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