The URL can be used to link to this page

Home My WebLink AboutCLE201800254 Application 2018-12-20Application for Zoning; Cle,11ranc c 1,IP" #zj\ U UU ..t-). `1 - (}k-111 1(-I 11 PLEASE REVIEW ALL 3 SIIE1:'I'S Check # —� _...__ !)ate: Receipt # PARCEL INFORMATIO'V' ' cmmy—ood Tax Ma and Parcel: Existing %oning� a Parcel ()xs ner: A'S1A�� -----_ - — ^ 7 i ,ZZ`iUt Parcel Address: e26�7.._�t_-�6,RcruK Citt6't'�lCl-Siete �V`_----_ 1 _------ (include suite or floor) PRINMARY CONTACT Who should we call'write concerning this project? Address : ��7 (�J:��C Gam' • aX Citf��,L'1'� 5V .r.L,k. State �a 1V� Office Phone: 54 110A? ul it, Cell # APPLICANT INFORMATION Check anv that apply: Change of Business Name/Type: Previous Business on this site Fax # 10— _ E-mail of use _Change of name /'dew business a spaces. number of Describe the proposed business including use, number of employees, number of • tfts, u'••aila�� parkin p. vehicles, and any additional inl'ormatiatlhthat you can provide: T+s'•-76 _�o�� n+s i•iaarance w+11 only be yat;d un the parcel fur which it is appravuc. if you change, intensify or move the use to :t new location, a nrw 7or,.ing Clearance will be required. I hereby cenify that i own or have the ownees pennission to use the space indicated on this application 1 also certify that the information provided IS true and accurate to the bc:,t my kno\ dge. I h: vc read the conditions of approval%, and 1 understand them, and that 1 + ill abide by them. Signature — Printed--JC- �v� AI'I'R AL INFORMATION ]Approved as proposed ( )Approved with conditions [ ] Denied [ ] Backllow prevention device and ior current test data needed for this site. Contact ACSA, 977-4511. xl 17, [ ) No physical site inspection has been done for this clearance. Therefore, it is not a detcrminatit n of compliance with the existing site plan. ( J This site complies with the site plan as of this date. Notes: OF Building Official----- - Date Zoning Official _ _ _ 1)atc Other Of-fieial ---- _----�----------- - - --- - ----------- --- ( otrnty of .,1lhemarle Depar-ttnenl r.f ( otnenuuily D-clupment 401 M(Infire Hood( hariolfesvi le, VA 22902 N oi(e. (434) 296-S1t32 I't+x: (434) 972-4126 Revised 11.1 ,1+15 P g. 2,,1 3 Intake to complete the foll(nving: Y Is use in L1. HI or PDIP zoning? I1'so, give applicant a l'ertitied Engineer's Report (CER) packet. Y Will them be food preparation? 11'so. give applicant a Health Departinent 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 pt c H cr? if private well, provide Heal , rtn,eni form. Zoning review can not begin until we receive approval from Health I)ept. FAX DATE Circle the one that appli Is parcel on septic or pu is r? 1' :' \ Will you be putting up a new sign of any kind'? If so, obtain proper Sign permit. Permit # Y ' N W'ili there be any new construction or renovations? if so, obtain the proper Permit. Permit # Zoning to complete the following*. Viol ns: Y N If so, ist: `r�y�ranee: (/�j✓✓�-/'.i N 1[TsU. It�. I8H 2,a1� -35, l►1 i Reviewer to complete the following* Square fC,Ot:ig,C OCUM:: Y r V Permitted as: _ ---- --- ('rider Section: Supplementary regulations section: Parking formula: 1 JCQ--� Required spaces, Y � Item be verified in the field: Inspector: Notes: Date: _ Proffers: Y ! N If so, List: , A 1 c ' — A Revised 1 1 1201 5 Page 3 of 3 Zon i m-T Clearance Chiodd i st A}�E�licant �'lU�+'T 11A�'1? the fi)llowing irtl�nmatiun to i1t)�)ly fi)ra/.t)ning Clearance: 1) 7'ax Niap and Parcel or Address, Building Name. Suite/[ )ni(/Floor numbers, if applicable. ?) A flour Plan - either a sketch or an architectural drawing a) If using less than the entire structure. note the location within the structure; b) Note the total square footage of the use; c) Note the square footatic of each room or area of use:. d) Note the use ofeach room or area of use. FEES Zoning Clearance = $54 Temporary Fundraising Activity = No fee Conditions of Approval -T'— FIRFIVORKS: t.'. person shall sell, offer for sale, store, display or discharge anv fireworks in any filling station or on any premises where gasoline or other inflammable liquids are stored or dispensed. (Code 1967 10-13.) County Code Section 6-200 and 6-300 and must be a minimum of 100 ft from any gas pumps/propane distribution tank. 2. The site shall be cleaned and restored to its original condition on or before July I 1 th. This shall include removal of all structures, signs, debris, and the like. 13. A thirty (30) foot from setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subject to Zoning Administrator's approval. 4 Building permits shall be obtained for all proposed structures and.'or lighting. j 5 Sign permits shall be obtained for all proposed signage. 6 The sale of fireworks requires a special permit from FirelRescue department. C':IIRISTMAS TREES: J The outside storage of combustible material or flammable materials shall be located so as not to constitute a hazard and shall not be less than 15 feet from any building on the site. Any open burning must comply with the Virginia Statewide Fire Prevention Code and the Albemarle County Code. 2. The site shall be cleaned and restored to its original condition on or before January 2. This shall include the removal of all structures. signs, debris, and the like. 3• A thirty (30) foot front setback shall be maintained, Display shall he located so as to avoid traffic congestion. Idodifications subject to Zoning Administrator's approval. 4. Building permits shall be obtained for all proposed structures andhx lighting. 5. Sign permits shall be obtained for all proposed signage. r OTHER REVIEWS: 1. Is the property on pubic or private water!sewer? j Private requires Hcalth Department, Public requires ACSA review (2 to 5 days) 2. Will you be operating a bakery'? USDA review is required (approx. 2 weeks but as long as 6 weeks) 3. If you are serving prepackaged baked goods but not making them on the Premises, only f lealth Department will review. (2 to.5 days) 4. If you will be operating any business that is in an industrially zoned district or of an industrial nature you will need to provide a Letter of Performance Standards or Certilied I.ngineer's Report to stafl member Mill provide an information packet addressing this requirement) (5 to 10 days as soon as the Letter ur Report is received by this Department) l 5. 11 there has been no site inspection within the last three ( ',) months for the parcel vie. then one cvi11 be conducted to verify that the project is in compliance tvtrh an approved site plan (if applicable). � I Rcv'ised I i 13915 Page I of 3 CERTIFICATION THAT NOTICE'O F LANDOWNER THE APPLICATION HAS BEEN PROVIDED TO the zoning This form must accompanj► zoning applications (Hume occupation, ZoningClearance, application /canon is not the Administrator Determinations or Appeals, Sign Permits, Building Permits) if pP owner. 1 certify that notice of the application, [County I�j apt+'tion name cumber] was provided to J j f 1 �r the owner of record of 'rax Map i��-i�--c—y—�K— .--. - [name(s) of the record owners of the parcel] 7__.. y �. -T by delivering a copy of the application in the and Parcel Number _6L� 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 /� f ��s•py 1 cation to ' +'Nhe�l py o t e app i �_ _ [Name o the recordowner �f rd 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 (�- 1 �S� _ to the following address: Date [ad ss; w tten notice mailed to the owner at the last Uown address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. 4nature — icantt Print Applicant Name Date «J