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CLE201900163 Application 2019-10-04
Application for Zoning Clearancea3 CLE#�CGIj-j�� a— PLEASE REVIEW ALL 3 SHEETS OFFICEc-10(5- USE O }� r Check # 1 C34 I Date: 1 l 25 /l Receipt # f 1, y SZ?j Staff: PARCEL INFORMATION Tax Nlap and Parcel: 03200-00-00-041QO Existing Zoning Planned Dey. Mixed Corn Parcel Owner: LTD HOLLYMEAD, LLC Parcel Address:3060 Laurel Park Lane City Charlottesville State VA Zip 22911 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Ken Taylor Address :2829 Guardian Lane, Suite 120 City Virginia Beach State VA Zip 23452 Office Phone: 7( 57 ) 420-0900 Cell # (757) 650-4457 Fax # (757) 420-0931 E-mail ktaylor@LTDhospitality.com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name x New business Business Name/Type: Staybridge Suites Charlottesville Airport / Extended -stay Hotel Previous Business on this site None - was previously undeveloped land 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: Hotel will serve breakfast and evening snacks We've already applied for food permit and liquor license Approx 30 employees. Site has 103 parking spots. Will have one shuttle for to transport quests to airport and w/in 5 mi radius. *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 of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Malay H. Thakkar Signature Printed 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, 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: Building Official Date l� Zoning Official Date Other Official /� �[/�( q4( Date (� County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised 1 1 /02/2015 Page 2 of 3 Intake to complete the following: Y' Is u m LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified YjN 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 blie water? If private well, provide Hea epar ment 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 lic sewer? Y �j N ,�3 I you be putting up a new sign of any kind? If so, obtain proper Sign permit. 0Z01 0177q t,,j l( 5L yys Permit # c~ O f 7 g p -- N•,. cvl,t Na eh,� V f 43 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: / x / L1tt/ 0 Xrm tted as: _ t Ve Under Section: 25A, 2 , 1 --4 7-1-1Z ; I i 2 LU Supplementary regulations section: -- Parking formula: I /0-VO Wl Required spaces: 12 o Y/N Violations: Yf If , ist: Prof Y/ If so, List: ------ Vari e: Y Ifs . , Es SP's Y/t: If so. isy t: Clearances: r --e e; r, (�x SDP's 2-PI b 7 Z Revised 11/1/2015 Page 3 of 3 r� CI Ire E= E= r -' gym_! �T'li �TiC�C� SOUTH WEST ELEVATION SOUTH EAST ELEVATION ME ?RX d' m" NOTES � 3 F sw.xr vmsaxm a x a]a.xa saa [anp awrsr x ]aye \. �Dg Anaani .n[pmry ux[trn. ___ Ra a°�RRE�/' n[Wn 2 s[.uDa[ rm vnv.rc w '+,v- �, \..