HomeMy WebLinkAboutZP-19-002 - 1210 Williston Road 1/3/2019CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: c 9« tit 1 ;(ulV1 Application No: 19 4"
[ofce use only]
Applicant Mailing Address:
Applicant Email: � IS�I CWA c-Vx fil(i 1 �i-�rr�` .� ��Y) Daytime phone: 7�(�2-
Property Street Address: C_l L S,-UVI V_ \ `'. VT 05403
Property Owner: \" \ �Q�t �)\ (�Y1; Parcel Size:
Property Owner Mailing Address: Tax Parcel ID No.
1. PROPOSED project including building dimensions (describe): i'-1 Vl 6-P V' < 6 1 ay&2-m
— t i qr,e-4- —�1 —_l\ 1e — ._ t.1 -
2� Oresent USE(S) of the property:
O Single family home on its own parcel
J Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.):
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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?
M No (the property will still be used for the same purpose)
O 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): $ SQ90 0
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
1 existing roof, siding, etc. in the exact same size) Gi r6 -C)5
its
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 ny attached conditions will be binding on the property.
Pro rty caner SiqW
Xre PRINT NAME Date
The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
Applicant Signature
NAME Date
OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY
DATE Received: ' FEE Received: $ .6 f 13 Identification of zoning district:-
(iM jrJ
Identification of proposed use: (,DNtiM MtCI (xtL
PROPOSED USE TYPE: _ Permitted Conditional
Date of SITE PLAN approval/denial I28 -84SP-18 —5�)_ ,
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
Approval Date Denial Date
❑ Provided applicant copy of URBEC or VCBE Standards Handbook or ❑ Not Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
Z t. O N I N G P E R M I T
M
W APPROVED I (I 9
Approval Date Administrative Officer's Signature C
Permit EFFECTIVE date L I Permit EXPIRATION date C)
❑ 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 rem(
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.