8334_FORM A - BEVERLY LANE - CAMPITI �or� �
Town of Agawam
y' 36 Main Street Agawam, Massachusetts 01001-1837
� D May`1 Tel. 413-786-0400 Fax 413-786-9927
January 24, 2005
Pasquale-Campiti
291 School Street
Agawam, MA 01001
Dear Mr. Campiti:
At its duly called meeting held on January 20, 2004, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land located
on Beverly Lane. Plans drawn by Anderson Associates and dated Oct., 2003, revised 10/8/04.
Please be advised that sidewalks are to be constructed along all new lots.
Sincerely, /�
`U
lb's�
Dennis B. Hopkins, Chairman
AGAWAM PLANNING BOARD
Please be advised that failure to record the plan within sir(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.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I - - . . . . . . . . . . . . . . . . .
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Campiti and approved by the Agawam
Planning Board for a parcel of land located on Beverly Lane has been recorded at the Hampden
County Registry of Deeds. Book 14 5 �-do , Page 4%4 7 _. f WV -O- jL 3 6 b 46
Signature of Applicant
KNOW ALL MEN BY THESE PRESENTS: That, We, PASQUALE J. CAMPITI
AND THERESA A. CAMPITI of 291 School Street, Agawam, Hampden County, Massachusetts
for consideration paid and in full consideration of LOVE AND AFFECTION
grant to ANTHONY CAMPITI of 27 Ogden Street, Indian Orchard, Hampden County,
Massachusetts
with WARRANTY COVENANTS
Certain real estate situated in Agawam, Hampden County, Massachusetts on the easterly side of
Beverly Lane and being designated as Lot No. 5 on a "Plan of lots for Pasquale J. & Theresa A.
Campiti dated Oct.,2003 as revised and recorded in the Hampden County Registr, ds Book
3 of Plans 3 , Page y 3/ , to which reference i� _ e �' articular
_ `=
description. R E`: _''��
r- Containing 20,035 sq. feet. ;t• _�� r1 g
a' Being a portion of the premises conveyed to the Grantors herepq,by deed lI Cuddy
a and Alice McGillicuddy by deed dated August 16, 1966 and re3a _ gistry
of Deeds Book 3207, Page 421.
r A
EXECUTED as a sealed instrument this b day of 2005.
0
z
Pasq e J. Campiti
a !
Theresa A. Campiti
u
p THE COMMONWEALTH OF MASSACHUSETTS
1-.
a
Hampden, ss.
"On this S day of 2005, before me, the undersigned notary public,
personally appeared Pasquale J. Campiti and Theresa A. Campiti, proved to me through
satisfactory evidence of identification, which were Massachusetts Drivers License to be the
persons whose names are signed on the preceding or attached document, and acknowledged to me
that they signed it voluntarily for its stated purpose."
Robert Tassinari,Notary Public
' •any My Commission Expires: 1/07/11
w f
ded-Campiti-3 =
MEMO
TO: Building Inspector& Engineering Department
FROM: Planning Board
SUBJECT: Form A - Beverly Lane - Campiti
DATE: December 6, 2004
Please review and comment on the attached Form A for Campiti on Beverly Lane prior to the
Board's December 16`h meeting.
Thank you.
DSD:pre
No, December 17 2004
To the Departmental Off cer making the Payment:
Received of Anderson Associates ,the sum of
Thirty-five and 00/00
Dollars,
for the Form A Filing Fee ending for
collections as per schedule of this date, filed in my office. p
Treasurer,
TOWN OF AGAWAM
3
INTEROFFICE
R,q�p M
MEMORANDUM
To: Planning
CC: File
From: Engineering
Date: December 8, 2004
Subject: Form A - 255 - Beverly Lane - Campiti
We have reviewed the Form-A entitled, "Plan Of Lots For; Owned by: Pasquale J. & Theresa A.
Campiti,291 School Street,Agawam,MA;Prepared by: Anderson Associates,375 Walmut St.,Ext.,
Agawam, MA; Dated: Oct. 2003; Rev: 10/8/04; Scale 1"=80"', and we approve the plan.
If you have any comments or questions, please do not hesitate to contact our division.
Si erely,
eortnginee
a J. H an .E. Adam S. Chase, E.LT.
ow jr Civil Engineer I
HAENGINEERTFORMA1255 BEVERLY LANE\appraval Oi.wpd
e
(� $ rugs
• Il
T own .of Agawam
' 36 Main Street Agawam, Massachusetts 0100.1-1837
Tel. 41.3-786-0400 Fax 413-786-9927
FORM A
Application for Endorsement of Plan Not Believed to' Rewire Approval
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY '&,,'ITH
THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION-11-B
cn 'r
Agawam, MA 2b''
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 S QTt„q c.( �_ ��M"411,7,
Address 16 a`04 4Y -
2. Name of Surveyor �14�i� y,> �16614TIC,J -
Address 31 S la.J A(-Vu l _7TL. E2QT, -A-611 kJ 6W7 , ) l ,4,
3. Deed of Property Recorded in
Book _ 3 zd Page
4. Location of Property . �y L y L�p 4 _CC &ov L __q7.
S. Describe the proposal in this submission: S uG,6tutog_ �cNr ✓e
L 0,0 CA
ATTACHMENTS - Two originals and three copies of plan by certified land
surveyor. Piling Fee - $35.00.
Signature of Owner Address Zq l SC-400t. -sue
_�GA-u-A 1-4 �4 .
Town of Agawam
o g
36 Main Street Agawam, Massachusetts 01001-1837
Tel. 413-786-0400 Fax 413-786-9927 Ln
0
QRq�0 M �_
N
January 24, 2005 ca (,n,
Pasquale Campiti
291 School Street
Agawam, MA 01001
Dear Mr. Campiti:
At its duly called meeting held on January 20, 2004, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land located
on Beverly Lane. Plans drawn by Anderson Associates and dated Oct., 2003, revised 10/8/04.
Please be advised that sidewalks are to be constructed along all new lots.
Sincerely,
INS
Dennis B. Hopkins, Chairman
AGAWAM PLANNING BOARD
Please be advised that failure to record the plan within six (6) months and provide proof of
recording will negate the action of the Board Detach on dotted line and return to the Agawam
Planning Board, 36 Main Street, Agawam, MA 011001.
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Campiti and approved by the Agawam
Planning Board for a parcel of land located on Beverly Lane has been recorded at the Hampden
County Registry of Deeds. Book ' Page
Signature of Applicant
cD
zoo r4l Q(nCg—
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DoCUMENT#
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GRAPHIC SCALE
This plan prepared in accordance
with the rules and regulations of � '' �``� '' eo o *o so Leo azo
the Registry of Deeds, R C NIA LID
f` R. 1
Date: NoH31T85 �' ( IN FEET )
PF
1 inch _ Sd !t.
DRAWN BY:
This plan does not constitute a PLAN OF LOTS F O R
subdivision therefore approval
DRAWING
under the Subdivision Control
Law is not required OF
e—
Date Jc. c.�Ja r'rl U s
Pasquale J. & Theresa A. Compiti
Agawam Planning Board 291 School Street
Agawam, Ma.
ANDERSON ASS❑CIATES
3 0/8/04 Revise lot 5 to 5 & 6 RRH 375 WALMUT ST., EXT,
2 0/21/03 Revise lot 3 to 3, 4, & 5 RRH AGAWAM, MA 01001
1 9/23/98 Revise Lot 2 to 2 & 3 RRH Land Surveyors
NO. DATE DESCRIPTION BY SCALE: 1 " = 80" DATE: Oct., 2003