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Home My WebLink AboutZP-23-432 - 0056 West Twin Oaks Terrace 11/8/20231 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): 1a: IF NEW STRUCTURE Building height (see Land Development Regulations Definition of Height): __________ft. # of Bedrooms: ___________ The project will comply with the City of South Burlington “Regulation of Heating and Service Water Heating Systems in New Buildings” ordinance: Yes No 2. RELATED Site Plan, Conditional Use, PUD, Subdivision, or Misc Approval Number (if applicable) 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 a. proposed changed or added USES per Land Development Regulations- retail, general office, multifamily residential, etc.): ___________________________________________________________ b. proposed wastewater generation (GPD): c. proposed PM Peak hour trip generation for entire property (in and out): i. Land Use Code(s) Used, independent variables, calculations: 6. ESTIMATED total cost of improvements (materials and labor): $_______________________________ 7. BUILDING footprint – i.e. size in sq. ft. of main floor of house and all attached and detached structures including enclosed breezeways, garages, and sheds (describe): Existing:______________________ Proposed:_______________________ 8. TOTAL impervious surfaces on site (i.e. Building footprint PLUS size in s.f. of driveways, patios, decks): Existing:______________________ Proposed:_______________________ Complete the following only if the project involves changes to the dimensions of your building or other site changes (ie, not interior renovations or roof / window / deck replacement) 56 West Twin Oaks Terrace, Suite 7 Oak Hill Partners, LLC 1.84 acres 86 Lake St, Burlington, VT 05041 OI Infusion Services LLC 360 US-1 Bypass #102, Portsmouth, New Hampshire 03801 jdale@oi-infusion.com 802-999-7411 It was used as a medical office. New tenant, OI Infusion, will be using the space as a medical office. 20,000 New flooring and paint, install 3 electric outlets, illuminated Exit sign, and a sink with cabinet. ✔ Two buildings, 40x125 each. SF is about 9,672 sf per building. dotloop signature verification: dtlp.us/eB0S-aZ2U-TOnR 80medical use with 2 staff and 1 to 5 patients at a time ZP-23-432 9. ATTACH SKETCH PLAN OR SITE PLAN 10. APPLICANT/OWNER CERTIFICATION The undersigned property owner hereby consents to submission of this application and understands that if the application is approved, the Zoning Permit and any attached conditions will be binding on the property. Property Owner Signature dotloopvenfied 10/30123 S:29 PM ii~+r-•is~"'"••m David Fassler PRINT NAME 10/30/2023 Date by affirms that the information presented in this application is true, accurate and complete. OFFICE USE ONLY -ADMINISTRATIVE OFFICER ACTION -OFFICE USE ONLY DATE Received: _______ _ FEE Received:$ ____ _ Identification of zoning district: ______ _ Project description:-------------------------------------- SITE PLAN Application # Approval Date SUBDIVISION Appllcatlon # Approval Date CONDITIONAL USE Application # Approval Date VARIANCE Application # Approval Date MISCELLANEOUS Application # Approval Date FINAL ADMINISTRATIVE OFFICER ACTION ZONING PERMIT ________ _ Approval Date Administrative Officer's Signature Permit EFFECTIVE date _________ _ Permit EXPIRATION date __________ _ CONDITIONS of Approval ____________________________ _ Provided applicant copy of URBEC or VCBE Standards Handbook or Not Applicable Denial Date Administrative Officer's Signature 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. 2 Rev 2019-11 Powered by TCPDF (www.tcpdf.org)Powered by TCPDF (www.tcpdf.org)Powered by TCPDF (www.tcpdf.org)Powered by TCPDF (www.tcpdf.org) 11/03/2023 102.60 R7 interior renovation 11/08/2023 11/24/2023 11/07/2023 (Acting)