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HomeMy WebLinkAboutCLE201900039 Action Letter 2019-03-07Application for Aon*n Clearance'"'y PLEASE REVIEW OFFICEt�SE ONLY 21111 ALL 3 SHEETS Check # 2 Date: Receipt # Staff: S PARCEL INFORMATION Tax Map and Parcel: 70o — 15 L g Existing Zoning 1C� ff'' ,II Parcel Owner: bKL P NQ M, (A 14 Lvj Parcel Address: ��%/ �1 Ioys P- City State �i�V� � L�� Zip (' rte or floor) PRIMARY CONTACT p� Who should we call/write concerning this project? levyaVl%(% Address : �� (qo A ce((U �_d City lirU(Il�i State Ur� Zip 12jqU2' Office Phone: (1' 7) lit- Olaq Cell # `"%Z4q %'41 Fax # E-mail aerci W (P APPLICANT INFORMATION Check any that apply: Change of ownership Change of use =14—Change of name New business Business Name/Type: Previous Business on this site i, T)e-Al,o 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: �1SlV�'��1>!1�t, 1�6�(iS �?ccvti O ",- , V� 44-A. Lolhn [fie IU C>�1�;7�;7v(�/Z C 0 Qt7117t�f1i�;1 (?M ri `nvr n n o� to Irn *This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew location, anew Zoning Clearance will be required. I hereby certify that I own or have owner's permission to use the space indicated on this application. I also certify that the information provided is true and accurat "Ihet o m owleddge. I have read the conditions of approval, and 1 understand them, and that I will abide by them. Signature Printed 'Pvn '�rEw, &,2 APPROVAL INFORMATION f <Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, 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: [Luilding Official�. JA Zoning Official Other Official Date � 1-1 ZOi % 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 3 Intake to complete the following: Is / Is usal, HI or PDTP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y //N Wil re 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 ublic 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 u lic sewer? 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 # Zoning to complete the following: Reviewer to complete the following: Square footage of Use: '21 1-73 N fitted as: O' C 2 Under Section: 2 -2- � t Supplementary regulations section: Parking formula: A S r- 1 I2� Required spaces: Y / Ite be verified in the field: Inspector: Notes: Date: Viol ns: Y/ If so, ist: Proff s: Y//.T If so, ist: Vari ce: Y / If so, ist: SP's: Y / so If , Est: � Clearances: , SDP's toq Z,016 i s Revised 1 1 /112015 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 entified below: marine delivering a copy of the application to the owner of record of Tax Map by delivering a copy of the application in the [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 bfApplicant Print Applicant Name 3 t' P Date TYPICAL: FURS INSIDE FACE OF EXTERIOR WALLS W/ 2xA'S @ 24" O.C. 6 INSULATE W/ R19 WALLS: PAINTED 1/2• GWB EXCEPT IN STORAGE AREA (UNFINISHED) CEILINGS: SEE CEILING PLAN FLOORS: VINYL TILE THROUGHOUT BASE: RUBBER DOORS: PAINTED SOLID CORE FLUSH -WOOD DOORS S hPAINTED� HOLLOW - W9BA" UNLESS OTHER - INTERIOR STAIR DOOR TO HAVE ONE -HOUR FIRE RATING (CLOSER REOUIREO) TENANT TO SELECT HARDWARE FROM DEVELOPER'S STANDARDS ALL PAINT TO BE EGGSHELL ON WALLS SEMI GLOSS ON TRIM 6 IN TOILETS ELECTRICAL SYMBOLS KEY ALL LIGHTING AND SWITCHING IS SHOWN ON CEILING PLANS ALL INTERIOR ITEMS BELOW TO HAVE IVORY FINISH/COLOR DUPLEX OUTLET 6 18• AFF UNLESS NOTED OTHERWISE $ FLOOR MOUNTED OUTLET (OR FLUSH IN COUNTER TOP) OUAORIPLEX OUTLET WEATHER PROOF OUTLET GROUND FAULT OUTLET CABLE TELEVISION OUTLET D TELEPHONE © DEDICATED COMPUTER HOOK-UP 11 CODE INFORMATION 10 3 1/2 THE WORK CONTAINED HEREIN IS FOR INTERIOR TEN IMPROVEMENTS TO THE DOMINION OFFICE PARK OFFI �.����i' BUILDING, THE BUILDING SHELL AND STRUCTURE OF NI HAVE BEEN PREVIOUSLY DESIGNEQ BY OTHERS USING � [•JCP��1\►•'�` G�zti +�� FOLLOWING BUILDING CODE CRITERIA: Act ci GOVERNING CODE: USBC 2000 ( IBC 2000) ALIGN FACE OF BUILDING TYPE: B, BUSINESS USE OFLCOLUMFACE 36' CONSTRUCTION TYPE:VB, UNPROTECTED HEIGHT: 2 STORIES �� y MEAN BUILDING HEIGW:-8" �'� bW GRITSS RIITI FITAITI AP9DA-C9'1 QC' �`fir 3 117 .�� LAMA ALIGN CE 0 yj CALL W FACE���p�'� �V OF COL I fi/� w 1 ��SnG1.G' t I m E N 36' PAINT f1�/ EXPOSED L17 (�rllk(T ' COLUM it lflo IL vft&, 6j t w `� PROVIDE 2x6 WALL BEHIND ' PLUMBING FIXTURES INSTALL SURFACE MOUNTED PAPER TOWEL 6 TOILET PAPER DISPENCERS - PROVIDE BLOCKININCLUDE IN WALL FOR EACH INCLUDE ��M{{ppIgEEROR W/ SURFACE MTD LT. OVER LAV CONFIRMSFOUGqI{ INALL q%OUIREI4ENTS ru PRIOR 70 FgAMING THIS AAEA 3'-0' BASEMENT TENANT SCALE: 114'' = l'-0" IMPROVEMENTS PLAN REVISIONS DATE OESCRIF ING DRAI co w z U� CC Q 0 F o� cr)� w� n cc c I-- c Z I � w U z o F- W w :2 w U' rW o J 00 Q I 1 W � F- O G O 2 L LL SHEET HUHBER Al.0 BATE: -F'P ❑IInOV Jn