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HomeMy WebLinkAboutZP-19-028 - 0935 Shelburne Road 2/12/2019CITY OF SOUTH BURLINGTON I ZONING PERMIT APPLICATION v �. �c, i t�� A j ! — O Applicant: �4'tV}�'l��c �" f�w��0.` �-6 Application No: Applicant Mailing Address: ?U /f L Gx �t) �+� /Lr�i of U 3 G [office use only] 7 Applicant Email: Cr4-.r Ffvv, Daytime phone: Property Street Address: "/ y ( 1-��' '/, A . 9 3j S �64jatVi- 05403 j �©�� `� gy r / ���- Parcel Size: Property Owner: l�., ,-.{7, c, � 11' Property Owner Mailing Address: y / 0 0c) �?D / r.-r-a-r1 " Tax Parcel ID No. 1. PROPOSED project including building dimensions (describe); y" 1 LA ?. Present USE(S) of the property: I O Single family home on its own parcel GKOther (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.): 3. List all present structure(s) on property (describe including dimensions or square footage of each): 4. Does the project include a proposed change of USE? 64 No (the property will still be used for the same purpose) D Yes (please state proposed changed or added USES per Land Development Regulations- retail, general office, multifamily residential, etc.): 5. ESTIMATED total cost of improvements (materials and labor): $ 9 y )A Coo, 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): Exis 7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) Existing: Proposed: 8. 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) 9. APPLICANTIOWNER CERTIFICATION The undersigperj property owner hereby consents to submit this application and understands that if the application is approved, the ZoninqpXroflt and any attached conditions will be binding on the property. Owner Signature PRINT NAME a•/a-/ Date The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete. <e�� 14,v►r 4, ri-Co/35 -,? 1 � J i(opticaotignature PRINT NAME Dat OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY 00 DATE Received: 211 2 111 FEE Received: $ 1 125 q Identification of zoning district: G l ` a 1 s Identification of proposed use: Com nn . — Pcl--iWi t- PROPOSED USE TYPE: Date of SITE PLAN approval/denial Date of SUBDIVISION approval/ denial _ Permitted � 1211 I-1- ( 5P- Approval date Approval III F oval Dateet, Date of CONDITIONAL USE approval/ denial W II ► T N -,}46) Approval 15ate Date of appeal VARIANCE approval/ denial Approval Date Date of MISCELLANEOUS approval/ denial Conditional Denial Date Denial Date Denial Date Denial Date Approval Date Denial Date ❑ Provided applicant copy of URBEC or VCBE Standards Handbook or El Not Applicable FINAL ADMINISTRATIVE OFFICER ACTION Z to N I N G P ER M! T APPROVED ? I I l i �� Approval Date Administrative Officer's Signature Permit EFFECTIVE date 2 Permit EXPIRATION date 2� ❑ DENIED REASON for DENIAL I 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 [151 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. NOTE: The applicant or permittee retains the obligation to identify, apply for, and obtain relevant state permits for this project. Call (802) 477-2241 to speak with the regional Permit Specialist. r.. Planning and Zoning Invoice/Receipt Property Owners Name: Property Location: SE S J zr-f G - Amount: 1 ; ZSs Payment Type: F e-C4�-FQ(f Date: f [ 2-1 J Certificate of Compliance CC Certificate of Occupancy CO - Chicken Permit CK- Design Review DR- DRB Applications Mi- -,Xneous Regulations Photocopies Postage Digitized Tax Map Peddlers Permit #_ Sign Permit SN-. Code Pricin cc $27.00 + $13.00 = co $140.00 + $13.00 = chic $20.00 / $10.00 signs- dr1 $55.00 - drb $ +$13.00 = msi $ copi $ post $ deve $ 60.00 / $120.00 ped $ sgn $55.00 Amount Due $40.00 $153.00 $ 55.00 Temporary Sign Permit TSN- tmp $5.00 $ Waste Water Permit WW- ww $50.00 + $13.00'= $ Zoning Permit ZP zp $ ( 2+5 + $13.00 = $ t Total $ f; 258 Do-- f Home Thank You for your Payment This is your receipt for payment. A copy is also being sent to you by email. Please print this receipt and retain it for your records. Payment date: 2/12/2019 9:00:38 AM Payment type: check Payer's email: dhall@sburl.com Account: ****'**2486 Transaction ID: 122434 Description Amount Interest Total City of South Burlington, State of Vermont Planning & Zoning, 2/12/2019, Catamount Environmental Inc., 935 $1,258.00 $0.00 $1,258.00 Shelburne Rd,ZP-19-028, Dalila Hall for P&Z Subtotal: $1,258.00 Site fee: $1.75 Payment total: $1,259.75 The following charges will appear on your credit card or checking account statement: $1,258.00: City of South Burlington $1.75 to Secure Bancard for the site fee listed above Privacy and Security . Terms of Use ©2005-2019 Systems East, Inc. x All rights reserved L, R E -D._ r 1 -