HomeMy WebLinkAboutZP-18-171 - 0009 Pavilion Avenue 5/10/2018CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: � � o2(CVH�) Application No: IA—
Q �� �� �/
Applicant Mailing Address: [office use only] �// !�'7 �
Applicant Email: ckaC�g eAC-6(r2 ( c,� �� Daytime phone: 60 �' Z 3 j
Property Street Address: 7 �' v J VT 05403
Property Owner: 38 Parcel Size:
Property Owner Mailing Address:
5 A�
1. PROPOSED project including building dimensions (describe):
Tax Parcel ID No. I S110— IX,
2. Present USE(S) of the property:
' 9Single 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):
sue'Z^'Ds 12-
4. Does th 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): $ 20 0, O D(—)
6. Building footprint— i.e. size in sq.ft of main floor of house and all attached and detached structures including enclosed
112,
breezeways, garages, and sheds (describe): Existing: 1 1 7✓Z(P Proposed:
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: ) 1 7 3 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
Zoning P,eP, ymit d any attaecf o
Prdperty Owner Signature
The unde0sicindd at)blic
re
eby consents to submit this application and understands that if the application is approved, the
ons will be binding on the property.
PRINT NAME Date
s that the information presente this application is true, accura and complete.
PRINT NAME Date
OFFICE USO)N1 Y — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY
DATE Received: / FEE Received: Poe'7 74/� Identification of zoning i s ri g d t ct
Identification of proposed use: v /�
PROPOSED USE TYPE:
= Permitted
L—LIConclitional
Date of SITE PLAN approval/denial
Approval Date Denial Date
Date of SUBDIVISION approval/ denial
Approv I Date
Denial Date
Date of CONDITIONAL USE approval/ denial v
A rove Date Denial Date
Date of appeal VARIANCE approval/ denial
Approval Date Denial Date
Date gf`MISCELLANEOUS approval/ denial
Approval Date Denial Date
11 Provided applicant copy of URBEC or VCBE Standards Handbook orE]Not Applicable
e
APPROVED
Anioroval D2
Permit EFFECTIVE date
DENIED
Denial Date
FINAL ADMINISTRATIVE OFFICER ACTION
Z O N I E I Ti
tr T� Officer's 6ignature _ 9�
Permit EXPIRATION date /v
REASON for DENIAL
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
Ind 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.
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FOR REVIEW ONLY
NOT FOR CONSTRUCTION
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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. �j l
Zoning Permit Application No. Z/-
(office use only)
The undersi ned property owner(s) hereby waives any and all rights to appeal the
appro (s o e Develop t Review Board, listed bel//Vv
t7f i�
ope y Owner Date
roperty Owner Date
The undersigned applicant(s) hereby waives any and all rights to appeal the approval(s)
of the, v to nt Re iew o rd, listed below.
scan��/7/ C Date
- �.. Z
plicant 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
CITY OF SOUTH BURLINGTON
WAIVER OF RIGHT TO APPEAL
Date of conditional use approval/denial /9/9
ppro al Date Denial Date
Date of appeal variance approval/denial
Approval Date Denial Date
Date of miscellaneous approval/denial
Approval Date Denial Date
Date of design approval/denial
Approval Date Denial Date
-2-
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.
4��f � 5' , 1
ropertyOwner Date
2-1
Property Own r Date
The undersigned applicant(s) hereby waives any and all rights to appeal the approval(s)
;of the e pment Revi Board, listed below.
pplicant 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
CITY OF SOUTH BURLINGTON
WAIVER OF RIGHT TO APPEAL
Date of conditional use approval/denial //9
pprov I Date Denial Date
Date of appeal variance approval/denial
Date of miscellaneous approval/denial
Date of design approval/denial
Approval Date Denial Date
Approval Date Denial Date
Approval Date Denial Date
-2-
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 velopment Review Board, listed below.
Property Owner Date
Property Owner Date
The undersi ned applicant(s) hereby waives any and all rights to appeal the approval(s)
of the ev o ent, Revie rd, listed below.
licant _ Dat
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
CITY OF SOUTH BURLINGTON
WAIVER OF RIGHT TO APPEAL
Date of conditional use approval/denial 7 /v /"
A provai Date Denial Date
Date of appeal variance approval/denial
Approval Date Denial Date
Date of miscellaneous approval/denial
Approval Date Denial Date
Date of design approval/denial
Approval Date Denial Date
-2-