HomeMy WebLinkAboutSP-22-056 - Supplemental - 0154 da Vinci Drive (2)
575 Dorset Street South Burlington, VT 05403 tel 802.846.4106 fax 802.846.4101 www.sburl.com
APPLICATION FOR SITE PLAN REVIEW
□ Administrative □ Development Review Board
All information requested on this application must be completed in full. Failure to provide the requested
information either on this application form or on the site plan will result in your application being rejected and a
delay in the review before the Development Review Board.
1. OWNER(S) OF RECORD (Name(s) as shown on deed, mailing address, and phone):
2. APPLICANT (Name, mailing address, phone):
3. CONTACT PERSON (person who will receive all correspondence from Staff. Include name,
address, phone):
4. CONTACT EMAIL ADDRESS:
5. PROJECT STREET ADDRESS:
6. PROPERTY INFORATION
a. Tax Parcel ID # (can be obtained at Assessor’s Office):
b. Location of Last Recorded Deed (Book and page #):
7. PROJECT DESCRIPTION
a. General project description (explain what you want approval for):
Permit Number SP-______-__________ (office use only)
2 Site Plan Application Form. Rev. 01-2020
b. Existing Uses on Property (including description and size of each separate use):
c. Proposed Uses on property (include description and size of each new use and existing uses to remain):
d. Total building square footage on property (proposed buildings and existing buildings to remain):
e. Height of building & number of floors (proposed buildings and existing buildings to remain, specify if
basement and mezzanine):
f. Number of residential units (if applicable, new units and existing units to remain):
g. Number of employees (existing and proposed, note office versus non-office employees):
h. Other (list any other information pertinent to this application not specifically requested above, please note if
Overlay Districts are applicable):
3 Site Plan Application Form. Rev. 01-2020
8. LOT COVERAGE Total Parcel Size: Sq. Ft.
a. Building: Existing % / sq. ft.
Proposed % / sq. ft.
b. Overall impervious coverage (building, parking, outside storage, etc)
Existing % / sq. ft.
Proposed % / sq. ft.
c. Front setback non-building coverage (along each street, commercial properties only)
Existing % / sq. ft.
Proposed % / sq. ft.
d. Total area to be disturbed during construction (sq. ft.) *
* Projects must follow the City’s specifications for erosion control in Article 16 of the Land Development
Regulations. Projects disturbing more than one acre require a permit from the Vermont Department of
Environmental Conservation.
9. COST ESTIMATES
a. New Building or Addition, including initial fit-up (if initial fit-up cost not available, contact Department staff):
$
b. Landscaping: $
c. Other site improvements (please list with cost):
10. ESTIMATED TRAFFIC
a. P.M. Peak hour for entire property (In and out):
11. PEAK HOURS OF OPERATION:
12. PEAK DAYS OF OPERATION:
13. ESTIMATED PROJECT COMPLETION DATE: