HomeMy WebLinkAboutZP-18-299 - 1475 Shelburne Road 7/30/2018CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: �1�7�-,!� 1� Application No:
/iIN
n [office use only]
Applicant Mailing Address: eo Ge )C (' j
vX-4IG
Applicant Email: - _� �" P4Zle i _s &tLvL Daytime phone:'
Property Street Address: M 7i sktj �', r ✓I le- (2-U `i e `f -/-VyV� 05403
Property Owner: r UC> -1 $ Prb Z-3t UC Parcel Size:
Property Owner Mailing Address:
Tax Parcel ID No.
f PROPOSED project including building dimensions (describe): ✓l '�'L! Ct
V 'T 1 c Y ►Il 7 ! i- �Ir/ /d V Fla ♦ t.K'2� J (�
" ,�,g C ��-�-�"�c C � � � a i- (..S l'c.. p ` fro u�.�,.6� Q� ✓C � FF1—=(',/`�7/ �C c(T O'c � 1 ��-
2• present USE(S) of the property:
❑ Single family home on its own parcel
kS_] Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.):
L� rn ✓ CTcc \ P- /k .- s- C
c n
3• List all present structure(s) on property (describe including dimensions ortsquare footage of each):
` (� - rG S < J Z S� 6 -, �n� �-- 5 /, � 1 - 91
4• Does the project include a proposed change of USE?
❑No (the property will still be used for the same purpose)
®Yes (please state proposed changed or added USES per Land Development Regulations- retail, general,
office, multifamily residential, etc.): :"�. ,,, ,#U_ :
f �
5. ESTIMATED total cost of improvements (materials and labor): $a,S �' ; �, C b,.� c� t ,� ®� ✓•� .�-�Z }�
6• Building footprint- i.e. size in sq.ft of main floor of house and all attached and detached structures including enclosed
breezeways, garages, and sheds (describe): Existing: Proposed:
7- Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing:
Proposed:
$• ATTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of
existing roof, siding, etc. in the exact same size)
I
9. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the
Zoning Permit and any atta ed conditions will be binding on the property. )
Pro erty O ner Si ature PRINT NAME1 Date
undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
ApblyfyEint Signature
RINT NAME
OFF CE USE
ONLY - ADMINISTRATIVE OFFI
DATE Received: / FEE Received: $ y`—=
Identification of proposed use: t�
PROPOSED USE TYPE: A Permitted
Date of SITE PLAN approval/denial
7.3D t
Date
CER ACTION — OFFICEUSEONLY
entification of zoning district:
Conditional
Approval Date Denial Date
Date of SUBDIVISION approval/ denial
Approval Date Denial Date
Date of CONDITIONAL USE approval/ denial
Approval Date Denial Date
Date of appeal VARIANCE approval/ denial
Approval Date Denial Date
Date of MISCELLANEOUS approval/ denial r'
Approval Date Denial Date
Provided applicant copy of URBEC or VCBE Standards Handbook or , of Applicable_
FINAL ADMINISTRATIVE OFFICER ACTION
Z O N I N P E, R M;
APPROVED
Ap roval Date/Adminis rati a Officer's Signature
Permit EFFECTIVE date Permit EXPIRATION date /
DENIED REASON for DENIAL
Denial Date
Administrative Officer's Signature
—
Notice of Appeal Rights: Any interested person may appeal this decision by filing a written Notice of Appeal with the clerk of the
Development Review Board within fifteen [15] days of the date of this decision. The notice of appeal must be accompanied by a filing
fee of $223.00.
This permit does NOT authorize commencement of any development activity approved by the permit until the permit takes
effect as set forth above. Site modifications and improvements made prior to this permit becoming effective may be subject to removal
and site restoration if a timely appeal is commenced. 1
NOTE: The applicant or permittee retains the obligation to identify, apply for, and obtain relevant state permits for this project. Call (802)
879-5676 to speak with the regional Permit Specialist.