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a CITY OF SALEM
?a n' SEP 4
PLANNING BOARD AN '9. 40,
uo
,LEM. ASS
FORM A
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
In accordance with provisions of Section 11-B of the Salem Subdivision Regulations, the applicant must
file, by delivery or registered mail, a notice with the City Clerk stating the date of submission for such
determination. The notice shall be attached to this application form. Seven (7) hard copies of the notice
and application shall be brought by the applicant to the City Clerk to be"date stamped". The City Clerk
will retain the original; the remaining six (6)hard copies of the notice and application, as well as six (6)
hard copies of the Plan, and one (1) electronic copy of the notice, application, and plan, shall be filed in
.pdf format with the Planning Board by the applicant. All hard-copy notices and applications shall be
typewritten or neatly printed in ink.
To the Planning Board:
The undersigned,believing that the accompanying plan of his property in the City of Salem does not
constitute a subdivision within the meaning of the Subdivision Control Law because(state specific
reasons):
Lot Al and Lot B1 have sufficient area and sufficient fronta a on
pub is ways. Lot Al has sufficient frontage on Marlborough Road
and Lot B1 has sufficient frontage on Vista Avenue and on
Marlborough Road
and herewith submits said plan for a determination and endorsement that Planning Board approval under
the Subdivision Control Law is not required.
1. Name of OwnerMark J and Maryann J. Terry. and Derek J. Terry, Trustees of
MarAddres°sug OS°�larlooroughload, Salem�MA Phone 978-360-2466
2. Name of Applicant/Contact(if different than owner)
Address Phone
3. Name of Engineer or Surveyor Scott R. Jal bert, Hancock Engineering
Address 185 Centre Street, Danvers, MA Phone 978-777-3050
4.Deed of property records in Essex South Registry
Book 32966 Page 430 and Book 35623, Page 282
5.Location and Description of Property:
1 Marlborough Road Lot Al on new plan con a'nin _ + s re feet
5 Vista Avenue Lot B1 on new plan containing 17,1 9+ square feet)
6. All streets and abutti g lot lines shall be shown on the Plan together wi the names of the Owners of
the abutting lots.
Signature of A plicant Aignature of O r(attached onsent letter is atso ceptabl
Date Date
FEE PAID:
NOTICE TO BE ATTACHED T111 SEP 24 AM }: 4
FORM "A"APPLICATIONS
CITY CLERK
See Form"A"applications for S A L a'i a M 4 S S
Complete instructions for filing.
All insertions shall be typewritten
Or printed neatly in ink.
Date:
City Clerk
Salem,Massachusetts 01970
Dear Sir/Madam:
I hand you herewith a Form A application submitted by me this day to the Planning
Board of the City of Salem requesting a determination and an endorsement on a plan filed with
said application that Planning Board approval under the.Subdivision Control Rules and
Regulations is not required.
The land shown on.the accompanying plan is located at 108 Marl borough Road and 5 Vi sta Avenue
(Insert street name and number(s)here)
09-0068.0 5 Vista Avenue
09-028-0 108 Marlborough Road in Ward 4
(Insert map and lot number(s)here)
Signature of Owner �s�
Street Address 108 Marl borou h Road
City/Town & State Salem, MA
.Telephone Number 978-360-2466
RECEIVE®
SEP 24 2018
DEPT.OF PLAldNING&,
„CoMmUNITY DEVELOP109"T
e
CITY OF SALEM
PLANNING BOARD - W
Q
C�T Y CLERK
FORM A-DECISION
5 Vista Avenue(Map 9,Lot 68)
108 Marlborough Road(Map 9,Lot 28)
On October 18, 2018 by.a vote of eight (8) in favor (Chair Ben Anderson, Matt Veno, Matt Smith, Noah
Kbretz, Bill Griset, Helen Sides, Kirt Rieder, and DJ Napolitano) and none (0) opposed to endorse
"Approval under Subdivision Control Law Not Required" for the properties located at 5 Vista Avenue and
108 Marlborough Road and shown on the following described plan: "Plate of Land,#108 Marlborough Road,
Salem, Massachusetts 01970" by Hancock Associates, 185 Centre Street, Danvers, MA 01923, dated
September 20,2018. -
.;
Applicant: Mark J. and Maryann J..Terry and Derek J. Terry, Trustees of Marlborough Road Nominee
Trust, 108 Marlborough Road,Salem,MA
Location: 5 Vista Avenue (Map 9,Lot 68) and 108 Marlborough Road(Map 9,Lot 28)
Description: This Form A removes the current lot line and adds a new lot line to combine Parcels A2 and
A3 with Lot B to form one contiguous lot shown on the plan as Lot B1.The resulting lot sizes will be 17,149
sq. ft. (Lot B1) and 18,957 sq. ft. (Lot Al).
Deed of property records in Essex South District Registry.
cerely,
Ben J. derson
Planning Board Chair
cc.:Ilene Simons,City Clerk
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Salem, Massachusetts 01970
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"AFED MR
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x x x CHAIN LINK FENCE h ��00• ��
w U� ETAIL ASSESSORS.
(FD) FOUND •CP J I.ROD(FD) N.T.S.
