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HomeMy WebLinkAboutCLE201900049 Application 2019-03-143-114-( c7 C1-E 20(-7-ac9 Application for Zoning Clearance CI.r. a - b =" +'• ----- — — ----- 11. 3 �3z�1 >,.:,.,: PI. EASE REVIENV A1,1. 1 SIIEI."I'S OFFICE, 115E t)NI,Y Check Date: 12eccipt N Staff; PARCEL INFOR 1,,,%TION 'may ,^�f t Tax \lap Parcel: (A N -0' " 00 - 0 50 and GtL, f Existing zoning 1 / Parcel Owner. 'r� S0QVC�;YS V V �� l/t�l .° 1�� I Parcel Address: (5ku + iY�ll'1C\� 1 r I 1 city Q MflL �Wt �6--te V R Zip (include suite or floor) PRIMARY CONTACT ��^^ Who should we call/write concerning this project? �� rJ� ` C � r in-Ti i Address :- Z60 4- th S-� City State W\ zip az Office Phone: ( % l.D I t I I Cell #� i 1+ ax # F,-mail�(,{1�10. �LL� 1�►gblY ��[��G APPLICANT INFORMATION Check an), that apply: of ownership Change of use Change of name New business ppC-th-ange ����w ` Business Name/Type: ICI t, - T W'10 [ llc Previous Business on this site W 10 -, 4 C V- 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: C1 C 1.1 1(W ` I aW SF '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 sl of my know 1 have read the conditions of approval, and I understand them, and that I will abide by them. Signature �- - Printed �A+?� Ko,2QL6uf& APPROVAL INFORMATION [t4 Approved as proposed [ J Approved with conditions [ J Denied [ J Bacldlow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x l 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 County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised 11/02/2015 Page 2 of 3 6t�a q - 5E3A)0(-/-v,7-5 Scanned by CamScanner Intake to complete the following: Is/ Is u I L , HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified Y Wi the 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 ubl�c �yate�?P If private well, provide Heal apartment 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 blic sewer. Y 1/ N Y11 you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # �✓ 2 �� Yy N ill there be any new construction or renovations? If so, obtain the proper Permit. Permit# 6Zo(2-583 Zoning to complete the followinL,: Reviewer to complete the following: Square footage of Use: Z'�00 N y fitted as: �'1 O (� 5�/ �C -5 Under Section: Z,.5r Z r ( `> 22 17, ( Supplementary regulations section: Parking formula: Required spaces: 2 Y/N Items to be verified in the field: Inspector: Notes: Date: Viol s: if If st: Proffers: Y/N If so, List: Z ©e ( - / L( Vari Y Ifs st: VA at CY��Vrd W -SPIs: ) I Y b--1' itS fist: j � � �173 - Clearances: 2d17-76,zo16-lZS zol6- z3 o-58 M5 �ZS.l�$`�-`t 2013-1iki Z©1Z Z9Z, 2olD—z19 WO, bt c v Revised 11/1/2015 Page 3 of 3 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This firm must accompany zoning applications (/Ionic Occupation, Zoning Clearance, Zoning .4dneinistrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner. 1 certify that notice of the application, [County application name and number] was provided to V �1 ►U rJ (�,i ��l�l(� the owner of record of Tax Map [name(s) of the Tedora owners of the parcel] and Parcel Number (D(O 0\' �-70(NyL delivering a copy of the application in the manner identified below: Nand delivering a copy of the application to W-tf- V21C-d Suc S6i4mnl fr15 er-- t [Name of the record owner if the record owner is a Vaviair- V, person; if the owner of record is an entity, identify the recipient of the record and the recipient's J1 title or office for that entity] on M i -:6 I Date Q 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]. cofSign ZAIp --rA610 -200arroCT, Print Applicant Name o3%,III`{ Date Scanned by CamScanner 2 3 *� FINISH PLAN ADJACENT TENANT SYSTEM WALL PANEL FINISH SUMMARY SYMBOL DESCRIPTION 81#1 BASE - RUBBER B2## BASE -WOOD Ft## FLOORING -WOOD F21# FLOORING -RESILIENT TILE F3## FLOORING- CERAMIC/PORCELAIN TILE GENERAL NOTES F4## FLOORING - CARPET 1. SEE SHEET A571 FOR FLOOR TRANSITION AND BASE DETAILS. 2 PREPARE EXISTING FLOOR SURFACE PER MANUFACTURER SPECIFICATIONS FOR INSTALLATION OF NEW FLOORING MATERIALS AS INDICATED IN THESE PLANS. SEE SPECIFICATIONS AND MANUFACTURER INSTRUCTIONS FOR ADDITIONAL FLOOR INSTALLATION NOTES. CLEAN AND FINISH FLOOR PER MANUFACTURER INSTRUCTIONS. 3. FOR FLOOR FINISHES, COMPLY WITH THESE RECOMMENDATIONS AT MINIMUM OR NOT LESS THAN MANUFACTURER'S WRITTEN INSTRUCTIONS, REFER TO MANUFACTURER'S INSTALLATION SPECIFICATIONS FOR ALL FINISHES INCLUDING FLOOR LEVELING RED U IREMENTS, EXPANSION SPACES, VAPOR BARRIERS. UNDERLAYMENT, SITE 1 HEET SYMBOLS ING AREA N.I.C. X p## FINISH TAG P1## PAINT Wt## WALLCOVERING- WET AREA SURROUND V2## CORNER GUARD - CONDITIONS. ETC. 3.1 SUBFLOOR PREPARATION- GRIND HIGH SPOTS AND FILL LOW SPOTS TO PRODUCE A MAXIMUM 1/S-(3-MM) DEVIATION IN ANY DIRECTION VMEN CHECKED WITH A 10(3-M) I FINISH TAG XX ### X# FIXTURE TAG R FINISH FINISH FINISH STRAIGHT EDGE 3.2. EXPANSION: PROVIDE EXPANSION SPACE AT WALLS AND OTHER OBSTRUCTIONS AND TERMINATIONS OF FLOORING OF NOT LESS THAN DIRECTED BY MANUFACTURER 33 PROTECTION: PROVIDE FLOOR PROTECTION UP UNTIL FINAL CLEANING. CENTER FLOORING WITHIN EACH ROOM. FIRST PLANK SHOULD BE CENTERED BETWEEN THE DEMISING WALLS AND PLACED SO THAT PARTIAL PLANKS ARE NEAR THE DEMISING WALLS AND UNDERNEATH THE SYSTEM WALL UNLESS OTHERW SE NOTED. ALL EQUIPMENT. FINISHES, FIXTURES. FURNITURE, AND GRAPHICS TO BE INSTALLED PER _ MANUFACTURER'S RECOMMENDATIONS. SEE ASO SERIES SHEETS FOR ALL SCHEDULES. 4 2 3 1 T • .Mobilew 129205E aB. STREET BELLEVUE, WA 9fp106 TL— coaso-anon. eaa q eue. awomone�ay ad1liryo Design Forum Architects Inc. 700 W. Pete Rose Way, Suite 460 Cincinneti, OH 45203 Tel: (513) 421-2210 E 2019DESIGN FORUM ARCHITECTS LICENSE # 2705098140 ALBEMARLE CONTRACTOR LLC slate License # c sun N I-EF Design Forum Engineering Qp DESCRIPTION DATE Cr- o o CY) (14 Q' N > � LLI LLI Q J Co a �s LLJ j �0w O zLU � -i�� LL oLLJ U)� N C <Z_ U) LL MDC DEALER - RELO 102E DATE' 3/6/2019 SCALE. 1A" = iV-0 DRAWN BY'. PROJECT N. TPP4354 SHEET A121