I SQ:70. Rate Porcal ID I'Typ., Date $ ikSt FLOOR 684 74.4401 lb�--806 V 'ue Bsmnt Ga Sale�.TQS _13,162 Electric-3 -TY�0­16AUi60­A.J Size Adj-:1.07434 314 STORY 645 7 0 '�F446F- 48�04 — Insulation:�ion-� -TYP-ICAC' r—C&nI 0-.9-89901 GAR GARAGE 484 21.050' 10,186 lnt vs`Ext-.,S; Adi SQ-74,444 EFP 6id PRCH 120 40.9% 4,909 FP Efq -Hem Typ 5 STEAM Other Peatures 14666 7�7. Re—at Fuel I OiL Grade Factor:1.00 #Beat L�y I Neighborhood 11 v$/S E0/6 He io-d 0 MA AvRat fted:Il. 142,i-D SZ 0 "Xdj —%Hiited�ll 0/6 AC: LUC Factor 1.00 Nit kei'.. Total:SolfarHWINO Central VI N .156705 idris. Factor d Fin:ffW7 0�j m ow:51713,-- Special%Svd!�kjl 0 Depreciag I Featur 0 Vaysu Ne 34.80 IMAGE Depreciated To 1049 Patriot ve -ties,Inc Firfal Total: 105000--1 VbVSu:Sz:68.06 AssessPro­P t I tP SPEC FEAT ITEMSPARCEL ID J1 2 6 28 -- Code: :: De: r ti aty Size/Dirn Ya:airl Unit 131 :Pep LUC Fa6tjNELF� ApprViiUis CoJFa :,Ju6�.:va1Uq 2 S D'Y 1 18X20 53 4.99 T 600 600 T F FR 19 688, 101 1 26 6�y 1-1 14X20 I P-'VR-796'3 —0-00 T­ 2 SHE&R. D Y 1 10X20 1 F FR .195N 5.33 T 68.8 101 1 1.1 300! 300 P C LJI) 112 LUC Fact lj,$ Co �sq�pfion 38 1� d HED/FR 01 _6qo GRNHSE-P ��o '0,� S 2 §SHREJDIFR D f I ITOX3i IG GD 1999, 6.67iT 5,8 101 1 1J 2.0007 2,000; ........... . .................... J- ALK 8,7001E0. u0F 5,2001 13,9001 J12 6 28 2 Of 2 COMMERCIAL TOTAL ASSESSED:274,300 Map Block Lot CARD !6811! Town of Agawam PROPERTY LOCATION IN PROCESS APPRAISAL SUMMAR No:::: Alt No pirectir;nlStreetlCltSr IJselcode_ Buitdin '.Value:°Yarditems Land Size_ :.LarW.Value . Legal,Dasciriptlt7n UserAc t.'. ..:Total Value 3391 ISUFFIELD ST,AGAWAM 325 61,100 5.800 0 000 66,900 OWNERSHIP GIs Ref: bier:.GRECO JAMES A TRUSTEE - € Owrle.v GRECO GARYN S TRUSTEE i '- — 1 61.100 5,800 0.000 66,900 Entered Lot Size __ S '' REALTY TRUST 1 700: 99,500 IPara 105 0 ' Patriot 166,100 8700 € ta Land: S".#f 19 CHAPIN ROAD ; , In .OB1 .. Street,. AIRY T RE Source:Market Adj Co Total 1laltae star S4 unit i<Car 61.94 �=Llp�;701U�iltTypeLlProperties Inc. - 01l02188 TwNCitLHAMPOEN PREVIOUS ASSESSMENT Parcel ID J12 6 29 � USER❑EMNED Prior Id 8970 Total Valu :Asses'd'ilfalu Ntea Date '.''. rior IdPosral CnFt OwBOc Y TaxYr Use Cat t34a9 Value. Yrd'!tein Lhild:Sizs Land Valu _ PRINT PREVIOUS OWNER - Prior Id Pi .'. _ --- .. — Date 1"Itf1i�I Owner: _ p'ritsr Id : 055Q .111/17/0 11:22:15 Owner Plhdr ICI#,Street L0 31Q119 R DatTWn/Cif fi.Iin o r IIdd#�I C SP 1412 5 IWO - #. Postal: _ . .......... _._.._.._. ....._......... CN NARRATIVE DESCRIPTION_ SALES INFORMATION PAT ACCT. 6811 ASR:.Map __ _ Granlar al°.of-:T` Dater --Sale Code S Ie hb .V_1`.st verif Notts: Fact Dist: This Parcel contains 1.7 ACRES of land mainly classified as RESICOM with a(n)CONVEN MKT --.____ —. Reval Dis Building Built about 1958,Having Primarily CONC __.__ - .- Year: BLOCK Exterior and TAR+GRAVEL Roof Cover, rt LeiidRess with 0 Units,0 Baths, 1 HaliBaths,0 3/4 Baths,0 Ro _ -- OTHER ASSESSMENTS ! j I31ciReason Cade: : t7esctip/tdo �4tliaiint;„ "C61*1rit BUILDING Date ., a Result,', D N PER Ddtdri'" A 'odnt p.,?La st Visit Fed Cod F.Des. cn ACTIVITY INFORMATION 6/30/1988 CHG@HEARING 100 E.B.WITHINGT Ite Codet Desci %'.:'tam' o Daacrl 1/2/1988 MEAS&INSPCTD 137 MIKE JAURON Z BA BA 100 1 TYPCL _- 12/1/1987 MEAS&INSPCTD 109 LAUREN ELLIO I3 Flaad liaz' *M t D 10 NONE Top Traffi 5o s l Strea HEAVY IUD` ' ' flee G Na nf- :!D9 f LT. . .6elss- 1Jntt:,. Nat h - €;:_: :: : Utlit::: Land:T - Ad;r NOON 8 .: R 1= 9t;. .lh l2. .",6.;pBDn Fabt :F dd��l .. value Fro . a 1r Value Glass _ - - 325 STORE 0 SO FT 517E 0 0. 0.000 CA t LL_ Total A.CIH 0 U 013 RESICOM ' '',,.rime'WB D COM AV Tip(�j `Spl Cre ±T0 ' Disclaimer:This Information is believed to be correct but is subject to change and is not warranteed- Database: FY2006 apro 2006 -XTERIOR INFORMATION BATH FEATURES COMMENTS SKETCH Type:lss -CONVEN MKF Full Bad Ratan FAIR ty -- .._� _.._ S Hk 1 i A Bath Ratan i iT U (Liv)Unitso l~Tatai 1 14 eat Ratan it Faundatio 1 CON E E- A 3Q8 Ratin_ Frame 1 WOOD 112 Bati1 Ratin FAIR i 34 —Prime Wa 21 -CONIC BLOC I A HBth I. Ratin - - - - - '- —" RESIDENTIAL GRID Sec wall" _ _�% OtfirFix Rahn -_ Roc,f Stru 4 -FLAT OTHER FEATURES 1st Res G `Oesl #t9nit�� Rcof Cov 4 -TAR+GRAVEL 1 - — — LeVe I K FR RR'BR f6 H8 L._�:D _-„ Kits_0 Ratan NONE Color — _, the � Levi3 FY i]R A Kitsa Ratan View!De _ Frpi:l Rating GENERAL INFORMATION WSFIU Ratan L�l i 3 31 Grade:C -AVERAGE i �_-- r -_ CONDO INFORMATION Low -r - - FFL Alf r Bit 19588 Eff Yr Bit. ---- - f - . _ _ Unit io ;Total RM BR �BathO H 9 Alt I. #�; Jurisdicti Fact:. ! _Floori'�- REMODELING G RES BREAKDOWN Gonsf.Mod: f — '�:Ow -- Exterior o4UnRMS 13RS FL` Lump Sum Adj, Name: Interior; _ INTERIOR INFORMATION DEPRECIATION Addon _STD APrim InE 8 PLYWD PANL FtnCt ona - vera a % Kitchenr 14 8 22 -- ._ g - Ph.�. AV A 35% . Baths: Sec Int W % Economic D -DEMAN 1 G/° lumbin inEFP Electric: 8 6 Paint=T -TYPICAL Special i Totals_, Prim Floo ti -LINONINYL Override: Hearing _ P - - DETAIL -- -% Total:_. 41.5�% General} --.•i SeG:Floor Code Description Ar06-SQ Rase-AV Undepr Value, Sub I /o • � �---- � SUB AREA SUB AREA D - i - —� - W - fl . . Rio # FFL FIRST FLOOR 1,080 81.830 88,382 Arapa lUsb! Deacrlp T pe qu Te1i 8smnt Ga BaSlc$/SQ-,66 00 Rate Parcel l❑ T . Date Sale -. ISTG STORAGE —- — 66 12.640� 834'FFL 100, Bsmnt Fir _ CAL UMMARY COMPARABLE SALES Electric:3 TYPICAL/i00A SlzeAd 1.4 :i -- �- r- -_ _ __— _ . .—._ �—� EFP ENCL PRCH 32 44,630 1,428 Insulation:2 -TYPICAL Gonst Ad::p,885668 — - -~ - tnt vs Ext:iS Adj$/.So:81.835Heat Fuel 3 -ELECTRIC Grade Factor: 1.00 - Heat.T p 6 ELECTRIC Other Features 4878 --- ...-- #Heat S 1 Neighborhood I - w ~- �-- WtAv$IS Avt7aE Ind:. Net"Sketched Area 1,i78 Tot$I 90 G44 - - - %Heated 100 °1a AG:JN( t.UC Factor:1.00 - E . Solar HIN NO CentW V Atlj T tal:95522 Juris:..Factor. VaIlSu Fin 5s3.57%Com 0 %Sprinkl Depreciation 39B42 ,ScalFeaturi5200 Val1SuNe 51.87 i- IMAGE Patriot Pro ernes itnC De i^eosated To 5588t) Final Tdta1;611 GO VaIISu:Sz 56.57 f SSeSSP10 P Sj?EC EATUR 5,NA_D.I.TEM �— PARCEL ID J12 828 -- Code Description. A Y! Q#y 5izelDlln Qual Con�Year Una#:Pr[ce QI, Dep l LUC Faet NB F Ap t,yalue JCo ra Juris.Value 85 PAVING DY 15000 ` A AV 1975 1-58•T 37.5 325 1.;, 4,900 _. 4,900 84 SIGN-ILU D Y 1 36 A IAV 1975� 37.87 T 37.5 325 I 1_; 900 900 _ �. 81 COOLER M S 1 10X14 ' A 'AV 197 63.00 B 14110 325 1.° 5,200 5,200 aim as - • T 1 fi- 3 Mdk N otalYar#i'Ete 8,700IotalS . c#al Featua_ �_ 5,200 E070I 131900 11/15/2009 11 : 37 FAX 4138210631 Ia 002/002 TOWN OF AOAWAM Department of Public Works 1000 Suffield Street - Agawam MA 01001 y A Tel (413) 821-0600 • Fax (413) 821-0631 N►P John P. Stan—Superintendent MEMQRAI'+NDUM To: Planning Board From: Engineering Division CC: Jack Stone—DPW Superintendent Date: November 15,2006 Subject: SP•-499. the Dairy Store—335 Suffield St. Per your request dated November 7, 2006 Engineering has reviewed the site plan. Because this gazebo is being installed on existing impervious area there is no need for drainage calculations or a Storm Drain Permit. Engineering has no additional Comment at this time. Sincerely, Mic l . Magg' .I.T. Michael C. Chase,E.T.T. Ci 1 gineex Interim Town Engineer OapWS19 dry.0m i35 wife 4. cmo 1.dot AGAWAM OFFICE OF PLANNING & COMMUNITY DEVELOPMENT SITE PLAN REVIEW REVIEWER: D. Dachos DATE: November 14, 2006 DATE RECEIVED: November 6, 2006 DISTRIBUTION DATE: November 7, 2006 PLANNING BOARD MEETING DATE: November 16, 2006 APPLICANT INFORMATION i. Name of Business: Dairy Store Address: 335 Suffield Street, Agawam, MA 01001 2. Owner: James A. Greco Address: 19 Chopin Road, Hampden, MA 01035 Telephone: 566-5762 Fax: 3. Engineer: Skips Outdoor Accents Address: 1265 Suffield Street, Agawam, MA 01001 Telephone: 786-0990 Fax: 786-0989 PLAN REVIEW Scale: No Scale Date: No Date Title Block (Street Address, Applicant's Name, Address, Scale, Name of Preparer of Plan): No title block Description of Project: Proposed installation of a 14' X 24' pre-built gazebo at the rear of an existing dairy store. Site Plan Review Page 2 Description of Site: At rear of store on paved parking lot. Provision for Traffic Flow: Unchanged. Parking: The plans shows no additional parking. The proposed gazebo will be located in the parking area behind the building which is now used for parking. Drainage: See engineering comments. Public Utilities: Unchanged. Landscaping/Screening and Buffers: Not provided. Sign Location: Unchanged. Exterior Lighting: Not provided. Rendering or Elevations: Not provided. Dumpster Location: All dumpsters must be fenced, screened and gated. Other Comments or Concerns: Customer activities should be maintained within the building. Print Page 1 of 1 tj� { VI,262c � l Eu � r :I f - _�, � _! � ems• � .ram, .,' t+= 'r' { + C6MT'6R >wr a Interactive Map Parcel ID: 312 6 28 0 239 478 Owner: GRECO JAMES A TRUSTEE Date: Parcel Address: 339 SUFFIELD ST Scale: 1"=239' (1:2871) 11/14/06 http:/Ihosting.tighehond.com/agawam/print.aspx?maptype=5&image=http%3 a%2P/`2 fpr... 11/14/2006 To: Planning Board From: Town of Agawam Commission on Disability Subject: Site Plan-The Dairy Store- 335 Suffield St. Date: Tuesday,November 14, 2006 We received the site plans for The Dairy Store- 335 Suffield St., on Thursday,November 09, 2006. We found -that there weren't sufficient amount of information provided to give a fair review of this request. The letter was reviewed and discussed at the November Disability Commission meeting, and react into the minutes with the conunission response- "The Dairy Store on Suffield St. (which is installing a new gazebo behind the store) - The Commissions' conclusion was that the front of the building needs to be brought up to code before approval." Due to the lack of information, and not being able to find in our code books exact wording of this structure, nor the nature of this structure as temporary or permanent, we asked for assistance from the United States Access Board, 1331 f Street,NW Suite 1000 Washington, DC, (202) 787-0080. We recommend the Gazebo and the interior layout comply with all ADA regulations, and that the store be brought up to code, in accordance to Local, State, and Federal Codes-as it is now non-assessable. Disability Commission Frankie Mazzei MEMO TO: Engineering Dept., Police Dept., Fire Dept., ADA Committee FROM: Planning Board SUBJECT: Site Plan -The Dairy Store - 335 Suffield Street DATE: November 7, 2006 Please review and comment on the attached Site Plan for The Dairy Store at 335 Suffield Street prior to the Board's November 16Ch meeting. Thank you. DSD:prk AGAWA.M PLANNING BOARD T^ Form D .Application for Site Plan.Approval Please complete the following form and return it and 10 copies of the Site Plan to: Agawam Planning board —4 Office of Planning and Cory Development = �, 36 Main Street - Agawam, MA 01001 cn _ Y rn ' � C �, cz rn (.n 7— 1. Name of Business �I ,� S 1 d 1 e _ ^ Address l e d J1 C(- Telephone N�� E� ` 33 _- , - Fax Z. Name of Applicant(Owner G(1/1'1 Address,-1 7 46�14 1221. D f' Q3� Telephone (,- 5, �' -- Fax 3. Name of Engineer/Architect Address 4 r(4 &g • Q 0 o i Telephone( .q 13) M 6 9 26 Fax 4. Please give a brief description of the proposed project: i � a _ ry ro a `1 V � Q N ISO 1 CD44 ai Li. 2T 8� Q M a N �J VF z. �O•$4 � � I �J � I ff i e S/ SP OD CD rn cn in sock ' - PLOT P#../�N SM Ow ALL #B U 1 L,D'I uG5 Oft %.C3T O xlST11ICr OR dROto3ED i �5#'E1CT`10.N.SERVICES* SWnticaTIE - - A GAWAM; ' ' AppRcation for Othw Than SON ' r ..... .... �............ .. ..... _... x.... ..... ...,.......� ..... ..... .. ram■ • Y � - ' PERMIT . • , Y ale 6it F ""ailsR all ST co Kfi r • - _ w r,r•r ■r t d r •s - ST R E T 1 __ .�•.