HomeMy WebLinkAboutCLE202000057 Action Letter 2020-03-09APPROVED
by the Albemarle County
Community Development Department
Zoning Cl eation
FOR OFFICE USE ONLY
Fee Amount: $54
j
Receipt M I "z_0SC6- 3
OF
Albemarle County
Community Development
_
R-!
401 McIntire Rd, North Wing
Charlottesville, VA 22902
YI$GINIi'
Phone 434.296.5832
Clearance Number: 32 C--
Date Paid: �`rd (� �% By: C-
Check M I C*0- 3 By: ivkl/—,
Applicant - Fill out the entire page below
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
� as �_'fax k
fax
E-Mail Address:
Sv �i,v� I c7Js a,
Mailing Address:
a
Phone #:
°13 C/ S G 6
Tax Map and Parcel
number and/or Address
of the Business:,,
ions ;/tinge, crot-k c.r si-e v
C f✓1 e�,�y 3 �
Zoning:
Staff will fill out if unknown
N M
Parcel Owner:
Owner's Address:
Check any that apply:
VNew Business Change of Use Change of Ownership D Change of Name
Business Name:
ScLtov/ v
Description of Business:
Desafibe the business including use, number of employees,
number of shifts, availability of parking, and any additional info.
Ve- fs 7_
r yr
Previous Business on Site:
Floor Plan:
Please attach either an architectural drawing or a sketch of the proposed business indicating the location of uses, the
uses of rooms, the total square footage of the use, and any additional information.
Total Square Footage Used
for the Business:
Is the Parcel Zoned LI, HI, or PDIP?
Ll Yes z No
If yes, fill out a Certified Engineer's Report (CER)
Will there be food preparation?
Yes No
If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
Public Private
If on private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic?
F,�j Public Septic
If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
❑ Yes No
If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
Yes No
If yes, obtain appropriate building permit and list permit # below
Please list any applicable Building Permit #s:
Zoning Clearance review cannot begin until the application above is complete and all applicable forms and fees are submitted.
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 ./ " Y441 Printed A)!, C k0 I4J Q `a
Date 3 - 6 - ,Zd
2
,1 OF
2� Albemarle County
Community Development
Zoning Clearance Application Whlli.
401 McIntire Rd, North Wing
1'_*• Charlottesville, VA22902
���CINtP Phone434.296.5832
Applicant - If you are not the land owner, please fill out the entire page below confirming that you have either
informed or are going to inform the owner of your zoning clearance application.
CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN
PROVIDED TO THE LANDOWNER
I certify that I will provide (or have provided) notice of this clearance application,
clearance number provided by Staff or business name
to O-VA- i3,r.,k,,Aa-1 the owner
Name of landowner on record
of Tax Map and Parcel Number by either delivering a
TMP number of property
copy of the application to them in person or by sending them a copy of the application by
mail. (Please check one of the following below)
❑ Hand delivering a copy of the application to the owner identified above on
Date
❑ Mailing a copy of the application to the owner identified above on
Date
to the following address:
(Written notice to the owner and last known address on our record books will satisfy this
requirement. Please see staff for help determining this information if needed)
Signature of Applicant ! v
Applicant Name Printed
Date 3 6 a✓
�3
For Albemarle County Staff Review Only
Proposed Use:
Q(N4f e 5(�001, dal (Afe, pub('c USCG.
Permitted:
XYes ❑ No
Permitted by Section:
06 Q pf pevc 1 tfi'lQni
Supplementary Regulations:
Applicable Special Use Permit (SP):
r�
Applicable Rezonings (ZMA):
Z f�1 Z^� _ L-i r� i1 -ZQ _s O 4. _ 4. Ol
Applicable Site Plans (SDP):
r 0P z'01 0— 1 21009-6AD Z00? - " 7 -1
Parking:
If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some
parking requirements are determined by a ZMA or by an approved Code of Development.
