The URL can be used to link to this page

Home My WebLink AboutZP-22-115 - 0022 Orchard Road 4/15/20221 Rev 2019-11 CITY OF SOUTH BURLINGTON ZONING PERMIT APPLICATION PROPERTY Street Address: _________________________________________ Application No: _________________ [office use only] Property Owner: __________________________________________________ Parcel Size: ___________________ Property Owner Mailing Address:___________________________________________________________________ APPLICANT: __________________________________________________________________________________ Applicant Mailing Address: _______________________________________________________________________ Applicant Email: ______________________________________________ Daytime phone: _________________ 1. PROPOSED project including building dimensions (describe): ________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 2. RELATED Site Plan, Conditional Use, PUD, Subdivision, or Misc Approval ______________________________________ 3. Present USE(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.): _________________________________________________________________________________________________ 4. List all present structure(s) on property (describe including dimensions or square footage of each): ___________________ ___________________________________________________________________________________________________ 5. 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.): ___________________________________________________________ 6. ESTIMATED total cost of improvements (materials and labor): $_______________________________ 7. 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:_______________________ __________________________________________________________________________________________________ 8. TOTAL impervious surfaces on site (i.e. Building footprint PLUS size in s.f. of driveways, patios, decks) Existing:______________________ Proposed:_______________________ 9. ATTACH SKETCH PLAN OR SITE PLAN Complete the following only if the project involves changes to the dimensions of your building or other site changes (ie, not interior renovations or roof / window / deck replacement) 22 Orchard Rd David Shim an 0.3 22 Orchard Rd S Burlington VT 05403 Thomas Moore 17 Orchard Rd S Burlington VT 05403 tpmooreiv gmail.com 578 6539 Enclose porch on front leftofhousetocreateamudroomTheporchtobeenclosedis16ftlongby4ftwide N A Single Familyhome w attached apartment Onedwelling2500totalsqft 20 000 NI A N A N A 2 Rev 2019-11 10. APPLICANT/OWNER CERTIFICATION The undersigned property owner hereby consents to submission of this application and understands that if the application is approved, the Zoning Permit and any attached conditions will be binding on the property. _____________________________________________________________________ _________________________ Property Owner Signature PRINT NAME Date The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete. _____________________________________________________________________ _________________________ Applicant Signature PRINT NAME Date OFFICE USE ONLY ± ADMINISTRATIVE OFFICER ACTION ± OFFICE USE ONLY DATE Received: ___________________ FEE Received: $ _____________ Identification of zoning district: _______________ Project description: ______________________________________________________________________________________ SITE PLAN _____________________________________ ____________________________ Application # Approval Date SUBDIVISION _____________________________________ ____________________________ Application # Approval Date CONDITIONAL USE _____________________________________ ____________________________ Application # Approval Date VARIANCE _____________________________________ ____________________________ Application # Approval Date MISCELLANEOUS _____________________________________ ____________________________ Application # Approval Date FINAL ADMINISTRATIVE OFFICER ACTION ZONING PERMIT Ƒ APPROVED _________________________ ____________________________________________________________ Approval Date $GPLQLVWUDWLYH2IILFHU¶V6LJQDWXUH Permit EFFECTIVE date _________________________ Permit EXPIRATION date ___________________________ CONDITIONS of Approval __________________________________________________________________________ ƑProvided applicant copy of URBEC or VCBE Standards Handbook or Ƒ Not Applicable Ƒ DENIED _________________________ _____________________________________________________________ Denial Date Administrative Officer¶V6LJQDWXUH REASON for DENIAL ______________________________________________________________________________________ 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) 477-2241 to speak with the regional Permit Specialist. Handle Shi Davidshiman 4 7 22 d Thomas Moore 4 7 22