�,., .ms +r_' trio�7:':-� '�. J rw. -. D. L. BEAN, INC. . LAND CONSULTANTS 413-562-7566 Forty School Street Fax # 413-562-2091 SURVEYORS Westfield, Mass. 01085 ENGINEERS September 27, 2007 James Greco 335 Suffield Street Agawam, MA 01001 RE: The Dairy,461Y - Suffield,Street, Agawam Dear James: We have reviewed the Town's Planning Board correspondence of September 11, 2007, and the safety Officer's memo of November 29, 2006, We have also obtained a copy of your plan prepared by Thomas Wilson & Associates dated: revised 7/24/07. Concerning the current parking situation in the front of the store, the existing parking stalls appear to be adequately sized, but a reconfiguration of the layout would not be possible without losing many spaces. In reviewing the plan, the location of the building relative to the street precludes the implementation of current parking, driveway, and isle standards; unless many of the parking spaces are removed from the front of the store. If you have any other questions, please contact us. Sincerely, D.L. Bean, c. David L. Bean, President DLB/ssc � � � Agawam Police Department Page: 4 -Selective Search From: 08/01/1994 Thru: 10/02/2007 0000 - 2359 Printed: 10/02/2007 - Owner: , KONOPACKI, KATHY @ 126 SECOND ST - SPRINGFIELD, MA 01104 Vehicle: GRY 1988 CHEV UT SIO Reg: PC MA 358RBS Towed: For: Accident By: ACE AUTO BODY Toi ACE AUTO BODY Operator: HUNT, SHARON M @ 142 COOPER ST - AGAWAM, MA 0100.1 SSN: D28360645 DOB: 03/04/1949 Owner: HUNT, SHARON M @ 142 COOPER ST - AGAWAM, MA 01001 Narrative: CAR 106 ADVISES HE CAME UPON A MOTOR VEHICLE ACCIDENT. CAR 102/106/107 REPORTS. . .THREE VEHICLES TOWED, AMBULANCE DISPATCHED, DRIVER OF OLDS AURORA TRANSPORTED TO BAYSTATE Refer To Accident: 03-34-AC V For Date: 01/18/2003 - Saturday 03-778 1348 911 - ACCIDENT-PROP DAMAGE DEPARTMENTAL ACTION 1 Call Taker: 203 - Dispatcher Patricia A Mccarthy Location/Address: [01 3361 DAIRY STORE - 335 SUFFIELD ST Calling Parry: DAIRY STORE 413-786-3399 Q 335 SUFFIELD ST - AGAWAM, MA 01001 Calling Party: DAIRY STORE 413-786-3399 @ 335 SUFFIELD ST - AGAWAM, .MA 01001 Unit: 6B Patrolman Richard Conlon Jr Disp-13:49:00 Arvd-13:51:00 Clyd-14:07:00 Vehicle: RED 1999 PLYM VN VOYAGER Reg: PC MA 4654YF Operator: BEAVER MARJORIE I @ 52 QUEEN .ST - WEST SPRINGFIELD, MA SSN: ft"" DOB: Sex: F Owner: BEAVER, MARJORIE I @ 52 QUEEN ST - WEST SPRINGFIELD, MA Vehicle: GRX 1996 CHEV CP MONTE CARLO Reg: PC MA 8617XT Operator: LABOSCO, CAROL W @ 425 S WESTFIELD ST - AGAWAM, MA 01001 SSN: DOB: 400"Im Sex; F Owner: LABOSCO, CAROL W @ 425 S WESTFIELD ST - AGAWAM, MA 01001 Narrative: REPORTED MINOR ACCIDENT IN PARKING LOT Narrative: UNDER $1000 - NO REPORT Narrative: COMP CAME BACK IN AT THIS TIME AND ACCIDENT IS OVER $1000. SITE SPOKE WITH PTL MARMO AND HE WILL GIVE THE INFO BACK TO PTL CONLON SO THAT HE CAN DO REPORT. Refer To Accident: 03-59-AC For Date: 06/07/2003 - Saturday 03-7306 1145 Phone - ACCIDENT/UNDER $1000 INVESTIGATED . 3 -Call Taker: 1626 - Patrolman Daniel- J Outhuse Location/Address: [01 3361 DAIRY STORE - 335 SUFFIELD ST Unit: 1B Patrolman Edward B Connor Disp-11:45:00 Arvd-11:48:00 Clyd-11:52:00 Vehicle: RED 1986 CHEV CP CAMARO Reg: PC MA 1716YK VIN: 1GIFP8752GN173889 Owner: LABONTE, EVAN M @ 772 MILL ST - AGAWAM, MA 01001 Vehicle: RED 1984 OLDS CP CUTLAS Reg: PC MIA 6883NO Owner: WUCHERT, ROBERT @ 43 MEMORIAL DR - AGAWAM, MA 01001 Narrative: CALLER RPTS 2 VEH NO PI INFO SWAPPED nor Date: 08/11/2005 - Thursday °5-9419 0758 911 - ACCIDENT-PROP DAMAGE INVESTIGATED 1 Call Taker: 1626 - Patrolman Daniel J Outhuse Location/Address; 101 3361 DAIRY STORE - 335 SUFFIELD ST Calling Party: DAIRY STORE 413-786-3399 Agawam Police Department Page : 3 Selective Search From: 08/01/1994 Thru: 10/02/2007 0000 - 2359 Printed: 10/02/2007 MA REG 6680NZ TOWED ADVANCED Refer To Accident; 02-36-AC h For Date: 03/03/2002 - Sunday 02-2704 1958 Initiated - ACCIDENT-PROP DAMAGE. FIRLD INTERROGATION RPT 1 Call Taker: 1210 - john smith Location/Address: 101 3361 DAIRY STORE - 335 SUFFIELD ST Initiated By: 6C - Patrolman John W Kunasek Jr Unit: 3C Patrolman Robert M Burke Arvd-19;58:00 Clyd-20:20:00 Vehicle: BRO 1999 VOLV SE S80 Reg: PC MA 3986JP Operator: PROVOST, NORMAN @ 91 DAVISTON ST - SPRINGFIELD, MA SSN; � DOB: Sex: M Owner: PROVOST, NORMAN @ 91 DAVISTON ST - SPRINGFIELD, MA Vehicle: BRO 1997 FORD SE 'TAURUS Reg: MA 3980MZ Operator: HULSE, FRANK JR HENRY @ 115 ANTHONY ST - AGAWAM, MA 01001 SSN: ANINNO DOB: Sex: M Owner: HULSE, FRANK JR HENRY 0 115 ANTHONY ST - AGAWAM, MA 01001 Narrative: 103 reports 2 car sig 1 no pi, no tow. 103 report taken. Refer To Accident: 02-106-AC For Date% 06/20/2002 - Thursday 02-7754 10 phone - ACCIDENT-PROP DAMAGE REFERRED TO OTHER AGENCY 1 Call Taker: 951 - Dispatcher Kristine D Labelle Location/Address: 3361 DAIRY STORE - 335 SUFFIELD ST Unit; CY2 trolman Richard Conlon Jr Disp-10: :00 0:31:00 Clyd-11:28:00 Narrative: MINOR SIG 01 NG LOT. Narrativ 103 REPORTS ACCIDENT HAPPENED O 7, STATE POLICE ON SCENE AND WILL HANDLE. For Date: 01/09/2003 - Thursday 03-432 1715 Phone - ACCIDENT-INJURY FIELD INTERROGATION RPT 1 Call Taker: 447 - Dispatcher Meridith V Masloski Location/Address: (01 3361 DAIRY STORE - 335 SUFFIELD ST Unit; 7C Senior Patrolman Peter J Bertera,Jr 'Disp-17:15:00 Arvd-17;16:00 Clyd-18:05:00 Unit: 6C Patrolman John W Kunasek Jr Disp-17:15;00 Arvd-17:15:00 Clyd-18:05:00 Unit: 2C Patrolman Gary F O'Brien Diep-17:15:00 Arvd-17:18:00 Clyd-18:05:00 Unit: 4C Detective Michael A Gruska Disp-17:15;00 Arvd-17:18:00 Clyd-18:05:00 Vehicle: BLK 1995 OLDS SE AURORA Reg: PC MA 7982BG Towed: For: Accident By; ACE AUTO BODY To: ACE AUTO BODY Operator: JENKINS, SCOTT A 0 917 SUFFIELD ST - AGAWAM, MA 01001 SSN: � DOB: Sex; M Owner; JENKINS, SCOTT A @ 917 SUFFIELD ST - AGAWAM, MA 01001 Released To; JENKINS on: 01/09/2003 0 1959 Vehicle: RED 2001 HYUN 4T SONATA Reg: PC MA 6951MC VIN: KMHWF35V21A411230 Towed: For: Accident By: ACE AUTO BODY To: ACE AUTO BODY Operator: PIORKOWSKI DONNA @ 728 CHICOPEE ST - CHICOPEE, MA SSN: iiiijiftlij DOB: 411111110M Sex: F Owner: PIORKOWSKI, DONNA @ 728 CHICOPEE ST - CHICOPEE, MA Vehicle: BLK 1996 GMC UT JIMMY Reg: PC MA 358RDW Operator: KONOPACKI, KATHY A @ 38 SHAW PARK AVE - CHICOPEE, MA Agawam Police Department Page : 1 Selective search From: 08/01/1994 Thru: I0/02/2007 0000 - 2359 Printed: 10/02/2007 For Date: 09/29/1996 - Sunday Call Number Time Call Reason Action Priority Duplicate 96-9577 1359 Phone - ACCIDENT-PROP DAMAGE INVESTIGATED 1 Call Taker: 203 - Dispatcher Patricia A Mccarthy Location/Address: 335 SUFFIELD ST Unit: 3B Sergeant Richard J Niles Disp-13:59:00 Arvd-12:05:00 Clyd-12:15:00 Narrative: ACC #96-670-AC Refer To Accident: 96-670-AC For Date: 03/15/1997 - Saturday 97-2328 1033 911 - ACCIDENT-PROF DAMAGE FIELD INTERROGATION RPT 1 Call Taker: 684 - Patrolman Stanley J Chmielewski Jr Location/Address: [01 3361 DAIRY STORE - 335 SUFFIELD ST Unit: 6B Patrolman Thomas Marmo Disp-10:33:00 Arvd-10:35:00 Clyd-11:07:00 Unit: 4B Detective Roland J Dymon Disp-10:33:00 Arvd-10:35:00 Clyd-10:41:00 Unit: 8B Patrolman Mark G Poggi Disp-10:33:00 Arvd-10:35:00 Clyd-10:41:00 Vehicle: BLK 1995 SAT 2D SC2 Reg: MA 426VZO VIN: 1G8ZH127SZ372150 Operator: MARTUCCI, KAREN @ 91 SOMERSET ST - SPRINGFIELD, NIP, Owner: MARTUCCI, KAREN @ 91 SOMMERSET ST - SPRINGFIELD, MA Vehicle: WHI 1990 CHEV 2D LUMINA Reg: CT WG8487 VIN: 2G1WN14T2L9167517 Operator: TOCE, FRANK @ 8 COPPER DR - WNDSOR LOCKS, CT Owner: TOCE, FRANK @ 8 COPPER DR - WNDSOR LOCKS, CT Narrative: 911 CALLER RPTS SIGNAL 1 2 VEHICLES NO Pr 106/104 DISP 108/205 IN AREA WILL ASSIST ACC #k97-182-AC Refer To Accident: 97-182-AC ?or Date: 06/27/1999 - Sunday ,9-8441 0954 Initiated - ACCIDENT/UNDER $1000 INVESTIGATED 3 Call Taker: 16 - Dispatcher Michael F Bryant Location/Address: [01 3361 DAIRY STORE -• 335 SUFFIELD ST Vehicle: WHI 1985 MERC 2D GRAND MARQUIS Reg: PC MA 872HRE VIN: IMEBP93FOFZ601789 Operator: SANTANIELLO, ALFRED A @ 4E CASTLE HILLS RD - AGAWAM, MA 01001 . Owner: SANTANIELLO, JOSEPHINE L 9 4E CASTLE HILLS RD - AGAWAM, MA 01001 Vehicle: RED 1996 BUIC 4D CENTURY Reg: PC MA 766GNS VIN: 1G4AG55MXT6441429 Operator: CHAMPAN, FREDERICK JR W @ 70 TRACY ➢R - AGAWAM, MA 01001 Owner: CHAMPAN, FREDERICK JR W @ 70 TRACY DR - AGAWAM, MA 01001 Narrative: MC2 REPORTS OUT W/ SIG 1, NO PI. MC2 REPORTS MA PC 872HRE VS MA PC 766GNS—UNDER $1,000. or Date: 09/26/2000 - Tuesday )-13399 1711 Phone - ACCIDENT-INJURY FIELD INTERROGATION RPT 1 Call Taker: 1067 - Detective Jennifer L Blanchette Location/Address: [01 3361 DAIRY STORE - 335 SUFFIELD ST Unit: 7C Patrolman John W Kunasek Jr Disp-17:13:00 Arvd-17:14:00 Clyd-17:45:00 Unit: 3C Patrolman Joseph M Santore Disp-17:13 :00 Arvd-17:14:00 Clyd-17:34:00 Agawam Police Department Page : 2 Selective Search From: 08/01/1994 Thru: 10/02/2007 0000 - 2359 Printed: 10/02/2007 Fire Unit: El-Pumper-FD ENGINE-1 Disp-17:13:00 Clyd-17:56:00 InSrvice-17:57:00 Manned By ID's: 0052 1062 0312 0885 0062 0308 EMS Unit: R1-FD RESCUE-1 Disp-17:13:00 Clyd-17:56:00 C1rHosp-17:57:00 InSrvee-17:57:00 Manned By ID's: 0886 0505 1062 0312 0964 0226 Vehicle: GRN 1999 SAT 2T SC2 Reg: PC MA 5944MD Towed: For: Accident By: ACE AUTO BODY To: ACE AUTO BODY Operator: ROBERTS, TRISHA A @ 71 SILVER ST - WEST SPRINGFIELD, MA 01089 Owner: ROBERTS, TRISHA A @ 71 SILVER ST - WEST SPRINGFIELD, MA 01089 Released To: OWNER On: 09/26/2000 @ 2000 Vehicle: WHI 1989 CHEV 2D CAVALIER Reg: PC CT 676PKZ Towed: For: Accident By: ACE AUTO BODY To: ACE AUTO BODY Operator: DRISCOLL, LAURA 9 1 MARSHALL DR - ENFIELD, CT Owner: DRISCOLL, LAURA 0 1 MARSHALL DR - ENFIELD, CT Released To: TO OWNER On: 09/27/2000 @ 1226 Narrative: CALLER REPORTS SIGNAL 1 AT THIS LOCATION. 106 REPORTS OWNER/OPERATOR OF MA 5944MD TRANSPORTED TO BMC AND OPERATOR OF CT 876PKZ ALSO 'TRANSPORTED TO BMC. BOTH MVS TOWED BY ACE. Refer To Accident: 00-574-AC For Date: 01/11/2001 - Thursday 01-448 0715 911. - ACCIDENT-PROP DAMAGE FIELD INTERROGATION RPT 1 Call Taker: 1626 - Patrolman Daniel J Outhuse Location/Address: (01 3361 DAIRY STORE - 335 SUFFIELD ST Calling Party: DAIRY STORE 413-786-3399 @ 335 SUFFIELD ST - AGAWAM, MA 01001 Unit: 2A Patrolman Theresa A Moccio Disp-07:16:00 Arvd-07:19:00 Clyd-07:43:00 Unit: 106 Detective Anthony S Grasso Disp-87:16:00 Arvd-07:19:00 Clyd-08:08:00 Vehicle: GRY 1988 MERC 4D MARQUI Reg: PC MA 240GOF VIN: 2MEBM74F7JX712012 Towed: For: Accident By: LANGONET To: LANGONET Owner: SKEHAN, EDWARD @ 13 EDGEWATER RD - AGAWAM, MA 01001 Released To: TO OWNER On: 01/12/2001 @ 1420 Narrative: CALLER RPTS VEHICLE HAS DRIVEN THROUGH FRONT OF STORE AFC? ENROUTE 102 RPTS VEHICLE CLIPPED DOOR AND IS RESTING IN A SNOWBANK LANGONET ENROUTE, OPERATOR REFUSING MEDICAL TREATMENT RFD NOTIFYING BUILDING INSPECTOR Refer To Accident: 01-24-AC X For Date: 01/20/2002 - Sunday )2-889 1446 Phone - ACCIDENT-PROP DAMAGE FIELD INTERROGATION RPT 1 Call Taker: 203 - Dispatcher Patricia A Mccarthy Location/Address: DAIRY STORE - 335 SUFFIELD ST Unit: 6B Patrolman Thomas Marmo Disp-14:46:00 Arvd-14:49:00 Clyd-15:14:00 Unit: 3B Patrolman Richard Riccio Disp-14:46:00 Arvd-14:49:00 Clyd-15:14:00 Vehicle: RED 1996 CHRY CV SEBRING Reg: PC MA 4969SJ Operator: LOPATKA, FRANCIS E @ 13 LAMPLIGHTES LN - SPRINGFIELD, MA Owner: LOPATKA, FRANCIS E 0 13 LAMPLIGHTES LN - SPRINGFIELD, MA Vehicle: BRO 1992 HOND SE ACCORD Reg: PC MA 66SONZ Towed: For: Accident By: ADVANCED To: ADVANCED Operator: FREEDMAN, JACINTHE C @ 359 SPRINGFIELD ST - AQAWAM, MA 01001 Owner: FREEDMAN, JACINTHE C @ 359 SPRINGFIELD ST - AGAWAM, MA 0100i Released TO: OWNER On: 01/22/2002 @ 1127 Narrative: REPORTED PROPERTY DAMAGE ACCIDENT Agawam Police Department Page : 5 Selective Search From: 08/01/1994 Thru: 10/02/2007 0000 - 2359 Printed: 10/02/2007 ***UNKNOWN*** @ 335 SUFFIELD ST - AGAWAM, MA 01001 Unit: 4B Patrolman Edward B Connor Disp-08:38:00 Clad-08:49:49 Dispatched By: 203 - Dispatcher Patricia A Mccarthy Cleared By: 203 - Dispatcher Patricia A Mccarthy Vehicle: GRY 2004 CHRY SEBRING Reg: MA 23NE01 Operator: REED, KATHLEEN @ 65 SPEAR FARM RD - AGAWAM, MA 01001 SSN: 1111111100 DOB: qjjjgjj� Sex: F Owner: REED, GEORGE @ 65 SPEAR FARM RD - AGAWAM, MA 01001 Vehicle: RED 2003 CHEV PU SILVERADO Reg: CO MA 210991 Operator: CETTI JOHN P 0 46 Cjjj ILL RD - AGAWAM, MA 01001 SSN: DOB:A Sex: M Owner: CETTI, JOHN P @ 46 CASTLE HILLS RD - AGAWAM, MA 01001 Narrative: CALLER RPTS 2 VEH NO PI Refer To Accident: 05-471-AC For Date: 10/07/2006 - Saturday 06-11684 1455 911 - ACCIDENT/PRIMATE PROPERTY DEPARTWM4TAL ACTI0N 3 Call Taker: 203 - Dispatcher Patricia A Mccarthy Location/Address: [01 3361 DAIRY STORE - 335 SUFFIELD ST Calling Party: DAIRY STORE 413-786-3399 ***UNKNOWN*** @ 335 SUFFIELD ST - AGAWAM, MA 01001 Unit: CY1 Patrolman Richard RiCcio Disp-14:57:07 Arvd-15:05:58 Clyd-15:18.15 Vehicle: WHI' 2000 CHEV VN C58RIES Reg:, CO MA L50169 Operator: ALENCASTRO, ROSA SILVESTRIE @ 4196 GREEN MEADOW BLVD - YPSILANTI, MI Sex: F Owner: COMET DONATION COLLECTING CO @ 1098 WAVERLY ST - FRAMINGHAM\, MA Vehicle: BLU-2001 CHEV SE CAVALIER Reg: PC MA 464JGY Operator: NONE @ Sex: U Owner: CARAVAGGI, JUNE @ 287 REGENCY PARK DR - AGAWAM, MA 01001 Narrative: ACCIDENT ON PRIVATE PROPERTY - 1NFO EXCW]NGED - NO REPORT DONE For Date: 12/08/2006 - Friday 06-13996 1858 Cellular - ACCIDENT/UNDER $1000 INVESTIGATED 3 Call Taker: 278 - Dispatcher Gary E Nardi Jr Location/Address: (01 3361 DAIRY STORE - 335 SUFFIELD ST Unit: 6C Senior Patrolman Peter J Bertera,Jr Disp-19:00:00 Arvd-19:04:48 Clyd-19:25:11 Unit: 14C Patrolman Michael a Mitchell Disp-19:00:00 Arvd-19:04:57 Clyd-19:25:11 Vehicle: RED 1997 GEO SE PRIZM Reg: PAN MA 241SRC VIN: IYISK5262VZ433531 Operator: HASTINGS DI C @ 57 LINCOLN ST - FEEDING HILLS, MA 01030-2315 SSN-. DOB: Sex: F Owner. HASTINGS, DINA C @ 57 LINCOLN ST - FEEDING HILLS, MA 01030-2315 Vehicle: BLU 1995 DODG VN CARAVA Reg: PAN MA 12NN26 VIN: 2B4GH2535SR250491 Operator: GERMAIN, ROBERT E @ 410 MEADOW ST 35 - AGAWAM, MA 01001-2234 SSN: DOB Sex: M Owner: GERMAIN, ROBERT E @ 10 MEADOW. ST 35 -.AGAWAM, MA 01001-2234 Narrative: CALF RPTS AN ACCIDENT, NO PI. CAR 106 RPTS THE INFORMATION HAS BEEN EXCHANGED. 