HomeMy WebLinkAboutZP-18-051 - 0155 Dorset Street 3/7/2018CITY OF SOUTH BURLINGTON
Z O N I N G PERM IT APPLI CAT I O N
Applicant: Application No:
-
-of(
[office use only]
Applicant Mailing Address: V o ��, �.�?ZC7 WQcNA scrt.� �� S y
Applicant Email: Pam' CCTV'%/ tWCt- i.,@. G rA0- � + GC>� Daytime phone: Z%(n` (o(0% c='
Property Street Address: ` r—)CYt,fl ¢ S" a I� w cM�cs� VT 05403
Property Owner: l BC-f'h"T ?-oo-t 3 001' st %-r L.1--C Parcel Size:
Property Owner Mailing Address:1 545 Qci1.4-AX 5Y SO QCtA.L-&c_ [lin_ Tax Parcel ID No.
1. PROPOSED project including building dimensions (describe): QL.Q-�
_' ,
2.
Present USE(S) of the property:
O Single family home on its own parcel
O 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)
O 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): $
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
\ dsting 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 Zoninii�it and an ched conditions will be binding on the property.
,1 /
_J
perty Ow er Signature PRINT NAME Date
The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
Signature
NAME
Date
O FICE USE ONLY —ADMINISTRATIVE OFFICER ACTION OFFICE USE ONLY 1
DATE Received: FEE Received: $ Iden 'fiction of zoning district: /
Identification of proposed use:/Pxl�494
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
11
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 0 Not Applicable
FINAL ADMINIST ATIVE OFFICER ACTION
7 I�Z O N I I T
ET APPROVED
Approval Date Adnislarative Officer's Signature
Permit EFFECTIVE date A Permit EXPIRATION date
❑ DENIED
Denial Date
REASON for DENIAL
Administrative Officer's Siqnature
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 rem
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) 477-2241 to speak with the regional Permit Specialist.