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HomeMy WebLinkAboutCLE201900135 Application 2019-06-20,' P f't? JVK the Albemarle County 0!Tlrrlt.lnir',, Devdnnrneent DP_r;artmant Application for Zoning Clearance -Lr— ,354— �06- �l J PLEASE REVIEW ALL 3 SHEETS OFFICECLE# US O�yLY Check #D�,t ,t �5 % Date: � Receipt # d �- Staff: PARCEL INFORMATION Tax Map and Parcel: 07600-00-00-055AO & 481336891248 Existing Zoning HC - Highway Commercial Parcel Owner: FTV Investments LLC Parcel Address: 601 Fifth Street Landing., Ste. 102 City Charlottesville State VA Zip 22902 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Michael Martin Address : 319 Elaines Court City Dodgeville State Wl Zip 53533 Office Phone: (608) 407-9090 Cell # Fax # N/a E-mail mike@permit.com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name X New business Business Name/Type: Starbucks Coffee Company Previous Business on this site N/a - New Shell Building Describe the proposed business including use, number of employees, number of shifts, ilable arking spaces, number of vebi les, and any additional information that you can provide: S WA ,PAS Oft *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 o cue ave read the conditions of approval, andI understand them, and that I will abide by them. lI Signature Printed ICh�L'T)h APPROVAL INFORMATION [ ] Approved as proposed [ ] Approved with conditions [ ] Denied [ ] i3ackflow 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. [ ] This site complies with the site plan as of this date. Notes: Building Official Date Zoning Official Date W(Fo Other Official u/9 AN� ✓t Vlh �-eG i✓ 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 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 ublic water If private well, provide He artment 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 6sewers 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# 02019-152S Cte-14yf Gtf�-Ft 6'Z 01 S-- -Z72z - AL Zoning to complete the following: Reviewer to complete the following: Square footage of Use: Z ` D 2 T{ �)/ N rmitted as: Z 1u r Z. i 0b) U3 O% FO-ce � Under Section: (,�s Supplementary regulations section: Parking formula: %,' pew 5.5 -bboo 9fg .11 Required spaces: kv-�, I olations: Y/N so, List: Z V (© 2-0 2.O Nae% Proffers: Y/N If so, List: Z k A Ey10 20(— YO coo U10 1 Zv10 20(T-59 Ccov✓� Vari Y N If s ist: 's: Y/N so, List: q 2oo7- 63 Clearances: &) o&ze owl(- SDP's 5 (e (71"1c of 0411) 20/7`/Z L � Zol - 5b Zvt(-63 L L-.'t�afvV-44) Revised 11/1 /20 15 Page 3 of 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 FTV Investments LLC [name(s) of the record owners of the parcel] and Parcel Number 07600-00-00-055AO manner identified below: EE Hand delivering a copy of the application to the owner of record of Tax Map 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 Katurah Roell [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 5/28/2019 Date to the following address: 2811 Hydraulic Rd., Charlottesville, VA 22901 [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 Ml�get NK6) Print Applicant Name Date Chnrlorresvllltl4l b,cmarl e 138 Roue Ifill Drtve Chorlottervllte, Ya 11F03 W—U as A O. Box 7346 ori oarvrnptatDamuwanartarrmv2ro Charlortesvlllc, Y�f 119t?b MGT tturar nu arcono n.nut. Nelson 1'honc. (434) 971-6139 Foodservice facility Plan Review Evaluation Fax: (434j971-t£111 Sbouid I contact the Hrsltb DepsrtnamI wbtn optalol a new trubUsbmant or wbto stMng or tromferrin oancrthip of my mtanrsat? The Hen<tth Dc�artraa t s",a�23 be tree oaths fzrst a en a w �Ked cfirnrvu a rhanFe of awe. or carstruziaa of a atw fsMly orgies Rrswl Ynt prnnl[s ur aua-trcntfanb)e, The YtTWa FoWRtgulofiow require that tbt new ownertubmlt a plan review e,Ppilcatlas for a trsta:aut prnak oam punt tee approved this fo.*m will be rubanit:ad to the IartJ tr ldlrg =thcdty aUouiag Wan to iuu- YOU! b-4ding pemait end b htfs llccme, Furtb� s plwnbfag tnugtkn end r n o, u'.L�t,g iatpcalrtts is rt�ired prior to ttsufng a p trrnl t to the new aaacr. Fio•Rr Loon can I open nttcr I submit a "change of ownm!!p° appUesdaat Its Lw=cc of a new ptrmit mnty taut require tubttaretW fatality rcaovatiou and uypada. It b tcxmmrndsd the the oA= and prospective Mayer tubruh Uh p,peaumk out1lacd below rind then arrange an buptctioa with ilea HWth Dtpartmerrs to estm irthus are upgrades to the equipracnt or facUlry that wiU be Mqulred poor to lrsuing a atw permit Why am I (the am owner) bdtg dtnled a ptrmit, wbea the pprerlou faclUtyowner bad b"n to boslaess for ymnT The YtrgKnm Food Rrg,datJonr aro frequently being vpdstcd. R+bsa a restauttrtt uaduYacs a ctu:nga otowrrnhlp, the facUity b t2rca treated as a bread acsv aubiisbmcat Subuqucntty, the facility must fiat mtct r..•br=IW compllanx uith tint mast c=Cnt -,tn ion of the fuatd (tea the pmvlout qurtioa) Food Itsgutatlo s bctore n permh seers be Ilmv can I obtain a copy of the currta t vtnloa of ib e i Lgtnta Fond RtgutaYoxrT A ltaltsd mttaba of arpia aro svaifablo for ptxchrso at yvt;r la:al breath dcputraxt office, cr yeu can visit the Virginia Drpartnnmt of Htattb ��irsiu {w�+.vdS.vi�irtligxos") to obtain an elecuostic version. Building Permit # B201901525AC Name of foodservice establishment: Starbuchs Coffee Co Name of Owner: Starbucks Corporation Type of Ownership: IndividualCorporation ✓ Facility Address: 601 Fifth Street Landing Architect: NORR - Peter Dubin Charlottesville, VA 22902 Telephone Numbers:( 608) 407-9090 (312) 424-2400 Contact Email Address: Dalewis6C�starbucks.com Plans and Information Submitted By: Michael Martin Data: 5/29/2019 Anticipated opening date: 10/04/2019 Seating capacity 59 Type of Menu -Please check all that apply: Fullscrvice_ Fast Food,�Gourmct Carryout Caterer School -Public— or Private—Daycare_Group Home, ^(Irocery Store + Institution —Type Nursing home ^ Hospital _Hotel Continental BreabTast Mobile/push cart Seasonai`Typt Information to be submitted to Environmental Health Department: Menu Equipment numbered on floor plan drawn to scale Plan review application Pay plan review and annual perlllit fees Annual permit application Equipment specification sheets and plumbing diagram Type of Water Supply: Public .or Private Noncommunity? YES NO Approved Approval Date: Type of Sewage System: IIPublic Approved: DYES ONO 0 Private Approved: 0 YES 0 NO Date: Environmental Health A*pprovn(Menial: Approved by: Date:_ n I M J