Application Y
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RECEIVED .Area Variance
Applicant Name alb t J,)3 / C066 vV i
Tax Map No. W SBU Z _ 5 3
Zoning Classification _ 26 -ENS1012Ai70N I'PeK 6LVj)i fa&l
AA,CEA f_
Zoning Ordinance Compliance Section: ) 7 9- e-f- 0S D 1-A)1,R19t9WA) PIV K
DESCRIPTION OF PROJECT: 2 C 0 2- E -(-A C,-1 E D 6,9 R A yE Z U X 3 3.5
PRE-APPLICATION MEETING NOTES:
9
��pr�18 Date(s)of Pre-Application Conference
- / Applicant Initials
4m, Staff Member Initials
Nothing stated in this meeting is to be construed as an approval or disapproval. The
sole intent of the pre-application meeting is to address submission requirements and to
identify potential concerns. All content of submissions is the responsibility of the
applicant or authorized designee.
• Area Variance
Last Revised: August 6,2003
8/06/03 Area Variance
• General Information
Application No. (Office Use Only)
Project Location: L3 GOLD)'/NCH R1)
Tax Map ID: 3/S. G - 2 - 53
Zone Classification: Sim - Z0 .ZNSPiQH-R0k) C
Compliance with Zoning Ordinance Section: /`71 - L1-- 0 3 0
Detailed Description of Project: ,
(include current& aronosed use): 20 1' 3,3. 5 2 CA R e 7Ti9 CH-E6
LA(?F)6F - VEH (CL E S7Z)RA&C
CLAZPCA)TL7' - G2EFO-90ACE /4,A(,)N
Applicant: Ja g AJ J L)03 12 o 4 z i to l
Address: 13 G0L br %iyC a 101,13
OUELkSCS I/? V
Home Phone: 5 4) 79 Z0.3 Ce7LI 032 53l$ (Jvrly)
Work Phone/tit: S l L 7qk - D l 70(J V i-N y )
Applicant's Agent:
Address:
Home Phone:
Work Phone/Fax:
Property Owner: t o H N
Address: /2 Geri[ i)f IAJC H 2 7-'�
Home Phone: 5-/6 798'- ZJ037 ICELL 23z = 53/8
Work Phone/Fax: 7R5' Z03-7
EX/r /(9 --�, iNCUA)ALDS — C�0
Directions to Site: A 2 7 - S T , -(- , 2 . _ M I LES
0tiCo,21tiTµ Ki,*� - L6FT OA) 70 GOL \ PIAjCH
2C)Fl ---> /-3 CA.) 21E, HT H�11 %� S% mac.
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Area Variance
• Site Develo ment Data
Area/Type Existing sq. ft. Proposed Addition Total sq.ft.
sq. ft.
A. Building Footprint /01 b
B. Detached Garage
C. Accessory Structure(s) /! Z _ //Z
D. Paved,gravel or other _ C
hard surfaced areas S
E. Porches/Decks
F. Other
Total Non-Permeable
Sum A through F Z Z 7 j ) Z Z -7
Parcel Area
00 ! /00 ()Z)U
Percent Non-Permeable 2 2 1/v 5 ` o
(Total Non-Permeable/Parcel Area
• Setback Requirements
Required Existing Proposed
Front(1) 36
Front(2)
Shoreline
Side Yard (1) /U 0 2&. 3 (v r-
Side Yard (2) y .
Rear Yard(1) 30 T
Rear Yard(2)
Buffer/Travel Corridor
Height yO ' J? (2 4
Permeability -30 a/0 77 3 'a 5
Sign Setback
No. of Parking Spaces
•
Area Variance
• Compliance with Zoning Ordinance
Section requesting relief from )7 q - L/- U'? 0
Require(s):
Setback, ()Lot Width, OBuffer Zone, DOther
that can not be met by the project as proposed. Specific requirements should
be provided on the site development data sheet.
-------- ------- --- ----------------------
The following questions reflect the criteria for granting this type of variance.
