HomeMy WebLinkAboutZP-18-110 - 0022 Hawthorne Circle 4/11/2018CITY OF SOUTH BURLINGTON
Z O N I N G PERM IT APPLICATION
1-0Applicant: Bob Couture c/o Home Depot Application No: * ~ "
908 Boston T k, Shrewsbury, Ma. 01545 [office use only]
Applicant Mailing Address: p ry+
Applicant Email: servicepermit@gmail.com Daytime phone: 508-864-9273
Property Street Address: 22 Hawthorne Circle, South Burlington
Property Owner:
Denise Bernstien
Property Owner Mailing Address:
Same
Parcel Size:
Tax Parcel ID No.
VT 05403
1. PROPOSED project including building dimensions (describe): Remove and replace 1 three panel Patio
Door and 3 two panel slider window units.
NO STRUCTURAL CHANGE
2. Present USE(S) of the property:
I ❑ Single family home on its own parcel
❑✓ Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.):
CONDO
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?
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): $ 8120'00
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)
Existing:
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� Cl Bob Couture/Denise Berns 4/3/2018
Property Owner Signature PRINT NAME Date
The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
J'Q , ca � / �e-c Bob Couture/Home Depot 4/3/2018
Applicant Signature PRINT NAME Date
OFFICE USE ONLY — ADMINISTRATIVE OFFICER��q�'ION -OFFICE USE ONLY
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DATE Received: FEE Received: $ Identification of zoning district:
Identification of proposed use:
i
/ Y/
PROPOSED USE TYPE:
Permitted
Conditional
Date of SITE PLAN approval/denial
fi
Approval Date
Denial Date
Date of SUBDIVISION approval/ denial
Approval Date
Denial Date
i
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 lot Applicable
j FINAL ADMINISTRATIVE OFFICER ACTION
Z O N I DJ'" E R,
APPROVED /( r
Approval Date 'nistratiye Officer's Signature
�z
LjPm (/
Permit EFFECTIVE date d Permit EXPIRATION date /
DENIED REASON for DENIAL
Denial Date
i
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 [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
effect as set forth above. Site modifications and improvements made prior to this permit becoming effective may be subject to removal
Pnd 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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To whom it my coach
t, Denisc E emiim of 22 flatsthaw C:tr0c, S. But)ifloonw VT, give Robert Couture rta F?o
Dq0 pcmiision to sign any papas ur9t pertaining to the aWkA iott and ObUintnent Of aVY
mccssay yotung and building pernuts rc }atiwe to the in aliation, of'rtwppWenanrtt Wiadlawi at the
atotmentioncd property,
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yme Depot Contractor License Numbers:
4N/A
Salesperson Name and Registration Number:
Richard Bessette : R-I-C73-13-00029
Home Improvement Agreement
Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below Will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
Customer Information:
Denise Bernstien New England North 10722878
Fi st Name Last Narne Branch Narre Lead #
22 HAWTHORNE CIRCLE SOUTH BURLINGTON C5403
CustomarAddreas City State Zip
(802) 316-6275
Home Phona## Work Phone# Cell Phone#
eniselb6360@aol.com
Gustorrar E-rnail Add,Oss
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
`B Boston Turnpike Unit 1 Shrewsbury VA 01545
AO ress City State Zip
or Email CustomerCancellationNorthEast@homedepot.com
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME
CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU.
OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT
HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL.
Acl
X
03/22/2018
Date