Planning & Zoning Commission (linked)

Town of Waterford
Department of Planning and Development
RECEIVED
JUL 05 2023
Planning & Development
Town of Waterford, CT
www.waterfordct.org
Office Use Only
Date Submitted: F/5/2S
Processed By: 4 XG
App. No.: -23-
Total Fee: $ | IO
Electronic Submission
Waived: Yes No
Informal Staff Review
Special Permit/Design Review!
Zoning Map Change
Multifamily Development
C] Site Plan/Design Review
[__] Subdivision /Resubdivision
| Regulation Amendment(s)
| Coastal Area Management ?
[__] Municipal Project (CGS§8-24)
LJ Lot line Adjustment
L] New District
L] Earth Pxcaya
OOOO
Ou: ie og
L] Other: IM Other: ; \\ .
Specify all pses ae section for which this application applies’:
Flood Hazard Area
Le rm \Aning. Ws 5
Use: r Wesie Section: 3.44 d. T
Use: Section:
Use: Section:
Name of proposed development/subdivision: If subdivision how many lots?:
If applicable, are roadways proposed to be private, public or both:
[_| Public [_] Both’
Parcel 1 Parcel 2
Map/Block/Lot: / Map/Block/Lot: /__/ / /
Street No. & Name: Ss z lg a ‘ar Was, Street No. & Name:
Size SF/AC: Size SF/AC: /
Zoning District(s):__['Y \ D Zoning District(s):
"Include a completed list of property owners with Parcel ID, name, address and mailing address. It is the applicant’s responsibility to distribute all
notices certified return receipt. Evidence of mailing shall be submitted prior to the start of the hearing. Failure to do so will delay the opening of the
hearing.
? Coastal Site Plan reviews under Coastal Area Management §25.4 must submit a completed PZC Form 2 in addition to this PZC Form 1.
a4 ube use listed must correspond to the exact use term noted within the zoning district as a permitted use allowed through site plan or special permit.
4A plan must accompany the application clearly delineating the limits of public and private roads.

Name:
Title:
Company:
Address:
City/State:
Zip Code:
Telephone:
Pinthoni, D4ascle
Own t—
3 hegs foint bay
OG BPS
Applicant's Authority to File Application?
XC
Legal Owner of Record
Power of Attorney
Contract to Purchase
Other
GA C-£749-W Refax: BKl0- C24 ~ 42ST Email: fet heme Ce 5c con
Name:
Title:
Company:
Address:
City/State:
Zip Code:
Telephone:
Specify Nature of Agent
Fax:
Attorney
Civil Engineer
Land Surveyor
Design Professional;
Other:
Bat/License/Reg. No.:
Email:
Note: If landowner is an LLC, Corporation, Trust or other legal entity, attach the names, addresses and title of each
member or officer, including agent(s). If same as applicant list ‘Same’.
Name:
Title:
Company:
Address:
City/State:
Zip Code:
Telephone:
Fax:
Email:
An Hua PRapcl
(OL S72 at a
Tony Dz Hoole , LLL
SGA7
SG e
Name:
Title:
Company:
Address:
City/State:
Zip Code:
Telephone:
Fax:
Email:
5 Applicant must submit evidence attesting to the authority to file application (i.e. deed, option for purchase, etc.)

Attached a typed statement of use in conformance with the Zoning Regulations as described in Section 22.4.2. In addition
include all hours and days of operation, size of buildings and number of stories, utilities servicing the parcel, variances
received, number of employee and structures to be demolished.
Attach a statement describing how the building and site design is compatible with the neighborhood, character of
Waterford and Zoning Regulations.
Attach a statement attesting to how the proposed use, zone change, amendment or design is consistent with the most
recent adopted Plan of Preservation, Conservation and Development (the Plan). Note relevant Plan section numbers and
pages.
% of Property
ine a. Are inland wetlands present on site? Total SF/AC /
_c. Are their known or suspected vernal pools on the property?
Oo
L] [T. =b; Are tidal wetlands present on site? Total SF/AC /
Oo n
Oo an d. CT DEEP NDDB: Are endangered, threatened or species of special concern suspected to be located on
the property? Applicant must attach an 8 % x 11 map of the most current CT DEEP Natural Diversity
Database with site clearly identified regardless of response provided. If you answered yes to item d.,
attach a letter from CT DEEP stating the name of the specie(s) that are suspected to be
property. See Section 22 of the Zoning Regulations for additional information.
| e. Are floodplains or flood hazard areas on the property?
Identify:
on the
[| I] f. Is the property located within a local, state of national historic district?
If yes identify district name:
LE] me g. Does the site possess any structures or sites listed on the local, state or national register
landmarks?
If yes, identify:
of historic

a. Is any part of the site within 500' of the Town line? Which town:
b. Will any egress or ingress for the property use streets within an adjoining municipality?
“oe. Is any work proposed in wetlands or watercourses? Explain in Statement of Use
d. Is any work proposed within 100 feet of a wetlands or watercourse? Explain in Statement of Use
& Is any work proposed within a floodplain or flood hazard area? Explain in Statement of Use
“£ Is public water available or proposed to the site? Identify: Ta ol ver eS tpoo ef
g. Are public sanitary sewers available or proposed to the site? Identify: Latur ReSAco nm, ai
h. Is there a utility, drainage or other easement(s) on the site? Specify:
i. Is open space proposed on the property?
How much open space is proposed (SF/AC)? 2,00 / Sg EA Percent of property(s)
Use and purpose of open space:_ Arc Sof wens VAY) ng
Have previous permits been issued for the Property: nA [] No (List singularly; attached additional pages if necessary)
Date Issued Issuing Agency ‘Approved Use/Activity