1 5,. Commonwealth of Massachusetts Date of Crash Time of Crash CirylTown Motor Vehicle Crash Number Number Speed Limit State Police O 01/09/2003 1715 AGAWAM Vehicles Inured Lot. LocaiPalice 241Rt Police Report 4 3 Lon MBTA Pollee a AT INTERSECTION; NOT AT INTERSECTION- a 9 3 3 9 09EFIRLD sT 14 Route# Direction Name of Roadway/Street Route# Direction Address# Name of Roadway/Street 10 At 2 Feet N S E W of — — — • -- or Route# Direction Name of Intersecting Roadway/Street Mile Marker Exit Number Alse at loterseetion with Feet N S E W of Rauw# Intersecting Roadway/Streel 2,� Route# Direction Name of Intersecting RoadivaylStreet Feet N S E o f 3 11 Landmark Vehicle 1..3—#Occupants ju tiit/Run ❑Moped7 Q 3 — 3 4 —A C License# 0 3 0 5 2 4 6 2 44 Sty_DoB/Agc 0 8/2 0/19 7 0 Reg#7 9,82I3Q _ Reg Type PC Rag State MA 8 ,. 4 Lie.Class Li..Restrictions CDL Volt Year 1995 Veh Make ALDSMOBILF VehCot3tig. Endorsement 41 Operator JENAIN 3_ CQTT-A _ Oweer JENICINS R $ dTT A y 12 tall Fat Middle tan Full Middle 1 Address 917_ S ,+ � LTti D AT � Addresq City AOAKM state XL__zip 0 10 0 1 atv AQAi WM — State_Zap Q3a 01 insurance Co 'mpany Vehicle Action Prior to Crash Damaged Area Code:(Circle Up to Three) � 3 4 5 Vehicle Travel Direction: N E W Responding to F.rnergency?2 Event Sequence u '. 0 None Citation 4(If Issued) Most Ham&Event 1 ,.- ♦ 9 S k 0 Undaearriage 11 Totaled Viol. I:Ch/Sec/Sub Viol.2:Ch/Seclsub / Driver Contributing Code 47 Other 6 ,.._ ���� 8 2 Viol.3:Ch/Sec/Sub / Viol.4:Ch/Sec)Sub / Underride/Override -<' . Towed 1 7 6 49 Unknown Please 81l out for operator and all occupants involved 25 27 is SS x 31 yz 13 !3 sat WWI Abs Ab* si- T-p by Two- .ILelfve+Middle) Add-, ooBrAsr see P. sy"M Sue. swuh code Cede Stm. Code Medial Fml* Z BAY szue Operator See Above ------ -- -- 1 1 4 0 0 3 2z 7 a'Vehicle z _#Occupants p Non-Motorist A Type 9 Action .x Location ^t r.'-• Condition :rH' itlEun ❑Moped License# St]M_DoB/Age 0 2/21/197 3 Reg# 3 5 8 RDpq — Reg Type PC _ Reg State MBL s Sex2e— Lic-Class p a". Lc.Restrictions 4 CDL Veh Yea*1g g�—Veh Make GHC Veh Config. Endorsement g1 Operator KONQPACKI a KATHY A _ Owner,KONOPACKI,, KATHY A — L.L Fhdt Middle Len Fier Middle Address 3 8 SHAW PARK M Address 3 8 SHAW PARK AVE City state xh—zip 0 1110 4 City CHICOPEE _- StateNA.—zip 01104 Insurance Comparty FI TCHBURG MC7r1'UAL FIRE Vehicle Action Prior to Crash Damaged Area Code:(Circle Up to Three) 2 3 4 Vehicle Travel Direction: S E W Responding to Emergenvj?3 Event 5eque13te 0 Noce Citation#(If Issued) Most H 10 Undercarriagearmful Event �- 1 ♦ 9 5 I Totaled Viol.l:Cli/Sec/Sub / Viol.2:Ch/Sec/Sub f Driver Contributing Code x}- 97 Other 8 7 O44 Unknown Viol.3:CW$eclSub Viol.4:Ch/SecJsUb / Underride/Override Towed? Please fill out for operator/non-motorist and all occupants involved 26 as xs 30 31 31 n Seel 4, Aube# Z. 6j.e TnP 1a07 T—P. K—(Lesl Firrr Middle) Ad&rc UUalAAe see Pos. sy... Stet. Switoh Code Cade Sven Code Medial Fwility - TFANSPORTBn OperatoriNon-Motorist See Above --------- --- --- 1 5 4 0 0 3 1 SELF Plow CAaed av 1.0 39m OW3188 =r: Commonwealth of Massachusetts pate of Crash Time of Crash �City/Town Motor Vehicle Crash Number rrt�d3er SpeedLimit� State Police 01/09/2003 1715 A Vehicles Wand Local Poke WTA Police 0 24Hk Police Report 4 3 Lon. Other AT INTERSECTION: NOT AT INTERSECTION: n 339 SgEFI$LD„ ST 1 Route# Direction Name of ltoadwaylStreel Route# Direction Address# Name of RoadwaylStroet 10 At 2 Feet N S E Of — — — a — or Routeii Direction Hum of Sntersecting RoadmylStreet !<Ael¢tHsrker Ettit Numtxr Also at Intersection with Feet N S E VV of Route# Intersecting Roadway/Street 22 Route# Direction Name of Intersecting RaadwhylStteet Feet N S E W of 3 I 1 Landmark 3 #Occ is Vehicle d� ❑HUM.. Moped 0 3 `"3 4 —AC License# Q30&07391 _ stX&_DOH/Age 09/16/196Q Reg# 6951MC Keg Type PC _ Regstatex&_ 1 I 1G Sex. Lic.Class Lic.Restrictions._. CDL Veh Year 2 0 01 Veh Make AT -- Veh Config e c Endorsement 41 Operator.RIORKOWSKI a DONNA_ M Owner PIORNOWSKI, Dona K y 12 Ge! Fin! Mid& Lase Firs Mid& 1 Address 7,� C,'HICOPER ST _ Address C'ety.CHICOPLE_ Statexh—zip 0101A city CHICOP$F State)I&-_ziP 010 3 Insurance Company H&M VER Vehicle Action Prior to Crash Damaged Area Code;(Circle Up to Three) F Vehicle Travel Direction: S E W Responding to Emergency?2 Event Sequence 3 4 0 No Citation# If issue Most Harmful Event 10 Undo-Totaled atria ge ( d) `�:t 1 ♦ 9 5 11 Totaled Viol,1:Ch/Sec/Sub / Viol.2:Ch/Sec/Sub / Driver Contributing Code too 97 Other 8 99 Utilrnorvn 7 6 62 / 1 UndemdelOvorrido Towed 1 Viol.3:Ch/Sec/Sub Viol,4;Ch/SWSub Please fill out for operator and all occupants involved 26 17 ra =° 30 3 i 31 33 13 Noma(issi Fin[Middle) Adiw DOB! Sea Fo.. S4 suw Aiae rjmCoo rnp stw- T'.W Aga gyrleco gtaaw Sikh Coda Cads g4ctua Coda Edad;at Faeiliry Operator See Above —•---- --- --- 1 1 4 0 0 5 1 Asa Cnrcnsas aK MICHASL PIORROWSRI CHICOpa'rr, NA 01023 03/28/2955 H 3 1 1 4 0 0 4 1 71 LV Vehicle 4, —IJOccupants iYoo-Motarist A Type r;s Action q a"'' Location Condition 13 r- ❑f[itlRm ❑Moped License# 028360645 .StJ_D0WAge 03/04/1949 Reg# 358RSS ReglypePC Reg3Wo Sex Lic.Class Lic.Restrictions . CDL Veh Year 1988 Vch Make CHBVROLF�' Veh Coafig. Endorsement 81 Operatorfl=, SHARON M OwnerMWe SHARON M _ Lu Fort Get nm "J" Address.142 COOPER ST AddrrssJA2L_M0PEH ST city,AGAWAM _�state la_Zip 01001 � - City AGAWM State_zip Insurance Company SAFETY _ Vehicle Action Prior to Crash ;y Damaged Area Code;(Circle,Up to Twee) Vehicle Travel Direction; N S E Responding to Emergency?? Event Sequence 2 6 2 3 4 0 None 10 Undercarriage Citation#(If Issued)K 314 9 3.3-- Most tiarrrtful Event , _ 1 ♦ 9 5 1 I Totaled Viol,1:Ch/Sec/Sub a 9 /e Viol.2:Ch/Sec/Sub / Driver Contributing Code 97 Other . f 5 7 6 99 Unknown Viol.3:Ch/SeclSub ! Viol.4:Ch1SeclSnb / UndenidefOVettide a Towed l Please fill out for operator/non-motorist and all oompants involved 26 27 1 tg 19 30 31 32 33 Sm Suety tuba Aaaaa Ejea! 7.Q kpy T-ap Na Or Fvrt U"q) Addlaa D06MAW Sac P. sy�_ SWm a.dh C.& Cade Sdoa Cab M."Fwiiiry dperatotlNon-Motorist See Above ------ -- -- 1 5 4 0 D 5 1 M.W CRASS Rt,/e a W%j C.Va3 A! ♦=Direction 0=Vehicle 1 Q=Vehicle Z =Pedestrian NOT TO SCALE If Crash Did NWOeeur 7 on a Public Way: 0 off Street Parking Lot 0 Garage "*. !�:3 C11 MaII(Shapping Center Q Other Pr'svate Way 339 SUFFIELD ST DAIRY STORE • North MVI TRAVELING SOUTH ON SUFFIELD ST. MV2 & MV3 TRAVELING NORTH ON SUFFIELD ST, STOPPED IN TRAFFIC FOR RED SIGNAL. MV4 ENTERING SUFFIELD ST. FROM DAIRY STORE FOR LEFT TURN, SOUTH ON SUFFIELD ST. ,- MV4 FAILED TO YIELD TO MV1_. MV1 STRUCK MV4 IN RIGHT SIDE, MV4 THEN STRUCK LEFT SIDE OF MV2, CONT'D SOUTH ON SUFFIELD. ST. STRIKING MV3 HEAD ON. OPER1 TRANSPORTED VIA AFD AMBULANCE, PASS2 COMPLAINTS OF PAIN , REFUSED TRANSPORT. OPER2 COMPLAINTS OF NECK BACK PAIN REFUSED TRANSPORT. MV'S 1,3 & 4 TOWED BY ACE A B. Name(Lsst,First,htiddle) Address Phone# Statement Own er(Last,First NMdle) Address Phone M +,. Description of Damaged Property wa .r Sri r...,... MEMO oil "latill" Registration ti (From Vehicle Section) Carrier Name Carrier Issuing Authority Code Address_ _ _ _ City St— ZipE, _ _ US DOT#: State NTuruher 3ssamg State ICC k: =Interstate i Cargo Body Type Code 'ti Gross Vehicle Weight # r Trailer Reg#: — Reg Type Reg State Reg Year Trailer Length Hazmat Information: tl Placard Material T digit ii 1Jiatsriai Name 14lateria!4 digit# _—�--.°elease code � Patrolman John W Kunasek Jr _ 945 _ Aaawam _Police Department 01/09/2003 Police Officer Name(Ploase Prins) Signature iDBadge M Depamneot' Preainct'Banwks Date Commonwealth of Massachusetts ,; Date of Crash Time of Crash City/Town Motor Vehicle Crash Number Number Speed Limit 1Q State Police 01/19/2003 1348 JAGAWAX VehiOth — cles Injured Local police 24HR Police Report 2 a Lon MB TA Police AT INTERSECTION: NOT AT INTERSECTION: 2 9 _ 335 SUFFIELP ST _ l 1 Ronte# Direction Name of RoadwaylStreet_ Route# Direction Address g Name of Roadway/Street 10 _ At 2 Feet N S E W of — — + — or Mile Marker Exit Number Routeg Direction Name of Intersecting Roadway/Stroet Also at Intersection with Feet N S E W of Route# Intersecting Roadway/Street 21 - Feet NS EW of 3 ll jlToute# Direction Name of Intersecting Roadway/Street PARKING LOT Landmark .— . 3 U Vehicle I-1-40ccupants ❑Hit/Run ❑Moped 0 3 - 5 9 —AC Licenscil52i1324737 sts38_DOB/Age01/12/1930 Rego 4654YE Reg Type PC Reg state MA g. Sex Lic.Class Lic.Restrictions . , CDL Vch Year.19 99 -Vch Make.PLYMOUTH _ Veh Config, Endorsement 4 Operator BEAVER.--- MARJORIE I Owner-BEAVER, MARJORIE 1 12 1 loon Pint TAiddle last Fins Mddk _ 1 Address 52 QUEEN ST �:. Address— ;T- City WEST SPRINGFIELD Stai Z&_Zip 014a9 City stateZipQ1Q89 Insurance Company PREMIERE _ _ Vehicle Action Prior to Crash Damaged Area Code:(Circle Up to Three) 2 3 4 5 Vehicle Travel Direction: N S W Responding to Emergency?2 Event Sequence 0 None Citation N(If Issued) Most Harmful Event 1 ♦ 9 5 10 carria I l T Totaleotaled. Viol.is Ch/Scc/Sub / Viol.2:Ch/Sec/Sub Driver Contributing Code 97 Other 6 � $ 7 5 99 Unknown 1. Viol,3:Ch/Sec/Sub I Viol,4:Ch/Sec/Sub 1 Undenide/Override Towed 2 Please fill out for operator and all occupants involved 26 V 28 z9 30 31 32 33 13 &M Wdy Airbag Avhg Eject Tr.p Injuy Tm +� .p. N.me(r..at Foal Middk) Address nOBIAg. sex P. S}st- &ado S.R6 Code Code Sun. Cade Msd.W F.cihiy 1 Operator See Above --------- --- --- 1 5 4 0 0. 5 1 7 � 99 g Vehicle Ll---NOccupants �Non_Motorist A Type� Action Location ,*:�, Condition ` ❑Hit/Run ❑Moped Licenseii L120119525130 St$k-DOB/Age 01/13/1952 Reg# 8617XT Reg Type PO - Reg State Sex F Lic-Class ° Lie.Restrictions " CDL Veh Year Veb Make CHE�TROTAST Veh cor&g. , Endorsement lt9 Operator Owner LABOSCO._CAROL W __ lyr Fuss - I.9iddl. Lass F t. - Address-13 0 7 00 ANMRLY CT Address 4 2 5 S WESTF I ELD City BONITA SPRINGS State$I,L Zip 3413 5 city AQAQIT" State. _Zap Insurance Company PREMIERE _ Vehicle Action Prior to Crash Damaged Area Code:(Circle Up to Three) �. 2 3 4 Vehicle Travel Direciicim SEW Responding to Emergency?2 Event sequence � i. 0 None Citation 9(If Issued) Most Harmful Event '' 1 9 5 10 Undercarriage l l Totaled Viol.1:Ch/Sec/Sub 1 Viol.2:Ch/Sec/Sub / Driver Contributing Code = 97 Other { S 7 6 99 Unknown Viol.3:Ch/Sec/Sub / Viol.4:CWSec(Sub Undotride/Override r Towed 2 Please fill out for operator/non-motorist and all occupants involved 26 27 ze 29 30 31 3x 33 s..t Way Ai,n.g A re.e bj-t Tr.p Injury rr.r.p. Nedre(L.sr Fint MW.) Ad&— DOB/Age 8es Pax SysWn Sndus 9%itdr Code Code Sum Coda lUadiral Fwiliry Operator/Non-Motorist See Above ------ --- --- 1 4 4 0 0 5 1 $1035e LRA-65 Rnvl.o oswt OXMI9 - �=Direction =Vehicle J. Q=Vehicle 2 =Pedestrian ie: ♦ ♦0 If Crash Ri�d NotOccuc 335 SUFFIELD ST on a Public Way: DAIRY STORE ❑ Off-Street Parking Lot ❑ Garage ❑ Mall/Shopping Center ❑ Other Nvata Way r� SUFFIELD ST North BOTH MV'S PARKED SIE BY SIDE IN FRONT OF DAIRY STORE.OPER OF IdV#2 BACKED OUT AND PROCEEDED TO GO FORWARDS AND HAD TO WAIT UNTILL TRAFFIC ON SUFFIELD ST PASSED BY BEFORE SHE COULD ENTER TRAFFIC LANE. OPER OF MV#1 PUT H$R MV IN REVERSE AND BACKED INTO THE PASSENGER SIDE OF CAR 102 Name(Last,First,Middle) Address_ Phone# Statement Owner(LasLFyrst,Middle) Address Phone# Description of Damaged Property a Regi n t,,# (From Vehicle Section) Camrz Name Canner Imwng Authority Code t' Address - City St Zip US DOT#: State Number Issuing State ICC#: Interstate Cargo Body Type Code Gross Vehicle Weight v ' Ttaiter Reg#. Reg Type Reg State Rog Year 'rraer L,ettgth Iiazmat Information: 1 4j Placard v Material i digit# , Material Name Material A digit# Release rode E] j Patrolman Richard Conlon_ Jr 468 Agawam Police Department 01/24/2003 Police Officer Name(Please Print) Signature^ ID/Badge ti Department Pre6acvEwacks Data CDPr 1 c-ta-ea NOT TO BE USED BY OPERATOR SEND ONE OOPY TO: MUS T T YPE ORREGISTRY USE ONLY MAIL:RXV• COMMONWEALTH OF MASSACHUSETTS 050 P.O.BOX A.021 POLICE REPORT BasTorw,MA.az�is , NAME OF POLICE DEPT.SUBMITTING REPORT OF MOTOR VEHICLE ACCIDENT Aaaw1n Poli.ceDepartment Check one Was this Accident investigated by an of cer? 02-3 6-AC Aid you notice any Indication YES NO. If Yes,Check One Box Below 1 Of 1 that an operator had been taking ❑ ® 1 Registry 4 State Data of Acciden Day of the Weak Hour any mad cation or drugs? 