HomeMy WebLinkAboutCLE202000019 Application 2020-02-070
APPROVED
by the Albemarle County
„ U. , w .
Application for Zoning Clea_�n e�` L Fay
CLE #
OFFICE U&E ONLY
PLEASE REVIEW ALL 3 SHEETS Check# (-.7 Date:
Receipt # _1 11, Staff:
PARCEL INFORMATION
Tax Map and Parcel: TMP 78-58G1, DB4358 PG684
Parcel Owner: Pantops Partners LLC C/O Amir Patel
Existing Zoning HC, EC
Parcel Address: Not yet assigned City Charlottesville
(include suite or floor)
State Virginia Zip
PRIMARY CONTACT
Who should we call/write concerning this project? Amir Patel
Address: 5679 Boydton Plank Road City Dinwiddie State Virginia Z;P 23803
Office Phone: (__) Cell # 8048142905 Fax # E-mail amir@tankkgroup.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name x New business
Business Name/Type._!jolid.& Inn.Egress, Pantops
Previous Business on this site none
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:
122 Room 5 stops hotel 122 + par4�spases 20 employees 2 shifts
*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 ledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signatc
PrintedJ. Wilson EnoChs III
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. ��� zoCg ` g
Notes: D
Building Official _J11 IhI Date
Zoning Official Date Z— ZO
Z -2
Other Official _y�� ky-e_1Lc, i Date
a.vu"Ly tpl ri,ue,uarne uepartment or L ommumty development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Wzv— 31 N C Revised 11 /02/2015 Page 2 of 3
Intake to complete the following:
Y /
Is uOn[ HI or PDIP zonin 9 If
Reviewer to complete the following:
Square footage of Use:
g. so, give app scant a eit ied
Engineer's Report (CER) packet. N
ed as:
DY N Permitt
Will there be food preparation? Under Section: 2- (C 2 1 Cz.O
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health Supplementary regulations section:
Dept. FAX DATE
Circle the one that applies Parking formula:
Is parcel on private well o public water?
If private well, provide Hea epart t form.�r S1��Z�18 g
Zoning review can not begin until we receive approval from Health Required spaces:
Dept. FAX DATE 1 Z Z
Y/N
Circle the one that apCbfic
Items to be verified in the field:
Is parcel on septic orer?
)Y111
N
you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit # Inspector : Date•
VN Notes:
there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # b 2 02 a -- 31- N C:._
ZoninLy to comnlete the fnllowinu-
Viol ns:
Y /
If so, Ist:
offers:
Y N
so, List:
Var'
Y / N
If so, Ist:
SP's:
If
Yi�ist:
Clearances:
SDP's
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, C-� t,h Z,�) 2O — I
[County application name and number]
was provided to Amir Patel
[name(s) of the record owners of the parcel]
and Parcel Number TMP 78-58G1
manner identified below:
QHand delivering a copy of the application to
the owner of record of Tax Map
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
a] Mailing a copy of the application to Amir Patel
[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 1 /23/2020
Date
to the following address:
5679 Boydton Plank Road, Dinwiddie, Va. 23803
[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].
G
nature of Applicant
James Wilson Enochs III
Print Applicant Name
1 /22/2020
Date