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HomeMy WebLinkAboutCLE202000067 Application 2020-07-15APPROVED by the Albemarle County Community Development Departm nt `°F ?� 9 Albemarle County Zoning 9,1earance-Application _ I Community Development 40tMcIntire Rd, North Wing _ Chailottewile, VA 22902 /" GIS%A ' Phone 434.296.5832 FOR OFFICE USE ONLY Clearance Num/ber:cU�_Zd2-0" 6-7 Fee Amount: $ 54 Date Paid: �(r ((2d By: "V -L­5-V Receipt #: (j�Cj2 (r✓s Check #: Gt✓ By: L Applicant - Fill out the entire page below,Q And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 TY�Ktl Name: �f E-Mail Address: Ae-.t-Aeg �l46-, Mailing Address: Phone #: vel k Tax Map and Parcel number and/or Address of the Business: 36 SZ E�,r/�s�,!(� �,( rw/ ji,7J/e j%Jq �1 I .✓5 � j' Zoning: Staff will fill out if unknown Parcel Owner: B Owner's Address: 7>V r. kc- Check any that apply: New Business [AEhange of Use Mange of Ownership Change of Name Business Name: Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. (2yr Previous Business on Site: /v4- 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: _. elofc — Is the Parcel Zoned LI, HI, or PDIP? Yes No If yes, fill out a Certified Engineer's Report (CER) Will there be food preparation? Yes o If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? �ublic E Private If on private well, provide Virginia Department of Health approval Is the Parcel on public sewer or septic? ublic ❑ 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 pennit # 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 tha;1wiII abid them. ,ire Printed Z4,;At, OF A4 �2 tt, y Albemarle County Zoning Clearance Application �.. T Community Development 401 McIntire Rd, North Wing Charlottesville, VA 22902 fyRCtV�� Phone 434.296.5832 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 the owner Name of landowner on record of Tax Map and Parcel Number Tlxlf 3' 2 4-L 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 Applicant Name Printed Date 3 For Albemarle County Staff Review Only Proposed Use: Co V ©h_n Permitted: �: Yes ❑ No Permitted by Section: I Z , I �e �, Supplementary Regulations: 5 , f , 0 % G /C it Applicable Special Use Permit (SP): �. Applicable Rezonings (ZMA): Applicable Site Plans (SDP): 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: 61 U C Z S Defined by: I []Sit,- Plan Zoning Ordinance ❑ CoD ❑Existing Total Square Footage of the Use: — Required number of parking spaces: Associated Clearances: -- Variances: �.► Violations: DVI D 2-vtt— -W 6 51, 4 7eKd-ed Is a site inspection necessary?: XYes ❑ No Site Inspection on (date): to rt !e SC o Confirm:` Notes: �{ / �)P P C �`G ( � {% S 1 r1 � I - li � ✓`Q � " Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees Approval Information 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: 00, Building Official Date �Z % - Zoning Official Date � /5-2c Other Official L �- k SVG Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 ' Group home. "Group home" means, for the purposes of this chapter, a residential facility in which no more than eight individuals with mental illness, intellectual disability, or developmental disabilities reside with one or more resident or nonresident staff persons and which is licensed by the Virginia Department of Behavioral Health and Developmental Services or other licensing authority. For purposes of this definition "mental illness or developmental disability" shall not include current illegal use of or addiction to a controlled substance as defined in Virginia Code § 54.1-3401 . but shall include aged or infirm persons. "y i J ram' fir. hdd �e p 3/17/2020 Sec. 5.1.07 - Group homes Albemarle County, VA Code of Ordinances Each group home shall be subject to the following: a. Conditions maybe imposed on such homes to insure their compatibility with other permitted uses, but such conditions shall not be more restrictive than those imposed on other dwellings in the same districts unless such additional conditions are necessary to protect the health and safety of the residents of such homes; b. Each group home shall be subject to Albemarle County fire official review. (§ 5.1.07, 12-10-80; Ord. 01-18(6)_, 10-3-01) GOOD