1 2 2 MDC 5 C. Mo Day Yr To your knowledge has any operator YES NO 3 Other Police A.M. 1 had a history of epilepsy, 1 2 01 20 02 P.M 2 1446, heart disease,fainting spell on reraaa Name of Operator Number ar Dale of Birth 1 Sax 2 V FRANCIS $ LOPATKA arrr 2 MO 04 DAY 27 YR 46 NM ❑ F E Street Address Cltyr town State Zip Drivers Uoensa Number and Slate H 13 LAMPLIGHTERS LN SPRINGFIELD MA MA S02772001 Owners Name and Address(if same,write"same`) Registration Numbar and Stain C SAME MA 496981 L E Name of Insurance Company only may be written here Year Make Type Approodrrtata Coat METROPOLITAN PROP 1996 M CV toy R 1 Describe Damage to Vehicle YES Fie Damage O j _j Y-E-Sj parked Car O REAR BUNPBR AND RELATED COMPON MS 1❑ 2 1 L 2 Name of Operator Phone Zip Cade of Binh 1 $ 2 V SARAH A FREEDMAN Mo 01 DAY 22 YR S 9 ❑ M ® F E Street Address CWrown Slate Diver's License Number and Slat@ H 142 CANDLNWOOD DR ENFIELD CT KA 017632731 s Owners Name and Address(d same,write"same") Phone Zip Registration Number and State C JACINTHS FREEDMAN/359 SPRINGFIELD ST, AGAWAM,MA 01001 MA 6680NZ L E Name of insurance Company only may be written here Make Type .Appm,dmain Cast ARBELLA MUTUAL INS CO 1.r.2 HOND 4T � R 2 Describe Damage to Vehicle YES Fire Damage NO YES Parked Car EXTENSIVE FJRT END DAMAGE 1� 2® 111 2I o Describe Other Property Damage fAopflro-Coat T x a E Name of Property Owner Address 1❑state 2❑MDC 3❑Muniapat R W Other Witnesses or Persons Present Address Phone I T Bus N Res E S S sue E S Ras Number Injured To whal hospital was injured taken? Taken by Ambulance? YES No 0 1 El z Name of Injured Street C41TUM state I N =EJ INJURY SEVERITY RESTRAINT SYSTEMS PE N INJURED J E NO7 1 Operator le Vehicle tJ1 tCrled 1 Safafy Bel!Eyed 6 Pstlestruan R2 sadousYsihlalnjury 2 Passenger No. E Ejeded from Vshide 3 Minor Visible Injury 2 Child Restraint Used 3 Passenger in Train,Bus,Etc 7 Bieydist D YES NO 3 Helmet Used 8 Moped 1❑ 2❑ ; No Visible Injury Col 4 Operator Campyhfts of Pain 4 Air Bag Used 5 Paaaerger On kAoOarsyda 0 Other Name of Injured Street Cityrrowa state N Age 1 Sex 2 INJURY SEVERITY RESTRAINT SYSTEMS PE SON INJURED J 1 IUII&d E NO 7 1 Operator to Vehide _ U �M �F R 2 swicue Yalbte Injury 1 SafMY Bak Used 2 Passenger No. 8 Pedestrian E 2 Child Restraint Used 3 Passenger In Train,Bus,Etc 7 Bicyclist Efecled from Vehice 3 Minor VislVer Injury Y D YE; NO 3 Helmet Used 8 Moped t❑ 2❑ 4 No Visible Injury but 4 Operator Complaints of Paln 4 Air Bag Used On Motorcyce g Othu - 5 iassenger Name of lnJteed 51ree1 cityrrown State jAge '1 Sex 2 IN,SURY SFARrrY RESTRAINT SYSTEMS PE ON INJURED . U. 1 Killed ES t 7 t Operator In VeNde R ❑M ❑F 2 Serious Visible I u 1 Safety BOB Used 2 Passenger I No __ a Pedestrian M ry E Ejected from Vahide 3 Minot VnIble Injury 2 Child Restraint Used 3 Passenger in Train,Bus,Etc 7 areydlst D YES Np 3 Helfnet Used 8 Moped 2❑ 4 1❑ No Visible Injury but 4 Operator Complaints of Pain 4 Air Bag Used 5 Passenger On Motorcycle g _ Other E65 150M 1119E G001038ID022 BE SURE TO COMPLETE AND SIGN REPORT ON REVERSE SIDE NOTE:Mark all items which apply- The diagram and description of what happened(below)need not be completed if separate 8%x 11 size sheet with same detailed information is vided below. CRY of Tovm Mess Aoddent occurTet5 NearBst Mile Madter Number of Lanes At Rotary If Acciclant Occurred on Ramp L AGAWAM i�j 2 1 E:Yea2X No Fill In Below: C Street Name or Route Number al intersection with route ramp to C 335 SUFFIELD ST route mrmber N�S--�E�r Vey A Vftchi direction was earn vehicle traveling? Or�-If not at an Irnersealbn,tlr in below, going I I t T N S E W N $ E W N S E W Of nearest intersection, i from Vehicle f Tl Nil � %l�� 150 bridge,mile marker. r'1 route rompmt)er 0 1�L��J f[� J rest railroad. LJ route pumper ry N S E W OtherLandmerlrs: INT&R COOPER/SUFFISLD going Accident invoked Collision Wolin 7 7 flverlumad in read if cull Involved two or more vehil ma k aRe or the tdlcl Y 1EJ Pedestrian 4 Ralroed Train 8 iJ non-coillsiann 6 Tmd p 2 IC71 Motor Veh'iela 6 I—t Ran off roadway Iv[fixed 8 Fixes object on shoulder C Moped t®Rear End 2 Angle 3 Head on I(.al in Traffic L.J object _ feel from mad sidevralk or island 30 Pad Vehicle g ❑ Biagi de A School Bus !] 0 Other What were vshidas doing prior where waa padastrain wa sled&tame or ROM SVRFACE COLLIVION CONDITIONS LIGHT CONDITIONS 10 occWerd? accident?Mork appropriate box Mark appropriate box X x X VeWla x 1 Dry .. 1 Flit M.4W bender 7 X Daylight C ' 1 At Intersection 2I X Wet 2 Wguard red 2 Down or dusk � 2 VtRhir 300 ford L I hfekbtg right turn from htereec6on 3 Snowy 3 Htmrb6g 3 Manses,-road ggMed More than 300 test 2 tdakimg lot Sum 3 holm t^t 'r�0n 4 ky 4 KA.N lmeht ♦ Dirkrrew-mad unlighted Walking in Wool 8 3 Meting U turn 4 vah 4sf5o 5 Over 5 HtapnpoN WEATHER CONDITIONS I 5 Walling N We a 4 ][ boln,WolgM head malralhafSk RbAOCk'AMONS B mutllRyni lorpole X N 9 Passing on right a ater�� .X 7 Hit tree t X Cher 6 Passing on left T Geft%onhfT+ wa w t X No DO" a Embankment 2 Faggr 0 T - Skp alas 8 Working on vahkle 2 Holec,rate,tat mpa a DRsh 3 cloudy N 6 b stid4mg g a"4ert 4 Raelm 3 Faeign+rtat9r on rur4os A Rodr ledge 0 9 ]( Slowing a stopping A Playing an cheat _ 4 Defective thol r B Stone"a S Sou e T 6 Not in alreet 'A Crossing Madan eLW 5 Road undat cordOvcton 0 Bridge rail g Stoat - Driverless moving G Oliver 0 a vehicle 6 Otter D Other N t Backing TRAFFIC CONTROLS D Starting in trail X E =roam f Stop sign F Peeked 2 l ywrl sign G Stalled or disabled 3 Warming sign H Stalled or disabled 4 Signal right with hasher on J InprecsssorparWnif 5 Officer or gagman r� K Entering or exttng t Roaroed crossing gala from alley or drl hall L '�htrem 7 Roaroedaulornaticelgnal NO DIAGRAM,VEHICLES MOVED PRIOR TO POLICE ARR(VAL. M Entering median ! coraeal device rat woeAN N Crossed Medan e $ No aftw prasent O Oaner A 14o brmmrtd a l A INDICATE NORTH BY ARROW A M V Operatar¢rmrk an&or mare) operaiw OPWIW OPWKW I 1 2 t 2 1 2 i 2 t"reang under IntUence or LseNdg scene of L 1 Liquor 8 fmProper passing B Diaregarded Traffic l..l7ht G A"Onl /+ 2 Operating Under Influence o1 7 the Wrung Side of Road c Diaregerdd Wamb ag or stop 11 Other Moving Vlola T thin Nat Ure..n _ dons e' en bey I 3 Exceeding Lawful speed a Failed to Give Proper Signal D Diaf"abnt°ref J Traffic Control Operating a Endanger _ 0 4 Felled to Grant Right of Way 9 Improper Tumarg MoyemeM E Impropef startfrom K Failed to Stop for N to Other Vaddra Peaked Poalmn aachad"M a Failed to Grant Right of Why A Operating)Unrayistered f Improper Parked Potitan L 10oWgve Eg4ipment m Pedestrian 1 1 Uninsured Vehkie ki $ y tlollhteAoa OYtiC1i110{Nt5ffi Happe,�ed: (RetgF 14 VehIdes Ey 1vArmTfet) N 8ui Sat Cl don Number#issued tO operator one travelling south on rt 75 slows in attempt to make a b Sam Oak left turn into drive of #335 when struck from rear by v-2. neg injuries v-2 towed by advanced towing.vehicle one moved from point of impact no diagram see oiler reports. Signature Agtawain Police Department 16-05-2441 Patrolman Th(mas Marino Police Oept Date Commonwealth of Massachusetts Date of Crash Time of Crash City/Town Motor Vehicle Crash Number Nwnber Speed Limit State Police' ❑ 03/03/2002 1958 AGAWAM Vehicles Injured Lat. Local Police MET 24HR Police Report 2 0 Lon, Other Police AT INTERSECTION: NOT AT INTERSECTION: 27 SJFFIRLD ST _ 1 ute# Direction Name ofAoad Ro way/Street Routell Direction Address Name of Roadway/Street 10 _ At 2 _ 90OPER PT Feet N 5 E w of — — • — or Route# Direction Name oflntersecting Roadway/Street We Marker Tacit Number Also at Intersection with Beet N S E of Route.# intersecting RoadwaylStreet 21 Beet N S E W of S ll Route# Direction Name of Intersecting Roadway/Street Landmark 3 LL—#Occupants ❑❑MdRun Moped O 2 — 10 6 `AC License# QIIU 0 4y 6 3 StE&_DOB/Age 0yyyyyy��/2 6Z 19 6 9 Reg# 3 9 S 0 MZ Reg Type_ c Reg State L� P Sex-EL- Lie.Class Lic.Restrictions CDL Veh Year-1 9 9? __Veh Make FORD Veh Contig, Endorsement E ��'r 4+� Opmtor Owner,HULSE. FRAM aR HICHAY J last Fins 1di& I.Iw Fist Middle Address Address 115 AI=NY _qT - - City AGGAWAM _ State &_Zip City�G'AWA� State B&--Zip 10 01 - - Insurance Company HANME Vehicle Action Prior to Crash "' a Damaged Area Code:(Circle Up to Three) Q2 3 4 51, Vehicle Travel Direction: N E W Responding to Emergency? Event Sequence 0 None Citation#(Ifissued) Most Harmful Event ,^r� 5 10 Undercarriage I I Totaled Viol,l:Ch/ScclSub / Viol.2:Ch/Sec/Sub I Driver Contributing Code 97 Other 8 7 6 99 Unknown 61 Viol,3:Ch/Sec/Sub f Viol.4:Ch/Sec/Sub / UnderridelOverride r.,. Towed Please Tilt pW for operator mud all occupants involved :6 27 28 29 10 11 r2 33 aw s.L.r .11M.. ram! r1.p 1*r Tmnq� 1 13 H.—(L.n nil.,Lndd1.) A4-t— Dna1A8e Sex Po.. syom 9unt 8witth Cede code sue Code Ma., F..ilny Operator See Above --------- --- --- 1 7 „ r 8 vehick z�_#OccupawILI Non-Motorist A Type s Action v Location E Condition HiURtm ❑Moped License# p 112 614 00 St_'A_DOB/Age Q 5/2 5119 3 4 Reg# 9 8 6 eTp Reg Type YO Reg SWe j— Sex 1L_ L.ic.Class `�' R ; Lie,Restrictions s CDL Veh Year 9 9 9 Vein Make yOLVO _Veb Config Endorsement s1 Operator PROVOST TTORMAN Owner PROVOST. NORMAN L..I I'it.l tvriddl. Li Fin[ mm. Address " 741L ST_^. Address 41 DAVISTON ST — — City SPRINGFIEjtM_State Zip City SPRINGFIELD Statd%_zip e..-=: Damaged Area Code: Circle U to Three insurance Company SAFETY Vehicle Action Prior to Crash '-c^,�=; a$ ( P ) 2 3 4 Vehicle Travel Direction: N 5 W Responding to Emergency? Event Sequence MIT<: 0 Now Citation 0(if Issued) Most Harmful Event i ♦ 9 S 10 Undercarriage 11 Totaled Viol. 1:Cb/Sec/Sub / Viol.2:Ch/Sec/Sub / Driver Contributing Cade rZE„. 97 Other 8 7 6 99 Unknown Viol.3:Ch(Sec/Sub I Viol.4:Ch/SeUSub 1 Undcr ide)Override = Towed Please fill DW for operatorinon-motorist and all occupants involved 26 n zs 29 ap rn 32 33 Set &kv A114.8 'i Z. 01 Tnp Inimy Tip W.—(Lw f m Middle) - Addre.. DDafA8. sex F.a, swtm Sens swi h CWc Code St m code M.&_]r.'Aih Operator/Non-Motorist See Above ------- - -- Y .10369 CAA 65 REV 1.0 09101 M3190 ♦=Direction r-1-1=Vehicle 1 0=Vehide 2p=Pedestrian le: "r'11l..a] ♦= -7C If Crash Did NotOccur on a Public Way: C1 Ofl=Street Pxldng Lnt ❑ Garage NO DIAGRAM,VEHICLES MOVED PRIOR TO POLICE ARRIVAL ❑ malUShoppingcenter 4 Other Private Way North MV1 TRAVELING SOUTH ON SUFFIELD ST. , AT INTERSECTION WITH COOPER ST. MV2 _ ENTERING SUFFIELD ST. FROM PARKING LOT, FAILED TO YIELD TO MV1,_STRIKING MV1_. NO INOURIE^a NO TOW. Nacre(LasVirst.Middle) Address Plsoae if Statement BURKE ROBERT MIMEL 681 SPRINGFTELD ST AGAWAK MA 01003 413-786-4767 t)hvser(Last,Birat,M1ddle) Address Phase g Description of Damaged Property Mail= (From Vehicle Section) 7ACdd.ss Carrier Issuing Authority Code City St— Zip 9 US DOT ii. State Nomber Issuing State 1CC C Interstate ' Cargo Body Type Code [:�j Gross Vehicle Weight Trailer Reg#: Reg Type Reg State Reg Year Trailer Length x " Hax"Ist tnformatiow. r Placard Material 1 digit NEM Material Name Material 4 digit f -- — Release code ., Patrolman John W Kunazek Jr _ _ 945 Agawam Police Department 03/03120_02 Police Officer Name(Please Print) Signature T IDiRadge# Department Precinct/Barracks Date Ceti ua+ee NOT TO BE USED BY OPERATOR SEND ONE COPY TO: MUST TYPE OR PRINTREGISTRY v"ONLY MAIL:R.M.V. COMMONWEALTH OF MASSACHUSETTS 050 PST N, A.021 POLICE REPORT Bp,STON,MA.02119 NAME OF POLICE DEPT.SUBMITTING REPORT OF MOTOR VEHICLE ACCIDENT Agawam Police_Department Check Ose Was this Accident inVealilged by an t 9 6—67 0—AC Did you notice any indication YES NO If Yea,Check One Box Below 1 Of 1 that an operator had been taking ,❑ 2® 1 Registry 4 So fe any medicalian dr drugs? Dale of Acdtlenl pay of the Week Hour YES NO 2 MOC 5 Pa�kofe u Ta your story or gb has any operator ❑ ® 3 Other Ma Day Yr fr�"I A•M. ®1 had a history of epilepsy, 1 Z 09 29 96 P.M. 2 1359 heart disease,fainting spells? In an revavar soonName pf Clpsreter 5xr:rAss et Oats of aft 1 Sax 2 y SUSAN WALSH v`I'+mh+ae 2 Mo 05 DAY 19 YR54 M N F E Street Address Cityfrown State Yip Drivers License Number and State N 235 SILVER LAKE DR AGAWAM MA 01001 MA 066385582 t Owners Name and Address(if same,write'srune1 - Registration Number and Slate FORD MOTOR CREDIT CO./ P.O. SOX 105704, ATLANTA,GA MA 405YAN L E Nome of Insurance Company city mew be wrhlen two Year Make Type Approdmate Cost AXICA MMAL INS. 1996 LILAC 4D s 1"'vo0+ I Describe Oamago 10 Vehicle YES Fire Damage NO Parked Car NO RZAR 1❑ 2® 1[] 2 Name of Operator Phone ZIP pate of Birth Uf Sax 2 y PATRICIA V KACZSNSKI No 01 DAY 06 YR65 ❑ M ® F E Streee Address Cityrrown state Drivers Cleanse Nemtber and 64fte N 40 CORRY DR AGMAX MA 01001 MA 022605984 I Owners Name and Address(it same,wits"semol Phone Zip Registration Number and State C SAME MA 944VVR L H Name of insurance Company adjr may be watRee have Yter Make Type Apprmdmeya cost COMMERCE INS. 1994 JBBP MIT s 1,W00+ R Desuibe Damage to Vehicle Fl Fire Damage NO Parked Car NO FRONT 2® I 2 ® . 