HomeMy WebLinkAboutCLE201800234 Application 2018-12-20��) o oo 5 o F Cr- L- -�—
Application for Zoning Clearance1.
CLE #
OFFICE USE ONLY
S Date:
PLEASE REVIEW ALL 3 SHEETS Check # U (�OReceipt Staff:
PARCEL INFORMArT r1 Existing Zoning I \� I" O
Tax Map and Parcel: n N
V
Parcel Owner
Parcel Address: —1-11 I-LU/tVv V V `^ � `'
(include suite or floor)
LL,,L
oh 7,V
�'► city �lndtlrlUt� 041Mate
PRIMARY CONTACT.
Who should we call/write concerning this project.
Dial C�� Ord 4 MAIw1 L,O&Y„11
Zip S"o I
11state VIA Zipil"01
Address
Z.20'401 Fax # K3 •2u.qul I° -mail S�dM .�t.l'lt jims oatnlif•t�ni
Office Phone: Cell #
APPLICANT INFORMATION `"'r" '"" "'" "
Check any that apply: Change of ownership Change of use Change/o-f�name New business
Business Name/Type: w�/ Q a't ri- F 11�a(�C 1�� v • V
Previous Business on this site N d
Describe the proposed business including use, number of eFadditional information that mployees, numb of s ifts, availab parking spaces, , bF�ran
of f
vehicles, and an oyou can provide: �h VIGt(�lqempU
IF .5 •Eyr
*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 1 own or have the owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate to the bests of my Vowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature
t/t f/`�j / `^'rPrinted a n
APPROVAL INFORMATION Denied
Approved as proposed
] [ ]Approved with conditions [ ]
[�] Backflow prevention device and/or current test data needed for this site. Contact ACSA,deter 9 anon I, x117.
[ ] 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:
Date
Building Official
Date n —
Zoning Official
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 1 1/1/2015 Page 2 of 3
Intake to complete the following:
Y�
Is u to LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y
Will ere 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 p lic w�te?
If private well, provide Healt t form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that ap41r�_Srl
Is parcel on septic or
Y / N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Reviewer to complete the following:
Square footage of Use:
N 3800
P / N
ermitted as:
Under Section: �'�IOnW�c9U�
Supplementary regulations section:
Parking formula:
Required spaces: I
i
Y N
Items to be verified in the field:
Inspector : Date:
Notes:
Zoning to complete the followin : Proffers:
Vio"ns: Y / N
Y Q If so, List:
Ifs List: 7—M A7 2M 3 —1 Z. rt q ;49
's:
Var' ce, / N
Y (',J f so, List:
If so, List:
SDP's _��
Clearances: f
v�
Revised I I/I/20I5 Page 3 of 3
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,
was provided to
[County application name and number]
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
the owner of record of Tax Map
by delivering a copy of the application in the
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 snown oil
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Applicant
Print Applicant Name
Date
PROPOSED FLOOR PLAN
SCALE: 1/4'' = I'-0"
AREA 4 OGGUfi=ANG"' GALLS.
NO.
NAME
NET AFMA
SF/PER.
PERSONS
101
RECEPTION
511 SF
100
4
102
STORAGE
2CI SF
500
1
105
COFFEE BAR
I C1 SF
100
1
104
OFF I GE
185 SF
100
2
105
OFF I GE
17r-i SF
100
2
106
OPEN OFF 1 GE
221 SF
100
5
107
OFF I GE
210 SF
100
5
108
CORRIDOR
26CI SF
100
5
loci
OFFICE
III SF
100
2
11 O
OFF I GE
121 SF
100
2
III
CONFERENCE
224 SF
100
5
112
COPY/STORAGE
56 SF
100
1
115
OPEN OFF 1 GE
587 SF
100
6
114
OFF I GE
100 SF
100
1
115
OFF I GE
84 SF
100
1
116
OFF I GE
8cI SF
100
1
117
OFF I GE
015 SF
100
1
110
HVAC
I :.I SF
500
1
ICI
SREA< ROOM
204 SF
100
5
TOTAL OGGUPANGY TH 1 5 FLOOR
41
DOOR SCHEDULE
NO.
