HomeMy WebLinkAboutCLE201900077 Action Letter 2019-04-25APPROVED
bV the Albem,j- v
Application for Zoning Clearance
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PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # Lp;zU T9 Date: (G '101
Receipt # 11 7 Ll Staff:
PARCEL INFORMATION
Tax Map and Parcel: Existing Zoning PD-MC
Parcel Owner: 5TH STREET STATION VENTURES, LLC
BLDG 2200, SUITE 2205
Parcel Address: 315 MERCHANT WALK SQUARE City CHARLOTTESVILLE State VA Zip 22902
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? DAN TUCKER
Address: 5 SW BROAD STREET, SUITE B City FAIRBURN State GEORGIA Zip 30213
Office Phone: (770) 692-8300 Cell # (404) 245-4909 Fax # (770) 692-8302 E-mail DAN@SJCOLLINSENT.COM
APPLICANT INFORMATION
Check any that apply: Change of ownership X Change of use Change of name X New business
Business Name/Type: PICASSO SWIG (SUITE 2205) / BUSINESS
Previous Business on this site MOSTLY UNDEVELOPED SITE
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:
1,507 SQ. FT. PICASSO SWIG, A CHILDREN'S ART STUDIO.
(BUSINESS USE - TRAINING & SKILL DEVELOPMENT NOT IN A SCHOOL)
*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 I understand them, and that I will abide by them.
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Signature Printed 04/15/2019
APPROVAY INFORMATION
D< Approved 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��� j
J.
Zoning Official Date 7 ZS 2O/ q
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 1/02/2015 Page 2 of 3
Intake to complete the following:
Y /
Is us n LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/N
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 or 6ibli�
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 o blic sewer.
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y /)N
Fill there be any new construction or renovations?
If so, obt * the proQe Permit.
Permit # 1 --V l C3(27 AC --
Zoning to complete the followinp:
Reviewer to complete the following: S,/; to 22f5
Square footage of Use: � S `✓ -7 S F
Yr/ it jVCaf i a-� , f 'PCB 4;td l Lt� ��' Sc6b
mitted as: /
Under Section: 25 0 • Z c I 0) ---,y
Supplementary regulations section:
ll0q e
Parking formula:
4s5' / la)o sty Aia-
Required spaces:
Y /
Items to be verified in the field:
ty011e
Inspector:
Notes:
Date:
Viol��'ons:
Y/(NJ
If so, UN
Nv�e
Proffers:
Y/N
If so, List:
Z,Mt4 -ZC 6 -9
Variance:
Y/
If so, ist:
>r1/o:��
SP's:
Y/
If so, Est:
Nome
Clearances:
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6-LE Z01 6 - 4S
Revised 11/1/2015 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:
Q 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
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STRUCTURAL
OVERALL
N FLOOR PLAN SITE KEY PLAN
pp.+. SCALE 1/16=7'-0' OC-1.4 SCALE: N.TS.
CL ENT' PROJECT JOB NUMBER By
0829404
PAV/MRE
5TH STREET P H I L L I PS
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THEOt/23/19 CHARLOTTESVILLE, VA DATE DRAWING svo+ceALDING A o NW SUITE
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LOD - 1.22 BUILDING 2200 BAITLLANTA GA M-
770394,7676