HomeMy WebLinkAboutZP-19-053 - 0011 Lindenwood Drive 3/19/2019I'ITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: Y -W-- �-C-i t d Application No:
., [office use only]
Applicant Mailing Address: I5 (7 eof2tj e Wiz. �'l�'t. ��v ��/ - ��7�
Applicant Email: r,c: & tiDaytime phone:
Property Street Address:
F Y err _.�.�<- c�.vtcr ,t_,�. i�!, _ _�'�� �°Jvf/. .G,;"�C',�_! . VT05403
Property Owner: L-i i' Parcel Size:
Property Owner Mailing Address: 1/ +t ,, c %tom �> [�Lf> ir� r' Tax Parcel ID No.
1. PROPOSED project including building dimensions (describe): �� �� �l YcL 7-2-
Dly-er k?A S 1'r N L� ��f l / l%iC/ < %// 7' �f^. /il 1 �/7 L )c4j -P0' t-t'164 / /S
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2. Present USE(S) of the property:
f Single family home on its own parcel
❑ Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.):
3. List all present structu re(s) on property (describe including dimensions or square footage of each):
4. Does the project include a proposed change of USE?
FXINo (the property will still be used for the same purpose)
❑Yes (please !3tate proposed changed or added USES per Land Development Regulations- retail, general
office, multifamily residential, etc.):
5. ESTIMATED total cost of improvements (materials and labor): $
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:( 61, Et, Proposed:
7. Totril square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: 6Z'; a Proposed:
8. ATTACH SKETCH PLAN OR SITE PLAN (riot required if project consists ONLY of interior renovations or replacement of
existing roof, siding, el.c. in the exact same size)
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9. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the
Zoring Perini; and any attached conditions will be binding on the property.
Prop^exy Owner Signature PRINT NAME Date
The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
Z,/
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Applicant Signature PRINT NAME Date
OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY
DATE Received:' FEE Received: $ Identification of zoning district:
Iden:ification of proposed use: SI►.IL-� (�Ihlm I �'� lDv-1
PROPOSED USE TYP=: 'L Permitted Conditional
Date of SITE: PLAN approval/denial
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 _
Aooroval Date Denial Date
D.rte of MISCELLANEOUS approval/ denial _
Approval Date Denial Date
C Provided applicant copy of URBEC or VCBE Standards Handbook or[--]Not,4pplicable
FINAL. ADMINISTRATIVE OFFICER ACTION
Z O N I N G P E �R(% M I T
Approval Date ,, JJ Administrative Officer's Signature
T Permit EFFECTIVE date 3 i Permit EXPIRATION date
DENIED REASON for DENIAL
Denial Date
Administrative Officer's Signature_
Notic ) of Appeal Rights: Any interested person may appeal this decision by filing a written Notice of Appeal with the clerk of the
Devel Dpment Review Board within fifteen [151 days of the date of this decision. The notice of appeal must be accompanied by a filing
fee of $223.00.
This Kermit 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 rnay be subject to removal
Ind site restoration if a timely appeal is commenced.
NOTE: The applicant or pe rmittee retains the obligation to identify, apply for, and obtain relevant state permir:s for this project. Call'802)
879-5376 to speak with the regional Permit Specialist.
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Page # of pages
PROPOSAL SUBMITTED T0: JOB NAME JOB #
ADDRESS JOB LOCATION
1 L t. 4-1r-1
DATE DATE OF PLANS
PHONE# ` 7 FAX# ARCHITECT
/Ve hereby submit specifications and estimates for: 7,%e e 1?vc7 r"7 w -el' 'eXt' 574,1 7
Decf'C..3,5-
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e propose hereby to furnish material and labor — complete in accordance with the above specifications for the sum of:
$ /111 '6Sy • ao
Dollars
with payments to be made as follows:
Any alteration deviation from above specifications involving extra costs Respectfully
will be executed
only upon written order, and will become an extra charge Submitted
over and above the estimate. All agreements contingent upon strikes,
accidents, or delays beyond our control. Note — this proposal may be withdrawn by us if not accepted within days. J
Zicceptance of Vropofsof
The a)e prices, specifications and conditions are satisfactory and are
hereby accepted. You are authorized to do the work as specified.
Payments will be made as outlined above. Signature
Date of Acceptance Signature
A-NC3819 / T-3850 09-11
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