Design Review Board - 1215 (02/24/2026)

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Board/Commission	Design Review Board
Meeting Date	February 24, 2026
Pages	9
File Size	1.1 MB
OCR Status	Searchable (OCR processed)
Source URL	Original

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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): __________________

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
Retail Stores
9.1.2
105
8981
161 Waterford Parkway North
6.12
C-R
Docusign Envelope ID: D6F40B9F-BA95-4AD9-9EE9-4097A2E41959

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
Larry Cohen
Restaurant Depot
17-20 Whitestone Expressway
Whitestone
NY
Leasee
11357
718-559-4290
Lcohen@jetord.com
Chas Evans
Associate
Bohler Engineering
65 LaSalle Road
West Hartford
CT
06107
203-520-8197
cevans@bohlereng.com
Infinity Waterford Properties LP co/ WS Asset Management, Inc
info@wsdevelopment.com
617-232-8900
02467
MA
Chestnut Hill
33 Boylston Street
WS Asset Management Inc.
Docusign Envelope ID: D6F40B9F-BA95-4AD9-9EE9-4097A2E41959

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
Docusign Envelope ID: D6F40B9F-BA95-4AD9-9EE9-4097A2E41959

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
X
X
X
X
X
X
X
X
Docusign Envelope ID: D6F40B9F-BA95-4AD9-9EE9-4097A2E41959

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
X
Docusign Envelope ID: D6F40B9F-BA95-4AD9-9EE9-4097A2E41959

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
C-R
40,000sf
266,479 sf
150.0'
205.7'
75' / 150'
161.7'
45'
35.3' (ENC Apprvoal)
50'
150.4'
40.0'
<40.0'
25%
17.06%
260
260
N/A
N/A
Sect 20.3 = 1 space per every 175sf
Docusign Envelope ID: D6F40B9F-BA95-4AD9-9EE9-4097A2E41959

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): ___________________________