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Home My WebLink AboutSP-23-021 - Supplemental - 0916 Shelburne Road 180 Market Street South Burlington, VT 05403 tel 802.846.4106 www.southburlingtonvt.gov Application #___-____-_____ (office use only) SITE PLAN / CONDITIONAL USE / MISCELLANEOUS / VARIANCE APPLICATION FOR DEVELOPMENT REVIEW 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 site plan will result in your application being rejected and a delay in the review before the Development Review Board or Administrative Officer, as applicable. Type of application (check): ( ) Site Plan Application ( ) Includes request for conditional use ( ) Stand-alone request for a conditional use (Form Based Code, single family and duplex residential properties only) ( ) Miscellaneous Application ( ) Request for a variance. If you believe you are seeking a variance, please reach out to Planning and Zoning Staff first. 1. PROJECT STREET ADDRESS: 2. OWNER(S) OF RECORD (Name(s) as shown on deed, mailing address, phone) 3. APPLICANT (Name, mailing address, phone) 4. CONTACT PERSON ((person who will receive all correspondence from Staff. Include name, +address, phone): 4a. Contact email address: 6. TAX PARCEL ID # (can be obtained at Assessor’s Office): 4 DS REALTY LLC 3050 FULLER MOUNTAIN ROAD FERRISBURGH, VT 05473 PHONE: (802) 425-2700 (same as above) DS REALTY LLC 3050 FULLER MOUNTAIN ROAD FERRISBURGH, VT 05473 PHONE: (802) 425-2700 rtdavis@me.com, tdavis@gmavt.net, and bryan@opuscorporationus.com 1540-00916 2 Site Plan Application Form. Rev. 01-2020 7. PROJECT DESCRIPTION a. General project description (explain what you want approval for): 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: Are Transfer of Development Rights (TDRs) being utilized? Yes No If yes, please identify how many and from which parcel (street address) e. Total building square footage on property (proposed buildings and existing buildings to remain): f. Height of building & number of floors (proposed buildings and existing buildings to remain, specify if basement and mezzanine): g. Number of residential units (if applicable, new units and existing units to remain): h. Number of employees (existing and proposed, note office versus non-office employees): i. Type of existing or proposed encumbrances on property (easements, covenants, leases, rights of way, etc.) Decommissioning and Removal of 190 sq ft., listed as 650 sq. ft. of Commercial Kitchen Space and convert to office administration space. 1,268sf Carriage House Building: 2 one-bedroom units (remaining use) 2,331sf Principle Building: Educational Facility Use (remaining use) 1,619sf Principle Building: Artist Production Studio Use (remaining use) 190sf Principle Building: Restaurant, Short-Order Bakery Use (to be reallocated) 440sf A-Frame Accessory Building: (Previously removed in 2021) Principal Bldg Footprint: 3,865sf; Accessory Bldg Footprint: 1,268sf total (Total: 5,133 sf) 4 Height & number of floors for Principal / Existing building will remain unchanged. Accessory building footprint is 1,268 gross floor area. Height of Accessory Building is 15ft (avg eave to high pt per regulations). 2 residential units to remain Existing # of employees: 23 (non-office) Proposed # of employees: 25 (non-office) None 3 Site Plan Application Form. Rev. 01-2020 j. Other (list any other information pertinent to this application not specifically requested above, please note if Overlay Districts are applicable): 8. LOT COVERAGE (ALL information MUST be provided. For Planned Unit Developments involving multiple parcels, attach additional sheets) Total Parcel Size: acres / sq. ft. a. Building: Existing % / sq. ft. Proposed % / sq. ft. b. Overall impervious coverage (building, parking, outside storage, etc) Existing % / sq. ft. Proposed % / sq. ft. c. Front setback non-building coverage (along each street, commercial properties only) Existing % / sq. ft. Proposed % / sq. ft. d. Total area to be disturbed during construction (sq. ft.) * * Projects disturbing more than one-half acre of land must follow the City’s specifications for erosion control in Article 16 of the Land Development Regulations. Projects disturbing more than one acre require a permit from the Vermont Department of Environmental Conservation. 9. NATURAL RESOURCE INFORMATION a. Are there any Natural Resources (as defined in the Land Development Regulations Article 12) on the subject property? Yes No b. If yes, is the proposed development encroaching into any of these natural resources (list area of resource encroachment by type) c. If yes, please submit the following with this application: i. A site specific or GIS based natural resource mapping or delineation of the entire property as required by Table 12-01. ii. Response to the standards described in the relevant section of Article 12 for the impacted Natural Resource (applicant is strongly encouraged to have a resource expert respond to these criteria). 8. COST ESTIMATES a. New Building or Addition, including initial fit-up (if initial fit-up cost not available, contact Department staff): $ 0 71,059 8.2 5846 8.2 5846 31.1 31.1 22,131 22,131 1.1 1.1 847 847 4 14,000 4 Site Plan Application Form. Rev. 01-2020 b. Landscaping: $ c. Other site improvements (please list with cost): 9. ESTIMATED TRAFFIC a. Land Use Code(s) Used, Independent Variables, Calculations: (attach additional sheets as necessary) b. P.M. Peak hour for entire property (In and out): 10. PEAK HOURS OF OPERATION: 11. PEAK DAYS OF OPERATION: 12. ESTIMATED PROJECT CONSTRUCTION SCHEDULE AND DATE OF COMPLETION: 13. SITE PLAN AND FEE A site plan shall be submitted which shows the information required by the City’s Land Development Regulations. 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 digitally. 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 DATE OF SUBMISSION SIGNATURE OF PROPERTY OWNER PRINTED NAME OF PROPERTY OWNER ___________________________________________________________________________ Do not write below this line I have reviewed this site plan application and have taken the following action: Date of Complete Application: 0 (Existing 26.62) 1pm to 3:30pm Monday - Friday June 30th 4/27/23 5 Site Plan Application Form. Rev. 01-2020 Date Issued Decision: or Date Referred to Development Review Board: _______________________________________________________ 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.