The URL can be used to link to this page

Home My WebLink AboutCLE202000015 Action Letter 2020-01-21APPROVED by the Albemarle County Community Development Department Applicatrr,n=f_or Qing�e�rance 3�,°F�`� CLE #�- OIS -�; �F r 1'J{K;I�IIP PLEASE REVIEW ALL 3 SHEETS OFFICE US) rNLY Check# S6A p Date: 1 1L�,A b Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: 061 MO-00-99-00300 Existing Zoning C1 (Commercial) Parcel Owner: M&H Realty LLC Parcel Address: 440 Premier Circle, Suite 220 City Charlottesville State VA Zip 22901 (include suite or floor) PRIMARY CONTACT /� Who should we call/write concerning this project? k A 2£ f F Address : GIC, 440 Premier Circle, Suite 220 City Charlottesville State VA Zip 22901 Office Phone: (434) 244-0322 Cell # 434-249-2492 Fax # none E-mail firehock@gicinc.org APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name x New business Business Name/Type: Green Infrastructure Center Inc. (non-profit 501-c-3 educational scientific corporation) Previous Business on this site vacant many years (we are not the parcel owners) Describe the proposed business including use, numberofemployees, number of shifts, available parking spaces, yurr3ber of vehicles and any additional information that (�i l� G on can provide: t—( I �l �� M P �i JV C9 �► 2M ct-1 fr, L f L >` A Fba E �l change, *This Clearance will only be valid on the parcel for which it is approved. If you intensify the use to a new location, a new Zoning Clearance will be required. C D f72f A%IA/C 494 1 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 knowI dg l have read the conditions of approval, and I understand them, and that I will abide by them. Signature 4— —f � Printed Karen Firehock APPROVAL INFORMATION Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, xl 17. _KNo 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 Zoning Official / Date Other Official Date .s Y v■ r■■e■cu■u■■c Lyuparlillent of t-ommumly 1)evelopment 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 uk>f LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified Y /(N J Will ere 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 o publicDwater?If private well, provide Hcaltrm. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that app1.i� Is parcel on septic o public sewer? Y/N Will you be putting up a new sign of any kind? Sign permit. Permit # Reviewer to complete the following: Square footage of Use: ? I Lefmitted as: U -t'� L e Under Section: Z Z, Z, Supplementary regulations section: N / (-I- Parking formula: 11100 VV 3 VC Required spaces: .r- \ + Y/N Items to be verified in the field: vu Pink-, If so, obtain proper Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zonin-- to complete the followine: Inspector: Notes: Date: viol i ns: Y ! If s st: Pro s: Y N If st: riance: Y/N r' so, List: � A C � �V 1 � S, � /� ( SI .e j setkt V SP's- Y/r) If so, :st: N %fI Clearances: ZOI� �C� 1 SDP's S D,/� S/ e,� (e( phi( r v (Q `FC-t 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, Albemarle County Zoning Clearance [County application name and number] was provided to M&H Realty LLC the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 061 MO-00-00-0300 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 0 Mailing a copy of the application to MH Realty Seven, LLC, 1 [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 Jan. 14. 2020 Date 500 Forest Ave. Richmond VA 23229 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 assessment records satisfies this requirement]. �� smz�� Signature of Applicant Karen Firehock Print Applicant Name Jan. 14, 2020 Date F , oA } :ats rrlE6 T'air 4g 13X 0� k m o jt - N "bX, 124 RE