Combined Permit Application
To expedite your application, please read the following instructions carefully. Incomplete applications will delay the review and may
cause the application to be denied. All pages must be returned.
This application is required for any exterior work or interior modifications to your property. This form will be used to apply for any
work within the City of Winooski related to building, zoning, or public infrastructure. Please read the following information carefully as
you fill out all the information listed in this application. Failure to complete all the required information in this application will result in
delays of review and possible denial of the request. State permits may also be required.
Applicants are responsible for contacting the Vermont Division of Fire Safety; Williston Department to coordinate State of Vermont Permitting:
802 879 2300
Energy Efficiency Standards may also apply as identified by Efficiency Vermont: 888 921 5990
Section 6.10 of the City’s Unified Land Use and Development Regulations require this application be submitted to the City and include
any application fees as may be established by the City Council. In addition to any required fees, the application shall also include the
A statement describing the existing and intended use of the land and structures and/or any proposed structural changes.
A sketch plan, no smaller than 8.5” x 11”, drawn to scale, and accurately depicting:
the dimensions of the lot, including existing and proposed boundaries
the location, footprint, and height of existing and proposed structures, and additions
the location and dimension of existing and proposed accesses (curb cuts), driveways, and parking areas
the location of existing and proposed easements, rights-of-way, and utilities
setbacks from property boundaries, road rights-of-way, surface waters, and wetlands
the location of existing and proposed water and wastewater connections
other information as may be needed to determine compliance with these regulations as specified
by the Zoning Administrator
Please contact the Planning and Zoning Manager to schedule a meeting or discuss details/fees prior to applying (this will assist in
determining the level of detail needed and may expedite processing). Depending on specifics and scale of project, not all of the items
listed above may be applicable and additional information may be required (including review by another board or commission for
conditional use, etc.).
I have read and acknowledge the requirements necessary to submit this application. I understand that failure to provide
the required items listed above and, in this application, may result in a denial of my application. I understand that any fees
paid with this application are non-refundable regardless of approval or denial of this application. By signing this application, I
grant the City of Winooski or their representatives’ permission to access the property identified in this application for the
purposes of reviewing and verifying conditions are as represented and hold the City harmless for any impacts to the property.
Applicant’s Signature ________________________________ Date _________________
Property Owner's Signature ________________________________ Date _________________
(If different from applicant)