HomeMy WebLinkAboutZP-18-264 - 0008 Moss Glen Lane 6/29/2018CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant:
Tesla Energy Operations
Applicant Mailing Address: 66 BOwdoin St., Suite 200, South Burli
Applicant Email: danphillips@tesla.com
Application No:
ton, VT 05403
-9-3
[office use only]
Daytime phone: 802-777-4842
Property Street Address: 8 Moss Glen Lane
Property Owner: Steven Hollister
p Y Parcel Size:
Property Owner Mailing Address: 8 Moss Glen Ln South Burlington VT 054(
p Y 9 Tax Parcel ID No.
1. PROPOSED project including building dimensions (describe):
Remove and replace roofing, shingles and underlayment, 2800 square foot.
VT 05403
1195-00CM
2. Present USE(S) of the property:
c
❑✓ 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 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.):
5. ESTIMATED total cost of improvements (materials and labor): $ 9,870
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)
Existi
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. 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 any attached conditions will be binding on the property.
ayw,� S{eve✓] }�1�
Property Owner Signature PRINT NAME Date
The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
Danielle Phillips 6/29/18
Applicant Signature PRINT NAME Date
OFFICE USE Q Y — ADMINISTRATIVE OFFICER ON — OFFICE USE ONLY
7
DATE Received: /(/'J( FEE Received: $ (/ I ntification of zoning district: Z
Identification of proposed use:
PROPOSED USE TYPE: EZ'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
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
APPROVED
�N I N G
Appro al Date / ` i str ti a Officer's Signature
Permit EFFECTIVE date ( Permit EXPIRATION date
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 removal
)d 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)
879-5676 to speak with the regional Permit Specialist.
Is
DocuSign Envelope ID: 5F977AOD-F583-46AC-AB99-ADA22F750BEB
I have read this Amendment in its entirety and I acknowledge that I have received a complete copy of this
Amendment. This amendment supersedes any prior amendments that are inconsistent with the subject
matter contained herein.
The pricing in this PPA Amendment is valid for 30 days after 5/19/2018. If you don't sign this PPA Amendment and
return it to us on or prior to 30 days after 5/19/2018, Tesla reserves the right to reject this PPA Amendment unless
you agree to our then current pricing.
DMUSIfb
Customer' e
Signature:
s
�4C77UBE0131407
Date: 5/20/2018
Customer's Name:
Signature. -
Date:
Power Purchase Agreement Amendment, version 2.5.0, April 30, 2018
3281804
Power Purchase Agreement Amendment
Tesla Approved
Cal Lankton
VP, Energy Sales and Operations
Date: 5/19/2018