0 party Damage Appmximate coat T Describe Other Pro to Repolr N EI Name of Property Owner Address 1❑State 2❑I�ADC 3❑fitam*d R W Other Witnesses or Persons Present Address Phone I T Bus N Res 8 B S Bus E Res e Number Injured To what hospital was irfJrad taken? Taken by Ambulance? YES NO 0 1 ❑2 Name of Injured Street Cltyrra" State I N Age PNURYSEYERITY RESTRAINT SYSTEMS PE NINJURED 1 i 2 E MO ? f U 1 �� Operator In Vehicle M F 1 Safety Belt Used 6 Pedestrian R 2 Sarkous Visible Injury 2 Passenger No. Ejected from Vehicle 2 Child Restraint Used 7 Bicyclist E 3 Minor Visible injury 3 Passenger in?rein,Bus.Etc q YES f4o 3 Helmet Used a Moped 1❑ 2❑ 4 No Vlalbte Injury but 4 Operator Complaints Of Pain 4 Air Bag Used 5 Passenger On Motorcycle 9 Other Nance of Itljured Sheet CltyfTown State 1 jAge ES.. INJURY SEVERITY RESTRAINT SYSTEMS PER N INJURED 1 Kind TES NO ? 1 Operator 1 In vehicle Ul F 1 Safety Bell used JT a Pedestrian IR 2 Sodoue Visibla Injury 2 Passenger No. _ E Ejected frornYalgge 3 Mirror tilsiboo Injury _ 2 Child Reatrdtnt V»d 3 Passenger In Train.Bus.Etc 7 Bicy si 0 YES NO 1❑ 2� 4 No YDaAIa agwy bW 8 i•IeYnei4 Used 4 Operator On MatOncyde 1S Moped Complaints of Pain 4 Air Beg Used 5 Passenger Q O�ef Name of Injured Street C ityfrown State t N Age 1 Sex IWURY SEVERITY RES7RAINTSYSTEMS S INJURED U 2 1 Kill" NO ? 1 Operator In Vehi0e U �M �F R 2 SW;Aus Visb%4' 1 Safety Set Used 2 passenger No. a Pedesa en fiuny E Ejected from Vehicle 3 Minor Vlsibia Injury 2 Child Restraint Used 3 Passenger in Train,Bus,Etc 7 Bicydisi 0 YES NO 3 Helmet Used 8 Moped 1❑ - 2 E] 4 No Visible Injury but 4 Operator Compialnta of Pain 4 Air Bag Used On Motorcycle 5 9 OthK Passenger E65150M 11096 G00103310022 BE SURE TO COMPLETE AND SIGN REPORT ON REVERSE SIDE NOTE:Mark all items which apply. The diagram and description of what happened(below)need not be Completed if separate 8%x 11 size sheet with same detailed information is phed. Please ski vi City or7own Where Aocklent Occurred Nearest MRa Marker j Number of Lanes At Rotary If Accident OcaurW cn Ramp �AGAHTAM I 7 �l C]Yea 2®Na FBI In9alw! 0 Street Name or Route Number l at intersection with �- ❑ route numb On fBrt�to er 335 SUFFIELD ST NrSS F W� A Which direction was each vehicle traveling? Or-Knot at an intersection,rill in below, going I I I I I T N S E W N S E W N S E W Of nearest Inlerseotion, VahiGe No (� ���� bridge,mile marker. On ramp from 0 No 1 -2 V�L_Ll_J - feet � = railroad. route number N is S E W Other Landmarks: - _ going L� Accident Involved Collision With 7 ❑ orverturned in mad tr eollis'rcn irrmtvad two or more vehicles mark one �''t + of the tallovnng.- Y1 ❑ Pedeslrien n I J Railroad Train B ❑-Ran oft roadway B ❑ Truck ��I nonxotlision P 2 lal mTr�airic hicle 5 ❑ oGlen rcedwayf art from road @ ❑ mdew�kOisland shoulder C f1 Moped 1®Rear En 1 2 Angle 3 Head on A LJ 3 Perked Vehicle a �l gee A ❑ School Bus D G Other what were vehicles ddng prior Where wes pedesrain located at lima of ROAD SURFACE - COt.LISION CONOITIONIS LIGHT CONDITIONS tq accidarP aeddent4 Mark appropriate bad Marrs appropriate Loa X % X Vehicle 1 $ HA 1 ]( Duftilt C f utraeeasey pn e 2 2 Vial 2 Hit guard rat `,2 Do,arArk 0 ; Vltittkf 300 Feel L 1 Making right turn imm inlenepo0an 3 Aran, 3 HIt curling S ID-krev-mad lighted L 3 Morelhan300leet _12 Making left turn from Intereacam 4 lty 4 HiltabWourd 4 ielrnen-mad upllphhd WONN in street S 3 Making U turn , witti trafto 5 Olhar 5 FAtalgnpml wEATHER CONOmONs I 5 Weil"in avast 0 4 Going straight ahead egainottraffic ROAD CORDITIONS a Ht utility RUM or pole % N e Brocading ia street e pavwta on right X 7 Nn tree 1 X Clear 7 Geahg onloffvehkb 8 Passing on left t $ No GO-M 6 Embankment 2 fogQr O T Slop son a working on vehicle 2 _ Flofes.cards.taallpa 9 Dllch 3 ciowty N a Sb,*g a WoridMtostreet s _ Foreign rnratler on tlMlaaa A Rod ledge < Rafn DB $ $ slowing or stopping a Ptaltng in street , Defud-in 9 sh _ Stone wall 5 snow It Not In street T A Crossing median strip 5 Road undef conertructIM C Bridge ail 8 Sher Driverless moving C other 0 8 vehicle a Other D 08rer N C Baddr. TRAFFIC CONTROLS S D Starting in"ft x E 81"ngrmm i atap»n parked pi 5don F Parted 2 ltielddon 0 Stated or dlssbled 3 Wandng sign H Stalled or dsabhid 4 X Signal light - with dasher an J In process of paridng 5 Of m or flagman K Froomm alley E or and r drN 5 Rallmad aosetrrp gaN wn oling.right lum 7 Railroad automatic Appal red M Entering median a Control dense natwaddpg N Cmsaad median a No ronooi present O�� Other A No tun on red I A INDICATE G NORTH R BY ARROW. A , M V Operator(mark one or mue) Operator Operator operalor I 1 2 1 2 1 2 t 2 d Operating Under kAuanea of Laadng,.sane of L t Liquor 6 Improper Passing S Disregarded Trattic Light G Accident A operating Under Influence of On Wrong side of Road Disregarded Warning orslop other Moft Viob- T 2 Drugs r Not Oraltald O Steps _ H [loos egtlaln 6erow i 3 "ading Lewfu Speed a Failed to Give Proper Signal b Olsregardad Other J Operating to Endanger - Trefflc Control Improper Start from K Failed to Stop for 0 4 Failed to Grant FibjM of Way B Improper Turning Movement E a SeboolWe N to Other vehicle Panted PaeAon s 5 Failed to Grant Right of Way A Operating unregistered F Improper Perked PoslWn L defective equipment to Pedestrian U hInsured Verild. M $ I $ N.Valation Describe Whet Happened. (Refer to VetYdes by Number) Sam Bex CRellon Number it issued I. - O perateVEH#1 STOPPED FORRED LENS(SUFFIELD ST @ COOPER) . VEH#2 SLOWIN© seat een eeeenpary FAILED TO STOP IN TIM, STRIKING VEH#1 IN REAR. NO DIAGRAM, VEHICLES MOVED PRIOR TO ARRIVAL. OPER#2 TO HAVE VEH#2 REMOVED FROM PLOT. Signature Agawam Police Department 10-05 2007 Sergeant Richard J Nilea police Dept Date NOT TO BE USED BY OPERATOR BEND ONE COPY TO: PIUST TYPE OR PRiNT REGISTRY USE ONLY MAIL:RXV• COMMONWEALTH OF MASSACHUSETTS 050 PST N, A.021 POLICE REPORT eosrowv,MA.az�1 e NAME OF POLICE DEPT.SUBMIrrnNG REPORT OF MOTOR VEHICLE ACCIDENT Agawam Police DevaJ-tment Chook an offim? 97-1$2—AC� one Was Udt�YaAheckBo ockwa �Box Below Did you notice any indication YES NO Onto 1 Of 1 thal an operator had been taking 1 Registry 4 state Date of Acckiarrl Day of the Week Hour any metgta3lion or drugs? i 2® 2 MOC 6 L.cJs To your knowledge has any operator YES YES NO.® s other Police Mo 0 Yr A.M. had a history of epilepsy, 1 2 03 15 yr P 2 111033 heart disease,tainting spells? Name of operator +u�Of Do*of Birth i sour 2 y XkRBN L MARTUCCI crone 2 Mo 05 DAY 02 YR78 M ® F E Street Address CdylTown state 21p Wvats License Num4ef and Stale 91 SOMERSET ST SPRINGFIELD XA MA 012663382 I C Owners Name and Address{iF creme,write"fame"► Regislretian Number and$Ws SAME MA 426VZO L E Name or insurance Company only may be rwiltsn here Year Make Type Approxlmata Cast METROPOLITAN PROP 1995 SAT 2T a+e��r0a 1 Describe Damage to Vatuds yes Fire Damage NO y Parked Car No LEFT FRONT FENDER rDQOR,MIRROR i❑ 2® iL 2 Name of Operalor Phone Zip Date of BiM 1 .San 2 V FRS A TOCS MD 04 DAY 12 YR18 M LJ F E Street Address Cityrrown Slate Drivers License Number and State H 8 COPPER ST WINDSOR LOCKS CT 06096 ICT 160834468 1 — Owners Name and Address[if some,wrae"same Phone Zip Reoislration Number and State G SAME CT WG8487 L E Nome of insurance Company only may be written here Yaer Make Type Ai 1e Colt MIDDLESEX MUTUAL ASSUR 11990 CHSV 2T to+T`00 2 Describe Damage to Venide YES Fire Damage NO EB Partusd Car RIGHTSIDS DOOR AND RELATED COMPONENTS t� 2® 1tj 2 D Oescvib@ Other Property Damage IApFerdudmata Cost T vair H — E Name ar Prop"Owner Address - 1 Slade IAOC 2� J R W Other Witnesses or Parsons Present Address Phone - 7 Bus N Res E S S Bus E Aas S Number Injured To what hospital was injured taken? Taken byAmbulance7 YES NO 1E120 Nerne of Injured Street CRyrrown state Age 1 2 iNNRY SEVERITY RESTRAMff SYSTEMS as:R1RED U 1 I algid E NO ? 1 Operator in Vehicle M F 1 Safety Belt Used 6 Pedestrian R 2 Serious Visible injury 2 � Passenger M. E Ejeded from Vehicle 3 Minor Visible Injury 2 Child Restraint Used 3 Passenger In Train,Bus,Etc T Bicyclist D YES MO Helmet Used i❑ 2❑ 4 No Vialple Injury but 3 4 Operaitx 6 Moped Complaints of Pain 4 Air Beg Used 6 Passenger On Motorcyde a Other Name of Injured sweet Ckyy/Tdam Stele N Age i Sax 2 INJURY SEVERITY RESTRAINT SYSTEMS PE N INJURED i Hilted .ES NO ? 1 Operator � rn Vehida U M ❑F I Safety Bell Used .2 P&MOngs, NO 6 Pedestrian R 2 Strrious Visible Injury E Ejected from Vshic 3 Minor Visible iyray 2 Child Raslraink Used - 3 Passenger in Train,But,Etc T &Wehg D YES NO j ❑ 4 No MWIe Injury btd 3 Helmet Used ! ��ur B Moped i 2 u CoMplanto often A Air Bag Used 5 Passenger On Matorc]nda y Other Name M Injured Street CAyTrown State N Age LM ex 2 INJURY SEVERITY RESTRAINT SYSTEMS PER INJURED t f91ed E NO ? t Operator In Vehlds U F i Safety Bell Used a Pedestrian R 2 Serious Visible Injury 2 Passenger No. E Ejected from Vehicle 3 Minor Visible Injury 2 Child Restraint Used 3 Passenger In Train,But,Etc T IAmtdist C YES NO t❑ 2❑ 4 No Visible Injury but J Helmet Used 4 Operator - a Moped Complelnia of Pain 4 Air Bag Used 5 Passenger On Motorcycle g other E95150M 11t9$000103910022 BE SURE TO COMPLETE AND SIGN REPORT ON REVERSE SIDE NOTE:Mark all items which apply. The diagram and description or what happened(below)need not De completed if separate 8%x 11 size sheet with same detailed information is pLgd. Please sign report in space proyW below, City or Town Where AQddant Qcatrsad Nearest Hi a hta ken Number of Lanes At Rotary j Ir Accident Ocmrre0 on Remp AGAWAtd Z eyes 277 No Fill in Below L On 0 Street Name w Ill Number at intersection with ❑ mute niint C 335 SUFFIELD ST NHS E��W--I A Which direction was each vehicle traveling? Or—If not at an intersection,fill In below: going I I I I I T N S E W N S E W N S E W Of nearest Inlersecllon, 1--(-..