Addition Application

This is not a building permit.

You must obtain a permit from the Building Inspector prior to any construction.

Frank Mc Carthy

Owner

156 Sandy Beach Rd.

Address of Proposed Addition

Goshen

Town

10 Cornfield Lane

Owner Address

Woodbridge

Town

06525

Zip

203-415-5153

Owner Telephone

Existing Records? yes

Septic Permit Number: 12181

Lot Size: .9 AC.

Information Supplied By: Owner

Septic Sytem Designed By: William Colby

The application must be accompanied by a check made payable to TAHD in the amount of:

ACCESSORY STRUCTURE : $35.00

HABITABLE STRUCTURE: $55.00

WELL AND SANITARY SEWER: $35.00

(Return Check Fee on any item: $25.00)

Application shall be accompanied by a SKETCH ( on back ) showing the relative distances from the proposed addition to the well and septic system.

Size of Addition 24' x 24'

☒ "field investigation"

Description
of Addition

Two story 2-car detached garage with second story used for storage.
No water service as per TAHD.

Signature of Applicant: Signature of Applicant: Frank McCarthy

3-12-2012 Date

TAHD USE ONLY BELOW LINE

☒ APPROVED

DENIED

Proximity to septic trench may pose a hydraulic obstruction. State Health Dept. review is required.
As a result, this proposal includes a flow thru foundation to resolve the hydraulic problem.

Sanitarian: Richard Rossi

Decision Date: 6-5-2012