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Home My WebLink AboutZP-18-073 - 1205 Williston Road 3/20/2018DocuSign Envelope ID: 88908E53-85A4-4E7E-BACC-5F28D4FD88B2 CITY OF SOUTH BURLINGTON ZONING PERMIT APPLICATION Applicant: McDonald's USA, LLC Applicant Mailing Address: 690 Canton Street, Suite 310, MA 02090 Applicant Email: christina.pimenta@usa.mcd.com Property Street Address: 1205 Williston Road, South Burlington Property Owner: McDonald's USA, LLC Application No: -L [office use only] Daytime phone: 781-780-3796 Parcel Size: '29 acres VT 05403 Property Owner Mailing Address: 690 Canton Street, Suite 310, MA 02090 600-188-10148 (S Tax Parcel ID No. I. PROPOSED project including building dimensions (describe): McDonald's proposes minor renovations to the building interior with no changes to the building footprint or exterior facade. Renovations are limited to the dining area, front counter and bathrooms. 2. Present USE(S) of the property: El Single family home on its own parcel ✓❑Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.): McDonald's Restaurant 3. List all present structure(s) on property (describe including dimensions or square footage of each): McDonald's Restaurant is approximately 4,000 SF. 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): $ 458,000 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: No change Proposed: No change 7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) Existing: No change Proposed: No change 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) DocuSign Envelope ID: 88908E53-85A4-4E7E-BACC-5F28D4FD88B2 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. /—DocuSigned by: 3/1/2018 PrbvxJyPXqW6AIgqature PRINT NAME Date The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete. DocuSigned by: ^ 3/1/2018 Al,Aj@A,aklR... PRINT NAME Date i OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY l DATE Received:M FEE Received: $ Identificati n of zoning district: Identification of proposed use: PROPOSED USE TYPE: EzPermitted 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 pp 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 ADMINISTRATIVE OFFICER ACTION �Z O N I N APPROVED' Ai4roval D to A m' rative Officer's Sig re / Permit EFFECTIVE date Permit EXPIRATION date DENIED REASON for DENIAL Denial Date 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 )nd 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. Bohler Engineering, MA, «c a LETTER OF TRANSMITTAL TO: City of South Burlington Department of Planning and Zoning 575 Dorset Street South Burlington, VT 05403 17 Computer Drive West Albany, NY 12205 Tel: (518) 438-9900 • Fax: (518) 438-0900 PROFESSIONAL ENGINEERING SERVICES DATE: March 13, 2018 RE: McDonald's 1205 Williston Road South Burlington, VT ATTENTION: Raymond Belair, Administrative Officer JOB NO: B180132 We are sending you the following items via ® Attached ❑ Shop drawings ❑Prints ❑ Plans ❑ Specifications ❑ Copy of letter ❑ Item # # of copies Issue Date Description 1 1 Zoning Permit Application Fed -Ex 2 1 Check #2687 in the amount of $2,290.00 for Zoning Permit Application Fee 3 1 Check #2688 in the amount of $13.00 for Recording Fee 4 1 Full -Sized Building Plan Set These are transmitted: ❑ For approval ❑For your use ❑ As requested ❑ For review and comment REMARKS: For review. OPY TO: SIGNED: Steven Wilson, LEED AP If enclosures are not as noted, kindly notify us at once.