SIZE
TYPE
MAT'L
PRAMS
FINISH
R.ATIN6
REMARKS
102A
2'-O" X 6-5"
D-1
WD
MTL.
PAINT
105A
5'-O" X 6-8"
D-1
WD
MTL.
PAINT
10-7A
5'-O" X 6-8"
D-1
WD
MTL.
PAINT
IOTA
5'-O" X 6-8"
D-1
WD
MTL.
PAINT
IIOA
5'-O" X 6-8"
D-1
WD
MTL.
PAINT
IIIA
3'-0" X 6'-8"
D-1
WD
MTL.
PAINT
115A
(2)2'-0" X 6-8"
D-2
WD
MTL.
PAINT
114A
5'-O" X 6-8"
D-1
WD
MTL.
PAINT
115A
5'-O" X 6-8"
D-1
WD
MTL.
PAINT
116A
5'-O" X 6-8"
D-1
WD
MTL.
PAINT
117A
5'-O" X 6-8"
D-1
WD
MTL.
PAINT
118A
(2)2'-0" X 6-8"
D-2
WD
MTL.
PAINT
IIQA
5'-O" X 6-8"
1 D-I
I WD
I MTL.
I PAINT
GL
SGWD = SOLID GORE WOOD, ALUM = ALUMINUM, ANOD = ANODIZED, HM = HOLLOW METAL
GL = CLOSER, PH = PANIC HARDWARE, ND = WOOD, PT = PAINTED, 57N = STAINED
NOTES:
I. PRO\/IDE TRANSITION THRESHOLD ® ALL OPNG5 WHERE DISSIMILAR FLOOR FINISHES MEET
2. PROS/ DE RATED HARDWARE, I NGLUID I NCG CLOSERS ® ALL RATED DOORS
5. ALL EXTERIOR DOORS TO 5E INSULATED, W/ INSULATED GLASS (IF APPLICABLE)
4. ALL EXTERIOR EGRESS DOORS TO BE EQUIPPED WITH PANIC HARDWARE
FINISH
NO.
ROOM NAME
FLOOR
5.45E
WALL
GE I L I N6
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101
RECEPTION
O
O
O
1
10
102
STORAGE
O
O
O
O
105
COFFEE BAR
O
O
O
O
104
OFFICE
O
O
O
O
105
OFFICE
O
O
O
O
106
OPEN OFF I GE
O
O
O
O
-o
107
OFF I CE
O
01
O
1
10
-o
108
CORRIDOR
O
O
O
O
I Oa
OFF I CIE
O
1
10
O
O
-o
110
OFF I CE
O
O
O
O
III
CONFERENCE
O
O
O
O
112
COPY/STORAGE
O
O
O
O
-O
115
OPEN OFFICE
O
O
O
10
4� 1-011
114
OFFICE
O
O
O
O
4�'-0"
115
OFFICE
O
O
O
O
116
1 OFFICE
O
01
O
O
117
OFFICE
O
01
O
O
116
HVAC
O
O
O
O
Ills
BREAK ROOM
O
O
O
O
`I'-01'
Y�IALL 74rFE5
��
TYP. AT INTERIOR WALLS
UNLE55 NOTED OTHERWISE
5/5" INT. GAB EA. SIDE
5-5/5" METAL STUDS ® 16' O.G. MAX.
UP TO 5'-6" A.F.F. (5RAGE TOP OF
WALL AS REO'D. FOR STABILITY)
SOUND INSULATION WHERE INDICATED ON PLAN
EXTEND WALL AND SEAL TO UNDERSIDE OF DECK
5-5/5" METAL STUDS ® 16' O.G. MAX.
UP TO 5'-6" A.F.F. (5RA0E TOP OF
WALL AS REO'D. FOR STABILITY)
5/5" INT. CGWS EA. 51DE
JulINE;)CJul 4 DOOR TYi=F—S
4'-0" 4'-0"
2'-4" 5'-0" 2'-4"
SGHED.
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