HomeMy WebLinkAboutCLE201900026 Action Letter 2019-02-22APPROVED
+bemarle County
''earance
Application f111=0
CLE # 19 - ,3k CO
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
V
Check # Date:
Receipt # -7 Staff:
PARCEL INFORMATIO
a
Tax Mapand Parcel: ExistingZoning J
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Parcel Owner:— Y
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Parcel Address: 6 j0 s•F��Fn-n, _4V1 S ���City �j,r,_6 arqC� v,ttate V A Zip
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project?
Address: Fiyt° �`ji �. AJ City State Zip
y3y-9v7—n5-7 6555-�, r3-14Z4
Office Phone: ( ) Cell # Fax # E-mail ;e-y e_1)k a
J•-t 4, � • Cry '
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: �`� y�,�_ Gs cs�S Y� L w ;•S��t i� I i_ C.
Previous Business on this site i Y) Su re/
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide: Co �i
20 t
*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 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 best of my Icn wledge. I have read the conditions ofapproval, and I understand them, and that I will abide by them.
Signature Printed
APPROVAL INFORMATIO
><pproved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, 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:
Building Official Date
Zoning Official Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
6;09)
Revised 11/1/2015 Page 2 of 3
Zoning Clearance Checklist
Applicant MUST HAVE the following information to apply for a Zoning Clearance:
1) Tax Map and Parcel or Address, Building Name, Suite/Unit/Floor numbers, if applicable.
2) A Floor 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 footage of each room or area of use;
d) Note the use of each room or area of use.
FEES
Zoning Clearance = $54
Temporary Fundraising Activity = No fee
Conditions of Approval
FIREWORKS:
1. No person shall sell, offer for sale, store, display or discharge any 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 1 Ith. This shall include removal of all structures,
signs, debris, and the like.
3. A thirty (30) foot front 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.
5. Sign permits shall be obtained for all proposed signage.
6. The sale of fireworks requires a special permit from Fire/Rescue department.
CHRISTMAS TREES:
1. 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 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.
5. Sign permits shall be obtained for all proposed signage.
OTHER REVIEWS:
1. Is the property on public or private water/sewer?
Private requires Health 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 Health 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 Certified Engineer's Report (a staff member will provide an information packet addressing this
requirement) (5 to 10 days as soon as the Letter or Report is received by this Department)
5. If there has been no site inspection within the last three (3) months for the parcel/site, then one will be conducted to verify that the
project is in compliance with an approved site plan (if applicable).
Revised 11/1/2015 Page l of 3
Intake to complete the following:
Y/N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /®
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 o pu lic water?
If private well, provide Healt ment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies-
Is parcel on septic o public sew r.
Y / 0
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y /®
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
ZoninE to comDlete the followine:
Reviewer to complete the following:
Square footage of Use:
14/Q r 'f Gf !O
P miffed as: � (t�`�, r � ! S �G '(� � ��, � /-r,
Under Section:
Supplementary regulations section:
✓I C7 -�
Parking formula: �/ 200
Required spaces:
Y/N
Items to be verified in the field:
4D-��
Inspector : Date:
Notes:
Violations:
Y/N
If so, List:
e7r
Proffers:
Y/N
If so, List:
Variance:
Y / N
If so, List:
(
I \ an
SP's:
Y / N
If so, List: k1c)
Clearances:
® s-
SDP's pp
Revised 11/]/2015 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]
the owner of record of Tax Map
and Parcel Number 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 Applicant
Print Applicant Name
Date
Michael Dellinger
From: Michael Dellinger
Sent: Friday, February 22, 2019 11:06 AM
To: 'Debbie Wong'
Subject: RE: zoning clearance
Ms. Wong:
Thank you for your reply. Just to reiterate, no type of examination can take place in this space without some upgrades
required by the building code. I will place this email chain in the file.
Regards,
/l, 4. VeU"jei' CL30, CF"
Huz l Mg— Offc�c�
,4ayely le c&"nty, 11,4
From: Debbie Wong <debbiewongcpm@gmail.com>
Sent: Friday, February 22, 2019 9:43 AM
To: Michael Dellinger <mdellinger@albemarle.org>
Subject: Re: zoning clearance
Mr Dellinger,
I will not be attending any births in this space. I will be using this space for consultations with new clients (they will give
birth at the hospital or at their home), prenatal counseling, and bodywork. I'm a licensed health provider.
Debbie Wong
Sent from my iPhone
On Feb 22, 2019, at 7:46 AM, Michael Dellinger <mdellinger@albemarle.org> wrote:
It could be, depending on what is actually occurring within the building.
Michael
From: Debbie Wong <debbiewongc m_@gmail.com>
Sent: Thursday, February 21, 2019 7:53 PM
To: Michael Dellinger <mdellinger@albemarle.org>
Subject: Re: zoning clearance
Would that be a different permit?
Sent from my iPhone
1
On Feb 21, 2019, at 2:32 PM, Michael Dellinger <mdellinger@albemarle.org> wrote:
Thank you. Just to clarify you do not perform any type of examination or testing
process?
From: Debbie Wong <debbiewongcpm@gmail.com>
Sent: Thursday, February 21, 2019 2:31 PM
To: Michael Dellinger <mdellinger@albemarle.or>
Subject: Re: zoning clearance
Dear Mr Dellinger,
I am a midwife and I do prenatal counseling and bodywork at my office space.
Sincerely,
Debbie Wong
Sent from my iPhone
On Feb 21, 2019, at 12:52 PM, Michael Dellinger <mdellinger@albemarle.org> wrote:
Good afternoon Ms. Wong:
Can you explain exactly what your business does so I can verify it meets
my clearance for zoning.
Thanks.
Regards,
Al. A PeLL(C130, CF1V
s"ddmmg- Of l c�
4Mh-, i�l Co" ty, VW