` a[rz m[wug smw a 1gAmc vAN, mN1 Y suvP,kn FaRrvAxLL2nAttvaT s Dp�ncrveu Prci W.ia'ci roP u�i wxs s aa` [wwr anuxo '�' _ D / �l t[ ms,wc sawaur v].wrnwatmsaR mxi ,o"ao[arzrzRugi ui i uv[ MaRNq]lis s A, nY[ n cu. [Wivw:x] IwW mF M2Axa / / PROPOSED STAY9RIDGE SUITES 4 FLOORS - 103 ROOMS \ \ nx[va[wxx a� �� - WALL YWA Anay xm nmav Yara mmR Cs Wadm wNx u s[ucrzC wr _ / 74.744 Sm. F1, E: 599.50' mxcv[rz rray.s]o Irn o rx) s INW arcs ml[� J / LEGEND L cmMcr m [Ces,wo sma -•, q I I I I SITE AREA: 2.02k AC PARKING REWIRED: 103 SPACES PARKING PROVIDED. 103 SPACES s caonx sC[wxrc Acam[ sIW 1rn sl w '• root sm xn xaxm.A Irn.1 (s[[ pnM m ssn a-sm) ... i wrm a O I nY pl / D wwm, ¢cnW x r2' rl Pooi b b bap b b s Was,x m m. row FNrRaxm[ "� wp TN i}4Z�1'St�A,�� `e wager m aisnr[ ume arm WrrzR o aataxo L� I IJ� r""r� /ry( J `mmmmrr u][ rm.l naIAN TaeY „r m. - y rN Wxan[ oxwx. WNIxm[ nWwxY -- —' ai - r11°`ni I I lxi axa. q..xs ran pnansl II/al/LAI .,(r awYm wimLLF.awimTMax �umuxo -. I a rr[R (m.) CY h] ONAL Tm _ r � s I \�j'], � � wxa• a [Aac aar I `. I I A (" rout sm a-s worurr , -� � w s¢ sms Rxar-aM.f) nnw trn.l I o k t g' [nr cum um. Wma ' m PROJECT DATA - I cg a"�rN,ss slnsuelsuc: A,, nmx>ieas.tr.a Z rwxa au[ ,i .Prvpm,x Q __I'�. /� I gamammaam x/A r sm. x e Pm'.l I i l I l I a[, ra msnx[ Wnp me Pro row upm p.n� tmgem:e a<v h rgmuxmntl,mra cant. ro {yJ �" • 1 11 I I 4 root sm .-ND amxxa +miry: Mamwtl Lkrebpnwnr Maee ay FmranYa[ rrlews]. mrx[C, ro msm NCCwxY --� _ a l��axamar�spi a-msvrl � � i ' \ �(�.[ Rap6sa `� �ar[[2 ] I ni-r s,lw sa wp a npv BM aMa ar IM+ngepl A- 1mpxr Area pm 5a: I wfD.H.Fmrw iul 1 r^ _ - \ u ,wq2 mtRuu parapw. 6WOiY H. INm Rn tla Nlall W ' �[n �\ \ / / rap a'xsnxD awe AxD Wr,m ioiq.wrri anioua ana: 6e.]nse, [r.Ii.Saac: xs+a1 mp Openap�:>],s][sR. ,,.Inaeae.; xssr omgwn: astpaa � } � vaa va � \ pxrat aumwrs xg,mmme J � � Q � \/ w KIry 144uiretl:IW SDwaN epxe Derrmml V � Q. ]n11 Naape.xppxYma•wae.l _N O �{5[ AL Z, CS -sari xN,M,Nra tlmerwtli,IewNNnawarer amgywxar,xatl Y " p m Q CAAP1Mllt SCALE IN F— U) � ' EFf NUUNlN CS-101 O O 0 0 O O O O O O O O O O O m O 0 - d n ■ II I 11 Ij�f � � � Il _ �1 � rllFK79 Ml © If o �I�I� ' y �llmle�ax IJ�Ir.� - • � � � �J � —L � �, , �� �^ T— �,s --. i i• i i� i �I' O O O O m O m O m L - � ao ®sas t�asas� as�ntss s�mom �i1FIRST FLOOR PLAN s6��+wM����•�-(��� F - t,}{I�� 1_- L. s r /4� f l., C .dil � LI l9 1 I — O r O ,- O"O O•eO ON ARCHITECTURE °`rvcn n.en � STAYBRIDGE SUITES FIRST FLOOR PLAN xe o1q" ti a R�,«m RE�H� � �� A-101 18 q p�gjL�p LTD HOSPITALITY nueEnw000 xw, w,(o LwunE� r�ax uHE °A� NO' °i�� CSen Men, V4pMYe 2]f)� HOLLVMEAD IBOCll136911 I¢ (901)1]3Po13 CHARIATTEBVILLE. VA � O 0 0 0 0 Q O I 2 Ti: 0 0 r (�� i 0. c> q, �BLL>1.,ll f IY�I �9ElYLY eI�WP EYE are ae �t r� �s Q� <c> 0� J L) 4> I' e e me<c.