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Home My WebLink AboutZP-17-367 - 0018 Whiteface Street 10/10/20171 CITY OF SOUTH BURLINGTON Z O N I N G P E R M I T A P P L I C A T I O N Applicant: Home Depot c/o Basia Leone Applicant Mailing Address: 908 Boston Tpk., Shrewsbury, MA 01545 Applicant Email: permitpull@gmail.com Property Street Address: 18 Whiteface St., South Burlington Property Owner: Anthony Dubuque Application No: "/ ' I [office use only] Daytime phone: 508-335-3587 Parcel Size: Property Owner Mailing Address: 18 Whiteface St., South Burlington Tax Parcel ID No. VT 05403 PROPOSED project including building dimensions (describe): Remove and replace 22 sq. asphalt roof shingles, drip edge, ridge vent and flashing. NO structural changes. 2. Present USE(S) of the property: 2 Single family home on its own parcel El 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) ❑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): $ 11,832.00 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: 7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) Existing: Proposed: 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) 9. APPLICANT/OWNER CERTIFICATION Ke undersigned property owner hereby consents to submit this application and understands that if the application is approved, the an g PerAitany=ill be binding on the property. B. Leone/A. Dubuque 10-02-2017 yOwre PRINT NAME Date V ersigned pplicant hereby affirms that the information presented in this application is true, accurate and complete. Basia Leone/Home Depot 10-02-2017 pplicant tPRINT NAME Date ign oe OFFICE USE ONLY — ADMINISTRATIVE hOFFICER ACTION — OFFICE USE ONLY DATE Received: 1 1�4 FEE Received: $ vv f / Identification of zoning district: Identification of proposed use: V PROPOSED USE TYPE: F-7iPermitted Conditional .7 zU2 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 L Approval Date Denial Date Provided applicant copy of URBEC or VCBE Standards Handbook or[�JNot Applicable APPROVED i I Dat Permit EFFECTIVE date 11 DENIED Denial Date FINAL ADMINISTRATIVE OFFICER ACTION O N I N30-7 P E R—WVT/ Aura nn strat e u cers signature ] v v Permit EXPIRATION date REASON for DENIAL ..... ... ..... ..........___._._.___ ___._.._Administrative OfficePsSi9nature _ 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. i OTE: 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. N J1 Pmeepot Contractor License Numbers: MA: 107774, 112785 Salesperson Name and Registration Number: Richard Bessette : R-1-073-13-00029 Home Improvement Agreement Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. Customer Information: Anthony Dubuque New England North K22:8550 First Name Last Name Branch Name Lead # 18 Whiteface St, South Burlington, VT [S��TH _^� [VT: 05403 Customer Address City State Zip (802) 860-9581 Home Phone# Work Phone# Cell Phone# vtdubu@myfairpoint.net Customer E-mail Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: b8 Boston Turnpike Unit 1 Shrewsbury MA 01545 Address City State Zip or Email CustomerCancellationNorthEast@homedepot.com BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR I14STRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: X 09/13/2017 Customer's Signature��— "�"'�' - Date 09-21-2017 To whom it may concern, [, Anthony Dubuque, of IS Whiteface St., S, Burlington, VT, Dive Basia :Leone c/o :Hoene Depot permission to si,n any Paperwork }pertaining to the application and obtainment of any necessary zoning and building, permits relative to the installation of replacement roof shingles at the aforementioned property. Anthony Dubuque CERTIFICATE OF LIABILITY DATE(MMlODIYYYY) INSURANCE 02 17/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA, INC. CONTACT NAME' -- PHONE fAX I (A/C. No): TWO ALLIANCE CENTER _ E-MAIL 3560 LENOX ROAD, SUITE 2400 ATLANTA,GA 30326 — — -- — _ INSUR_E_R(SI AFFORDING COVERAGE NAIC0 100492-HomeD-GAW'-17.18 INSURER A: Old Republic Insurance Co 24147 INSURED INSURER B : A9r1 General Insurance Company 42757 THE HOME DEPOT, INC. INSURER C : New Hampshire Ins Co 23841 HOME DEPOT U.S.A., INC 2455 PACES FERRY ROAD BUILDING C-20 INSURER D_ INSURER E: ATLANTA, GA 30339 _ INSURER F COVERAGES CERTIFICATE NUMBER: ATL-003746387-14 REVISION NUMBER•2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIODlYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY MWZY 310022 03/010017 03/01/4018 EACH OCCURRENCE S 9,000.000 PREMISES (Ea occurrence) '� S 1,000,000 CLA MS -MADE X OCCUR MED EXP (Any one person) S EXCLUDED LIMITS OF POLICY XS OF SIR: $1M PER OCC PERSONAL 3 ADV INJURY $ 9,000,000 GENERAL AGGREGATE 1 S 9,000,000 GEN'L AGGREGATE LIM T APPLIES PER X POLICY PRO- ECT LOC PRODUCTS - COMPIOP AGG S 9,000,000 $ OTHER A 1 X LIABILITY ANY AUTO MWT8310021 Mc IN IN LE LIMIT Eadent S 1,000,000acAUTOMOBILE BODILY INJURY (Per person— ) $ / ALL OWNEDL SCHEDULED AUTOS AUTOS SELF INSURED AUTO PHY DMG BODILY INJURY (Per accident) s HtREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ IS UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE i S EXCESS UAB AGGREGATE $ DED RETENTIONS is B C C WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN EXCLUDED? OFFICER)MEMBER(Mandatory (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N 1 A WLR C49112300 (TN) 103/0112017 WC 023102423 (AK,NH,NJ,VT) WC 023102424 (WI) Continued on Additional Page 9 0310112017 03/0112017 03/O1/2018 03/01/2018 03/01l2018 X R OTH- STAT TE ER E L EACH ACCIDENT S 1,000,000 EL DISEASE - EA EMPLOYE $ 1,000.000 E L DISEASE - POLICY LIMIT I S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) EVIDENCE OF INSURANCE HOME DEPOT USA, INC 2455 PACES FERRY ROAD ATLANTA,GA 30339 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukhefiee U 19SU-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD