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Home My WebLink AboutCLE201900107 Action Letter 2019-05-21APPROVED t; �i the Albemarle County n-l?nt Department �i�1�niQ Application for Zoning Clearance 0 OFFICE USE ONLY 6 7 "J PLEASE REVIEW ALL 3 SHEETS Check # Date: Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: 061 ZO-03-00-005AO Existing Zoning P V 0 Parcel Owner: WIAL, LLC Parcel Address: 1250 Branchlands Drive city Charlottesville state Virginia zip 22901 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Lynette Anzalone, Business License Coordinator Address: 101 East State Street cite Kennett Square state Pennsylvania zip 19348 Office Phone: (610) 612-5681 Cell # Fax # (610) 347-4948 E-mail e.AnzaIonegGenesisHCC.corr APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name _New business Business Name/Type: Genesis Eldercare Rehabilitation Services LLC Previous Business on this site Unknown 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: Physical, Occupational and Speech Therapy Services for the residents of Linden House. Facility provides parking on their lot. Currently 1 Full -Time Physical Therapist at this location We lease the space for the services (lease agreement attached) and could add new employees if the caseload grows *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 1 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 accur to to the best of my ledge. I have read the conditions of approval, and 1 understand them, and that I will abide by them. Signature -,R--- Printed Robert M. Cannon, Sr. Director of Accounting APPROVAL INFORMATION ><Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x 117. [ ] 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 5 J Z CJ _ 0 r Other Official Date Lounty of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 Revised 11/02/2015 Page 2 of 3 Intake to complete the following: Y /S N� Is us n LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y / Wil e1`Hf 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 w . 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 applie Is parcel on septic o ublic 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: g I � UCILW YJ/ N permitted as: Q f o hets�0 I a( 0 6 cr S Under Section: 25. 2 , I 2-O. Supplementary regulations section: Parking formula: i 1zGv Required spaces: 1J, Y / 11 Items to be verified in the field: Inspector : Date: Notes: Violv4ons: Y /(N) If so, ist: Votle Prof, s: Y /rNJ If so, ist: Vari ce: Y /� Ifs , st: � OitQ 's: / N so, List: p qr, 51 ) V / b - Z ,Z L ✓, — ZUl --0fs,s va• Clearances: SDP's SDP 2cv") - yo Revised 11/l/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 om7ner. I certify that notice of the application, Application for Zoning Clearance [County application name and number] r was provided to WIAL, LLC the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 061 ZO-03-00-005AO 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 Walter Kmetz, VP & CFO [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 �� [ �� to the following address: Date 200 Westgate Parkway, Suite 203, Henrico, VA 23233 [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 Robert M. Cannon, Sr. Director of Acctg. Print Applicant !N'am tt C� Date EXHIBIT A LEASED PREMISES Gen !S Rehab Sery Ficor- Pl,�n - 066e $ - Exhibif R LEASE AGREEMENT ry &,ldln� Ncllne This Lease made as of this 51h day of March, 2018, between Linden House, LLC, the lessee and licensed operator operator of an assisted living community located at 125G Branchlands Drive, C arlgtesville, Vir inia -� i)�UfeSS 22901 (the "Facility"), and Genesis ElderCare Rehabilitation Services, LLC. d/b/a, Genesis Rehabilitation Services, a Pennsylvania limited liability company located at 101 East State Street, Kennett Square, PA 19348 ("Lessee"). Linden House, LLC ("Sublessor") and Lessee shall be referred to herein individually as a "Party" and collectively as the "Parties". WITNESSETH: For and in consideration of the rental herein reserved, and of the covenants, conditions, agreements, and stipulations of the Lessee hereinafter expressed, the parties agree as follows: Subject to the terms and conditions of this Agreement, Sublessor desires to sublease the Leased Premises (as defined below) which is located in the Facility to Lessee and Lessee desires to sublease the Leased Premises from Sublessor. Effective May 1, 2018, or as soon thereafter as the Facility may admit residents, Sublessor will have the use of the Leased Premises described in Section 1 of this Lease Agreement for the purpose of providing rehabilitation therapy. 1. Premises. The Sublessor hereby subleases to Lessee, and Lessee hereby subleases from Sublessor, the following described premises: r :-7 F cor j'7 � F00 iJe 1.1 Certain space located on the Lawn Level of the Facility consisting of 831 square feet (+/-) located as shown on the drawing attached hereto as Exhibit A (the Leased Premises"). Lessee, its employees, patients and invitees shall also have the right to use the Facility's common areas solely for ingress and egress. Lessee's employees shall only enter and leave the Facility through the service entrance on the Lawn Level. 1.2 Employees shall only park their vehicles in appropriately designated, unreserved spaces owned or controlled by Sublessor. Sublessor shall have the right to make reasonable rules for the use of said parking area, including the right to limit the number of spaces available to Lessee's employees. 1.3 Lessee acknowledges that: (1) Lessee has inspected the Leased Premises and hereby accepts same in "as is" condition and (2) Sublessor has made no warranties and/or representations regarding the condition of the Leased Premises other than that they are new and previously unoccupied. 2. Term. 2.1 The "Initial Term" of this Lease shall commence on the Effective Date and shall remain in effect for twelve (12) months. 3. Rent. Lessee hereby covenants and agrees to pay to the Sublessor at the address set forth in Section 14 the sum of Sixteen Dollars and Zero Cents ($16.00) per square foot as rental for the Leased Premises, payable in advance on the first of each month, to be received no later than the 10th of the month, for the entire term of this Lease for a total of One Thousand One Hundred Eight Dollars and Zero Cents ($1,108.00) per month. 4. Use of Premises. use a Arm 41. The Lessee shall use and occupy the Premises only for the purpose of providing rehabilitation therapy services for which Lessee holds a valid license (the "Services, and for no other purpose. Lessee shall make arrangements directly with residents of the Facility who desire to utilize Lessee's Services. Sublessor shall have no financial other responsibility for Services and Lessee shall be Gen esl Rehab (He Ip.aspx?application=GISWEBApp&functiontabs=search,selection, legend, location, markup,share) Parcel Summary Info Parcel Information Parcel ID 061ZO-03-00-005A0 Primary Prop. 1250 BRANCHLANDS DR Address Other Address(es) N/A Subdivision Branchlands Property Name N/A Description BRANCHLANDS PHASE 2B Lot 005A0 Property Card(s) 1 Total Acres 0.97 Owner Information Owner WIAL LLC Address 200 WESTGATE PARKWAY #203 HENRICO VA, 23233 Owner as of Jan 11t WIAL LLC Most Recent Assessment Information Year 2019 Assessment Date 01/01/2019 Land Value $470,400 Land Use Value $0 Improvements $17,036,600 Value Total Value $17,507,000 Most Recent Sales History Previous Owner WHISTLER HOUSE L L C Owner WIAL LLC Sale Date 01/22/2008 Sale Price $500,000 Deed Book/Page 3541/067 Other Tax Information as of Jan 1st State Code Com For Business or Retailing Tax Type Reg. Taxable Parcel Level Use Home For The Elderly Code Other Parcels... ..on BRANCHLANDS DR (http://www.appgeo.com) Leaflet (http://leafletjs.com) I Albemarle County