Planning & Zoning Commission (linked)

Town of Waterford 
Department of Planning and Development 
www.waterfordct.org 
 
 
Informal Staff Review  
Site Plan/Design Review 
Municipal Project (CGS§8-24) 
Special Permit/Design Review1 
Subdivision /Resubdivision 
Lot line Adjustment 
Zoning Map Change 
 
Regulation Amendment(s) 
New District 
Multifamily Development 
Coastal Area Management 2 
Earth Excavation  
Flood Hazard Area 
Other: ___________________ 
Other: ___________________ 
Specify all uses and corresponding section for which this application applies3: 
Use:  _______________________________________ 
Section: ____________________________________________ 
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:  
Private  
 
 
 
Public  
 
 
 
Both4 
Parcel 1 
Parcel 2 
Map/Block/Lot:   ____/____/____    ____/____/____ 
Map/Block/Lot:   ____/____/____    ____/____/____ 
Street No. & Name: 
_______________________ 
Street No. & Name: 
_______________________ 
Size SF/AC:  ___________/___________ 
Size SF/AC:  ___________/___________  
Zoning District(s): __________________ 
Zoning District(s): __________________ 
1 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. 
2 Coastal Site Plan reviews under Coastal Area Management §25.4 must submit a completed PZC Form 2 in addition to this PZC Form 1. 
3 The 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. 
4 A plan must accompany the application clearly delineating the limits of public and private roads. 
PZC Form 1    
Planning and Zoning Application 
1.
Type of Application(s), Use and Property Information (check all that apply)
Office Use Only 
Date Submitted:___________ 
Processed By:_____________  
App. No.: ________________  
Total Fee: $_______________ 
Electronic Submission 
Waived:  _____Yes  _____No 
Caroline Court Road Acceptance

 
Name:   
____________________________________ 
Applicant’s Authority to File Application5 
Title: 
 
____________________________________  
 
Legal Owner of Record 
Company: 
____________________________________ 
 
Power of Attorney 
Address: 
____________________________________ 
 
Contract to Purchase 
City/State: 
________________________ 
__________ 
 
Other ________________________________ 
Zip Code: 
_______________ 
Telephone: 
_________________ 
Fax: 
___________________  
Email: ________________________ 
 
 
Name:   
____________________________________ 
Specify Nature of Agent 
Title: 
 
____________________________________  
 
Attorney 
Company: 
____________________________________ 
 
Civil Engineer 
Address: 
____________________________________ 
 
Land Surveyor 
City/State: 
________________________ 
__________ 
 
Design Professional; ____________________ 
Zip Code: 
_______________ 
 
 
 
 
Other: _______________________________ 
 
 
 
 
 
 
 
 
 
Bar/License/Reg. No.:___________________ 
Telephone: 
_________________ 
Fax: 
___________________  
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:   
________________________________  
Name:   
________________________________ 
Title: 
 
________________________________    
Title: 
 
________________________________ 
Company: 
________________________________  
Company: 
________________________________ 
Address: 
________________________________  
Address: 
________________________________ 
City/State: 
________________________ 
______   
City/State: 
________________________ 
______ 
Zip Code: 
_______________ 
 
 
 
Zip Code: 
_______________ 
 
 
  
Telephone: 
_______________ 
 
 
 
Telephone: 
_______________ 
Fax: 
_______________ 
 
 
 
Fax: 
 
_______________ 
Email: 
_______________ 
 
 
 
Email:  
_______________ 
                                                          
5 Applicant must submit evidence attesting to the authority to file application (i.e. deed, option for purchase, etc.) 
2. 
Applicant Information 
3. 
Agent Information; if applicable 
4. 
Property Owner(s) and Parcel(s) Information 
 
Is owner co-applicant?       Yes        No 
Board of Selectman
Town of Waterford
15 Rope Ferry Road
Waterford
CT
06385

 
 
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.  
 
