HomeMy WebLinkAboutZP-24-330 - 0013 Clover Street 10/4/20241
CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: ____________________________________________________ Application No: _________________ [office use only]
Applicant Mailing Address: _______________________________________________________________________
Applicant Email: _________________________________________________ Daytime phone: _________________
Property Street Address: ______________________________________________________________ , VT 05403
Property Owner: __________________________________________________ Parcel Size: ___________________
Property Owner Mailing Address:_________________________________________ Tax Parcel ID No. _________
1. PROPOSED project including building dimensions (describe): ________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________ 2. 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.):
_________________________________________________________________________________________________
3. List all present structure(s) on property (describe including dimensions or square footage of each): ___________________
___________________________________________________________________________________________________
4. 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.): ___________________________________________________________
5. ESTIMATED total cost of improvements (materials and labor): $_______________________________
6. 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:_______________________
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing:______________________ Proposed:_______________________ 8. ATTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of
existing roof, siding, etc. in the exact same size)
ZP-24-330
2
9. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit 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: _______________
Identification of proposed use: _______________________________________________________________________________
PROPOSED USE TYPE: ______ Permitted ______ Conditional
Date of SITE PLAN approval/denial ____________________________ ____________________________
Approval Date Denial Date
Date of SUBDIVISION approval/ denial ____________________________ ____________________________
Approval Date Denial Date
Date of CONDITIONAL USE approval/ denial ____________________________ ____________________________
Approval Date Denial Date
Date of appeal VARIANCE approval/ denial ____________________________ ____________________________
Approval Date Denial Date
Date of MISCELLANEOUS approval/ denial ____________________________ ____________________________
Approval Date Denial Date
□ Provided applicant copy of URBEC or VCBE Standards Handbook or □ Not Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
ZONING PERMIT
□ APPROVED _________________________________________________________________________________________
Approval Date Administrative Officer’s Signature
Permit EFFECTIVE date _________________________ Permit EXPIRATION date ___________________________
□ DENIED __________________ REASON for DENIAL _____________________________________________
Denial Date
_________________________________________________________________
Administrative Officer’s Signature
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)
879-5676 to speak with the regional Permit Specialist.
9/25/2024 47.38 R4
replacement of one window and one door
X
X
X 10/4/2024
10/20/2024 10/3/2025
Pella Products Inc.
155 Main Street
Greenfield, MA 01301
To Whom it may Concern:
I, __________________________________, as property owner, give permission to our contractor, Pella
Products Inc. to obtain a building permit for the installation of windows and/or doors in my home.
Located at; ____________________________________________
____________________________________________
Please accept this letter in place of my signature on the permit application.
Thank you,
Signature: ______________________________________________
Date: ____________________________________________________
Docusign Envelope ID: 637304C5-1F95-45CE-9E2A-5F69600E1AE0
South Burlington VT 05403
13 Clover Street
9/16/2024
Jane Williams