�jh �Oro� . �� w/cAP ;�Q MAP 9 LOT 28 (TERRY)
%ROD O IRON ROD cy'� �� LOT B 100 OZ 1 p�5 c.�L r
g O0 \. �� p. S, .�;- 0 0.68 MAP 9, LOT 68 (MARLBOROUGH ROAD NOMINEE TRUST) MAIDXJLN-
8EPLP /N S o ESCUTCHEON P/N /N A LEAD PLUG IN STONE BOUND 15,577 SF f l 'L 44 ,
0.3576 ACRES f \ j W 'LROD(FD)
(R) RECORD 5�oo' REFERENCES.•
_
1BR TO BE REMOVED ��' E / 5+0
0"E TERRY
ESMNT EASEMENT LOT Ell 1667 + DEED BOOK 35623, PAGE 282 (MARLBOROUGH ROAD NOMINEE TRUST)
Q" 17,149 SF t o•�L6 y 36•44'56"W .y� y1� DEED BOOK 32966, PAGE 430 (TERRY)
NTS NOT TO SCALE . y
0.3937 ACRES t °r�• PARCEL A3 6.63 .y�/ O PLAN BOOK 330, PLAN 77 108 Marlborough Road
Q- DETAIL y(INCLUDES PARCELS A2 & A3) 50 SF N.T.S. PLAN BOOK 369, PLAN 94 (EASEMENT) Salem, Massachusetts 01970
`V t y
Az�^ IW%CAp) i �'LR00(FD) 0.0034 ACRES t "LROD(FD) RD OWNER:
Q �� \�oho 1p� w/CAP LOT A
Q
Q., \�o ��� ��9 2o,52s sF_f � 0 � LOT A:
C3 e� 10''� " 0.4712 ACRES t �00�0 MARK J. & MARYANN J. TERRY
v J I.ROD(FD) o� y fLNNCOCK
�-� �g- ry W/CAP LOT Al a LOT B.•
0° �- \ Q- MARLBOROUGH ROAD NOMINEE TRUST T �r
co m v - �� 18,957 SF f ,o -o ASSOCIATES
4 G� `''vim 0.4352 ACRES t p
"LROD(FD) �-��`ti Q' (EXCLUDES PARCEL' A2 & A3) 1�•5� `I'cA ����'c^ � O 1NG:
O W/CAP QQ',4, 0, � � c�, � -A O
N o^� •� �o `�r� DETAIL R-1 ZONING DISTRICT
o• ,h , s tiro N.T.S. Civil Engineers
<v ?. cP, o• LOT AREA: 15,000 SF g
tV �h /
z.M r-I \y oo '�. ���� LOT WIDTH.• 100 FEET
MARLBOROUGH ROAD �Uj ° `��
R� `�s DEPTH OF FRONT YARD: 15 FEET Land Surveyors
o w 5�° ME O' WIDTH OF SIDE YARD: 10 FEET
NOMINEE TRUST _j CO M CORNER 2 0 FFtPG 2O. DEPTH OF REAR YARD 30`FEET
�<v DEED BOOK 35623, PAGE 282 0 �
VINYL \y000 \ykA /
PLAN BOOK 330, PLAN 77 F-' � ?8'r' (TYP.) O 08 G Wetland Scientists
SN L°OR O J"I.ROD(FD)
uz ZNp F W/CAP ` NO TES:
EPLP IN SB 'LROD(FD) �•. 1) THIS PLAN IS A REDA4SION OF LAND SHOWN AS 185 CENTRE STREET, DANVERS, MA 01923
W/CAP �� �, LOTS A & B ON PLAN BOOK 330, PLAN 77. VOICE (978) 777-3050, FAX (978) 774-7816
(FD) a - vs MA DEED.BOO MARY6NP J. 'TERRY WWW.HAN000KASSOCIATES.COM
AGE 430 2 LOT A AND PARCELS A2 & A3 ARE CURRENTL Y
N29 58'20"E —�� lOT W1017-! 10 CUT PLAN BOOK 330, PLAN 77
415.38' R O.Op 1 SPIKE CFD " �� - - / ) ARY NN J.415.53 (T0 � ) ! o N TREE ROOT) N " / OWNED BY MARK J. & M A TERRY.
BOUND vcoi / -
SPIKE(FD) '� _ 3) L O T B IS CURRENTL Y OWNED B Y MARLBOROUGH
100.00• EASEMENT 94 ROAD NOMINEE TRUST.
N29 .20" S42'2528'E B04K 369, PLAN 6p• a �HovMgss�
N ,�184• O SCO
E 15.74 PEA L Op 0� _ � R n
R_2l0• 4) PARCELS A2 & A3 IN AND BY THEMSEL VES ARE �a.R. H
MAG NAIL (FD) NOT BUILDABLE LOTS AND ARE TO BE CONVEYED 7Vo wen?
M' N29* 8'2o•E BY MARK J. & MA J. TFRRY TO �oe
• Ess10
LBO MARLBOROUGH ROAD NOMINEE TRUST AND �' '"� d�
ROVG/./ COMBINED WITH OTHER LAND OF SAME TO FORM L 1B
■ (PUBLIC - 50 WIDE) ONE CONTIGUOUS LOT SHOWN AS LOT B1.
1940 CITY LAYOUT
CERTIFY THAT THIS PLAN CONFORMS TO
THE RULES AND REGULATIONS OF THE
REGISTERS OF DEEDS.
NO. BY APP DATE ISSUE/REVISION DESCRIPTION
5
DATE: 9 20 „2018 DRAWN BY: AAF
SCALE: 1 =20 CHECK BY: SRJ
DA TE PhVfESSIONAL L ND SURVEYOR
FOR REGISTRY USE
APPROVAL UNDER THE SUBDIVISION
CONTROL LAW NOT REQUIRED. PLAN LAND
SALEM PLANNING BOARD
IN
SALEM, MA
PLOT DATE: Sap 20. 201E 4:13 pm
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LAYOUT- ANR
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