�L—J I Vehicle No ll 125 0 No 1 feet L /�� rairoadmile marker, I�I On ramp from U route number N Nr�S E W Otherlandmarks: COOPER ST INTER going Accident Involved Co2ision With 7 ❑ Owartumed in road If oolltsion involved two Or more vehicles mark one pf the(clawing_ YI Pedestrian 4 E) Railfoad Train s ❑ Ran off slodway B ❑ Truck norrp 2 ® Molgr VehlGe 5 I—I Ran off roadway hit faed g ®Ilx cl object or Is end older C ❑ Moped 1❑Rear End 2�Angle 3�Head on E in Traffic LJ object feel from road ❑ 3 tPvarkerdVehiGe Go Bil A ❑ Sdmd BUS U ❑ Oftr What were vehicles doing prior Where was pedestrdn local at time of ROAD SURFACE COLLISION CONDMONS LIGHT CONDITIONS to 410tidard4 scolki tl?t,%*awoprlalo baY � Mark appropriate box X x I I V+hkte X 1 Dry 1 fat median barrier t X Nfthl C 1 2 t At lrkereeckon 2 X Wei 2 HR guard r� 2 Darmofduik 0 2 within 360 feel L t Metirp dart turn from Intetsill _ 3 Snowy 5 3 M ctrrbi g 3 Dairka a•road lighted More than 300 Feel 2 R me"leA tum 3 trwntnlereedbn 4 Icy 4 HeabLonent 4 Oarknaw-road unlighted walking In street $ 3 Making U turn 4 wmh baffro 5 Outer 5 Hk Bigi l WEATHER COND TKWS walking in alreat _ 0 4 X Going straight ateead 5 against b2ft ROAD CONDITIONS ti mvumyllghLetoo x N 6 Paasire on right A Standing In street X 7 Flit tree t ][ Clear S Passing oa left 7 Getting aMMwhkta t " $ I Nal7atacla E Embankment 2 Foggy Q a working on vehlde 0 7 ��^ 2 1 Hall ruto,ben. 2 Ofth 0 cioudy g Wartdrg in sheet N s 3P]dr&g 3 1 Feesti mailer On surface A RadtIv011 4 RWA e SlovAng Or slopping A Playing in street 4 Defective ahcuklsr 8 stonetrati 5 9nnw T A Cip B Not in street msektg medan str I 5 Road urAm cwisbuedon F_ C Ill nil 6 Stoat 9 DtWerteasmovbtg C Other 0 vehicle S Other D Other N c Bedding TRAFFIC CONTROLS 8 O Starling In trailk X E Starfffgm I SlOpOgn parked poem F i marked 2 Yraruaign O Stalled or disabred 3 barring Sign H Stalled or disabled 4 Signal rqh[ with flasher on J In process of parting 5 Officer or flagman K Entering we*" 0 Railroad crossing gate from alley ordrivemy L M�rgittam 7 Railroadaulonrntic.briar NO DIAGRAM VEHICLES MOVED PRIOR TO POLICE ARRIVAL M Entating median a Control device not warkkg N C,, a median a X htocantrefpresent 01 1 Outer A No turn on red D I A INDICATE o NORTH R 6Y ARROW A M V Qpffawr(murk one or more) I apsa w Operator, operator 2 t 2 0 1 Operating Underhdtusncool d Improper Ill B Disregarded Treffic Light (3 Leaving Scene or Liquor Aoddem A 2 Operating Under Influence of 7 On wrong Side of Read O OWegardad Wamlrg Of Ill H Other Moving Viola, T Dru s f igt Ovenakl Signs lions(explain below) ( 3 Exceeding Lawful Speed 8 Failed to GW Proper Signal D Disregarded Ofltar Trail Control J Operebng tO,Endanger C 4 Failed to Grant Right Of Way 9 Improper Turning Movement E Improper Start from k Famed to Stop for N to Other vehicle Parked Pos wn a Schaolbue B ti Felted to Orenl Rgnt of Way OpMa nregkterad A tlng U F Improper Parked l�lthri L Detective Equipment ta Pedestrian Vninsured Vehicle M X g No vioisdm rJescnbe,What Happened- (Refer to Vendee by Number) ry 9ea18aFt Citation Number if issued ( tator} OPERATOR ONE TRAVELLING SOUTH ON RT 75 WHEN VEHICLE TWO EXITTED D Miller) FROM DRIVE AT #335 SUFFIELD ST ATTEMPTING TO MAKE LEFT TURN,CONTACT OCCURRED.NO INJURIES,NQR TOW. - — - Signature __ Agawam Police Departatent 10-05-2007 Patrolman ThOwalf marmo Police Dept Date NOT TO BE USED BY OPERATOR SEND ONE COPY TO: MUST TYPE OR PRINT REGISTRY USE ONLY MAIL:R.M.V. COMMONWEALTH OF MASSACHUSETTS o5o P.O.BOX 199100 BOSTON,MA.02119 POLICE REPORT WmE OF POucE DEPT.SUBMIli "a RePoRT OF MOTOR VEHICLE ACCIDENT AaAM Police Department Check one Was this Accident Investigated by an Officer? 0 0-5 74-AC Old you notice any Indication YES NO If Yee,Check One Box Below 1 of 2 that an operator had been taking 1❑ 2® 1 Rogis" 4®R�aEis or drugs? 2 M}C 5 Lacai Date of AcGdetlt Day d 1l1e Week Hare - Mo bay Yr 7o your knowhadge has any operator YES NO 3 LJ Oar Poly 0 9 2 6 00 lln[n[�[nL�ffj[t A M ®2 1711 mart disease,tepilepsy, nangspells? ( 2 ELM P.M, hen rerene Name of Operalbr rtumtiar of OHe of BIM 1 Sea 2 y WILLIAM $ TRBXLXR IV/413-786-2571 3 Mo 12 DAY 10 YR6011 ® M ❑ F E Street Adda s" ClyTown State Zip Driver's License Number and State H 44 ROYAL, ST AGIAWAM MA 01001 MA 029561246 I Owners Name and Address tit same,write^acme} Registration Number and State C SAME MA 474XRT L E Name or Insurance Company only may be written here Year Make Type Approximate Cost LIBERTY MUTUAL 2000 Nlss sE af�.00 1 Describe Damage to Vehicle YES Fke Damage NO YES Parked CarREAR BUMPER 1❑ z® i❑ 2 Name of Operator Phone Zip Date or all t an 2 V TRISHA A ROBERTS Mo 12 DAY 07 yn65 ❑ M ® F e Skeet Address cllyrTown state Drivers License Number and State H 71 SILVER ST WESTFIELD MA MA 025565484 1 C Owners Name and Address(tl some,write"some') Phone ZIP ReglaUakon Number and state L ME SA MA 5944ND E Name of Insurance Company ony may be written here Year Maka Type APproWmate Cost ARBELLA 1949 SAT CP =� 0.00 2 Describe Damage to Vehicle - YES Fire Damage ND YESPar"d Car "'DF tic R $ND 1❑ 20 1❑ 2 U Describe Other Property Damage App oAmate Cast T to Repair E Name of Property Owner Address 1❑State 2❑NIDC 3 F]Munklpd R 1rd Other Witnesses or Persona Present Address Phone I - T Bua N E Rss a 3 Bus E S Rea Number Injured To what hospital was injured taken? - Taken by Ambulance? YES NO 2 BAY STATH MEDICAL & BAY STATE MEDICAL / �j2 ❑ Name of Injured Street Cityrrown state TRISHA A ROBERTS 71 SILVER ST WESTFIELD MA N J Age Sex tWURY SEVERLT`! RF-STRAIIJT SYSTEMS PE 80N INJURED U 34 1 2 i IQbd E NO 7 1 J( Operator In Vehicle R ❑M ®F 1 X Safety Bah Used a Pedestrian 2 Serious Visible Injury 2 Passenger No. 2 E 2 Child Restraint Used 3 Passenger in Train,Bus.Etc 7 Bicyclist D 4scted from Vehicle 3 Minor Visible Injury YES NO 3 Helmet used a Moped i 2 4 X No Visible Injury but 4 Operator 1 ❑ ® Complaints of Pain 4 Air bagOn MatoMotorcycle Used 5 Passenger a Other Name of Injured Slreei Cityrrown Siate GARY DRISCOLL 1 MARSHALL CT MWIELD CT N J Aga I 1 sex 2 INJURY SEVERITY RESTRAINT SYSTEMS PE N INJURED U t Klged ES NO 7 1 X Operator l In Vehicle 17 R MM ❑F 2 KiiidsYuafilelnjury i x SWetyBAOsed 2 Pass gar j} No, 3 S Pedestrian en E 2 Child Restraint Used 7 Bicyclist pLl d from Vehicle 3 Miner Yislbla Injury 3 Passenger in Train,Bus,Etc No 3 Helmet Used B Moped 2 2®_ 4 X No Visibly injury but 4 Operator Complaints of Pain 4 Air Sag Used On Motorcycle 9 Other 5 Passenger Name of Injured Strad QyrTown State I JAge F Sex 2 INJURY SEVERITY RESTRAINT SYSTEMS PE N INJURED u i Killed E NO 7 1 Operaler In Vehicle R M ❑F 2 .Wow Visible Injury / 9atey Bell Used 2 Passenger No. 6 Pedestrian E Ejected from Vehicle 3 Minor Visible tnywy 2 Child Restraint Used 3 Passengw 1m Tnefn,Bus,Etc 7 atvJe9ist D YES NO 3 Helmet Used - 3 Moped 1❑ 2❑ 4 No Visible Injury but 4 Operator On Motorcyce Complaints of Pain 4 Air Bag Used 5 Passenger g Other E65150M 11196 G001038 10022 BE SURE TO COMPLETE AND SIGN REPORT ON REVERSE SIDE NOT TO BE USED BY OPERATOR ar a REGISTRY USE ONLY SEND ONE DOPY Tp: MAIL.R.M.V. COMMONWEALTH OF MASSACHUSETTS 050 P.O.BOX 199100 POLICE REPORT SQ370A1,MA.D2119 NAME OF POLICE DEPT.SUBMITTING REPORT OF MOTOR VEHICLE ACCIDENT Agawam Police De artment cheat one Was No Aoddwd awssbgated by an officer? 00—5 74—AC Did you notice arty wilkation YES NO If Yes.Check One Box Below 2 of 2 that an operator had been tatdng 1 Ragtstry 4® h Date of Aoddent Day of the week NIOuf a u msdicatim or dings? 1❑ 2® 2 MIX 5 Laraf YES NO Ponce pntffll�nft� a ya hi knowledge 1ps, apsrMar 0g SyrMo Oay Yr A.M. 1 had a history of epilepsy, 1❑ p 09 26 00 P M 2 1711 heart disease,tainting spans? an reverse Name of Operator - N-waf bete of elrth t SaX 2 v GARY DRISCOLL l�Ik.e M F E Street Aadnss CUylTown State Zip Drivers Ucense Number and State l♦ 1 MARSHALL CT ENFIELD CT CT 097527437 I Owners Name and Address(if same,wdle%sme-) Registration Number and State C LAURA DRISCOLL/1 MARSHALL CT, ENFYELD,CT CT 876PKZ L E Name of Insurance Company only may be written here Year Make Type Approximate Cost THE HARTFORD 1996 ICHEV CP '0Mo.00 3 Describe Damage to Vehicle YES F11s ravage NO YESParkod Car FROM EMD t❑ 2® 1❑ 2 mom ofOpeaita Phone ZIP Do"of ekih Sax y 1100 CLAY YR ❑ M ❑ F V Street Address Cityrrov- - Stets OrDws License Number and Stale E FI Chmers Name andAddreas(k same,write'aame"I Phone Zip Regaeredon Number and State C - L. Name of Insurance Company only may be written here Year Make Type -Approximate Cost to Repair E s Describe Damage to Vehicle YES Fin Damtrge YES Car t 2 1 1S Rescribe Other Property Damage - AApp�mate Cost T to H Is Name of Property Owner Address - - 1❑S5a1e 2❑tJIOC 3❑Muniapek R IN Other Witnesses or Persons Present Address Phone t T Bus N E Res $ Sus E $ Rae seasseas Number Irwo" Ta what hoopkal was inured taken? Taken by kributanee? YES 140 2 HAY STATE MEDICAL & HAY STATE ?[BDYCAL 1 ®2 ❑ Name of Injured Street Otyfrown State I N Age $ex INJURY SEVERITY RESTRAINT SYSTEMS - PERSON INJURED J 1 2 1 FGlled E NO 7 1 Operator In Vehicle U ❑M ❑F t Safety Bell Used 6 Pedestrian R 2 Serious Visible Injury 2 Passenger Na. E Ejected 3 2 Child Restraint Used 3 P erinTrain,Bus,Etc 7 Bicydist Je Minor Visible Injury 9 D YES NQ 3 Helmet Used a Moped ❑ ❑ 4 No Visble injury but 4 Operator i 2 Complainla of Pain 4 Air Sao Used 5 Passenger On MOttltrtytls s Other L_J Name of Irprad Street Cilyrrown State I _ J Age 1 Sex 2 [WURY SEVERITY RES'tKkNT SYSTEMS � PERSON INA3RED 1 E NO 4 1 Operator In Vehicle R ❑M ❑ Kided F 2 Serious Ymable Inquiry 1 W*Bak Used - 2 Passaagm No. a r— ury Pedestrian q £ 2 ChildRa"mkaused 7 Bicydist D E Yjadsd Mpm Ye ES � 3 Min"Vrsible Injury3 Passenger in Train.Stn,Eft ❑ ❑ 4 No Visible h*vy but 3 N1* Used , OP- 8 Moped On Motorcycle 1 2 Complaints of Pain 4 Air gp Used 5 Peswgw 9 0111w Name of Irdured Street Cdylfown. state I N - Age 9ed INJURY SEVERITY RESTRAINT SYSTEMS PERSON INJURED J 1 2 U I Killed E NO ? I Operator � In Vehkts ❑M ❑F t Barely Be"Used 8 Pedestrian R 2 Serious Visible Injury 2 passenger No. _ E Ejsded from Vehicle 3 Minor Visible injury 2 Child Restraint Used 3 Passenger in Train,Bus,Etc 7 Bicyclist NO D I Y❑ 2❑ 4 No Visible Injury but 3 Hatmst Used 4 Operator do Motorcycle 8 Moped - Compfaints of Pain 4 Air Bag Used 5 Passenger 9 Other EEO 150M 1119E G001038 10022 BE SURE TO COMPLETE AND SIGN REPORT ON REVERSE SIDE NOTE:Mark all items which apply. The diagram and description of what happened(below)need not be completed if separate fir/x 11 size sheet with same detailed information is I n report in space providedbelow, City or Town WhereAoddant OCcutrad i, Nearest We darker Number of Lames AI Rotary NAociderit Occurred on Ramp AGAWAM i t Yes 2�No FI1 in @alowc 101I Street Name or RoWs Number at intersection vath ❑ imamate number C 339 SUFF139LD ST' -._ N s E w A Which direction was each Vehicle limveing7 Or-0 not at an Intersection,fill in below: going l T N S E W N S E W N S E W Of nearest intereecllon, ff��L_l`L JJ I Vehicle No i� T� bridge,mile marker, On ramp from O via 1 2 feet ! I I I railroad. ❑ mule number N N S E W ' Other Landmarks: going Acddant!rvdved CoAision With 7 ❑ Overturned in road ; if collls or involved two or morn vehides mark Lgte T of the following 1 ❑ Pedestrian 4 Railroad Train B ❑ 'Ran of medNay- 0 ❑ Truck y �/ non-collision E 2 Idl in Traffic de 6 ❑ object roadway from road g ❑ siddFixewalkk or otyact Wd.shoulder O ❑ Mom 1 Rear FrW 2❑AnQla 3❑Head n1 3 ❑ Partked ehlde 6 ❑ Bicycle A ❑ $0001 Bus 0 ❑ Other When were Vehicles doing prior where was p}destraln located ottkns or ROAD SURFACE COLLISION CONDITIONS UGW CGNDITION8 ep eccidom7 accideM7 Mark appropdato boa Mark approplate box X X X Vehicle X 1 Dry I let marlin herder t l X Dr Aght 0 1 2 t v in 300fee 2 $ wet 2 tit pear t d '-2 Dawn or duek I�h 300 rest L 1 Malang fetal bnm 2 from Intenaection 3 ancrery 3 MA ailing 3 ped>tess•road lighted t. 3 Mai then 360 real t 2 Making kRnrn fb om a"tensectan 4 4ry 4 Nit abut ival 1141 1 D.U.-road.night d 4 Walling In street I 3 Making U tom wler 5 Othor 5 h8 slgnpoet WEATMFfi CONDr110N8 I 5 Walking AI spael 0 q Going stiaighl ahead a alnatlrafec ROAD CONOMM& a HituffMirWarpok X N a Standing in strood 5 Passing anripM X - 7 Hktres f Gear e Paging on left 7 Gaffing orn/on vahie4 1 NO Oahcd 8 Embankment 2 Foggy C ! Wofto an vatrda 0 T X X Stop sign 2 Notes,rut,burnpa it Ditch 3 X Goody N e skmdkg a Worxag In great 9 Faepn maltor an audera A Flock ledge -i q X Rsh D A Playing in street e glo SOS�O '$ 4 Defective shooldor 8 Slone wall 5 Snow T 8 Not in street A Crossing median alrip 5 Road undercanstructIdn C Bridge rW B SIaN t Dmerless momg C Other ». $ "We a Other D Darer N C Bailing TRAFFIC CONTROL$ D Sterling in traffic x E Starting ham n 1 Stop sign -- F Parked 2 Y�sW sign 4 awned D1 dteebted 3 Warring seen H Stalled or disabled A X Signal fight wflh flusher on .