HomeMy WebLinkAboutZP-18-229 - 0004 Slocum Street 6/7/2018CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: �' rApplication No:
zl$ —A
[office use only]
Applicant Mailing Address:
Applicant Email: Daytime phone: �� y'-'S - 21
Property Street Address: lj�' @ C--------- , VT 05403
Property Owner:
Parcel Size:
Property Owner Mailing Address: Tax Parcel ID No.
1. PROPOSED project including building dimensions (describe): F2 G`wC h OP, )I ,'VJ !9 L e C
F11 j`T T �v , Ti f )° k d /a c' : i / L , ni c 0 ?fi . �. , .� 7-6S 6 -"
✓0 n A ,v dNOw A/" r. J d0,2 0,0 CIZ T J, l C v a 1 r X, ,t I, - C'
2. Present USE(S) of the property:
i 1 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?
RNeso (the property will still be used for the same purpose)
(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): $ 6" S 11 d
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: Sr F% Proposed: i
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: i %� 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.
i
Property Owner Signature
PRINT NAME
'4/ iP
Date
The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
Applicant Signature
PRINT NAME
Date
OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY
DATE Received: FEE Received: $ t�7 t1l"Identification of zoning district: 1-4
Identification of proposed use:J-
PROPOSED USE TYPE:
Date of SITE PLAN approval/denial
Date of SUBDIVISION approval/ denial
Date of CONDITIONAL USE approval/ denial
Date of appeal VARIANCE approval/ denial
Permitted
Approval Date
Approval Date
Approval Date
Conditional
Denial Date
Denial Date
Denial Date
Apprroova/ DD te� Denial Date
Date of MISCELLANEOUS approval/ denial 1 /
ppr val Date Denial Date
Provided applicant copy of URBEC or VCBE Standards Handbook or %Not Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
Z O N N G P E I T
®I APPROVED
- / Ae
Approv I Date / Admi is ive Officer Signature
Permit EFFECTIVE date �/ // Permit EXPIRATION date /
DENIED
Denial Date
REASON for DENIAL
Ad
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
hect 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)
879-5676 to speak with the regional Permit Specialist.
CITY OF SOUTH BURLINGTON
WAIVER OF RIGHT TO APPEAL
The Administrative Officer may issue a Zoning Permit pursuant to an approval of a
Zoning Permit Application prior to expiration of the thirty -day appeal period set forth in 24
V.S.A. section 4471 only if there are no interested persons, as defined in the
aforementioned section, other than the City and the applicant/landowner, and if the
applicant/landowner waives his or her rights to appeal any relevant Development Review
Board approvals. In order to ensure the finality and validity of any relevant Development
Review Board approvals in those cases where there are no interested persons other
than the applicant/landowner and the City, the applicant/landowner must waive his or her
rights to appeal in order to receive a Zoning Permit prior to the expiration of the appeal
period.
Zoning Permit Application No.
(office use only)
The undersigned property owner(s) hereby waives any and all rights to appeal the
approval(s) of the Development Review Board, listed below.
Property Owner Date
Property Owner Date
The undersigned applicant(s) hereby waives any and all rights to appeal the approval(s)
of the Development Review Board, listed below.
Applicant Date
Applicant Date
Do not write below this line - For office use only
Date of site plan approval/denial
Date of subdivision approval/denial
Approval Date Denial Date
Approval Date Denial Date
-1-
CITY OF SOUTH BURLINGTON
WAIVER OF RIGHT TO APPEAL
Date of conditional use approval/denial
Date of appeal variance approval/denial
Approval Date Denial Date
Approval Date Denial Date
Date of miscellaneous approval/denial /Z/*_
A pro al Date
Denial Date
Date of design approval/denial
Approval Date Denial Date
-2-