Yes No
| Van a. Is this application for a new zoning district and/or regulation not presently established within the
Zoning Regulations? If a new zoning district, distinguish type of zone proposed:
[| Fixed Zone
[_ |Floating Zone
LC] Overlay Zone
Identify proposed zone name:
For new regulations, list proposed section number(s) and titles(s):
1,
ii.
iii.
im | b. Is this application an amendment to an existing regulation? Attach proposed amendments, clearly
noting any deletions, modifications or additions. List sections proposed to be modified:
i.
ii.
iii.
[| A c. Is this application for a change to a district already established within the regulations? Identify:
Supporting materials:
For new zoning districts or a change in zone provide a legal description of the land involved in the zone district change
including the following:
e Location map at 1”=1000’
e Accurate description and acreage of tract(s) to be changed with existing buildings and uses
e Show existing features including but not limited to contours at two-foot intervals, wetlands and watercourses,
flood plains, all improvements and structures,
e All lots or parts of lots contained in an area within 500 feet in all directions of the zone change tract
e All lots shown in this area and within the zone change tract shall contain the name and address of owners as
recorded in the Assessor’s records and shall show the nature of use
e North point, and distance along road from nearest road intersection.
e Scale of map(s)

Complete the following table, which must also be included on applicable drawings:
Zoning District(s):
Item Required Proposed
Minimum Lot Size
Frontage
Front Yard
Side Yard
Rear Yard
Building Line
Building Coverage
Parking®
Landscaping
Impermeable Coverage
5 Attach method used to determine the number of parking spaces required.

Provide a list of all professionals responsible for the project. Additional pages attached, if necessary: [ |ves [_}No
Discipline: Telephone:
Name: Fax:
Company: Email:
License(s)/ License(s)/
Accreditations: Accreditation No(s):
Discipline: Telephone:
Name: Fax:
Company: Email:
Licenses and/or License/
Accreditations: Accreditation No(s):
Discipline: Telephone:
Name: Fax:
Company: Email:
Licenses and/or License/
Accreditations: Accreditation No(s):
Discipline: Telephone:
Name: Fax:
Company: Email:
Licenses and/or License/
Accreditations: Accreditation No(s):
Discipline: Telephone:
Name: Fax:
Company: Email:
Licenses and/or License/
Accreditations:
Accreditation No(s):

Itemize, including additional attachments, all information provided in support of the application. Titles, dates and
sheet/map numbers shall correspond exactly with the corresponding information provided.
Additional pages attached, if necessary: [| Yes in| No
Sec. 7-159b — Pre-application review of use of property. Notwithstanding any other provision of the general statutes,
prior to the submission of an application for use of property under chapters 124, 126, 440 and 541 or any other provision
of the general statutes authorizing an authority, commission, department or agency of a municipality to issue a permit or
approval for use of such property, such authority, commission, department or agency or authorized agent thereof may
separately, jointly, or in any combination, conduct a pre-application review of a proposed project with the applicant at
the applicant's request. Such pre-application review and any results or information obtained from it may not be appealed
under any provision of the general statutes, and shall not be binding on the applicant or any authority, commission,
department, agency or other official having jurisdiction to review the proposed project.
I have read and understand the above provision of the Connecticut General Statutes and understand and agree that
whatever discussion, comments and/or recommendations are made through this review are non-binding upon the parties.
Further, I acknowledge and agree that this pre-application review meeting is being conducted prior to and in anticipation
of a formal application to the Waterford Planning and Zoning Commission or Conservation Commission to obtain
feedback and response to the proposal or design, as it exists on this date, in the interest of preparing an application
consistent with the Subdivision, Zoning or Wetlands regulations of the Town of Waterford as the case may be.
Printed Name Date
Pathony D Basel C[2e[22
An teay Dich (20/22
Land Owner

In accordance with the Waterford Code of Ordinance Chapter 16.08, the Commission may require third party technical
assistance review for the evaluation of applications associated with but not limited to site plans, special permits, zone
change and regulation amendments and may collect payment for costs associated with the review. This includes but is not
limited to civil engineering, architecture, legal assistance, traffic engineering and environmental protection.
Application Content
The undersigned herby acknowledges that this application and statements submitted herewith are true to the best of my
knowledge and approval of the application is contingent upon compliance with all requirements of said regulations.
Right of Entry and Inspection
The undersigned hereby authorizes the Waterford Planning and Zoning Commission or its agents, to enter the subject
property for the purposes of inspection and enforcement for the said Zoning Regulations until receipt of final Certificate
of Occupancy and Certificate of Zoning Compliance.
Electronic Data Accuracy and Transmission
If applicable, the undersigned hereby acknowledges that all electronic data submitted as part of this application is an
accurate and true representation of all paper transmissions provided as part of this application and may be transmitted
publically when requested and all applicable fees are paid in full by the requesting party.
Signature Printed Name Date
fbrtheay Llaycl bfx) 22
Land Owner