�1 O 3 0 ol °,� IUI _ e I Qp •,• I � � O rt°tY I O 11 �F O"`iii B �A.! O O" C�� SECOND FLOOR PLAN y5 ,, I 994 ID O 'O 5 Otl0 Ow ARCHITECTURE REV 91DNS Al q-102 „� PAW . „ STAYBRIDGE SUITES SECOND FLOOR PLAN a� REVt9M a� .e„ n 1168/-0MILKIXB ROAD LTD HOSPITALITY 1'IMBERNgOD BEND. AND V,UREL PMK LANE e DOMn AAen, VNdnle 2]D� HOI. LYMEAD (8oe)P)3DB11 bs (BMII)SBB/J CNMIOrtEavIUE. VA 3rtirt1� ,r (D (D oOoo ol (i) (D 0 0 0 0 0 (H) 0 0 0 0 0 e 8 4 r2 o -1*4 o ® - — < -�' T"o �c>, ® 7: g -0 pt I )o C(f LE Tr .0 S 0- < -q> ol A @ D <,> iy C) -Cl) C4 R > 010, 4> I 0. q 0 (D (i) (D O 0 m e 6i) O O 8 0. O s (i) Ilk, h-9— IF (D I --- <,,-> I - I . -.- 1, - Q r Q i THIRD FLOOR PLAN 9W ARCHITECTU RE RVISMS STAYBRIDGE SUITES THIRD FLOOR PLANogre -".AA-103 llw.NUCKOLS� ID HOSPFrALITY YMEAD I 0 o Qoo o Q o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O: -77t'�' j c o lol®I Io ca lol of Io c� ,� 1 - - �: ao O o o o O� i' i cc'r 1° i e — e O Dl D Ow 0- I ?9 ®icc r , dMn I � At4E0tFa - � ucer� ycx A k 9 ® ,� ,_is cm o . a A Cur 1 a i FOURTH FLOOR PLAN a �` II ,1�®1 o (D O 00 Upamom UM ARCHITECTURE iwmtmsn v�'"°' T _KWOQUAMA PHIGCT BY: STAYBRIDGE SUITES FOURTH FLOOR PLAN' A-104 t � Mltl(OLB RDAD LTD HOSPfTALRY nueermooD el.w. AHD lwuH� rnwc uHe 11� are ND. wn: GM°AM°, YrpMO R]D58 H-M- W (BM)i13AE11 he (Ed)2I39013 C11IWlDTtE3NLLE. VA , �aitBr' O o 0o0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0 .: 2 Ae--- FrI san w e� D El E] I D, • O t E — O j " 1, ' O 0. O 0 0 0 0 QROOF PLAN V u { Q(D %SCUPPER DETAIL D 0 ji4X. O iJ61J -m�Y �--'\OVERFL°OW ROOF DRAIN DETAIL r3 '�ROOF DRAIN DETAIL WlM ARCHITECTURE QFVM PAW STAYBRIDGE SUITES ROOF PLAN „a a sa e A-105 APPOIEtl IN: ntsa auacGtpgwn LTD HOSPITALITY nueEwwooD euw.Ar,DuunE�rAwc uHE--- ^^�' jry Gbn N4 , V14N. 05E G'uR OIV�YmMEAUE, VA n lao°J T]36Et1 :(B06J 3]368t3 —_ __ — rr u rN;J Q n O OQ O O O O O o 0 0 0 O 0 0 O ® O Q �^O pt IQ ❑ Q a aJ2 .a 4 nn I 8 � 7II III .. yr � d d ❑ � .�. _ ❑ El L a �iU 6._� x � .. �iE I° / `Yo:4 8 g � iQT's�f —co q—. r .. — ❑ 471 .mot ❑ �D D.I . O O El El ° O � � _ Ljp e• + L�—1 E i ° - - F 9 V O1 O --- i FIRST FLOOR REFLECTED CEILING PLAN CEILING TYPES: NOTES: LEGEND i I KEY: Ll Io rurc••ww.CEw nl+E w + uLL�w.e.c¢ «r.ve ABBREVIATIONS: ,o«,�• mow,. «. c S, L9 (D w O O .O O` �O ARCHITECTURE 17 STAYBRIDGE SUITES FIRST FLOOR RMLDN9 REVpDNB o010'i5$1 A-151 116T)B MJq(Ol8 ROAD LTD nREFLECTED CEILING PLANHOSPfTALRY HOLLYMEAD Y�ate•VhdN�2iMB CINRLOT)E UE. VA laa)3)388tt lar.(�)R)3881J �•n�yR G o GGoo 0 o 0 o o 0 o o G o o o 0 O 'O (� E I I O 0'G f G O (J O C- 0- SECOND FLOOR REFLECTED CEILING PLAN G • Q CEILING TYPES: NOTES: LEGEND G �.. KEY: M , °. ao .� a •�,eo o, a.e<. G .m:e.. r ev O °,,.. inn •. aEe e�.e r.v _ �J, ¢x ttWnmq, wK caret/ a:�.w. axo elm AIM.,,E —' ABBREVIATIONS: a � a�E °E:.e.r�. n.yvweE�,�c» �e .,;i,eO� _/;. +>..:... _--..,.�w�e�u,�•�.w�e.i, °�....