APPLICATIONArea Variance Pre-Submission Conference Form / Section 179-9-040
1. Applicant Name: __________________________________________________
2. Tax Map ID ________________Location:_______________________
3. Zoning Classification __________
4. Reason for Review: __________________________________________________________
5. Zoning Section #: ________________________
6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by
Deed ____ _____________
General Information complete ____ _____________
Site Development Data Complete ____ _____________
Setback Requirements Complete ____ _____________
Additional Project Information Complete ____ _____________
FAR addressed ____ _____________
Compliance with Zoning Ordinance ____ _____________
Checklist items addressed ____ _____________
Environmental Form completed ____ _____________
Signature Page completed ____ _____________
Staff Representative: ________________________________
Applicant / Agent: ________________________________ Date: ___________
Page 6
Joe Sheehan
227.13-2-42 80 Rockhurst
WR
618 sq ft garage addition and rebuild of a 500 sq ft porch,stormwater management, shoreline plantings and landscaping plantings and features
179-3-040 WR, 147 stormwater, 179-5-020 garage, 179-13-010 expansion
x
x
x
x
NA
confirm building size
BOH resolution#
confirm first floor to attic area
dimensions on floor plans and elevations
need owner signature
Laura Moore via email 04/15/2022
Applicant proposes a 618 sq ft garage addition to an existing home and a 500 sq ft deck to replace an
existing deck. A portion of the new deck will be covered 12 ft 7 inches x 10 ft 4 inches. Updates to the
covered entryway also proposed. The project includes stormwater management, shoreline plantings,
retaining wall and steps to be reconstructed. The new home will have a footprint of 2,000 sq ft and floor
area of 3,728 sq ft. The existing home in rps indicates 832 sq ft foot print with a 328 sq ft deck footprint,
then new footprint is to be 2500 sq ft with a floor area of 3,728 sq ft. Site Plan for new floor area in a
CEA, hard surfacing within 50 ft of the shoreline, expansion of non conforming structure. Area variance
for front yard 12 ft 3 inches proposed where 30 ft is required, side setback north 10 ft 3 inches proposed
where 20 ft is required , side setback south (deck) 8 ft 5 inches proposed where 20 ft required; infiltration
device less than 100 ft proposed ___, floor area proposed 40.41 % where 22% is the maximum allowed.
Items reviewed - site plan and variance application, site drawings, elevations, floor plans, survey
Items to be updated or provided
1) page 2 confirm building size rps and current
2) page 3 add BOH resolution #
3) page 3 confirm all floors and attic area for floor area - cross section of attic area if more than 5 ft.
4) page 5 checklist floor plans and elevations need dimensions to out side walls; update lighting note on
plan sheet
5) owners signature
6) denial letter for variance
Area Variance [ZBA approved: 1RYHPEHU ]
This page includes the 1.) Authorization to Act as Agent Form: 2.) Engineering Fee Disclosure; 3.) Authorization for Site Visits; 4.)
Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.) Agreement to provide documentation required.
OWNER’S AGENT FORM:Complete the following if the OWNER of the property is not the same as the applicant:
Owner: _________________________
Designates: ___________________________ as Agent regarding the following:
Variance ___ Site Plan ___ Subdivision ___
For Tax Map No.:________________ Deed Reference: Book____ Page ____ Date ____
OWNER SIGNATURE: ___________________________________ DATE: _______________
APPLICANT’S AGENT FORM: Complete the following if the APPLICANT is unable to attend the
meeting or wishes to be represented by another party:
Owner: __________________________
Designates: ____________________________________ as Agent regarding the following:
Variance___ Site Plan ___ Subdivision ___
For Tax Map No.:________________ Deed Reference: Book____ Page ____ Date ____
OWNER SIGNATURE: ___________________________________ DATE: _______________
2.) ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic
design, storm drainage, etc. as determined by the Zoning or Planning Department. Fees for engineering review services will be
charged directly to the applicant. Fees for engineering review will not exceed $ 1,000 without notification to the applicant.
3.) AUTHORIZATION FOR SITE VISITS:By signing this page and submitting the application materials attached herein, the
Owner, Applicant, and his/her/their agent(s) hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject
properties for the purpose of reviewing the application submitted.
4.) OTHER PERMIT RESPONSIBILITIES:Other permits may be required for construction or alteration activity subsequent to
approval by the Zoning Board or Planning Board. It is the applicant’s responsibility to obtain any additional permits.
5.) OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a
designated stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those tapes
constitutes the official record of all proceedings.
6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED : I, the undersigned, have thoroughly read and understand
the instructions for submission and agree to the submission requirements, I acknowledge no construction activities shall be
commenced prior to issuance of a valid permit. I certify that the application, plans and supporting materials are a true and complete
statement/description of the existing conditions and the work proposed, and that all work will be performed in accordance with the
approved plans and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or
my agents, will obtain a certificate of occupancy as necessary. I also understand that I/we may be required to provide an as-built
survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy
I have read and agree to the above.
______________________________ _____________________________ _______________
Signature [Applicant] Print Name [Applicant] Date signed
______________________________ _____________________________ _______________
Signature [Agent] Print Name [Agent] Date signed
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________________________________________
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Joe Sheehan
Environmental Design Partnership
227.13-2-43
Chris Keil (EDP)4/20/2022
x x
04/20/22
Joseph Sheehan 04/20/22