Parking Formula:
C S S c(Lcl- 10 U)
Defined by: I
KSit, Plan ❑ Zoning Ordinance ❑ CoD [_]Existing
Total Square Footage of the Use:
Required number of parking spaces:
Associated Clearances:
L IL f ZD ) 9 OO ! 85— f v 5 c Loc I H o Lle
Variances:
n U e
Violations:
Is a site inspection necessary?:
❑ Yes ;<No
Site Inspection on (date):
To. Confirm;:
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
SC Approved as proposed ❑ Approved with conditions
❑ Denied
❑ Backflow prevention device and/or current test data needed for this
site. Contact ACSA, 434.977.4511 ext. 117
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.
Conditions:
Additional Notes:
Building Official
Date
Zoning Official
Date
Other Official
Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126
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design
Ivy School House Daycare - Feasibility Evaluation
Suite #400, 1005 Heathercroft Circle, Crozet, VA 22932
To: Michael Dellinger, Central Operations Manager, Community Development
Department of Albemarle County.
Ivy School House proposes to lease space in Old Trail Village Center for a
Daycare. TOPIA design evaluated the space and according to information
gathered in person and in email, the proposed use in suite #400 is feasible.
Proposed Use: 1-4 Child Daycare Facility, for children 2 1 /2 years or less of age.
Proposed Occupancy: More than 5 and less than 10 children in each room.
Proposed Space: 1,349 sq.ft. ground floor suite in a 2008 type 5B sprinklered
building with a direct exterior exit door within required egress travel distance and
separated vertically and horizontally by minimum of 1 hour fire rated assemblies.
Compliance: After evaluation of the existing suite and proposed floor plan,
discussions and statements from lessee on use and occupancy, lessor on fire
separation and egress, and building official and code sections on relevant codes;
it is determined that the proposed use and occupancy in the proposed space will
be in compliance to the requirements of the 2015 Virginia Building Code.
Gregory Scott Jackson
Architect I Principal
TOPIA design lic
inton Avenue Charlottesville, VA 22902 434.825.3763 www.topiadesign.net
Application for Zoning Clearance
CLE
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff.
PARCEL INFORMATION
Tax Map and Parvel: 055ed-01-00-OOOcO Existing zoning
Parcel Owner: Old Trail / Dave Brockman
Parcel Address: 1005 Heathercroft CIR STE400 Cltv Crozet state VA 7,1p 22932
(include suite or floor)
PRIMARY CONTACT
Alm should we call/write concerning this project! Nicholas Clark
Address :2520 Cedar Ridge Lane City Charlottesville State Virginia Zip 22901
Office PhDne: (Aq4) 8234060 Cell # 4348820665 Fax ft E-mail ivyschoolhouse@gmaii.com
APPLICANT INFORMATION
Check any that apply: _ Change of ownership ? Change of use Change of name New business
Business Name/Type: Ivy School House i Daycare
Previous Business on this site Office space
Describe the proposed business locluding use, number of einploytes, nurnher ofshifts. available parking spaces. number of
vehicles, and any additional information that you can provide:
Ivy School House is a in Crozet that would like to open a second center for Infant care. We will be employing
-preschool
5 teachers working from 730-6 The propsed space has access to over 80 parkinq spaces
*This Clearance will ontv be valid on the parcel for which it is approved. if you change, mreosiN, or move dic use to a new location. a new Zoning
Clearance will be required.
I hereby ccrtifV that I 0\411 or Ve the o%vncr',, permission to use the space indicated ort this applicxion. I also ccmfy that the inthrmatlonprovidt:d
is true and accurate o E t-15esi oi'my know edge. I have read the conditions ufappru\al. and I under.,t:uid them- and that ]will abide by them.
Signarure Printed Nicholas Clark
APPROVAL INFOR-MIATiON
Approved as proposed Approved with conditions Denied
Backflow prevention device and -or current test data needed for this site. Contact ACSA.97-7-45ll,xlJ7.
f I No physical site inspection has been done 1-or diis clearance. Therefore, it is not a determination of compliance with the existing
site plan,
This .;iEe complies with the site plan as of th is date,
Notes.
Building Official Date
Zoning Official 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
I Intake to complete the following:
Y,'N
Is use in LI. ITT or PDIP zoning? It'so, give applicant a Certified
Engineer's Report (.CER) packet.
Y LN-T)
Will there be food preparation'!
If so, give applicant a Health Department tbrrn.
