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Home My WebLink AboutSD-22-01 - Supplemental - 0005 Johnson Way (6)575 Dorset Street South Burlington, VT 05403 tel 802.846.4106 fax 802.846.4101 www.sburl.com Permit Number SD-______-__________ (office use only) APPLICATION FOR SUBDIVISION PLAT REVIEW ප Preliminary ප Final PUD Being Requested? ප Yes ප No All information requested on this application must be completed in full. Failure to provide the requested information either on this application form or on the plans will result in your application being rejected and a delay in the review before the Development Review Board. 1.OWNER(S) OF RECORD (Name(s) as shown on deed, mailing address, phone) 2.LOCATION OF LAST RECORDED DEED (Book and page #) 3.APPLICANT (Name, mailing address, phone) 4.CONTACT PERSON (Name, mailing address, phone) a.Contact email address: 5.PROJECT STREET ADDRESS: 6.TAX PARCEL ID # (can be obtained at Assessor’s Office) ■ ■ Myra Ameigh & Elise Ameigh 5 Johnson Way South Burlington, VT 05403 Phone: (802) 922-0234 Book: 1602 / Page: 209-211 Brendan Connolly P.O. Box 2577 Sag Harbor, NY 11963 Phone: (917)-287-1927 O'Leary-Burke Civil Associates (Bryan Currier) (802)-878-9990 13 Corporate Drive, Essex Junction, VT 05452 bcurrier@olearyburke.com Sadie Lane, South Burlington, VT 05403 0570-01700 2 Subdivision Application Form. Rev. 01-2020 7.PROJECT DESCRIPTION a.General Project Description (describe what you are proposing): b.Existing Uses on Property (including description and size of each separate use): c.Proposed Uses on property (include description and size of each new use and existing uses to remain): d.Total building square footage on property (proposed buildings and existing buildings to remain): e.Height of building & number of floors (proposed buildings and existing buildings to remain, specify if basement and mezzanine): f.Number of residential units (if applicable, new units and existing units to remain): g.Number of employees (existing and proposed, note office versus non-office employees): h.Other (list any other information pertinent to this application not specifically requested above, please note if Overlay Districts are applicable): i.List any changes to the subdivision, such as property lines, number of units, lot mergers, etc. The proposed project is for a 3-lot subdivision to create 2 new build-able single family lots. Lot #4 will total 0.45 acres, Lot #5 will total 0.47 acres, and the remaining lands (Lot #1) will total 7.04 acres. A 2,700 SF +/- single-family home exists on the remaining lands lot with access from Dorset Street. Residential. Single-family homes on each of the subdivided lots. Existing: 2,700 SF +/- single family home and the proposed single family homes. Building Height from Pre-Construction Grades: Lot #4 = 26.75 feet Lot #5 = 27.25 feet 1 Existing Unit, 2 New Units. Total = 3 Units N/A A new pump station will be constructed to pump wastewater to the municipal pump station within the Cider Mill Development. The municipal water main will be tapped on Sadie Lane. 3-lot subdivision to create 2 new build-able single family lots. Lot #4 will total 0.45 acres, Lot #5 will total 0.47 acres, and the remaining lands (Lot #1) will total 7.04 acres. 3 Subdivision Application Form. Rev. 01-2020 8.LOT COVERAGE (ALL information MUST be provided here, even if no change is proposed) a. Size of Parcel: (acres /sq. ft.) b.Building Coverage: Existing square feet % Proposed square feet % c.Overall Coverage (building, parking, outside storage, etc): Existing square feet % Proposed square feet % d.Front Yard Coverage(s) (commercial projects only): Existing square feet % Proposed square feet % 9.WETLAND INFORMATION a.Are there any wetlands (Class I, II, or III) on the subject property? ප Yes ප No b.If yes, is the proposed development encroaching into any of these wetlands associated 50’ buffers (describe) c.If yes, please submit the following with this application: 1.A site specific wetland delineation of the entire property or a written statement that the applicant is relying on the City’s wetland map. 2.Response to the criteria outlined in Section 12.02(E) of the Land Development Regulations (applicant is strongly encouraged to have a wetland expert respond to these criteria) 10.AREA DISTURBED DURING CONSTRUCTION: ___________________SQ. FT. * *Projects must follow the City’s specifications for erosion control in Article 16 of the Land Development Regulations. Projects disturbing more than one (1) acre require a permit from the Vermont Department of Environmental Conservation. Approx. 30,000 7.98 2,700 1 7,260 2 5,906 2 13,666 4 No, the proposed development does not encroach into any of these wetlands. 4 Subdivision Application Form. Rev. 01-2020 11.COST ESTIMATES a.New Building or Addition, including initial fit-up. (If fit-up not available, contact Planning & Zoning staff) $ b.Landscaping:$ (Please submit itemized list of landscaping proposed) c.Other site improvements (please list with cost) 12.ESTIMATED TRAFFIC a.P.M. Peak hour for entire property (In and out): 13.PEAK HOURS OF OPERATION: 14.PEAK DAYS OF OPERATION: 15.ESTIMATED PROJECT COMPLETION DATE: 16.PLANS AND FEE Plans shall be submitted which show the information required by the City’s Land Development Regulations. One digital (PDF format) copy of all application materials listed in LDR Appendix E, with plans provided as individual sheets and named to include sheet number and latest revision date, must be submitted. An application fee shall be paid to the City at the time of submitting the application in accordance with the City’s fee schedule. NOTE: NOTIFICATION of ADJOINING PROPERTY OWNERS: Notification of adjoining property owners, in accordance with 24 V.S.A. §4464(a) and Section 17.06(B) of the South Burlington Land Development Regulations, is the responsibility of the applicant. After deeming an application complete, the Administrative Officer will provide the applicant with a draft meeting agendas or public hearing notice and sample certificate of service. The sworn certificate of service shall be returned to the City prior to the start of any public hearing. I hereby certify that all the information requested as part of this application has been submitted and is accurate to the best of my knowledge. ________________________________________ SIGNATURE OF APPLICANT _________________________________________________________________________ SIGNATURE OF PROPERTY OWNER PRINT NAME 650,000 +/- (2 SFH) 400 (Cedar Hedge) Shared driveway, water service, sewer service. N/A N/A N/A 2023 Elise Ameigh Digitally signed by Elise Ameigh DN: cn=Elise Ameigh, o=KidSafe Collaborative, ou, email=elisea@kidsafevt.org, c=US Date: 2021.11.19 15:50:38 -05'00' 5 Subdivision Application Form. Rev. 01-2020 ___________________________________________________________________________ Do not write below this line DATE OF SUBMISSION: I have reviewed this preliminary plat application and find it to be: Complete Incomplete _______________________________________________________ Administrative Officer Date 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.