HomeMy WebLinkAboutCLE201900238 Action Letter 2019-11-12Application for Zoning Clearance
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CLE #
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OFFICE UrSy ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # la)-f Date4/=
Receipt # t Staff: G �-
PARCEL INFORMATION
Tax Map and Parcel: Existing Zoningy
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Parcel Owner: Cayz TyfA(;� C
Parcel Address: 23 102 ( I U Zip
I(1Cl�lui-C�il'I Ix State
(include suite or floor)
PRIMARY CONTACT JJ��
Who NUhsSn,& —b(,
should we call/write concerning this project? (a,l s
Address : TO 51� City 1. v State �} Zip ZZ
Office Phone: 6 LSq q 17, 1aCQ Cell # Cf T2 NCO ax # S?j 2 S W05E-mail Cj 4C1({ WS�('n e (rtO
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name _New business
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Business Name/Type: UC
1Mk Ines t�
� Previous Business on this site,,, 11111'1� \ 00(-C_ , ac;kpgfl(;
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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: p�J/'t + 1V)l�S -yar(J . ,{ � a +�- 1 [old
Lz- vAm-yL ay)a -E- 15 - 2-n l�f'�ri�( 4ztrPS o, )ill- P u.1iA-f1oa, II/) "'o
*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.
Signature Printed W 1J��n
A_ PP OVAL INFORMATION
Uppproved as proposed [ ] Approved with conditions [ ] Denied
�[
] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x] 17.
,:�14o physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site compl;es w , site plan as of this date.
Notes:
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Building Official _ Date _
Z—O�
ZoningOfficial
9 i�/��Y.evrn 1`�i-t, I1�� Date
Other Official 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:
Is /
Is u m 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 ubli�vwvater?
If private well, provide Health
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that ap '
Is parcel on septic public sewer?
Y/N
Wil u be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y
Wi ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
S uare footage of Use: G �� �( T
YIN f 1
enmitted as:
cIM,1ST�C, 1L,-C GAL{ btn�les5 o;�;L,
or C)-/t Lef t(.4 Meg, ca T
Under Section: 2 3. Z .
Supplementary regulations section: N JA
Parking formula:S O P1 q86
Required spaces:
Y f N
Ite o be verified in the field:
Inspector • Date:
Notes:
Viol ons:
Y/N
If soZist:
offers:
/N
'Wso List -
Var' nce:
If
If so ist:
,�s;
Tf" N
so, Li l� 8(0 000 66
S Z b0� C�ODZ I
Clearances: fte zQ I o o
SDP's 0 Vg(o 000I
Revised 111112015 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, n I nh Chw j')w
[County application name and number]
was provided to CAV-1, un� , LL L the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
LOk'Z-�-
QHand 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 cag,�, u71 RXls , L,C
[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 k o ' - k O� to the following address:
Date
s
[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
1\"sArim A'S, ;-b
Print Applicant Name
�U,L-\-
Date
Zoning Clearance Checklist
Applicant MUST HAVE the following information to apply for a Zoning
Clearance:
1) Tax Map and Parcel or Address, Building Name, Suite/Unit/Floor numbers, if applicable.
2) A Floor Plan - either a sketch or an architectural drawing
a) If using less than the entire structure, note the location within the structure;
b) Note the total square footage of the use;
c) Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
FEES
Zoning Clearance = $54
Temporary Fundraising Activity = No fee
Conditions of Approval
FIREWORKS:
1. No person shall sell, offer for sale, store, display or discharge any fireworks in any filling station or on any premises where
gasoline or other inflammable liquids are stored or dispensed. (Code 1967 10-13.) County Code Section 6-200 and 6-300 and must
be a minimum of 100 ft from any gas pumps/propane distribution tank.
2. The site shall be cleaned and restored to its original condition on or before July 1 lth. This shall include removal of all structures,
signs, debris, and the like.
3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications
subject to Zoning Administrator's approval.
4. Building permits shall be obtained for all proposed structures and/or lighting.
5. Sign permits shall be obtained for all proposed signage.
6. The sale of fireworks requires a special permit from Fire/Rescue department.
CHRISTMAS TREES:
1. The outside storage of combustible material or flammable materials shall be located so as not to constitute a hazard and shall not be
less than 15 feet from any building on the site. Any open burning must comply with the Virginia Statewide Fire Prevention Code and
the Albemarle County Code.
2. The site shall be cleaned and restored to its original condition on or before January 2. This shall include the removal of all
structures, signs, debris, and the like.
3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications
subject to Zoning Administrator's approval.
4. Building permits shall be obtained for all proposed structures and/or lighting.
5. Sign permits shall be obtained for all proposed signage.
OTHER REVIEWS:
1. Is the property on public or private water/sewer?
Private requires Health Department, Public requires ACSA review (2 to 5 days)
2. Will you be operating a bakery?
USDA review is required (approx. 2 weeks but as long as 6 weeks)
3. If you are serving prepackaged baked goods but not making them on the Premises, only Health Department will review. (2 to 5
days)
4. If you will be operating any business that is in an industrially zoned district or of an industrial nature you will need to provide a
Letter of Performance Standards or Certified Engineer's Report (a staff member will provide an information packet addressing this
requirement) (5 to 10 days as soon as the Letter or Report is received by this Department)
5. If there has been no site inspection within the last three (3) months for the parcel/site, then one will be conducted to verify that the
project is in compliance with an approved site plan (if applicable).
Revised 11/1/2015 Page 1 of 3
Kevin McCollum
From: Michael Dellinger
Sent: Tuesday, November 12, 2019 8:31 AM
To: Kevin McCollum
Subject: Ok to go
You can sign me off on this one, thanks.
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CLE201900238 Zoning Clearance ::One More Step Wellness Center, LLC & One More
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Pro] a ct
Description
TMP Proffer Status
CLE201900238
Add Planning f
Entered By/Date Michael Dellinger
- 111/12/2019
Reviet:' Coordinator
Site Inspector Date Assigned
Unassigned
V
„
Commit Review
Michael Dellinger w
Zoning Clearance
CDD Inspectior
No Objection
u y v F
Reviewer
SubWittal Type
Division
Status
Date Received Date Due I C
Kevin McCollum
................................
Zoning Clearance
............................................................
_. CDD Admin Zonin
No Objection
10/14/19
..._.
Michael Dellinger
Zoning Clearance
_ _
CDD Inspections
Denied
_....._................ .... .......... ... .............:
Michael Dellinger
........................................................_.................................
coning Clearance
CDD Inspections
_ _ _.
No Objection
.................................
..........
.....:...................._................... ................ ..................... ...i.....
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