Zoning review can not begin until we receive approval frorn Health
Dept. FAX DATE
Re -viewer to complete the following:
Square footage of Use:
Y I! N
Permitted as:
Under Section:
Stipp lcrncntanregulations section:
Circle the one that applies parking formula:
Is parcel on private well or6u—k)hc water?
)Iic =W-fer-
If private well, provide Health Department fonn.
Zoning review can not begin until we receive approval front Health Required spaces. -
Dept. FAX DATE
Y / N
Circle the one that applies Items to be verified in the field:
Is parcel on septic o�public sewer?
Y N
Will you be putting up a new sig
ti of any kind' If so, obtain proper
Sign pernia.
Permit 4 Inspector Date:
Y N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Notes:
Violations:
Y N
If so, List:
Proffers:
Y ; N
It'so. List:
Variance:
Y I N
If so, List:
SP'.s:
Y N
If so, List.
Clearances:
SDP's
Revised I LT/2015 Page 3 ot*3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form insist acconipany.-,oning applications (Home Occupation., Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
on,ner,
I certify that notice of the application. Albemarle Co
[County application name and number]
was provided to Allen Billyk I Dave Brockman the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 055ed-01-00-000e0
manner identified below:
by delivering Copy Of the application in the
r ---- I
Hand delivering copy of the application to Allen Billyk
i 'N . arric 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 6/27/2019
Date
= Mailing a copy of the application to
Narne of the record owner if the record owner is a person;
L
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
to the tbllowing address:
[address; written notice mailed to the owner at the last known address of the owner as shovvii On
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirernent].
Signature of Applicant
Nicholas Clark
Print Applicant Name
6/2712019
Date
Inspection Report
�. .:r• V °v u"n � •.".+.. ix i. ti. fie-^, 4klk" ':��3��u A "� {y,�� •ii'"r
occupant Name: Ivy Schoolhouse of Crozet Inspection Date: 7/15/2019
Street Number: 1005 Street Name: Heathercr Street Type: Circle Occupant Suite: 400
oft
City: Crozet State: VA Zip Code: 22932
First Name: Nicholas Last Name: Clark
Cell Phone: 434-882-0665
Email ivyschoolhouse@gmail.com
Work Phone: 434-823-4060
Inspection Type: Inspection Inspection Fee: 0
inspector: Felts, Robert
No Violations Found On Inspection
Violation Count: 0
�•� '�'wL�!nVFL.. � 4 Vav KID
Type First Name Last Name Signature Date
Inspector Robert Felts 7/15/2019
Signature Graphic
Requestor:
ivy Schoolhouse Preschool of Crozet
ivyschoolhouse@gmail.com
Nicholas Clark
882-0665
**Pre -licensing inspection — opening new childcare center at 1005 Heathercroft Circle, Suite 400.
Page 1 of t
Application for Zoning Clearance
CLE #
1 OFFICE USE ON Y
d
PLEASE REVIEW ALL 3 SHEETS Cheek# I Date:
1 Receipt # Staff:
MT776 der
PARCEL INFORMATION
Tax Map and Parcel, 055ed-01-00-000c0 Existing Zoning
Parcel Owner: Old Trail i Dave Brockman
Parcel Address: 1005 Heathem-oft CIR STE400 cit'vCrozet VA Zip 22932
--State
(Include, suite or floor)
�PRIMARY
CONTACT
Who should we call/write concerning this project-! Nicholas Clark
Address :2520 Cedar Ridge Lane CiLV Charlottesville State Virginia Zip 22901
Office Phone: 1434 ) 8234060 Ccll # 4348820665 Fax ft E-mail ivyschoolhotise@gmaii.com
APPLICANT INFORMATION
Check any that apply: _ Change of ownership X Change of use —Change of name New business
Business Nalne/,Iype: ivy School House i Daycare
Previous Ilostness on this site Office
Dwwribe the proposed business inClUditiL Use, number of employees. fitlifth0- of shifts, HVAIAblt parking NPUCCS, nUlTsbCl- of
vehicles, and any additional Information that you can provide-
jvy School House is a preschool in Crozet that would like to open a second center for infant care. We will be ernpfovinQ
5 teachers working from 730-6 The propsed space has access to over.80 narkinq spaces
*This Cicarauct: wili only be vand on the pzacel fut whidi trisapproved. If youchange, intensify of rnoce the use ic a imA location. a uew Zontuig
Clearance wiil be required.
