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HomeMy WebLinkAboutZP-17-405 - 0055 Chaplin Lane 11/2/2017CITY OF SOUTH BURLINGTON ZONING PERMIT APPLICATION Applicant: C to-C e S &W V'i Jb Y1 A C Applicant Mailing Address: Applicant Email: Application No: Z t E- vo-� [offi% f P/ ©S 4ca Z n�Yl _ phone: Property Street Address: 6-5 C L h �.r m Lyr �, %3 r t N � `r.�f W dsa&iProperty Owner: .. & 'lam Gd JS } L L Parcel Size: Property Owner Mailing Address: �L�7f `£1 y /cam Sid 1d 3 C01-6 Ml? Tax Parcel ID No. 1. PROPOSf-Dproject including b l)ng dimensions (describe): 'f,Y1/fz- l VT 05403 7_ Present I1 (S) of the property: Single 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 dimensi, ns or square footage of each): 4. Does th 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): 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 "� r ( Y p ) Existing: Proposed: S. 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/OK AT10N The ypder, er hereby consents to submit this application and understands that if the application is approved, the Zoni g,Pconditions will be binding on the property. Prop,ner Signature PRINT NAME Date The undersigned ap licant hereby affirms that the information presented in this application is true, accurate and complete. �" Ie4 < fin' 1' hi -,-x Apoficaril,eXature PRINT NAME Date / OFFICE E 0 LY — ADMINISTRATIVE vOFFICE /ft ACTION —OFFICE USE ONLY DATE Received: 1 FEE Received: � Identification of zoning district: f� 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 1 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 OFFICE ACTION Z O N I G I•T APPROVED A royal Date mi 's rat've Officer's �Signature Permit EFFECTIVE date ( / Permi9EXPIRATION date ! � �✓ I 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 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. 9 TCE POINT #5 ELEV.=354.93 e 1 OI 000dx.� a�F )q,0 TCE PNT 5 ELEV 354.93 6243 - 0,00 IFNOTPRINT 33 16242 -mac 0, 00 FOOTPRINT 3B TCE POINT # 13 ELEV.=360.42 - G� - - - - TCE POINT #30 ELEV.=357.91 A&,-