HomeMy WebLinkAboutCLE201800227 Application 2018-12-07Application for Zoning Clearance
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PLEASE REVIEW ALL 3 SHEETS
OFFICE U LY
Check # Date: -
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: %� Existing Zoning 'jr-
Parcel Owner:
Parcel Address: Cityd�y(n y�,1i State I/. Zipz��9y
(include suite or floor)
PRIMARY CONTACT ��-�'�Vl �` I I �
Who
should we call/write concerning this project.
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Address :L �3 �� t, 4 ��� City CJ��9f �uf ft'.5 State Zip ';Z D
Office Phone: Cell # ' 36 -ZO 947x # E-mail
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APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: Pu� l ��"���DL{<� .A/ ,TiNt -
Prev:ovvs Business on this site h✓Ll� F�
Describe the proposed business including use, number of employees, number of shifts, available parkin spaces, number of
vehicles, and any additional information that you c n pr vide: L' /1 �Lt �1
G ia' Az 9 ""`TIC'
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning
Clearance will be required.
I hereby certify that I m or have e owner's ermssion to use the space indicated on this application. I also certify that the information provided
is true and accurat the b s&nowle g . T have read the conditions of approval, a d I understand Cllem, and that I will abide by them.
Signature Printed
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, x] 17.
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site complies with the site plan as of this date.
Notes:
Building Official Date
J
Zoning Official Date�,1,'l�! gj
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 11/l/2015 Page 2 of
Intake to complete the following:
j) / N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/N
Will there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on private well or public water?
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic or public sewer?
0 / N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit # III— �; ,? _ul
Y/N
Will there be any new construction or renovations?
if so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: Zy
Y/N ` l
Permitted as: wrk-P6LC - i' L gD/O
Under Section: p,I /I
Supplementary rYa;ionstion_
Parking formula:
1 Ll> Ctrge t C_
Required spaces:
i 5 tea
Y/
Item o be verified in the field:
Inspector:
Notes:
le C—
Date:
Viol ns:
Y
If so, ist:
Proffers:
Y/N
If so, List:
Va an :
Y
If so, List:
SP's:
Y/N
If so, List:
M .7 — 78
Clearances:
SDP's
Revised 11/1/2015 Page 3 of 3
flL>De, r%N
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,e"q opr-' (, 46
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Community Development Department
Division of Zoning and Current Development
401 McIntire Rd.
Charlottesville Va. 22902
To the County Engineer;
Beacon Roofing is a wholesale roofing supply distributor. We sell roofing supplies to the various roofing
companies and contractors in the area. We have 7 employees in the warehouse area and 2 in the
office/sales area.
We have addressed the performance standards of Zoning Ordinance Section 18-4.14:
Noise: our business does not create excessive noise. Delivery trucks and forklifts are the only source of
noise on the site.
Vibration: There is no source of vibration on the site.
Glare: There is no source of glare on the site. The security lighting on the outside of the building does
not create glare.
Air Pollution: There are no emissions of smoke, odor or gaseous pollutants on this site.
Water Pollution: There is no source of water pollution associated with this business.
Radioactivity: This operation has no radioactive materials or emissions.
Electrical Interference: This business does not require any equipment that would generate electrical
disturbances.
Please feel free to contact me with any further questions you may have at (440) 384-2097 or by email at
smillerenorthcoastroofingsystems.com.
Sincerely,
Sean Miller
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
[County application name and number]
was provided to 5C*'X 4 _ �(� e c, LZiC/ the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number '2 O -- S by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on
Date
to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Applic nt
Y
Print Applicant Name
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Date