Please complete them, using additional sheets if needed. ' /
1. How would you benefit from the granting of this Area Variance? _ 0-p haJe C
/On14-(2L/
J
2. What effect would this variance have on the character of the neighborhood and the
health,safety,and welfare of the community? II)d A)F
3. Are there feasible alternatives to this variance? /VU
4. Is the amount of relief substantial relief relative to the Ordinance? /U U
5. Will the variance have an adverse effect or impact on the physical or environmental
conditions in the neighborhood or district? A)()
• Area Variance
Last Revised: August 6,2003
8/06/03 Area Variance
• Checklist—please prepare a map depicting existing and proposed conditions. Failure to complete the following
checklist or include all required information may result in a determination of incompleteness and a dela% in the
rocessin of our application
PR NA WR
GENERAL
A.Title,name,address of applicant&person responsible for preparation of drawing
B.North arrow,Tax Map ID,date prepared and scale(minimum 1 in.=40 ft.)
C.Boundaries of the property plotted to scale,zoning boundary
D.Location of principal structures,accessory structures with exterior dimensions
/ E. Location of site improvements incl, outdoor storage areas, driveways (existing & proposed) parking
V areas,etc.
F.Setbacks for all structures and improvements
G.Elevations of proposed structures
WATER&SEWER
A. Location of on-site sewage disposal facilities, design details, construction details, flow rates, and
number of bedrooms proposed
B.Location of water supply(i.e.,well)and septic on adjoining lots with separation distances to existing
or proposed on-site water supply and septic
C. Separation distances for proposed sewage disposal system to well and waterbodies
D. Location and description of existing public or private water supply (well, lake, etc.). Method of
/ securing public or private water, location, design and construction of water supply including daily water
V/ usage
-/ E.Percolation test location and results
PARKING/PERMEABLE AREAS
A.Number of spaces req iced for project includ' g calculations and justification
B.Number of existing par ing spaces,numb to be removed, number to maintain and type of surfacing
material e. ., ravel, ave
C.Provision for pedestrian akd handicap ess and parking
D.Location and design details f ingres ,egress,loading areas and cutting
E.Location and character of gr en az (existing and proposed),modification to green area, buffer zone
to remain undisturbed
F.Lighting, location and design o all existing or proposed outdoor lighting
ADDITIONAJK 41TE DEVELOPMENT AND MISCELLANEOUS
A.Location of on-site&adja nt w ercourses,streams,rivers,lake and wetlands
B.Location of proposed& isting: tility/energy distribution systems(gas,electric,solar,telephone)
C. Location, design and c nstruction all existing and proposed site improvements including: drains,
culverts retainin walls ences fire& ergency zones and hydrants
D.Location and amo portion of build g area proposed for office,manufacturing,retail sales or other
commercial activities
E. Signage: LocatioA, size,type,design an setback
Legend: PR—Provided;NA—Not Applicable; WR—Waiver Requested
Last Revised: August 6,2003
Area Variance
• Signature Page
This Page includes the Authorization to Act as Agent Form, Engineering Fee Disclosure, Other Pera it
Responsibilities,and Agreement to provide documentation required.
Complete the following if the OWNER of the property is not the same as the applicant:
Owner's Agent Form
Owner: (Print Owner Name)
Designates: (Print Applicant/Agent Name)
As agent regarding: _ Variance _Site Plan _Subdivision
For Tax Map No.: Section — glock_ Lot_
Deed Reference: Book _ Page_ Date
SIGNATURE: (Owner) Date
Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by
another party:
Applicant's Agent Form
Applicant: (Print Applicant Name)
Designates: (Print Agent Name)
As agent regarding: _Variance _Site Plan _Subdivision
For Tax Map No.:Section Block Lot
SIGNATURE: (Applicant) Date
•
Eneineerin¢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
Please Note: Other permits may be required for construction or alteration activity subsequent to approval by
the Zoning Board and/or Planning Board. It is the applicant's responsibility to obtain any additional permits.
Official Meetin¢Minutes Disclosure: It is the practice of Community Development Department to have a
designated stenographer tape record the proceedings of meetings resulting from application,and that minutes
transcribed from those tapes constitute the official record of all proceedings. If there is a discrepancy
between such record and the handwritten minutes taken by the designated stenographer, the handwritten
minutes shall be deemed the official record.
1,the undersigned,have thoroughly read and understand the instructions for submission, agree to the
/s rhe
submission requirements and completed the c
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• Area Variance
Last Revised: August 6, 2003
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