TOWN OF MIDDLEBURY
P. 0. Box 392
Middlebury, CT 06762-0392
BUILDING DEPARTMENT
BUILDING PERMIT REVIEW SIGN-OFF


Name:                                                                                                                 

Address:                                                                                                            

Date Received:                                                                                                

Description: ______________Commercial - Residential___________

To process a Building Permit Application the following is required:

Driveway Approval _________________________________________

Tax Collector: ___________________________________________

WPCA ________________________________________________

Registered Sanitarian_______________________________________

Wetlands Enforcement Officer ________________________________

Zoning Enforcement Officer __________________________________

Fire Marshall (N/A Single Family Dwelling) ______________________________

Building Official. ____________________________________________

Rev.01/l 0/00