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HomeMy WebLinkAboutZP-24-113 - 0049 Laurel Hill Drive 4/26/20241 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) 49 Laurel Hill DriveSouth Burlington, VT 05403 Jordan Andreu 49 Laurel Hill DriveSouth Burlington, VT 05403 Snow Country Roofing 145 Pine Haven Shores Rd #3001, Shelburne VT 05482 brenda@snowcountryroofing.com 802.266.2434 $13,310.00 roof installation 4 4 DocuSign Envelope ID: A089CD87-6CA7-4557-95C3-050C79BDEAA9 2 Rev 2019-11 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 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 □ APPROVED _________________________ ____________________________________________________________ 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 □ DENIED _________________________ _____________________________________________________________ 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. DocuSign Envelope ID: A089CD87-6CA7-4557-95C3-050C79BDEAA9 Brian Horton 4/23/2024 4/23/2024Jordan Andreu