HomeMy WebLinkAboutZP-18-086 - 0165 Hayes Avenue 3/30/2018CITY OF SOUTH BURLINGTON
Z O N I N G PERM IT APPLICATION
~/0APPlicant:206 CUUIUg
Application No:
Applicant Mailing Address:[office use only]
Q6� ,BOSTa� �k ,S/1Rc'u�f 8u2 /�% ()I�SGS
Applicant Email: Se2v i (-e PeLmI F LwifIn/9/L • CDi�-) Daytime phone: 'P6V—902--73
Property Street Address: 1&5 I ,#Yes 1 Vr �OrJM Vu&4IA)6 -eA) . VT 05403
Property Owner: 21-haC S4/1J7-OS
Property Owner Mailing Address:
Parcel Size:
Tax Parcel ID No.
1. PROPOSED project including building dimensions (describe)�f1Y1Qve #ti-o
gut-) G W INayws 1D061-e &A 00-boo #,UD l a AtrNeL
6 � I-D& IL'•
IJ b l �ycTv/t �-- Gho6e
2. Present USE(S) of the property:
PSingle 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?
®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): $ /� 70 -7
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)
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.
CoNilLA6T )` bei.) 3 -ad —Av/fir
Property Owner Signature PRINT NAME Date
The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
c d A a v/ �2 3 -a (o -1)01 k
Applicant Signature PRINT NAME Date
OFFICE USE ONLY — ADMINISTRATIVE OFFICER APTION — OFFICE USE ONLY
,p— 11
DATE Received: / FEE Received: $ dentification of zoning district:
12
Identification of proposed use:
PROPOSED USE TYPE: PermittedConditional
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
EProvided applicant copy of URBEC or VCBE Standards Handbook or[:]Not Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
Z O N I P E I-T
APPROVED
Approval Date m/inistrative Officer's Signature
Permit EFFECTIVE date / Permit EXPIRATION date ✓�
❑DENIED REASON for DENIAL
j
Denial Date i
rawnuusuauve vmcers �� nature
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.
Pme Depot Contractor License Numbers:
oN/ A
Salesperson Name and Registration Number:
Richard Bessette : R-1-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:
Clare Santos New England Borth I10725519
Fist Name Last Narne Branrh Narre Lead d
165 Hayes Ave SOUTH BURLING70N C5403
CustomerAddreSs City State Zip
(802) 557-1980 (518) 593-5954
Hor-e Phona# Work Phone# Cell Phone*
lare.santos@gmail.com
uustorrer t-r,an :aa-ess
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
)8 Boston Turnpike Unit 1 Shrewsbury NO C1545
Ap 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 DEPOTS 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
03/20/ 2018
Dare
3/26/2018
To whom it may concern, .
I, Clare Santos, of 165 Hayes Ave. S. Burlington, VT, give Robert Couture c/o Home Depot
permission to sign any paperwork pertaining to the application and obtainment of any necessary
zoning and building permits relative to the installation of replacement Windows at the
aforementioned property.
Clare Santos