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HomeMy WebLinkAboutSD-19-03 - Supplemental - 0400 Hinesburg Road (3)southburlitngton PLANNING & ZONING Permit Number SD- 19 - o3 (office use only) APPLICATION FOR SUBDIVISION SKETCH PLAN REVIEW 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 plans will result in your application being rejected and a delay in the review before the Development Review Board. For amendments, please provide pertinent information only. 1) OWNER(S) OF RECORD (Name(s) as shown on deed, mailing address, phone and fax#) Robert R. Gaulin & Doris I. Gaulin Revocable Trust 2) LOCATION OF LAST RECORDED DEED(S) (Book and page #) W.D. 693:363 Q.C. 120038 3) APPLICANT (Name, mailing address, phone and fax #) Robert R. Gaulin & Doris T. Gaulin 4) APPLICANT'S LEGAL INTEREST IN THE PROPERTY (fee simple, option, etc.) Fee simple 5) CONTACT PERSON (Name, mailing address, phone and fax 5a) CONTACT EMAIL ADDRESS rsgaulln hotmail com 6) PROJECT STREET ADDRESS: 400 Hinesburg Road 7) TAX PARCEL ID # (can be obtained at Assessor's Office) 0860-00400, 8) PROJECT DESCRIPTION a) General project description (explain what you want approval for): Two -lot residential subdivision Lot 1 will be improved with a 4-bedroom single-family residence and accessory 575 Dorset Street South Burlington, VT OS403 tel 802.846.4106 fax 802.846.4101 www.sburl.com • Existing Uses on Property (includingdescription an• size of -•. • •1'll includes 114-bedroom I! .11 ••1 1 :1 attached1. .•' /. 11• •• 1 11 .11 .1 in -ground sw11111! f•• I•• 1 c) Proposed Uses on property (include description and size of each new use and existing uses to remain) Lot 1 will be improved with a 4-bedroom sinalp-familv rpsidepce wh AqrAed accessov res:dettiaWtit / 11t •• t 1 '•1_ 11<. • , 1 •" 1" 1� 11 .11 •"1 • 1 :1: 1"1 !e :1" 111 1 1 0.1! • 111111 ••• . • it 1 "Ilt l d) Total building square footage on property (proposed buildings and existing buildings to remain) no . �. 1• 11_ 'll 11 IONIC M• s RN •11_ @ ••• -• • • 1• . e) Proposed height of building (if applicable) _28 Ft. Max. f) Number of residential units (if applicable, new units and existing units to remain) g) Other (list any other information pertinent to this application not specifically requested above, please note if Overlay Districts are applicable) 9) LOT COVERAGE a) Building: Existing 9.9 b) Overall (building, parking, outside storage, etc) Existing 28.6 Lot 1: 19.9 Prop osedLot 2: 19.5% Lot 1: 32.9 ProposedLot 2: 39.9% c) Front yard (along each street) Existing 36.9 %Hinesburg Rd Proposed 36.9 %Hinesburg Rd (Lot 2) 0.0 Soulhview Dr 32.0 Southview Dr (Lot 1) 10) TYPE OF EXISTING OR PROPOSED ENCUMBRANCES ON PROPERTY (easements, covenants, leases, rights of way, etc.) NIA - no existing or proposed encumbrances Sketch Plan Application Fomr. Rev. 2-2018 111' Kul1' 1. ..1M 1111 ..1 .. -0-M.1111.1 .- U. 1/ ►� 1_11' �•.. •� 1 _" 1 1• •� •1 1" 1 116WHIRMI .11 .municipal supply. 12) ESTIMATED PROJECT COMPLETION DATE DeCeMber 2019 13) PLANS AND FEE Plat plans shall be submitted which shows the information required by the City's Land Development Regulations. Three (3) regular size copies, one reduced copy (11" x 17"), and one digital (PDF-format) copy of the plans must be submitted. The application fee shall be paid to the City at the time of submitting the application. See the City fee schedule for details. NOTE: NOTIFICATION of ADJOINING PROPERTY OWNERS: Notification of adjoining property owners, in accordance with 24 V.S.A. §4464(a) and Section 17.06(B) of the South Burlington Land Development Regulations, is the responsibility of the applicant. After deeming an application complete, the Administrative Officer will provide the applicant with a draft meeting agendas or public hearing notice and sample certificate of service. The sworn certificate of service shall be returned to the City prior to the start of any public hearing. I hereby certify that all the information requested as part of this application has been submitted and is accurate to the best of my knowledge. SIGNATURE OF/A�PPLI� NTT SIGNATURE OF PROPERTY OWNER Do not write below this line DATE OF SUBMISSION: t L-j-wIQ I have reviewed this sketch plan application and find it to be: gomplete incomplete I® • Officer Date 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. Sketch Plan Application Form. Rev. 2-2018