HomeMy WebLinkAboutZP-17-414 - 0462 Shelburne Road 11/9/20171
CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Doug Brigante / K J Construction, Inc.
Applicant: Application I
Applicant Mailing Address: 219 Pearl Street / Essex Jct., VT 05452
Applicant Email: christal@kjconstruction.net (802) 879-2800
Daytime phone:
Property Street address: 462 Shelburne Road / So. Burlington . VT 05403
Property Owner: PPL 462 Shelburne Rd LLC Parcel Size:
Property Owner Mailing Address: 462 Shelburne Road / So. Burlington, VT Tax Parcel ID No.
use
PROPOSED project including building dimensions (describe): Minor modifications to (4) small exam rooms
to create (2) larger exam rooms. Project to include rework of casework, patch/paint, minor
HVAC, plumbing and electrical work to accommodate new floor plan.
2. Present USE(S) of the property:
❑ Single family home on its uwn parcel
Mother (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.):
Business Occupancy��/�
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): $ 78,665.00
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: No Change
7. Total square feet of other impervious surfaces on site (Le. driveways, patios, decks)
Existing:___________
Proposed: No Change
B. ATTACH SKETCH PLAN OR SITE PLAN (not required If project consists ONLY of interior renovations or replacement of
exisiing roof, siding, etc. in the exact same size)
a
9. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the
Zonin ermit and attached conditions will be binding on the property.
be.rt'�,,c a r� // /7
Property Owner Signature PRINT NAME Date
The undersi d applicant hereby affirms that the information presented in this application is true, accurate and complete
&jj 4L^4,e It/CI h
Appli ant ignatur PRIN AME Date
FICE SE ONLY —ADMINISTRATIVE OFFICER ACTION
/—OFFICE USE ONLY
DATE Received: FEE Received: $ - i ` Identification of zoning district: j
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 of Applicable
FINAL ADMINIST TIVE OFFICER ACTT
N
APPROVED
App val Dais
Inistrative Officer's Signa Kra
oe
Permit EFFECTIVE date /
Permit EXPIRATION
date
DENIED
REASON for DENIAL
Denial Date
Administrative Officer's Slonature
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
eifeci as sei 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.
2
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CHAIR 1
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(ODEMOLITION PLAN - ROOM 225, 226, 228, 230
scale: AS NOTED
Project no.
checked by. TS
drawn by EC
date: 10111/17
date revisions
sheet tide:
DEMOLITION PLAN
sheet no.
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scale: AS NOTED
project no.
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checked by: TS
drawn by: EC
date: 10/11/17
sheet tide:
PROPOSAL PLAN
sheet no.
A2.1