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Home My WebLink AboutCLE201900181 Application 2019-09-05APPROVE ', thy:, Alb-marie D.;i6;)ty Develc:orilnr l Depa i rncnt Application for Zopnp C'lea-i-ante CLE 4 OX O ICA'' ( --- OFFICE USE ON'l.l' Check # DOy Date: PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: 032A0-02-00-001A2 Existing 7_oninkHighway Commercial Parcel Owner: Charlottesville Proffit, LLC Parcel Address:3267 Proffit Road Citv Charlottesville State VA Zip 22911 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Bohler Engineering VA, LLC i Address : 28 Blackwell Park Lane, Suite 201 City Warrenton State VA Zip 20186 Office Phone: (54) 349 4500 Cc11 # N/A Fax # N/A E-mail jritchie@bohlereng.com APPLICANT INFORMATION Wawa, Inc. Check any that apply: Change of ownership Change of use Chauge of name X New business Business Namc/Type:�ith gas fuel and convenience store Previous Business on this site Bank 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: _ -pew-Wawa r.nnvPnit==P etorA_with ftiP1 50- Io, total; 4A narking spaces rPn Pit red, 48 pinrkine spaces pmvidprl *'I his Clearance will onl} be valid on the parcel Ibr which it is approved. If you change, intensify or more the use to a new location, a new Zoning Clearance will be required. 1 hereby wrtify that I own or have the owner's permission to use the space indicated on this application. I also cerlil} that the information provided is true end accurate to the best of ni) knuw'IuJ=O ha vc rcad the conditions of appro, :d. and I understand them, and that I mll abide by them. s Signature �' Printed Mark Fontaine APPROVAL INFORMATION [ Approved as proposed ( J Approved with conditions [ j Denied [ j Backflovv prevention device andror current test data needed for this site. Contact AC'SA. 977-451 1, s 1 17, [ i No physical site inspection has been done for this clearance. Theretore, it is not a determination of compliance with the existing I site Dial. LrFhis the this date. ( site complies with site plan as of c Notes:,--- -- 2� - Building Official i/ Date Zoning officialDate Other Official V C�o�f NtoT I�Et� aQ Date 5;e1f_- sl�(�( S`;Gt�l WOty County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Digitally signed by Ramsey Lisa o _fie Ramsey Lisa htj7s059 Revised 1 1 /02/2015 Page 2 of 3 DN: d—gov, dc=virginia, do=cov, h t j 7 5 0 5 9 ou=CDV-Users, ou=End-Users, ou=VDACS, cn=Ramsey Lisa htj75059 Date: 2019.09.05 11:46:20-O4'00' Application for Zonin ClearanceCLE r �r, OFFICE USE O LY 'E PLEASE REVIEW ALL 3 SHEETS Check # l00 t(4 I Date: Receipt # Staff: a&c, PARCEL INFORMATION Tax Map and Parcel: 032AO-02-00-00 1 A2 Existing Zoning Highway Commercial Parcel Owner: Charlottesville Proffit, LLC Parcel Address:3267 Proffit Road City Charlottesville State VA Zip 22911 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Bohler Engineering VA, LLC Address : 28 Blackwell Park Lane, Suite 201 City Warrenton State VA Zip 20186 Office Phone: (540) 349-4500 Cell # N/A Fax # N/A E-mail jritchie@bohlereng.com APPLICANT INFORMATION Wawa, Inc. Check any that apply: Change of ownership Change of use Change of name X New business Business Name/Type+ " " - ith gas fuel and convenience store Previous Business on this site Bank 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: Npw to qw;; r^nnypnionr.P store with fi,Pl; 50 PmpinyPQs tatnl; 48 parking spares required 48 parking s p rPc pr_nvi Petd *This Clearance will only be valid on the parcel !'or which it is approved. If you change, intensify or move the use to a new location, a newLoning 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 knowle W have read the conditions ofapproval, and I understand them, and that I will abide by them. Signature Printed Mark Fontaine AYP OVAL 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: S ZOI 7` Y5 Building Official l/ Dated Z �� Zoning Official Date i Official 1A C�o0 ro k Date Other County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 0 1,ct 9 — O ( � 7 ` '-/; -C Revised 11 /02/2015 Page 2 of 3 Intake to complete the following: Y / Is e LI, HI or PDIP zoning'? Engmecr's Report (CER) packet. If so, give applicant a Certified 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 lc wat ? If private well, provide 1-lea rtment form. Zoning review can not begin until we receive approval from I lealth Dept. FAX DATE: _ _ Circle the one that applie Is parcel on septic o ublic s Reviewer to complete the following: Square footage of Use: 6, ( ( 'T" Y N L Got"ek 1tti4c Permitted as: QCeto Serc4c-e- 4��w/ S�®✓ i Under Section: 2 Supplementary regulations section: S (' 2D Parking formula: 00 h�q-1 su-�ce Required spaces: L( -T. S YiN Items to be verified in the field: Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Inspector Permit # : N Notes: ill there be any new construction or renovations? If so, obtain the proper Permit. Permit Zoning to complete the following: Date: Viola ns: Y /� If so, st: Proff rs: Ifs ist: i Variance: / N MP If so, List: � ��9-o1 32A-z- I A Y SP'bs': If Clearances: 'f4e) m GI. G o Vi�_ SDP's 3 2 A_ 2 — (A � l�t' t, 2ong-3`( S 2c�( �.�2vtO-2� �av Tc�FI/ion'►,_ _ Revised 11/]/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 Charlottesville Proffit, LLC the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 032A0-02-00-001A2 manner identified below: 0 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 Charlottesville Proffit, LLC [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 8/8/19 Date to the following address: 8605 Westwood Center Drive, Suite 400, Vienna, VA 22182 [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