Crescent beach association zoning permit application p. O. Box 424 niantic, C
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- Work Information
- (CBA Zoning Permit Fee is $25.oo for first $1,000 plus $5.oo for every $1,000.oo or portion of thereafter. Make checks payable to Crescent Beach Association)
CRESCENT BEACH ASSOCIATION ZONING PERMIT APPLICATION P.O.BOX 424 NIANTIC, CT. 06357
Zoning Permit No: _____________ Date of Application:____________ Job Location:___________________________________________________________________ Description of Work to be Performed:_______________________________________________ ______________________________________________________________________________ Property Owner’s Name:_________________________________________________________ Property Owner’s Address _______________________________________________________ Property Owner’s Phone # ____________________________Email ______________________ Contractor’s Name______________________________________________________________ Contractor’s CT License _________________________________________________________
Contractor’s Mailing Address:____________________________________________________ Contractor’s Phone/Cell Phone ____________________________________________________
Construction Type _______________________ Number of Stories (Ht)___________________
A-2 Survey Submitted_____________________Sketch/Map of Location__________________ Property Size (sq. ft.)_____________________ Percent Total Property Use (sq. ft.)________
Coastal Flood Plain:______________________ Municipal Water/Sewer ________________ Certification:
I hereby certify that I am the owner of record of the named property and that the proposed work is authorized by me, and that the contractor stated above and I agree to conform to all applicable laws, regulations and Crescent Beach Association ordinances, building/zoning regulations. All information contained within is true and accurate to the best of my knowledge and belief. Printed name of Owner:_____________________________Phone Number:_______________________ Owner Address: ____________________________________Email Address:______________________ Owner Signature:_____________________________________________________________________
Estimated Value/Cost of Work ____________________ Permit Fee:____________________________ (CBA Zoning Permit Fee is $25.oo for first $1,000 plus $5.oo for every $1,000.oo or portion of thereafter. Make checks payable to Crescent Beach Association)
Prior to completing application, the owner/applicant should obtain a copy of the Crescent Beach Association – Ordinances and Regulations – Zoning, effective August 7, 2006. These can be sent upon request free for internet or printed copy @ $10.00. Request by emailing to CBAZEO@yahoo.com .. Mail request for printed copy, along with $10.00 check, payable to
CT. 06357 DO NOT WRITE BELOW THIS LINE *****Zoning Enforcement Use Only
Date Received : _________________________________________________ Approved:______________________________________________________ If rejected, reason ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
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