HomeMy WebLinkAboutZP-18-134 - 0370 Shelburne Road 4/25/2018CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: I Al0-31.{AvKr_- 14AIk -T n®I Application No:
[office use orlyl
Applicant Mailing Address: /2 7 A&.' . t% A- t L g,-. {, Erw V
Applicant Email: 7NA0Vre VT P cjd.�<44t i. ,. 1- Daytime phone: .3Y1 4 o
Property Street Address: 3 ha .,- C 44 VT 05403
Property Owner: 14A,)1-,L lr' Parcel Size:
Property Owner Mailing Address: I7 AJ o-- TL Ar 5-Ail V IL Tax Parcel ID No. !S yu •w3 7 o
A
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I. PROPOSED project including building dimensions (describe): M�.2 4%
2. Present USE(S) of the property:
❑ Single family home on its own parcel
[ her (please state the USE per Land Development Regulations• retail, general office, multifamily residential, etc.):
3. List all present structure($) on property (describe including dimensions or square footage of each):
/ 7 0— S-n PT C M
4. Does the project include a proposed change of USE?
INo (the property w111 still be used for the same purpose)
Elyes (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): $_.y5: C-CA r
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: 17 ovv Proposed:
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: bS y f►? S *•L Proposed: ,,vo d. L..+,. p
SQ ,ter
$. ATTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of
existing roof, siding, etc. in the exact same size)
9. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the
Zon ermit and any attached conditions will be binding on the property. j
perty Owner Signature PRINT NAME Date
The ndersi ned{apptic t hereby affirms that the information presented in this application is true, accurate and complete.
Applicant Signature PRINT NAME Date
OFFICE
US Y — ADMINISTRATIVE OFFICER / f — OFFICE USE ONLY
DATE Received: y / FEE R ivveedd/$ GIiE� / Identification of zoning district. v
Identification of proposed use: IN �l N"1 ��/
PROPOSED USE TYPE:
Date of SITE PLAN approval/denial
Date of SUBDIVISION approval/ denial
Date of CONDITIONAL USE approval/ denial
Permitted =Conditional
Approval Date
Approval Date
Approval Date
Denial Date
Denial 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 URSEC or VCBE Standards Handbook or of Applicable
FINAL ADMINIS
Q N 1 N/
APPROVED
L a
Permit EFFECTIVE date
Dentai Date
Officer's Signaturi
Permit EXPIRATION date
REASON for DENIAL
Administrator- Officer s Signature
Notice of Appeal Rights: Any interestedperson 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
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.