Fillable STATE OF CONNECTICUT Department of Economic and Community (Naugatuck Valley Council of Governments)

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STATE OF CONNECTICUT Department of Economic and Community (Naugatuck Valley Council of Governments)

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BROWSE NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS (CT) FORMS

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450 Columbus Boulevard, Suite 5 | Hartford, CT 06103-1843 | Phone: 860-500-2300
An Affirmative Action/Equal Opportunity Employer An Equal Opportunity Lender
STATE OF CONNECTICUT
Department of Economic and Community Development
Preliminary Questionnaire to Determine Eligibility for
Enterprise Zone Program Incentives
Municipal Officer to check:
_Airport Development Zone
_ Enterprise Zone
_ Manufacturing Plant Zone
_ Bioscience Enterprise Corridor Zone
_ Enterprise Corridor Zone
_ Qualified Manufacturing Plant
_ Contiguous Municipality Zone
_ Entertainment District
_ Railroad Depot Zone
_ Defense Plant Zone
_ Knowledge Center EZ
_ Urban Jobs Program
The responses to the following items are intended to provide the State with basic information
concerning your business and the proposed activity to confirm whether you may qualify for tax
incentives as provided under Sections 12-81(59) and 12-81(60) of the Connecticut General
Statutes. The benefits under this program are subject to changes by the Connecticut General
Assembly. This “pre-app” is intended only to allow the State DECD to make an initial
determination concerning your proposal at the least cost in time and effort to you.
Please be advised that the completion of this form does not constitute a formal application for a
certificate of eligibility, which would require a formal application and more detailed information.
PLEASE RETURN THE COMPLETED QUESTIONNAIRE TO:
ATTN: Enterprise Zone Program, CT DECD
Due to COVID-19 pandemic, please submit this document to: DECDEnterpiseZone@ct.gov
Recommended subject line, please use this format:
“EZ/[municipality of facility]: [name of tenant/occupant], [facility address]
If you have any questions, please call this number 1-860-500-2456 and leave a message, someone
would get back to you.
[1] LEGAL NAME AND MAILING ADDRESS OF THE BUSINESS:
(as recorded with the Secretary of the State’s Business Recording Division)
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
FEDERAL EMPLOYER I.D. #_________________ SIC/NAICS#____________
[2] NAME, TITLE AND TELEPHONE NUMBER OF CONTACT PERSON:
__________________________________________________________________
__________________________________________________________________
450 Columbus Boulevard, Suite 5 | Hartford, CT 06103-1843 | Phone: 860-500-2300
An Affirmative Action/Equal Opportunity Employer an Equal Opportunity Lender
[3] ADDRESS AND SIZE (ft², sq. ft., sqft., SF) OF THE FACILITY, OR PORTION
THEREOF, TO BE OCCUPIED:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
[4] ACTUAL OR ANTICIPATED DATE OF OCCUPANCY OF THE FACILITY LISTED
ABOVE: __________________________________________________
[5] NAME, MAILING ADDRESS AND TELEPHONE NUMBER OF THE OWNER OF
THE FACILITY:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
(See Notes 1 & 2 Below)
[6] THE FACILITY WILL BE (please check all applicable):
Construction (new) Expansion purchase**
Construction (renovation)* (see also NOTE 1 below) leasing**
* For substantial renovations, please provide: (1) the estimated cost of renovation
($___________________), and (2) the current assessed valuation of the facility prior to
renovation ($__________________).
** If new purchase or leasing, additional DECD requirements include:
If the facility has been idle/abandoned/vacant for at least one year, check here. DECD
requires notarized proof of idleness by the Municipality (see Attachment A).
Current assessed value of the space to be acquired: ___________________
The facility will be used for the following purpose(s)—check all that apply:
The manufacturing, processing, or assembly of raw materials, parts or manufactured
products;
the significant servicing, overhauling or rebuilding of machinery and equipment for
industrial use;
the distribution in bulk quantities of manufactured products on other than a retail basis;
research and development activities directly related to a manufacturing process;
other eligible business services, please describe in the box provided:
450 Columbus Boulevard, Suite 5 | Hartford, CT 06103-1843 | Phone: 860-500-2300
An Affirmative Action/Equal Opportunity Employer an Equal Opportunity Lender
[7] Briefly describe the activity or activities in which the firm noted in this questionnaire will
be engaged at the location to be occupied.
