8361A_FORM A - CARLETON, REYNOLDS - RIVER RD. 63 � 1 A
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MEMORANDUM
To: Planning Board, Board of Appeals
CC: File
From: Nt�
.Gerganne J. man,
isioEoneeringvn Date: May 10, 2005
Subject: Form A Lot Change - 581 and 589 River Rd.
Per your request dated May 9,2005, I have reviewed the Form A request for Mary L. Carleton and
Jeffery G. Reynolds Realty Nominee Trust, prepared by Smith Associates Surveyors, Inc., 165
Shaker Rd., East Longmeadow,MA 01028, dated April 2005.
There are no comments on the proposed changes.
RECEIVED
MAY 0 � 2005
PLANNING WARD
SMORMAT 260 581 589 River Rdlreview 01 581 589 River Rd...WPD
RECEIVE®
!'SASS. MAY 4 � 2005
'05 I r�Y -9 R1 3: 24�
A G A W A M P L A N N I NPLANNINUOAR®
36 Main Street
Agawam . Massachusetts 01001
Tel . 413-7e6-0400 Ext . 245
FORM A
Application for Endorsement of Plan Believed Not to Require Aegraval
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY WITH
.� THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 11-B
Date-
TO THE PLANNING BOARD:
The undersigned, believing that the accompanying plan of his property
in the Town of Agawam does not constitute a subdivision within . the
meaning of the Subdivision Control Law, herewith submits said.- plan
for a determination and endorsement that Planning Board approval
under the Subdivision Control Law is not required .
1 . NAME OF APPLICANT Efz_FrLf'f (Z" N QL-0 S
? Address sigI i2Iy - rzoPV0 Am
2. NAME OF SURVEYOR � � s S�`" + n-1
Address _ 6S S0AvC'1__ rL7 & w+jfrMEAr-)O'%,J
3. DEED OF PROPERTY RECORDED IN_}jAmrnCti C&jN1,1 REG+S-r!-j 6r- 0TVO� _
Book Page Sr Z
- 4. LOCATION OF PROPERTY: s�# � 2!V E77- rLc A--3
5. DESCRIBE THE PROPOSAL IN THIS SUBMISSION:
J -_ylAtj1rc"n Z'3,94o S.F pF LA�lo Re0t-+ Goa (Qt-YAJ US)
' -t-o l C AfLLc--ro ) Sfi`i rZ wF L 20 nro .
ATTACHMENTS - TWO ORIGINALS AND" THREE COPIES OF PLAN HY CERTIFIED
LAND SURVEYOR. THE PLANS WILL BE DISTRIBUTED AS FOLLOWS: 1 ORIGINAL
TO THE TOWN OF AGAWAM ENGINEERING DEPARTMENT , ONE ORIGINAL TO HE
RECORDED AT REGISTRY OF DEEDS BY THE APPLICANT, ONE COPY FOR THE
_ ASSESSORS OFFICE, ONE COPY FOR THE PLANNING BOARD OFFICE, AND ONE
CERTIFIED COPY FOR THE BUILDING DEPARTMENT.
Signature of Owner
No. May 9 20 0 5
To the Departmental Officer making the Ayment:
Received of Smith Associates Surveyors the sum of
- - -
thirty--five Dollars,
for the _ P 7 ann;n„ Board ending Form A for
collections as per schedule of this date, filed in my office.
Treasurer,
Town of Agawam
yt 36 Main Street Agawam, Massachusetts 01001-1837
. zc� •
Tel. 413-786-0400 Fax 413-786-9927
RTED
MEMO
TO: Building Inspector& Engineering Department
FROM: Planning Board
SUBJECT: Form A - River Road - Carleton and Reynolds
DATE: May 9, 2005
Please review and comment on the attached Form A for Carlton and Reynolds on River Road
prior to the Board's May 19`h meeting.
Please also return the copy of the plan upon your review.
Thank you.
NXF �F
ALE5ERT! ALBER-T'I
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GRAPHIC SCALE
3 0 13 30 40 S�f!
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4 » � 3 0.40
378 s�
- 3
i inch. s 30 tt. ! F N D
Planning Board endorsement under the Subdivision
Control Law should not be construed as either an
endorsement or an approval of zoning lot area
requirements.
WE HAVE CONFORMED WITH THE RULES & REGULATIONS PLAN OF LAND
OF THE REGISTRY OF DEEDS IN PREPARING THIS PLAN.
RIVER ROAD
AGAWAM, MA.
PAUL 5. 5MITH ^- SMITH A550CIATF-5 5URVEYOR5, INC. OWNED 5Y
p0�
APPROVAL UNDER THE MPS ® MARY L . CARLETON
5U13DIVI510N CONTROL ® 1
AND
A REQUIRED E `�LAW REQ R D I� JEFF"ERY G. REYNOLDS
AGAWAM REALTY NOMINEE TRU5T
PLANNING AR D
Of
PMIL SCALE: 30 FT./IN: DATE- A P Rl L 2005
. SMITH ASSOCIATES
SURVEYORS, INC.
A-T F_ -dS 165 SHAKER RD., EAST LONGMEADOW, MASS: 01028
Town ofAgawam
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' 36 Main Street Agawam, Massachusetts 01001-1837
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Tel. 413-786-0400 Fax 413-786-9927 J.
May 19, 2005 0 `P
N
Jeffrey Reynolds
581 River Road
Agawam, MA 01001
Dear Mr. Reynolds:
At its duly called meeting held on May 19, 2005, the Agawam Planning Board voted to approve
your plans under "Subdivision Control Law Not Required" for a parcel of land located on River
Road. Plans drawn by Smith Associates and dated April 2005.
Sincerely,
AGAWAM PLANNING
Please be a Ivised that failure to record the plan within six (6) months and provide proof of
recording will negate the action of the Board Detach on dotted line and return to the Agawam
Planning Board, 36 Main Street, Agawam, MA 011001.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Reynolds and approved by the Agawam
Planning Board for a parcel of land located on River Road has been recorded at the Hampden
County Registry of Deeds. Book , Page
Signature of Applicant