 
Yes 
No 
 
 
 
 
 
 
 
 
 
 
 
 % of Property 
a.  Are inland wetlands present on site?   Total SF/AC  
/
 ___
 
b.  Are tidal wetlands present on site? 
  Total SF/AC  
/_
 ___
 
c.  Are their known or suspected vernal pools on the property? 
 
d.  CT DEEP NDDB: Are endangered, threatened or species of special concern suspected to be located on 
the property?   Applicant must attach an 8 ½ 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 on the 
property. See Section 22 of the Zoning Regulations for additional information. 
 
e.  Are floodplains or flood hazard areas on the property? 
 
Identify: 
 
f.  Is the property located within a local, state of national historic district?   
 
If yes identify district name:  
 
g.  Does the site possess any structures or sites listed on the local, state or national register of historic 
landmarks? 
 
If yes, identify: 
 
8. 
Natural and Cultural Resources 
5. 
Statement of Use 
6. 
Statement of Design Compatibility (Site Plans and Special Permits only) 
7. 
Consistency with Adopted Plan of Preservation, Conservation and Development (all 
applications) 
X
X
X
X
X
X

 
 
  
 
Yes  
No 
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?  
c. 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 
e. Is any work proposed within a floodplain or flood hazard area? Explain in Statement of Use  
f. Is public water available or proposed to the site?  Identify: 
 
g. Are public sanitary sewers available or proposed to the site?  Identify: 
 
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)?  
/
   Percent of property(s)_
 
Use and purpose of open space: 
 
Have previous permits been issued for the Property:          Yes             No 
(List singularly; attached additional pages if necessary) 
Date Issued  
 
Issuing Agency  
 
Approved Use/Activity  
 
_________
 
_________
 
__________ 
 
 
_
 
__________ 
 
 
_________
 
__________ 
 
 
_________
 
__________ 
 
 
__
 
9. 
Additional Information 
10. 
Previous Land Use Permits Associated with the Property(s) 
X

 
 
Yes 
No 
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 
Overlay Zone 
Identify proposed zone name: 
 
For new regulations, list proposed section number(s) and titles(s): 
i. 
 
ii. 
 
iii. 
 
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. 
 
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:  
 
• 
Location map at 1”=1000’ 
• 
Accurate description and acreage of tract(s) to be changed with existing buildings and uses 
• 
Show existing features including but not limited to contours at two-foot intervals, wetlands and watercourses, 
flood plains, all improvements and structures,   
• 
All lots or parts of lots contained in an area within 500 feet in all directions of the zone change tract 
• 
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 
• 
North point, and distance along road from nearest road intersection. 
• 
Scale of map(s) 
 
11. 
Change of Zone, Regulation Amendment or New Zoning District, if applicable 

  
 
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 
 
 
Parking6 
 
 
Landscaping 
 
 
Impermeable Coverage 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                                                          
6 Attach method used to determine the number of parking spaces required. 
12. 
Bulk Zoning Requirements Table 

   
 
Provide a list of all professionals responsible for the project.  Additional pages attached, if necessary:         Yes             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): 
 
13. 
Planning, Design and Engineering Team 

 
 
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             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. 
 
Signature 
 
 
 
 
Printed Name  
 
 
 
Date 
 
 
_________
 
_________
 
Applicant 
 
 
_________
 
_________
 
Agent 
 
 
_________
 
_________
 
Land Owner 
 
 
_________
 
_________
 
Land Owner 
14. 
Supporting Documentation 
15. 
For Informal Staff Review Use Only  
Assessor Street Card 7 Caroline Court
Utility Commission road acceptance request letter to BOS
Survey Plan of Land to Acquired by Town of Waterford
GIS plans of area of aquisition(2)
Property plan 7 Caroline Court
SIGN
Robert Brule, First Selectman

 
 
 
 
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 
 
 
 
_________
 
_________
 
Applicant 
 
 
_________
 
_________
 
Agent 
 
 
_________
 
_________
 
Land Owner 
 
 
_________
 
_________
 
Land Owner 
17. 
Acknowledgements; All applications 
16. 
Technical Assistance Review Fee