__________________________________________________________________
__________________________________________________________________
[8] Current pre-project employment (full time positions): _________
Estimated number and type of new, permanent full-time employment positions to be
created at the facility over the next 24 months:
Projected new full-time positions in the 1
st
year _________ 2
nd
year _________
If you would like additional information on State assistance with financing, wage
and or training subsidies, or other business services, please check the box to the
left. A representative from the Connecticut Department of Economic and
Community Development would contact you.
Handwritten signature of Applicant or Preparer
Date
Type or print name of Applicant or Preparer, Title
NOTES
1. Renovation should be a of a nature requiring the issuance of a building permit, and
involve capital expenditures of at least 50% of the assessed value of the facility, or a
portion thereof, prior to its renovation.
2. A leasing agreement must be for a minimum term of five (5) years, and include an option
to renew for an additional five (5) years, an option to purchase the facility at any time after
the initial five-year term, or both. The term of the lease as well as the idleness as well as
the idle requirement may vary for facilities that are located in an enterprise zone.
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450 Columbus Boulevard, Suite 5 | Hartford, CT 06103-1843 | Phone: 860-500-2300
An Affirmative Action/Equal Opportunity Employer an Equal Opportunity Lender
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(DECD Rev. 4/26/2018
Attachment A
From: Enterprise Zone Municipality (CGS. Sec. 32-70 et seq.)
To: Connecticut Department of Economic and Community Development
Date:
Re: Idleness Waiver (Abandoned, Underutilized, or Vacant)
for preliminary application
I certify that the location listed below in
(Municipality)
has been abandoned, underutilized, or vacant for one year (type full address):
CT
Authorized individual attesting to the truthfulness of the statement above, check one:
Assessor
Chief Elected Official
EconDevpt/EZ Coordinator
Handwritten signature:
Type/print name, title:
JURAT
State of Connecticut
County of
Subscribed and sworn to before me (print name)
on this
day of
, 20
(Notarial seal)
Signature of notary public/Commissioner of the Court
My commission expires:
ss. (Town/City)
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450 Columbus Boulevard, Suite 5 | Hartford, CT 06103-1843 | Phone: 860-500-2300
An Affirmative Action/Equal Opportunity Employer An Equal Opportunity Lender
NOTE to preliminary application “Attachment A” (Idleness Waiver Memorandum)
In the Connecticut General Statutes, “abandoned,” “underutilized,” and “vacant” appear as follows:
“Sec. 32-70. Enterprise zones. Designation. Expansion. ...include in such zone any
property …that is or was formerly used for manufacturing purposes but is underutilized or
vacant at the time the property is included in such zone….”
➔ Applies to EZ: Bridgeport, Bristol, East Hartford, Groton, Hamden, Hartford, Meriden,
Middletown, New Britain, New Haven, New London, Norwalk, Norwich, Southington,
Stamford, Thomaston, Waterbury, Windham.
“Sec. 32-75a. Railroad depot zones. Regulations. A municipality which has an enterprise
zone designated under section 32-70 and an abandoned or underutilized railroad depot
which is located outside of the enterprise zone may,…”
➔ Applies to RDZ: East Hartford, Hamden, and Norwich.
“Sec. 32-75c. Designation of properties as manufacturing plants. Qualified
manufacturing plants. Regulations. …(3) includes at least one hundred acres of land that
is vacant and zoned for commercial, industrial or other economic base activity….”
➔ Applies to DPZ, MPZ, QMP: Bristol, New Britain.
The Attachment A “idleness waiver” for abandoned, underutilized, or vacant properties is optional
and does not apply to the following preliminary applications (pre-apps):
ADZ (Bradley, Groton-New London, Waterbury-Oxford), BCZ, CMZ, ECZ, ED, UJ.
Current DECD-approved zones and DECD abbreviations
_ Airport Development Zone
(ADZ)
_ Bioscience Enterprise Corridor Zone
(BCZ)
_ Contiguous Municipality Zone
(CMZ)
_ Defense Plant Zone
((DPZ)
_ Enterprise Zones
(EZ)
_ Enterprise Corridor Zones
(ECZ)
_ Entertainment Districts
(ED)
_ Manufacturing Plant Zone
(MPZ)
_ Qualified Manufacturing Plant
(QMP)
_ Railroad Depot Zone
(RDZ)
_ Urban Jobs Program
(UJ)
(DECD Rev. 11/01/2020)
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STATE OF CONNECTICUT Department of Economic and Community (Naugatuck Valley Council of Governments)

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Completed 28 January 2021

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