�.,�. ❑ _e�,eoaw. .iw �.. �, 0y '. �^5 (D. ARCHITECTURE PNKeauNi aaree wr�.-rer: STAYBRIDGE SUITES SECOND FLOOR �ra�o•�i xo.l_ g "°' i' r _ - . .r A-152 "E s�°"s h � R��ro wtE 11 STle MGDKOIb RMD LTD HOSPITALRY OLLYMEAD CwwinrieaviLLE, Vw REFLECTED CEILING PLAN 1 _ -_ 0` 010i5 �" „ 'ole°+1IJ3A91, k.: (eWl3J3-0a13 Te".i 0 0 00o@ 0 0 0 0 0 0 o 0 0 o S o 0 0 0 o ,o o _o t 1, cc a cS�I O 44 El lit — O f I O S C. 0 0 O i THIRD FLOOR REFLECTED CEILING PLAN CEILING TYPES: NOTES: LEGEND - - KEY: 0 you Pm am,, o,.,.,� sa.. nn ur.mw OY O O : .w e��.«•"_d.a=e„c ;'� 6 AS.REWAMONS:EL— O O O O 0, S "'+=4J ARCHITECTURE APAD[LTBY: STAYBRIDGE SUITES THIRD FLOOR k•� �:(! : re "�� Ra°N8 PEL09 �JCPAWDQUAM ND. TE ND. MlE MWu Nu Ol8 ROAD LTD HOSPfTALT' nueeRwooD eiw. Ar.D uuREL PAwc w+� OLLYMEAD REFLECTED CEILING PLAN woera.. vedroa GHARIDTTEHVILLE. VA u(EDO)1]3E811 lac (EDIJ Y]5Po13 (D, 0, 0 0 (D O (D G) (F) 0 O O @) iAvK> 01 <: 0, ol L CO 6.') o 0 0 (D. 7.) c'D C, o 0 FOURTH FLOOR REFLECTED CEILING PLAN O CEILING TYPES: NOTES: LEGEND KEY. 0 N + ABBREVIATIONS: ol ■ARCHITECTURE STAYBRIDGE SUITES FOURTH FLOOR V"'.,-Al R—S Rwz� �� GFOM PARI(SMAIM Vi4o1• 2� LTD HOSPrTAi.FrY nueEmwooaD��V�MD_R-E REFLECTED CEILING PLAN CHARIDTfF.SVILLE, VA s a PARTIAL EAST ELEVATION m— ti=u. �— ra�PARTIAL NORTH ELEVATION 1U —"" MATERIAL LEGEND Ow ewer.xowxouu O 2 PARTIAL EAST ELEVATION J FP I I .. a I "iF L [Ji PARTIAL NORTH ELEVATION • _ OW ARCHITECTURE liWIe►AAtl1 1161/d NUtlCIXS ROAD OMn Min. VNynle IJQ58 v leonl nseall Iv: (BOIj ZFSB&.i Awroxsr Bf: LTD HOSPITALITY STAYBRIDGE SUITES nwEaw000 e�w. u+o uur»EL rout unE GIMptOrtEsnuE, VA BUILDING ELEVATIONS,, iwnln�sn rn[r, f' v.elw.e �y»»iy d A-201 wag wo. MTE N0. OME 2 WEST ELEVATION L FART NORTH 190ViH O/H) iA- ENTRANCE CANOPY ELEVATIONS MATERIAL LEGEND � O su eu�utAwuuMY Qnrcarou2 rnu. vuu �—l1 SOUTH ELEVATION ire n, sn G ARCHITECTURE RtVISION9 RFv sinks" „t�$ � awervwcwwc ,�,. STAYBRIDGE SUITES BUILDING ELEVATIONS ,n wre � _ A-202 776fi7� NUCAGIb ROAD LTA HOSPITALITY TIMBERN000 BLW. ANO lAl1RFl PART( IANE -uo. o,a,f HOLLYMEAO GIs_Ah, WpIMu 2306H cHnRLOlTENLLE. vn �,�„ o lB0a12>SABtt fs (B01)Tl3YB13 mnC Purpose: o Routinc Commonwealth of Virginia Page l of— m Follow-up Virginia Department of Health ® Complaint Hotel Establishment Inspection Report ® Other Date: — — / — — / — — Time in: — — — — Time out: Est. Name: Address: Number of Rooms: VAC Section 12 VAC 5-431- Violation Descriptions / Remarks / Corrections The above listed findings of violations and specified periods of time for correction of the violations are issued in accordance with the Sanitary Regulations for Hotels. All violations specifying a reasonable period of time for correction shall be corrected as soon as possible, but in any event, within the period of time specified. A