-- J In process of parking a Ofllcer or flagman M Emedng or exiting a Railroad crowing gate from Orley ll ordrNyWay L oonPdngrlgMtum , Ranroaeeutpmaecagnei ad 11 N0 DiA6 RAM,VEH[CLES MOVED PRIOR TO POLICEARRNAL M Entering nnod' B Conlror device not wordng N Cro"val mad" a No Gasetrd present . O Misr A I Ma rum on red b I A INDICATE G NORTH R BY ARROW A M V' Open or(mark one or moro) Operator Operator OperaFnr t t z t 2 t 2 + 2 opereeng Under Influence of Laa*q Scene or : t Liquor 8 ImpropeF Passing $ Disregarded Traffic Light O Accident A Operating Under 10%Wnm of On Wrong Side of Road Disregarded Warning or$Lop COO Mmeng Viola- T 2 Drops Not Overt" S'na H acne(s sin berowJ I 8 Enceedng Lawrul Speed a Felled to Give Proper Signal irt Disregarded Other J Operating lip Endanger Trargc Control _ n Period to Grant Right of Way improper Sit room Ftlted to faNP tM 4 to 9lherVehlcle g improper Twrmng khavemenk Perked Position x a$chooldns $ 8 Failed to Grant Right of way A Operating Unregistered Improper Perked Position L Defed Na Equipment to Pedestrian Uninsured Vehicle M $ a No 1Aolsaw 0esaiha Met Hopp~ (Refer Ao Vehicles by Number) N Seel am Coalition Number if Issued Operator MV1 & MV2 TRAVELING NORTH ON SUFFIELD ST.,STOPPED AT RED LIGHT. M73 o &set Sell 1prwa ALSO TRAVELING! NORTH, FAILED TO SLOW LOCKED BRAKED, STRIKING NV2 IN REAR CAUSING XV2 TO STRIKE MV1 IN REAR. OPER2 & OPER3 TRANS TO BMC BY AFD.MV2 & MV3 TOPED BY ACE A_/B. "rAtare Y AgawOM police Department: 10-05-2007 Patrolman JOhn pal KUnasek Jr Police Pept Date NOTE:Mark atl items which apply. Trio diagram and description of what happened(below)need not be completed if separate 8%x f 9 size sheet with same detailed information is attached. Please sign report in space provided below. City or Town Where Accideni OCCUrred Nearest Mlle Marker Number of Lanes Al Rotary LI Accident Dcct reed on Ramp L AGAWAM 1 ]Yes 2 NO I'll in Below: 0 Street Name or Route Number at Intersection with On ramp to c 339 SUFFIELD ST route number N s E w A Which direction was each vehicle traveling? Or-If not at an lntersection,fill in below: gong T N S E W N S E W N S E W Of nearest intersection. t vsfte T� I tndge,ratio marker, On rertrP From Q No 3 �LJ - Iseii railroad. route number H N S E W Other Landmarks _ gang Accident Involved Collision With 7 n Overtumed rt road If collision involved two or more vnh0es mark one or the following: t Pedestrian 4 D Rallroad Trein S Ran oft roadway- B f J Tn,ck nor}-coCtnon p 2 ® Motor Vehicle 5 "j Ran offroadway hit fixedg F zed objed on shoulder C C} Mope t®Rear End 2❑Angle 3 Head on in Traffic r_J object feet from road sidewaAror Island 3 Motor Vehiclef3 mcycts A n School Bus O U Other What were vahloles doing prior Whale was pedeWsl"located at rime of ROAD SURFACE COLLISION CONDITIONS LIGHT eomliom to accident? accident?Mark appropriate boa Mark appropriate box X x X X Yehfcla t Oro 1 Ht radian tames ' k X Dsyaght (,' 3- 1 Atertersaction 2 Wet 2 Hit guard rag 2 Daasr a dusk 0 2 Wlakln 3ap reel L t Making right hmn It..krtstaoctom 3 Snowy 3 Fn curbing 3 Dark ligh new-road Wand L 3 More than 30g feat -- 2 Making left ham ham lntersecton 4 IC 4 He abutment oar/now.and uR%hlad $ Watkingthabsst 3 AMktrg U bun 4 widr vet& 5 Other 5 M signpost WEATHER cONOMONS t War#np In ateet 0 ♦ $ Ootlg sh812rtt ahead I '�trB ROAD CONDrrlCNS 6 kit ufltly NN or pale X f N S Pacing on fight 6 Stendng h easel %-- 7 Hit vas 1 Clear 7 Getting ordaffveNda 6 Raising on let! t No Oefacis 9 Emtenkmeht 2 Foggy C a Working on vehicle - Q ? Stop ugh 2 Hales,mite,tamps 9 Oach 3 XCloudy N a X onsurface 3 F..Skidding a "W"rg hslno A Rock a t g Rekr D VV mailer t 8 m atapPrg A g F noel 4 Doled*shadder 9 ftno wail S Snow T A Grossing median strip a Not In shot t 5 Read under canstucaan C Bridge mil 6 ty� O a I)Mrfess mWng G Other vehicle 6 Other O Other N C Backing TRAFFIC CONTP= 8 0 Sisrerg In traffic x E Stnt+glfan �+2 �"parledF Parketl Ylerd sign G - Stalled or diseLid 3 Warning sign H Stallod or disabled 4 x Signal light YO basher on J In process of perking S arm.w flagman tMK E taring ar dueing 6 Ruled croatrp gala from at a drKyAW L Makingnight turn rodT Rasrodautomadcslpnal NO DMRAM,VEHICLES MOVED PRIOR TO POLICE ARRIVAL Finarin median I Conhd device not working . N Crossed meian a No control prasem O 1 0— A No tum—,ad D A INDICATE 0 NORTH R BY ARROW A M V Operator Imadr one or more) Operator operator Operator 1 3 3 3 3 0 1 mpro Operating Under Influence of Lea*w Scene of L Liquor 6 Iper Pesdng a Disregarded Trafle Light G Acapamt A Operating Under Influence of On Wrong Skle of Road Disregarded Wanting or Stop pthr MoNrg VWIa- T 2 Dngs f Not Ortada C _Signs H sore rexplam oe3a Eaeeedhg L Speed 6 Fail to oh"Propef Signal O Truft Cr u Other 3 Cpemtnp In Endanger f 3 Disregarded Control 0 Fatd to Grant Right of Way improper Sthri from Fa0wi In Stop for N to Other Vehkfe a Improper Tumlg Movement E Parked Position W K a 5chogtue S 5 Fhid to Grant Right of Way A Operating Unrakts gred F Improper Parked Position L Det Aye Equ�ment to Pedeeafan Uninsuredvehialo M X No Violation Describe What Happened: (Refer to Vehicles by Number) seat aaft Citation Number if issued _ N j0 t"r MVl & NV2 TRAVELING NORTH ON SUFFIELD ST. ,STOPPED AT RED LIGHT. MV3 O SastB�efl er ce ALSO TRAVELING NORTH, FAILED TO SLOW LOCKED BRAKED, STRIKING MV2 IN REAR CAUSING MV2 TO STRIKE MV1 IN REAR, OPER2 & OPER3 TRANS TO 5MC BY AFD.MV2 & NV3 TWED BY ACE A/B. SWfakra Agavram Police Depextment _ 14-OS-ZGO? Patro3alea John It Ktiit sek Jr P,,IIrA Dept Date i NOT TO BE USED BY OPERATOR SEND ONE COPY TO: MUST TYPE OR REGISTRY USE ONLY MAIL:R.M.V. COMMONWEALTH OF MASSACHUSETTS 050 P.Q.BOX A.021 POLICE REPORT BDSTON,MA,02119 NAME OF POUCE OEPT.SUt3UnTMG REPORT OF MOTOR VEHICLE ACCIDENT _Aaawnxg Po].iee DeDAItA19Ylt 1-Z 4-AC - Cheek One Was this Accident iInvestigated!by an Officer? 0 0 Of 1 Did you notice any indication YES NO If Yea,Check One Box Below that an operator had beer)taking 1 Registry d SPtate Date p(Acadar� Day o6 the Week H0715 any medication or drugs? 110 2® 2 MDC 5 L000 YES NO Police C C Fn your knowledgeofepilepsy, has arty operator ❑ ® g Other Mo Day Yr u�ram„l A.M. 1hap a hrstary of epilepsy, t 2 01 11 01 p M 2 heart disease,fainting spells? an reveres Name at OparatiK SEEN Nurnbsrof Dole of Birth 1 Sax 2 V EDWARD J SKBHAN/413-786-4666 i.+� 1 Mo 01 DAY 27 YR19 ® M ❑ F E Street Address GtyfFown Stale Zip Drivers license Number and State N 13 EDGWATER RD AGAWAM MA 01001 MA 01.9142207 Omnars Name and Address;it some,write"same') Registration Number and State C SAME MA 240GOF L E Name o1 InsuranceCampony only may be wrtrlen here Year Make Type Apgpro�pxgimjyate Cast - ARSI3LLA NUTUAL 1988 MERC SE ;iVU0.00 1 Describe Darrmage to Vehicle - YE Firm Damage NO YE parked Car NO UNDERCARRIAGE/ DRIVER DOOR/FRT/REAR BUM IR 1 20 1 2 Name of Operator phone Zip Dole of Birth t Sax 2 mo DAY YR ❑ M ❑ F - V Street Address CitylTown State Drivers License Number and State E N Owners Name and Address(H same,write'same) Phone Zip Regislretion Number and Stetd 1 C _J L Name or Insurance Company only may be written here Year Make Type to Repaair Coal !a Repair E 3 Describe Damage to Vehicle - YES Fire Damage NO YES Parked Car NO 1 L] 2 1❑ 2 U Describe Other Property Damage Approximate coal T FRONT DOOR/GLASS/FRAME #335 RT 75, MR GRRCO DIARY STORE ;� 0.00 E Name of FSNCS®#3 4 Owner Address RT 75 r FERN r TOM 344 SUFFIELD ST. AGANA14,XA 01001 1 State 7❑M[7C 3 C]Municipal R W Other Witnesses or Persons Present Address Phone t T 89 HARV'EY JOIWSON DR Bus F TODD RANCO AGAWAK, MA Res 413-769-3232 s '340-42 JOHN ST Bus g DAVID A HOULE CHICOPBEr MA Rea 413-533-1181 Number Injured To what hospital was Injured taken? Taken try Ambulance? YE NO 0 t ❑- Name of Injured Street CityyTolvrt State I J2 Age t Bex INJURYSEVERITY RESTRAINT SYSTEMS PE INJURED J 1 Killed NO ? 1 Operator la Vehicle ❑!A ❑F 1 Safety Bch Used 6 Pedestrian R 2 Serous Visible Injury 2 Passenger Na. E EjectedVolfrom Ve 3 Miner Visible Injury 1 Child Restraint Used 3 Passenger in Train,Bus,Etc 7 Bicyclist D YES NO 3 Helmet Used a Moped t 1:1 2❑ 4 No plaint fnif but 4 Operator _ �I Complaints of Pa+'n 4 Air Bag Used On MOWrtyde q � 5 Passmrrger Name of Injured Street Cky/Town State t J Age ' Sex 2 INJURY SEVERITY RESTRAINT SYSTEMS PE N INJURED t Yuled E ND ? 1 Operator M VehWe U �M OF R 2 Serious Memo hgtay 1 Safety self Used 2 Passenger No a Padeeuimn E Ejected from Vehicle 3 Minor Vlaible Injury 2 Child 3 d Resinsint Used T Bicyclist Pa4a er in Train,$US,E!C D YES NO 3 Helmet Used a Moped 1 ❑ 2 Comir*hts of Pain❑ 4 No�Visiblelnjurybu! 4 Operator Air Bag Used 5 Passenger On Motonyde 9 Other Name of Injured Street Cityrrown State I J Age t Sex 2 INJURY SEVERITY RESTRAINTSYSYEMS PER DNIWURED n 1 Killed E ND ? t Operator In Vehicle R U 1:1 M ❑F 2 Serious Visage ! Safety Salt Used a Pedestrian mP+7 2 Passenger No. E Ejected from Vehicle 3 Minor Visible Injury 2 Child Restraint Used 3 Passenger In Train,Bus,EEC T sirygist D YES NO❑ 3 Helmet Used S Moped 2❑ q No Complaints Injury put _ 5 OOperatorOn Motorcycle Compplaints of Pein q Air Bap Used 5 Passenger g Other E66 1SOM 11196 G0 01 0 3 8-1 0022 BE SURE TO COMPLETE AND SIGN REPORT ON REVERSE SIDE NOTE:Mark all items which apply, The diagram and description of Mat happened(below)need not be completed if separate 814 x 11 size sheet With same detailed information is chd. Fl inn vi I City Cr Tv*'A Where Accident Occurred Nearest Mae Marker I Number of Lan05 At Rotary If Accident Occurred on Ramp L AGAKAM f❑Yes 2 No Fill in Below 0 Street Name or Route Number at intersection with On ramp to er C 335 SUFFIELD ST roufenumtt S N S E W A Which direction was each vehicle traveling? Or—If not at en Intersection,fill In below- Ong N 5 E W N S E W N S E W Of nearest interso<%on, No T bridge,mile,marker, I On ramp fntim N No f"t rafroad. I LI route numher N S E W Other Landmarks: going Accident Involved Collision WKh 70 Overturned in road if collision InVelyed two or more vehicles mark one of the tournving- Y1 Pedestrian 4 Railroad Train 6 Ront�oiWon aY- 8 Ttvclt p 2 f Motor Vehicle 6 Pen off roadway hit Fxed S E1 FbCed object on shoulder C Moped 1 Re.End 2❑Ange 3 'Head on E L_ in Tratfic object feet from road L J sidewalk or island 3 Pied�1Ge 6 F. Bicyde A I J School Bus D Other What were vehicles ddrg prior Where was pedestraln located of time of ROAD SURFACE COWSION CONDMONS LtGHf CONDITIONS on mcdclent? accident?Mark appiaprlalo box - it Mark appropttete bow X vehiclr t X C" / Fk median barrier I $ Dayrght CC t 7 ?�me mctlon 2 Wet 2 Hit guard rail 2 DalSn ordusl Within 300 feel L t Mulung right bum 2 hom lntersaceon 3 Bnonq 3 He WrWQ -1 Darknsae-road lighted 3 More Ulan 300 feet -- 2 Mdaking left turn from Intersectlen 4 try 4 Hit abuotmet 4 Darkness-read unlighted Walk In At" - - 3 Meting U lum 4 Walking In trefic 5 1 Other S Htslgnpow WEATHER CCNPIYIONS t 5 waikrg In street 0 4 X Gang stabtt2haad vainsttraffk ROAD CONDMONS a Hit iNtfsgfscur PoW N 5 Pd4Ung on right 5 Standing n street x- 7 Hit tree tFx�gear a Passing on W 7 Gegkq onlorf vehicle t X No Pefeds S Embankment - 2 Foggy Y C 5 Working on vehicle 0 7 �p* 2 Hotes,rule,bumps 9 Ditch 3 cloudy Y working in skest N ' 8 3 Foreign.mager an surfau A Rack ledge 4 Rain `` Pfaftineet Oj sk 4 Pefecive shoulder S Stone wolf 5 snow S Notin street A Crossing median� 5 Road under construction C Bridge rail 5 steel t DriverlessnwAng C Ogren 0 e vehiclo I a Other I I D X Oth« N C BUong TRAFFIC CONTROLS 5 D staring in Irelfle x E starting here t Stop SIPrked Position344 SUFFIELD ST, P Parked 2 Yield clgn G Stalled or disabled 3 Warming sign - H fitaltedordisabled 4 SignaNlght F NCE rflh flasher on J m Process of Parking 5 ofim orff"man inp or en5np K EM«barn al or tlri,.awe 5 Raiioad croearup gees L Making right turn 7 Railmed automNk signal an red RT 75 SUFFIELD ST M Entering median a conker device not working N Crossed median 9 X No control prea al rl O OIMr A No lurnon red D F R l A INDICATE G NORTH DAIRY STORE R BY ARROW A M v OpenRar(mark one or mare) OPerahr Operator Operelbf l r t 1 t 0 Oparatirag Under ktftuenta ai _ Leaving Scene of Lt Lkpua e I-Passing a Pisraparded Trafic Light G Acdd*M A 2 Operafng Under Influence or 7 On Wrong Side of Road C Disregarded warning or Stop H Omer MwAny Vbla- T s Not O✓erfaldng m Sons(explain below) 1 3 EsaedhV L.M Speed 15 Failed to Glre Proper SignW D Tiel��Other y Dyandirs to E long« 0 feted to Gren1 Right of Weir Improper Start hom x FsYatl to Stop f« N 4 to Oth«Vehicle 9 Impmper Turning frkivemaM E Parked Position a 5choolbua 5 raged to GreM FSght oT Way A OPeradnp Unregistered F Improper Parked Position L Dde*m Equipment _ to_Pe Irvin Uninsured Vehicle_ M X - No Violation Describe What Happened: (Refer to Vehidea by Number) Bast BeK Citation Number if issued N 4 VHl PULLED INTO DAIRY STORE PARKIKG SPACH AND PROCEEDED TO 00 0 �� THROUGH FRONT DOOR FRAME AND GLASS. OPERATOR THEN PLACED VH INTO REVERSE AND PROCEEDED ACROSS RT75 SLIDING SIDEWAYS UP ONTO THE SNOW EMBANKMENT AT 344 SUFFIELD ST. AND STRIKING THE MAILBOX AND WOODEN PENCE. Signature Agawam Police Department 10-05-2007 DateCtive Anthony 8 Grasso Police Dept Date Commonwealth of Massachusetts s Date ofCtaA Time ofCtash City/Town Motor Vehicle Crash Nwnber NumberIlLon, SpeedLimil _ State Poke 08/11/2005 0758 AGAWAM vehicles Injt3rodLat.. at LocalPolice 29HR Police Report 2 0 ot T"p°''�° AT INTERSECTION: 11111111ilIN11 NNUT AT INTERSECTION: � 9 335 _ SUFFIELP ST 1 Route# Direction Name of Roadway/Street Route# Direction Address# Name afRoadway/Street 10 At a Feet N S E W Of — . or Route# Direction Nume of Intersecting Roadway/Strcet Mile Marker Exit Number Also at Intemvhoa with Feet N 3 E of Route# lntersecting Roadway/Street 21 Feat N S E W of 37 Route# Direction Name of Intersecting Roadway/Street Landmark 3 :::LI—floccupauts ❑Hit(Rua D Moped 4 5 --4 71-AC License# 8$2 9 2 0 7 5 5 St It&_DOB/Age 0 812 91195 9 Reg# 2 3 NE 0 1. Reg Type PAN Reg State scx � Lic.Class z= Lie.Restrictions CDL�_ Veh Year 2 0 Q 4 Veh Make CYSLER — Veh Config Endorsement 9 OperatorBEED, KATELE)IN _ Owner REED, GEORGE 12 1 Life Fis —ALdde Fun Nddle 7 Address 65 .