HomeMy WebLinkAboutCLE201900210 Action Letter 2019-09-12APPROVED
by the Abt merle Coui-Ity
Ummunity DeveleproPnt DepurtmOt
Ile Gc E 2a/1 210_ ..-.._ .
Application for ZonifT .1earance
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check � 2'-�� Date:
Receipt #
�Staff_ _-..—AA-iL._.....__
PARCEL INFORMATION ` __........_. _-._..
Tax Map and Parcel D1-000 ' 00 --00 OIP446 Existing Zoning L
Parcel Owner:-- IY Li -
Parcel Address: .31ODid 1Vi.._�,�f�? SLQ dp -_City �� ylutfesyil�je- state VA zip daRe3
(ine.lud ,suite or floor)
RI —
11.1ALtY CONTACT
Who should we call/write concerning this project? 17e bra GJ wt r) ►l
.Address: 00..&t '- 4city .,(h.aL1-6 Psrrlle.,State _��zipQJr=1o:)
Office Phone: i! l_ Cell #
_..-_ Fax #�3� a�� '3 �"` :-mail
d /�i rlvl
y?�sbrowlc real . (0!y/
A LICANT INFORMATION
-
Check any -that apply: Change of ownership Change of use Change of name New business
Business Name/Type: _ Ci S-.ec3�_IvrQ. l tiU "rr !t� tYt 3P1i;CJLlY1�A�" _
Previous Business on this site me-d IGw._._...._......._.._.
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and ar•• additional information that you can provide: -Y—e-W&W-Cie %1Q;-QAP1 14 M'QilacprYlea:: rl'c�aM
QQnM — 8, erVto)ofrOU�
-44
I his 0earance will only be valid on the parcel fcx which it is approved. It you change. intensify or move the � use
Clearance will be required.
new location, a new Zoning
I hereby certil)v that 1 over or have the owner's permission to use time space indicated on this application. I also certiiy that the infonnation provided
is true and accurate to the best oi'my knoNvledge. 1 have read the conditions of approval, and
� I understand them, and that I will abide by them.
Signature ' n ,'G�AJ�i ft--'-J /?CC0 q Printed � r 111 -9 l�• �LuJ 11 V1 _
--..... ...........................
_aim
APPROVAL INFORMATION
Approved as proposed ( ) Approved with conditions ( ) Denied
( ) Backflow prevention device and:`or current test data needed for this site. Contact A(, -SA, 977-451 1 • x 117.
(�Q No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan,
( I This site complies with the site plan as of this date.
Notes:
Building Official Date
Zoning (Official Bate l Z 2O/
Other Official -- Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice. (434) 296-5832 Fax: (434) 972-4126
Devised 11/l/2015 Page 2 of 3
Intake to complete the folloevittg:
Is 1
Is us 1.[. Ill or PDII' zoning'? !f'so, give applicant a {::ertified
Engineer's Report (C:ER) packet.
Y ' v
Wili re be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval front Ilealth
Dept. FAX DATE
Circle the one that applies
Is parcel on private well ol
public water.
If private well, provide Healt ,t Corm -
Zoning review can not begin until we receive approval from Health
Dept. FAX DATA;
Circle the one that applie
Is parcel on septic or mblic sewer
YIN
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
..................................................................
Y N
Will there be any nexv construction or renovations''
Ifso, obtain the proper Pennit.
Permit #
Reviewer to complete the follorving: -
Square footage oft'se: 35,00 (eS 4e d>
L'e J
P xrnitied as: O
Under Section: 2 Z . z
Supplementary regulations section: N /6
Parking forrnula:,. ' i -ZOO Al S
Requi^ed spaces:
Y / .'
Item be verified in the field
Inspector :
Date:
Notes' p 2 3 T P
(-E'�O S S
Zoning to completue the folio -tint _......_._.____......_ _
Viol ons:Tl'rof s:
Y .1
Ifso;44st: IJ so. »t:
PoN
w o
SI"s:
Yt l}
Ifso, ist: /Ifsotst: Q�
Clearances. _ ! �SDP's
20
Revised 1Ii1,2015 -Page 3 of
C.A.f.RTIFI C1 AT 1 tl *. . ..R A , .1 \ Al E OF E
A.1111L CA`T'I N HAS BEEN PROVIDED TO THE LANDOWNER
This form rrrust accompany zoning applications (flame Occupation, .Zoning Clear(ince, Zoning
Ailnainistrator Determinations or Appeals, Sign Permits, Building Permits) i(tfie application is not llre
owner.
I certify that notice of the application,_ 4A, eafioJ) 7av niriq
[County application name and number]
was provided to I Vy, U-C, --- - -- the owner of record of Tax Map
(nme{ as) of the record owners of the parcel]
and Parcel Number 041000- 00 - 00 — lid 4 to 0 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 f vL
[Name of t1le 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
__ PO-15.0)c .5(.o4 , Chci'io fh2bv le, V . aRCiO.")—
[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].
A-ACLL)Aq
Signature of Applicant
Print Applicant Name
Mato/19
Date
WORKSTATION (WORKSTATION I WORKSTATION I WORKSTATION I STD
##3 #4 # #(0 11tt7
NORTH
WORKSTATION
HALL
1its
#2
ft
WORKSTATION
WORKSTATION
N
#II
#8
V7
y
EAST
WORKSTATION
HALL
#1
�
n
WORKSTATION
WORKSTATION
#10
#9
J►
r
n
OFFICE #7
it 16
W ST
HALL
~
J'
OFFICE #(o
CONFERENCE
x
RECEPT.
ROOM
$A v
OFFICE #5
STORAGE COPY/FAX
tt*kL
OFFICE #4
SOUTH
HALL
OFFICE #3
%0
OFFICE #2
n FBATH
�o
LEGEND
EXISTING WALL
NEW WALL
WAITING
Ll
OFFICE #1 N I
MEETING
AREA
4
Associates3l
dBFArchitects
OLD IVY WAY
SCALE
1 i8"=,'-O"
PROJECT NO
v l 832
DATE
DRAWING NO
P.O. Box 78
SUITE 204
CharlottesvilIe,Virginia 22902
11-30-18
(434) 977-2791
CHARLOTTESVILLE, VIRGINIA
I