follow-up inspection may be conducted by the director or his designee to confirm the corrections. An opportunity for a hearing on the inspection findings, a time limit, or both, shall be granted provided that a written request is filed with the local health department within 10 days following the inspection report. Received by: Env. Health Specialist: EHS-1501 (Rev 3/02) Purpose: O Routine z0 Follow-up 30 Complaint ® Other O Critical Items Est. Name: Date: Commonwealth of Virginia Virginia Department of Health Foodservice Establishment Inspection Report Address: Time in: Time out: Page 1 of_ Certified Manager: Yes 0 No O Exempt Os All potentially hazardous foods (PHF) must satisfy safe temperature requirements during storage, preparation, display, service and transportation. Such safe temperatures include: Cooking poultry 2:165'F; Cooking ground beef >1550F; Cooking pork 2145°F; Reheating a PHF rapidly to>1650F; Hot holding >_140°F; and, Cold holding at 41° F or below. The following temperatures were observed: VAC Section 12 VAC 5-42 1 - Violation Descriptions / Remarks / Corrections The above listed observations, violations and specified periods of time for correction of the violations are issued in accordance with the Food Regulations. It is the responsibility of the permit holder "to comply with directives of the regulatory authority including time frames for corrective actions..." An opportunity for a hearing on the inspection results, a time limit, or both, shall be granted provided that a written request is filed with the local health department within 30 days following the inspection report. A follow-up inspection to assess your correction of these violations may be conducted on, or about, , 20_ Received by: Env. Health Specialist: EHS-152 (Rev 3/02) IrtmacVirginia Alcoholic Beverage Control Authority Bureau of law Enforcement wwwabc. virginia.gov • 2907 Hermitage Road • Richmond, VA 23220 • (800) 552-3200 SITE VISIT FORM Application #: License Type:_ T/A: Agent: __ Region:_ Address: -- -- _ Site Visit Date: / —/ Phone Number: - -- Site Visit Time: From: To: By signing this statement, I am acknowledging my express consent to Special Agent(s) of the Virginia Alcoholic Beverage Control Authority to conduct, as a prerequisite to licensure, a complete site visit of the above -listed premises to include examining and evaluating such place, inventory, records, and all applicable qualifying items. Applicant /signature): ❑ REVIEWED REQUIREMENTS, LAWS, AND REGULATIONS ASSOCIATED WITH THE LICENSE ❑ INCOMPLETE/UNDER CONSTRUCTION ❑ FOLLOW-UP VISIT SCHEDULED ❑ APPLICANT HAS MET ALL REQUIREMENTS TO SUPPORT ISSUANCE OF THE LICENSE ❑ DEFICIENCIES NOTED Comments/Suggestions: Applicant (signature): Agent (signature): - -- — (print). _. --- - (print). 805 31 Rev. 6'2018.