I lielch-v, cetll-y chat I ()\;,It or 4n%e the owrtci's oerrusfmwr: Ic u,�c the -Ipac.indicdtcd oll thisIP1111c;tTlon. I 'his Crr:fv (ilai the w-,ormation jnrcft�idcd
is true . :4nd to ofirl", I have red the 4nt. tUttS OCUPP!AJrU.!_ 41,d 1 U11dCrLaiid -Il)ew. ai,,d 0--ti 1 -,01!bite by then.
Primed Nicholas Clark
APPROAL LNFORNI ATION
P6.\ppi ovVed a� propo��ed f ap %A 1 Lit condi Lion"; Denied
Backf1wv pie,cntlon dle�ice and or CuP-cill (c( j!)j- Lhis Nile. 17,
No PllySiLal habeLm dmic for flit, cicv,anc,:Thercforc, it i� not a os corvipliauce. %;mh the cxisting
site plwl.
This site complies with the Site plan as ofthisdate,
Notes:
<
IL ee
Building Official Date
Zorthig Official Date 1101wi 7
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902'Voice: (434) 296-5832 Fax: (434) 9724126
RL!vuscd I P02/20t5 Page 2 of3
Intake to complete the following:
y
14 use. 1-1. FIT or 13T.)TP zoning? IC so, give applicant a Certified
Engineer's Report (.CF.R) packet.
Y LN'37
Will there be food preparation`'
If so, give applicant a Health Department form -
Zoning review can not begin until we receive approval froth Health
Dept. FAX DATE
Circle the one that applies
Is parcel on private well or ublic ivater'!
Ifptivate well, pru,,ide Health Dupaitinew form
Zoning review can not begin until we te"eive approval U-oni Health;
Dept. FAX DATE
Circle the one that applies — ---------- \
Is parcel on septic oi(pu6hc sewer`/
Y N1
Will you be putting up a new sign ol'any kindIf so, obtain propel,
Sign permit.
Permit -#
ReNiewer to complete the following:
Square footage o-" Use: 4
VO (C
Under Secliol'.: ZM fi -ft*- Z �, i
Suppilernentary rccuiations, section:
06,
Parkin- f, rnrUl2'
000 OF
Required spaces: 7
Items to be verified in the field:
Inspector:
Date:
Y N Notes:
ill there lie any new consrl-LI,:6011 c,- i, I UOVIS"
If'so, obt * Ll "Ori
PermirMly ZVA j MOC.,
-oning to complete the folto Ving:
Vial Fore:
y (,-T5
zmtg 7-00 +
— ---------
SP's-
y
Volke A/0 �
Clearances:
20
I jy( a 1 SDP's so? Z010 I
zo — i
10
,p-
7,615
Revised I is /2015 Page 3 ot'3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDONNTNI ER
Tizisjorm must accompaig zoizing applicationv (11mote Occupation, Zoning Clearance, Zoning
4dininistratov Detevininations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I Certi(Nthat notice of the application, Albemarle Co
(co my application narric and numbed
was provided to Allen Billyk! Dave Brockman the owner of rt-cord of Tax Map
[name(s) of [fie record owners ref the pai-cel]
and Parcel Number 055ed.01-00.000c0
manner identified below:
by defivering it COPY Of the application in the
Hand delivering a copy of the application to Allen Billyk
[Name of the record owner if the record owner is a
person: if the (1%,ner of record is an entity, idcrai fy the rMplent of the record and the recipient's
Title of office for that zritii:yl
on 6/27/2019
Date
Nlafling a copy of the application to
P I I
(Name of the record owner if the record mvner is a person:
if the Owner of record is an entity, identify the I-CCipiCD( ref the IWO] d and the recipient's title Or
office tbr that entity}
14141
Date
to the tbllowin2 address
[address: w-ritten notice rnailed to the owner at the last known address of the owtwr as shown on
the current real estate tax assessment books or current real estate taN assessi-new records satisfies
this requirement-J.
Signatcue of Applicant
Nicholas Clark
Print Applicant Name
6i27/2019
Date