HomeMy WebLinkAboutZP-17-363 - 1125 Shelburne Road 10/6/2017CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant:
Larkin Milot LLP
Applicant Mailing Address: 410 Shelburne Rd, Burlin
Applicant Email: debsherman@larkinrealty.net
Property Street Address:
1125 Shelburne Rd
Property Owner:
Larkin Milot LLP
n VT 05401
Application No:
If-4
f- /-
[ofce use only]
Daytime phone: 864-7444
Parcel Size: 4.15
VT 05403
410 Shelburne Rd Burlington 05401 75
Property Owner Mailing Address: Tax Parcel ID No. � �� -��
1. PROPOSED project including building dimensions (describe):
GMP utility vault and landscaping
2. Present USE(S) of the property:
❑ Single family home on its own parcel
i ❑ Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.):
McDonalds restaurant
3. List all present structure(s) on property (describe including dimensions or square footage of each):
restaurant bldg, no change
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): $ 10,500.00
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: n/a Proposed: n/a
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: n/a Proposed: n/a
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/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.
ffy
Applicant
r
NAME
0kl
Date
igned applicant hereby affirms that the information presented in this application is true, accurate and complete.
I _ LO A .
PRINT NAME
Date
OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY �j
DATE Received: FEE Received: $ Identification of zoning district: ' 1'
Identification of proposed use:
PROPOSED USE TYPE: P rmitted _ Conditional
Date of SITE PLAN approval/denial 1
A prow I baTe 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[:]Not Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
Z O N/ ,�, P� I T
/.-
'APPROVED
Approval Date dminis ratio Officdr s Signature
Permit EFFECTIVE date � � Permit EXPIRATION date U
DENIED REASON for DENIAL
Denial Date
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
'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.