HomeMy WebLinkAboutCLE201900154 Action Letter 2019-07-15r�PPROVEL
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Application for Zoning ClearanceA`
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CLE # �
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OFFICE USE O
PLEASE REVIEW ALL 3 SHEETS
Check # Date: J . 12 ' 19
Receipt Q Staff: "
PARCEL INFORMATION
Tax Map and Parcel: 061 WO-0 1 -OA-009AO Existing Zoning C-1
Parcel Owner: Commonwealth Business Center, LLC
Parcel Address:2300 Commonwealth Drive, STE 203 City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Sue A. Albrecht
Address :80 Roslyn Forest Lane City Charlottesville State VA Zip 22901
Office Phone: 4( 34) 531-2435 Cell # (434) 531-2435 Fax # (434) 973-0732 E-mail sue@designenvirons.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: Hickory Construction Virginia, LLC
Previous Business on this site The Ellis Group, LTD
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:
Office, 2 employees, lshift, 48 available parking spaces & no company vehicle
*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.
certify that I o ` or have o e s permission to use the space indicated on this application. I also certify that the information provided
and accurate to a best of owl e. I have rea a conditions of approval, and I understand them, and that I will abide by them.
Lhereby
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APPROVAL INFORMATION
j4Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Bacldlow 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:
cci `
Building Official Date J /
Zoning Official Date �I
Other Official Date
County 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/NO
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
Y
If so, give applicant a Certified
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 lic water?
If private well, provide Heal Department orm.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applie
Is parcel on septic or ublic sewer?
Y/�
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Ylb
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:
footage of Use:
5+1 sr-
'l N L
matted as:
Under Section: 2' Z • Z
Supplementary regulations section: " I Iq
Parking formula: I/ Z 00 N S- F
Required spaces: Z S On c e 5"
IrN
Ite o be verified in the field:
P/d l(f
Inspector • Date:
Notes:
0-2 S I fe
Viola��'ons:
Y/�'Nj
If s ist: �,
Proff s:
Y/�
If so, ist: we-
riance:
Y N
If so, List: r qq _'
lI VV 11 � S � SetLu ck
SP's•
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If s ist: iv v �
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Clearances: 500 , 33
SDP's
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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]
[name(s) of the record owners of the parcel]
and Parcel Number
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]
the owner of record of Tax Map
by delivering a copy of the application in the
on 7&//9
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' rsmeennt_e cords satisfies
this requirement]. � ��
��� A���f-
`�nnt Applicant Name
-7 /a// 9
Date
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