HomeMy WebLinkAboutCLE201900019 Application 2019-03-07Application for Zoning Clearance
CLE # `'k CO) Gj
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check# C Date: c9'�
Receipt # Staff: (A
PARCEL INFORMATION
� c
Tax Map and Parcel: Q (p 100 - b I — b b -()(L14A (') Existing Zoning
Parcel Owner: lSe-)` q-r tr, LL C
Parcel Address: 'lk' `"1&k` l) I`Ve City CkNQJ` (QA`"UAk(L8tate VA
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? \
Address: —WA Cgli'lI ioliWe-O`IA I)r City01a41e:'F 4e-J Vl�State (f Zip��°JC
Office Phone: (�{31'j„�� 2 ^ ('3 Cell #7C 3'5S9-'ax # E-mail VMLL4,1U4 W U.� EOe �+
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: 5�pe.�1L�1 y e ljrew
' s C! /tie1 I-{ � r SC 10 ti
Previous Business on this site "---a-1 C- �, Re , i ; ca�►•� y
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: .2 /,%, p j p 1Jj f t1 1�
*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 knowledge. I have read the conditions of approval, and 1 understand them, and that I will abide by them.
Signature M � Printed r'1 �� Csj kxr
APPROVAL INFORMATION
[ ] Approved as proposed ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current est data needed for this site. Contact ACSA, 977-451 1, xl 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
Zoning Official Date
Other Official Date
u ounry of Albemarle vepartment 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:
Is
Is u LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
YW erN1ttf e 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 pu is wat
If private well, provide Health partment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that appliet�s�i
Is parcel on septic or pu
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: 1 A6
Y/N
Permitted as:
L.J i
Under Section:
Supplementary regulations section
Parking formula:
Required spaces: �J
Y/N
ems to be verified in the field:
Inspector : Date:
Notes:
Viol s:
Y/
If so, ist:
Proffers:
Y/�
If so,- st:
Variance:
N
(rfso, List: O/�t pp
�'6(5� — 7�— �(b°'�LLi rpr"6
SP's-
y ,( Tv /
If so, ist:
Clearances:
166
SDP's
Q o -� 3
—a0 b -- N
i ct86
�I,Cn - I (a
Revised 1 1/1/2015 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]
the owner of record of Tax Map
[name(s) of the record owners of the parcel)
and Parcel Number
manner identified below:
Hand delivering a copy of the application to
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 of Applicant
Print Applicant Name
Date
Michael Dellinger
From:
Michael Dellinger
Sent:
Friday, March 1, 2019 3:01 PM
To:
munagurung2000@yahoo.com'
Cc:
Lea Brumfield
Subject:
RE: zoning clearance
Good afternoon:
I'm going to approve your zoning clearance from the building division with the stipulation that if complaints are received
regarding fumes that you will be required to install additional ventilation that meets the building code.
Regards,
/V A De&,(-eY C30, CFAJ
4MJ,e �Ie'Coun,ty, VW
From: muna gurung <munagurung2000@yahoo.com>
Sent: Thursday, February 28, 2019 4:09 PM
To: Michael Dellinger <mdellinger@albemarle.org>
Subject: RE: zoning clearance
You're welcome,
No
*I'm not planning to do manicure , pedicure or nails.
• not perms and other process that produce heavy fumes.
Thank you
Regards
Muna Gurung karki
On Thu, Feb 28, 2019 at 3:40 PM, Michael Dellinger
<mdellingeroa albemarle orcl> wrote:
Thank you for the floorplan. I need some additional information.
• Do you or are you planning on providing manicure or pedicures?
• Do you or are you planning on providing perms or other processes that produce heavy fumes?
Regards,
Michael
1
From: muna gurung <munagurung2000 yahoo.com>
Sent: Thursday, February 28, 2019 11:50 AM
To: Michael Dellinger <mdellinger albemarle.org>
Cc: Lea Brumfield <Ibrumfield(@albemarle.org>; Keith Huckstep <KHUCKSTEP- albemarle org>
Subject: Re: zoning clearance
Good morning,
I got the email regarding to floor plan.
I am putting 2 chair for thread, 3 chair for hair cut 1 chair for wax., 2 hair dryer and 2 shampoo bowl.
The floor plan attached.
Thank you
Regards
Muna Gurung karki
M Gurung:
Your proposed business generates you to file for additional permits i.e., plumbing, mechanical, etc. Please
forward a floorplan with your proposed changes so we can advise what permits you will be needing to obtain.
Regards,
M. A. Dellinger CBO, CFM
Building Official
Albemarle County, VA