- .. ,FARM RD Address 65„ SPEAR FARM RD City AGAWAX State fib_zip 010 0 L city AGAWAM StatejuL_Zip Insurance Company COMMERC "�T, Vehicle Action Prior to Crash Damaged Area Cade:(Circle Up to Three) 5 Vehicle Travel Direction: N S E Responding to Emergency?2 2 3 4 1 ® P g EVLxLtSequcncefiS D None Citations# if issued Most Handful Event 10 Undercarriage [ :' tL 9 Ls ill Toiled Viol. 1:Ch/Sec/Sub 1 Viol.2:Cb/SeclSub / Driver Contributing Code " `� 97 Other I 8 7 6 99 Unknown 6 / / 1 Viol.3:Ch/Sec/SubViol.9:Ch/Sec/Sub Underride/Override Towed Please Fill out For operator and a!1 occupants involved 16 11 11 19 3a 31 11 33 I3 !3uxi Pit Middta6 ,tddfe.e tx7L3r Sex P. aPe� A"w% KS C.& .& Sty r- P Ape - 9jsmi yiau SsvirrS Cade CaM 9ws Cade td.AW Ffwary .L Operator See Above -------- --- 99 99 1 0 D is 1 71 Vehicle Lj_#Oceut 3nb ❑Non-Motorist A Type f ,' Action l Location aI. Condition q ❑Hit/Run ❑Moped License 0241A44115_Stlj_DOB/Age 07/02/1924 Reg# 210991 Reg Typ@-CD _RegState MA_ Sex It— Lie.Class ,•. Restrictions :..: CDL Veb Year 2003 YehMake CUMRQLET VehConsg. IM Endorsement 8.99 Operator CETTI I. JOHN P _ Owner CETT1, _JOHN P Lax Firs[ Middle Laq Pifft Middle Address46 CASTLE HILLS RD Address 46 CASTLE HII.9BII _ City AGAWAM state x'&_zip 010 01 City AGAWAM Stftz&_-Zip Q 1Q 01 Insurance Company PRE TE _ Vehicle Action Prior to Gush Damaged Area Code:(Circle Up to Three) a � 4 Vehicle Travel Direction: N S E Responding to Emergency?3 Event Sequence 0 None "F 10 Undercarriage Citation#(If Issued) Most Harmful Event _ 1 ♦ 9 5 t 1 Totaled Viol.1:t�/SeclSub ' via.2:Chlsec/sLd3 f Driver Cminbuting Coda 97 Other 8 ? 99 Unknown 6 Viol.3:Ch/Sec/Sub / Viol.4:Ch/Sec/Sub / Underride/Ovetride Towed 3 Please till out for operator/non-motorist and all occupants involved 16 17 zR air w 31 31 33 sw Sekty AY-9 Auhg Eject Top 1-jwy 11—P N+me{Leal Fine Middle) Adh.. D09IA®e I so Poe: 3ym Suet. Switeh Cede Code arew Code 6fedid Fadlity Operator/Non-Motorise See Above --------- ^-- --- 0 4 1 D 0 5 1 fiO3y4 cR REvie o"i O jit • a♦=Direction �' =Vehicle I Vehicle 2 =Pedestrian ie: ♦� ♦0 ♦� If Crash Did NotOccur on a Public Way: Suffield ST.(Rt.75) Off-Street Parking Lot ❑ Garage Cl Mall slroppmg center DCl Other.Private Way plot 335 Suffield St. North veh. #1 backing from parkin, space, veh#2 exiting from same p'1ot had his view obstructed by another_parked vehicle made contact w/#1. no injuries, no- tow, no citation issued Name.(Last,First,Middle) Address Phone N Statement Owner{Last,First Middle) Address Phone N Description of Damaged Property Registration# (From Vehicle Section) Carrier Name '. Carrier Issuing Authority Code -- Address City St- Zip US DOT#: State Number Issuing State ]CC#:_ ^u;terstatv 'g Cargo Body Type Code Gross Vehicle Weight ' 1 Trailer Reg#: Reg Type Reg State Reg Year Trailer Length Hazmat Information: Placard Material i digit# e Material Name Material 4 digit# Release code Patrolman Mark G PQggi 174 Agawam Police Department 08/12/2005 Police Officer Name(Please Print) Signature IDIBadge# Department Precinct/Barracks Date Corr 11-2"0 '��S.P "��,. _. ,'� 11 ' i , ` � _ = 1 � Y l,� = ' �__ ( � � . �=- � _ ` �, _ � ,�� I ,�.� U9 -�lllii}i11i l 1 _ ��f««I�flll� ►1ItIfII+� �►IIII►�►II►I► 111iiit� I�����I����� .�rfr -LOCUS PLAN- N.T.S. LOCUS 24�2G' S~St sufflew St 1? QV /r� q i� NV pLN 314tPG'5 The Dairy Stare Really Trust H.C.R.D, W10478 Pg.27 Plant Bk.026 Pg.38 A P J.Ckun.J.GsdWatri, KC.R.D.F k11061 Pg277 1.69+-Acres D.Moms Plan 315 Pg.66 KC.R.D.Bk.16114 P9.250 Plan Bk020 PgSe -NOTES- , Property lines shown taken from deeds and plans of regard ' AU U and are not the product of ar perimeter survey. i Zone lines shown scaled from Town of Agawam map. 1 t i ! Agrkt9ft&W z_w+e Res.A-2 Zone t t � 1 t r I f Cazkw »DETAIL- t r N.T.S. r r I t r ' ' M.Clsrliel t � rr, H.C.R.D.Bk.13782 t �� Pg.576 ; Plan Bkr342 Pg.S Bibx kXm concrote pavrst 11A8SOhly Buflding I I I Proposed r Gazebo l I Res.M2 Zone I.................................... _._. ._._._._IBushum A Zone ` \ `' rY N. "IN\\ \ �\ `1 r "LSON o' 28510 I No.335-339 ig For.The Dairy Sk"Realty Trust 07°42 6"E Location:335-M Suffield ShW Suffield Street Of 40' W 12a Agawam MA References: H.C.R.D. 1`*40' 1:480 Deed Bk. 10478 Pg.027 All oftets shown are measured Plan Sk. 026 Pg.030 at right angles,or radial,to Thomas Wilson & Associates Scale. 1 =40 the adjacent p"r[y lines. penal land surveyors Date:05M/07 99 East Chmis Dr.,E.LonWroadow, MA 01028 VW16MPLIM *Us 7.orlA lures shown scaled from Town of Agawam j "'�---- map, _.7 ' Atirl*"Zane 14. ;r .8 r -DETAIL. + r N.T.S.. r � g � M.cFxnlel nr K.C_tt.D,Bk.13792 r Pg.67e _ Plan 9k.342 PO Bltuminrws Pavement Isly` Proposed f Gazebo %\ ♦ ♦ �♦ ♦ \ti r . F t !r No.335-339 � � zas.zs r issoo � For:The Dairy Store Really Trust N or42~.t6"E c Location:336.339 Suffield Street Suffield Street 0' 01 W 120' Agerwam MA References:H.G.R.D. 1%40' i:480 Deed Sk.10478 Pg.027 All offsets shown are measurod Plan Bk. 026 Pg.d38 at right angles,or radial,to Thomas Wilson & ASSOciateS Scale: l'�40 a*oeril property lines. Profis=wnel rand surveyors Daft:06rXW as East cdrVe Of..F—Loo pmmclaw.rA 010ft Revised:061C?EfJp7 , . . . .- •. .. :' _ !. - ; . . :: - _- : . ,: .-. . , ... . .. . . _ . . .. . . ' : . . LOCUS PLAN -` . . . N.T.S. 34 . - - . . II I. . LOCUS 18-0 f'0$„E 102.34' r - _ p N 342 QG 5 24528` / . w_ _- ,_ y Suffield St. Suffield St. �• °: sr - . . %y . 0 ., h - - /SAC ..- , . 5 . '- OY - I- ft . , _ ; _ . - - \ _:.4 . - _ `` - The Dairy Store • Realty Trust . -d H,C.R.D. Bk.10478 Pg_27 %; ,, I Plan 3k.028 Pg.38 A.Pager 1.69 +-Acres J. Gallerani, I 141 H.C.R.D. Sk.11081 Pg.277 J. Clouse, 1 N 0 Plan 315 Pg•86 H.C.R.D. B M 6114 Pg.25E? r' N -DETAIL- Plan Bk.02B Pg,38 ,` , s' CD N.T.S. . ! ! , II t i - NOTES- - i `1. 9 Property lines shown taken `I 4) , 3 from deeds and plans of record ' r \ % , `" \ u� anrimeter surveproduct of,a ,\ \ - \ \ ti N ` Masonry \` from Town of A awaml znni r g _pS _� map, and a:,determined .'; � Building 1\ � . \' No.335 `� \ r`--_ by Town Building Inspector. i 1 1\ 1 \ 1 \ \ r - _ 1 � Signs-Two intemally �A 1 1\ � 1 ` ` % I � / ' illuminated signs mounted 1 1 \ _ \ _ � 1 -.--_-_._,_._. f _. -._-- _._. r _ Agricultural Zone T ^ - - - on steel mast, one roof 9 mounted sign illuminated ,= 1�— f - Res. A-2 Zone bar an ex#emal food light 1 \ - _ _ - r'~ _ - Lighting-Two double spot fights . � r _ � mounted on the rear of the . Z. r masonry building and on the . r/ • F / # shed, two flood lights, one .:I 1.�!.....,.,..:...,".L.. ..I-..—..I�..!..\.,;-..)..',j_.._�.,'_.0"�_-:��:"o\_0r. .. .0. 0.'7 0.T......e..-.e.....�.I.....-_./... ..! .' '. ..� . .... ...I'..-1�9. S m r mounted on a utility pole � m §a south of the edge of pavement, . one mounted at the top of a steel . M. Chmiel /- J mast carrying two signs north H,C.R.D. Bk.13782 f of the pavement.Additional .. Pg.576 J illumination is provided by . 4 Plan 3k.342 Pg.5 recessed and surface mounted ..I \ lights attached to the masonry . �' Double -Shed\ building overhang. • spotlight \` \ Entrance with All offsets shown are measured- ,.. ramp i at right angles, or radial, to - Handicap - - _r_._._._.-._ _._._Res_A2 Zone _ _. _. the adjacent property lines. _ _ w Proposed + Business A Zone . Gazebo parking I References: H.C.R.D. . E Deed Bk- 10478 Pg. 027 . . .. a g j Plan Bk. 026 Pg. 038. . Double - E spotlight I .. . . r \ ` . .. - , `\ \ \ \ .. , \ ,Masonry \ \\ \ `\ \Wood tame. r� w Building `\ �\ ` " ` \\ Buildin % , �FI \ 9 \ ,._ i. _ \ ' '\ \ \ \ . y'"-•4 2 - O Stl rrla8t With `` / I - - ' y - _ r r _ . 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Via' , - ... -e. f yr.:. _ y .: .. r - ' . - -. 4 - - - Y- - - - - _ . r : . .. r3 -<. - .-, C - ., - .. . _ - _ e The Dairy Store . . . Realty Trust . . . . H.C.R.D. Bk.10478 Pg.27 . . r . I Plan 3k.026 Pg.38 . - . { A.Pager . j .r 14 H.C.R.D. Bk.11061 Pg.277 1.65 +-Acres J. Clouse, J. Gallerani, r -. . - I N O Plan 315 Pg.86 D. Moms . . , I .0 H.C.R.D. Bk.16114 Pg.250 ' . M -DETAIL- Plan Bk.026 Pg.38 I .T.S. �/ _1 5, .. . . . 1 N . ! 4 . - NOTES - 0 . iq N � o Property lines shown taken r °y cy R from deeds and plans of record a° \ � \ "' and are not the roduct of a • . . ,, � � w p . . . . . . N\ ` ` � 1: N Perimeter survey. . N . - N, N, -\Masonry ,, , \ z ? Zone lines shown scaled . - - . . . _ ' . . ... ding \ N from own of Wam . . _ . E3u'il T _ map. - �� \1 � No.335 N �\ - - . . \� `" \ �'~ _. --_ . \ \ \ r��--_ Signs-Two intemally ; ..'".'i�...�...,.'-.:�.�-.�'.':.�:�....'.....:-".....I...."..I..j....,'.-!�-....%' .�..,...-..",�.1-,....''I-'.1�..'.J.�.I-...j�.""I'-..I:.......�...IZ--..I�,....:-.-....��.1...I., �...'-�..:.1.-.1.'-Ii.._..."��.'�:.-......A.i_-...:��....1_.....--�­..'..1-...........�.... . \ \ I / I illuminated signs mounted ..A \ 1I \ % �\1 N \� \\ % "` ------�._.-._. 1 _�_-- _._ _ I ___. . ._ AgriculturalZone - - - -__._. _ on steel mast, one roof mounted sign illuminated a ..k'I�.....-.-...;A.��.....1''�1L'..�'-..:..".',-',��'."��..I...i..vL�.;........: 1%.......�1 I_".4...��.��7..�..,,',,.:.1..7":_..11�.I...1�I.�./:..',,1.:..."li..;34'...-...!�,.1...",..,.:kI-.�J,'�.,..�...�..�"�.:':..I,'��-I...,.I."-r..e!'"._:.:.-,,'.:.I 6��.1,...:.I.K IG.:.:..'..g5�.-�..�,.­.....-'-l��,�-�..I.. ._-:.-,'��-.....-t'-�..'..�-�'.'-.I...I-I'�-...-�.-�;�-'...,-_...---...I...�.*...,:'".1..!...',---`.1­':i..,­�_,,"��,-1�,."-Y.­I-".._"A-.-.�.d_...,:.,.4.-:'..",..(...,-.�_'1'.1�.'""-:..L_�..4D-�"'--.'..'N�.,':.;T.,-,�.".�p I"'�:...';.;�,�­'..:�,".;�...�%-;;!..:,'-':'..'�-.;;1I-1rI.-.�...,...-::�..-..�'.­.%:�.I.-'*...I...��.'.�.-.._....'.-_��.-.....:�.._ \ 'I- r� - Res.A-2 Zone by an external flood light . . � __ . . I lr-� I Lighting -Two double spot lights mounted on the rear of the ,` 1�� &w 0 •1 masonry building and on the . Co m t shed, two flood lights, one _ . a C C 'r mounted on a utility pole . m $ T south of the edge of pavement, M. Chmiel �`� / one mounted at the top of a steel mast carying two signs north H.C.R.D. Bk.13782 I1-` 1 of the pavement. Additional Pg•576 f illumination is provided by Plan Bk,342 Pg.5 recessed and surface mounted lights attached to the masonry Double 'Shed building overhang. spotlight ` Entrance with All offsets shown are measured ramp I at right angles, or radial, to t Handicap the adjacent property lines. . Proposed parking I References: H.C.R.D. :. Gazebo I Deed Bk. 10478 Pg. 027 I Res. A-2 Zone Plan Bic. 026 Pg. 038 .-.-- -. ,-„ _.,1._.-.-.- _-_._._.-..._.- .-.-.-._ Double I Business A Zone I spotlight I NE \`.Masonry t "I"" " "I `Woad frame, .L-\. . \Building , ` `� \ Bull dIn g 1Ofl2 ` , No.335 '- \`Nr7- 1� I jUL n Steel mast with I "= � e ,"„ o0) 2 internally illuminated Entrance ' signs and flood light r e 0 � o ,r 0' 3EN Bfl' 90' ... � 245.26 90+- . N 07 42 26 E 155.00 . . . . r Limits ofpsyenwt A . - Utility pole with flood light %�'� .__ »_ � . _--_-__� sz�+- �____- --------- --- 'tip 'I -34 1.360 - . =Edge of pavement ` aka THOMAS . ■ MLS014 Plot Plan �e. . . . Suffield Street . F t For: The Dairy Store Realty Trust 335-339 Suffield Street �� Agawam, M,A :. . . � '' Scale: 1"=30' Date: 05/30/07 Thomas Wilson & Associates `r. Revised; 06/06107 . . Revised: 06/30/07 pl�+lad lhnd Surveyor . l - . East Circe llr .. E.L m , MA 01 28 . . . . . . g9 " . . ,. . . I. .f . . . . - . . - . . _ - - i - - _: 3 c d - x- k - - L _ _ ur' - .