HomeMy WebLinkAboutCLE201900083 Application 2019-04-26rWPROVED
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Application for Zoning Clearances 1~ZC1-1;=��°YAP
CLE # 10t 50nrr
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PLEASE REVIEW ALL 3 SHEETS
OFFICE UI, E, ,O LY �? �f J S_� .
Check A+—/ 3A. 3. ICJ Date: ' �1 If
Receipt # Staff: e 4--4�'
PARCEL INFORMATION
Tax Map and Parcel: Q 5 700 _ 00 - 0O " 0 2 b O-V Existing Zoning
Parcel Owner:Polly Davis Doig and Christopher Deppmann
Parcel Address:2946 Monacan Trail Road city North Garden State VA zip 22959
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Polly Davis Doig
Address :1429 Burchs Creek Road City Charlottesville State VA zip 22903
Office Phone: (4,14) 823-1970 Cell # 434.872.12(M Fax # E-mail davisdoig(a)-gmail. corn
APPLICANT INFORMATION
Check any that apply: X Change of ownership X Change of use X Change of name X New business
Business Name/Type: Polly's Folly/country store
Previous Business on this siteSprouse's furniture store
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: A c°°"`ry SC)re serving [oca] beer' wine, cider, Produce, grab -and -go food, pintsy staples.
betweeR the hours of 7am and 7pm, 7 days a PFopesal
week.At least
twe peeple will be weFking
C�
*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.
1 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 t,dothe �best of my knowledge. I have read the conditions of approval, and I understand them• and that I will abide by them.
Signature PrintedP011y Davis Doig
APPROVAL INFORMATION
J Approved as proposed I ] Approved with conditions [ ] Denied
J Backtlow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, 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.
J This site complies with the site plan as of this date.
Notes:
Building Official Date
Zoning Official Date / 05-
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
Intake to complete the following:
Y
Is u�ein LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
' N
ill 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 thiaLaaallics
Is parcel rivate-w 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 applies
Is parce n s or public sewer?
Y / N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
/ N
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # Q ZV j `I 97 g
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: 1300 T
Permitted as: �✓� J`! f� re
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector : Date:
Notes:
Viol*''°ns:
Y / �Isi)
If so, ist:
Proffe-
Y
If so, List:
Var'
Y /
Ifs ist:
SP's-
Y i/ )
If so, List:
Clearances: /%V1�(1S 0I
hP O�(1�-
SDP's
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,
[County application name and number]
was provided to Linda S. Litten, Charles W. Oliver the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 08700-00-00-02600 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 Linda S. Litten, Charles W. Oliver
[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 April 18, 2019 to the following address:
Date
[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
Polly Davis Doig
Print Applicant Name
April 18, 2019
Date
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 lth. 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/l/2015 Page 1 of 3
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Front porch
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Jeffrey Baker
From: Polly Davis Doig <davisdoig@gmail.com>
Sent: Thursday, April 25, 2019 4:13 PM
To: Jeffrey Baker
Subject: Re: B2019-00878
Jeff,
You're correct about the payment, and I'll do it right now.
Thanks so much,
Polly
On Apr 25, 2019, at 3:59 PM, Jeffrey Baker <ibaker@albemarle.org> wrote:
Polly,
Thanks. Got it. Now, I can't recall if I've asked and perhaps you have in the interim, but I do not believe
we have received payment for the Zoning Clearance fee of $54. I'm attaching instructions on how to do
this online, if you wish. If you have any questions, Please direct them to one of our intake staff (Buck is
listed on the attached). Once received, we can approve the clearance and I'll e-mail it to you. The
building permit will follow shortly therafter.
Thanks,
Jeff P. Baker
Building Permit Planner
Albemarle County
Department of Community Development
401 McIntire Road
Charlottesville, VA 22902
434-296-5832 x 3024
ibaker@albemarle.00rr
From: Polly Davis Doig <davisdoig@gmail.com>
Sent: Thursday, April 25, 2019 2:18 PM
To: Chad Blanton<reliancerealtyandconstruction@gmail.com>
Cc: Jeffrey Baker <ibaker@albemarle.org>
Subject: Re: B2019-00878
Hey Jeff,
Archer Campbell at the HD can verify that they don't have to issue a permit in this instance. 972-6219.
Thanks,
Polly
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