HomeMy WebLinkAboutZP-18-363 - 0730 Shelburne Road 9/12/2018CITY OF SOUTH BURL.INGTON
ZONING PERMIT APPLICATION
Applicant: rl _-ty Ei17g119 IMC Application No: ZP'18- 3
//�� 11,, {art (office use only]
Applicant Mailing Address:, -7316 -41 U S T CfA{ �� 2 FA}Z{�jU 0-161`9 �Y Q�/0� I
Applicant Email: , ��rhn�CQl Q�Q }� lno t rC1� Daytime phone: Z-i ;5' Ql�o' gOW
Property Street Address: l��1 cC(Lj�� i�"D� �}} �]p��NF,�(�t� yVT 05403
Property Owner: DENN NIC, CCW-FORP,-Ttom Parcel Size: 2 `71
Property Owner Mailing Address: 2U2) „SVA0TAt)9Q j Tax Parcel ID No.
s c.
1. PROPOSED project including building dimensions (describe): 06n1 C;OS'YtVC )7'Yyt(}(". eA
o Ck Q q0A 5q�-t `Dennu' s
2. Present USE(S) of the property:
❑Single family home on its own parcel
❑Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.):
-T?0')JRAPq
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?
No (the property will still be used for the same purpose)
Yes (please state proposed changed or added USES per Land Development Regulations- retail, general
office, multifamily residential, etc.). (�
S. 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 unclosed
breezeways, garages, and sheds (describe): Existing: 4, �bg Proposed: -1 . a 64
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: (,{,r �?�� Proposed: IS ZOG 'Ste_
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 undersigned property owner hereby consents to submit this application and understands that if the application is approved, the
Zoning Permit and
any attache condiVons will be binding on the property.
Property Owner
PRINT NAME
Date
The undersigned applicant hereby affirms that the information presented In this application is true, accurate and complete.
Applicant Signature PRINT NAME Data
OFFICE USE ONLY - ADMINISTRATIVEOFFICERACTION - OFFICE USE ONLY
DATE Received: q 2 FEE Received: $ Identification of zoning district C1 ' 1\ 1 5
Identification of proposed use: lm\-CL rf _
PROPOSED USE TYPE: Mpermitted =Conditional
Date of SITE PLAN approval/denial.519-18'r'Y3 2�Z36 �<
—
Approval Date Denial Data
Date of SUBDIVISION approval/ denial
Date of CONDITIONAL USE approval/ denial
Date of appeal VARIANCE approval' denial
Date of MISCELLANEOUS approval/ denial
Approval Data Denial Date
Provided applicant copy of URBEC or VCBE Standards Handbook orL spot Applicable
Approval Data
Approval Data
Approval Date
Denial Date
Denial Date
Denial Date
APPROVED
FINAL ADMINISTRATIVE OFFICER ACTION
Z0N_Nd/i�ERMIT
Approval Date A Administrative Officor's Signature py
Permit EFFECTIVE date { Z Permit EXPIRATION date
1-1 DENIED
Denial Date
REASON for DENIAL
Notice of Appeal Rights: Any interested person may appeal this decision by filing a written Notice of Appeal wilh 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 removal
and site restoration if a timely appeal is commenced.
NOTE: The applicant or permlttee 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.
61 hG /Tc` 1c�I�%S Q r f�.► -we—
d'� Y