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HomeMy WebLinkAboutZP-18-116 - 0063 Proctor Avenue 4/13/2018CITY OF SOUTH BURLINGTON ZONING PERMIT APPLICATION 1 Applicant -pp cat on ���-� �-� i O A li i No: C (�r,r:�p �2 Lam, (� Ui`u�C loffice u e only] Applicant Mailing Address: •r � ( C �f � /`� (} D � Applicant Email: /X l,Yt'� ,�' A 4 N f�J &L . c4ll k Daytime phone: Property Street Address: (% r7 �i2(jG�t� �- /'yy ©` V �-' h (� l D N VT 05403 Property Owner:, )A-a4,4b � �i !X(,{ki�i� ,+II tf �� Parcel Size: Property Owner Mailing Address&'P-'� f7 L� �— �CU Tax Parcel ID No. 1. ''PROPOSED project including building dimensions (describe): 2. Present USE(S) of the property: j ElSingle 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): 5bC) 4. Does the project include a proposed change of USE? ONo (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): , op 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: 7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) Existing: Proposed: 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) I 9. APPLICANT/OWNER CERTIFICATION The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the Zonin Pe mit and ny attached conditions will be binding on the property. Property Owner Signature PRINT NAME Dat / The and si ned ap I' ant herby affirms that the information presented in this application is true, accurate and complete. v r�r o L 4 13 1'f Applicant Signatur PRINT NAME Date OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY DATE Received: FEE Recei d: $ / Identification of zoning district: Identification of proposed use: PROPOSED USE TYPE: 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 ADMINISTRA VE OFFICER ACTION Z O N I NitV�/R R,-„ T APPROVED Permit EFFECTIVE date 1-1 DENIED 7fficer's 5ignature Permit EXPIRATION date REASON for DENIAL Denial Date 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 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. K