NEIGHBOR HOMES, INC. 9 Administrative Office -Fairfax 9926 Main St Fairfax, VA 22031 Bed Capacity: 0 Child/Adol. Beds: 0 Effective Date: 05/01/2019 10 Aster 2125 Aster St. Culpeper, VA 22701 Bed Capacity: 5 Child/Adol. Beds: 0 Effective Date: 06/20/2017 11 Aston St 3410 Aston Street Annandale, VA 22003 Bed Capacity: 6 Child/Adol. Beds: 0 Effective Date: 11/13/2019 12 Athens home 9410 Athens Rd Fairfax, VA 22032 Bed Capacity: 5 Child/Adol. Beds: 0 Effective Date: 05/01/2019 13 Breezy Ridge House 452 Breezy Ridge Road Woodlawn, VA 24381 Bed Capacity: 5 Child/Adol. Beds: 0 Effective Date: 06/06/2018 14 Buck Mountain House-28 1593 Buck Mountain Road Earlysville, VA 22936 Bed Capacity: 6 Child/Adol. Beds: 0 Effective Date: 07/01/2016 15 Century House 425 Century Court Wytheville, VA 24382 Bed Capacity: 5 Child/Adol. Beds: 0 Effective Date: 04/03/2018 16 Comanche House 7512 Commache Drive Richmond, VA 23235 Bed Capacity: 6 Child/Adol. Beds: 0 Effective Date: 03103/2011 17 Crestview House 122 Crestview Ave Galax, VA 24333 Bed Capacity: 5 Child/Adol. Beds: 0 Effective Date: 05/04/2018 18 Earlysville House 3652 Earlysville Road Earlysville, VA 22936 Bed Capacity: 6 Child/Adol. Beds: 0 Effective Date: 09/09/2016 3/19/2020 Addendum Page 2 of 8 Albemarle County Fire Rescue Inspection Report Business Information �EIIIIIIIIIIIIII Occupant Name: Good Neighbor Homes: Earlysville Inspection Date: 12/17/2019 Number: 3652 Street: Earlysville Street Type: Road City: Earlysville State: VA Zip: 22936 First Name: Cheryl Last Name: Morris Email: buckmountain@goodneighbores.com Cell Phone: 804-720-1006 Work Phone: Inspection Information Inspection Type: Re -Inspection Inspector: Ayers, Joseph; Thomas, Michael Violations Violation Code Description Violation Repaired Location Date 906.2 Portable fire extinguishers shall be selected, installed and maintained Through 12/17/2019 in accordance with this section and NFPA 10. out 12:20 Exceptions: facility 1.The distance of travel to reach an extinguisher shall not apply to the spectator seating portions of Group A-5 occupancies. 2.Thirty-day inspections shall not be required and maintenance shall be allowed to be once every 3 years for dry -chemical or halogenated agent portable fire extinguishers that are supervised by a listed and approved electronic monitoring device, provided that all of the following conditions are met: 2.1.Electronic monitoring shall confirm that extinguishers are properly positioned, properly charged and unobstructed. 2.21oss of power or circuit continuity to the electronic monitoring device shall initiate a trouble signal. 2.3.The extinguishers shall be installed inside of a building or cabinet in a noncorrosive environment. 2.4.Electronic monitoring devices and supervisory circuits shall be tested every 3 years when extinguisher maintenance is performed. 2.5.A written log of required hydrostatic test dates for extinguishers shall be maintained by the owner to verify that hydrostatic tests are conducted at the frequency required by NFPA 10. 3.In Group 1-3, portable fire extinguishers shall be permitted to be located at staff locations. Violation Count: 1 Type First Name Last Name Inspector Michael Thomas Signature Date Signature Graphic 12/17/2019 Comments All extinguishe rs shall be annually inspected Page 1 of 1 }J J Albemarle County Fire Rescue Inspection Report Occupant Name: Good Neighbor Homes: Earlysville Inspection Date: 11/19/2019 Number: 3652 Street: Earlysville Street Type: Road City: Earlysville State: VA Zip: 22936 First Name: Cheryl Last Name: Morris Email: buckmountain@goodneighbores.com Cell Phone: 804-720-1006 Work Phone: Inspection Type: Social Services (1-8 people) Inspector: Ayers, Joseph; Snyder II, David Violations Violation Code Description Inspection Fee: 25.00 Violation Repaired Location Date 906.2 Portable fire extinguishers shall be selected, installed and maintained Through 12/17/2019 in accordance with this section and NFPA 10. out 12:20 Exceptions: facility 1.The distance of travel to reach an extinguisher shall not apply to the spectator seating portions of Group A-5 occupancies. 2.Thirty-day inspections shall not be required and maintenance shall be allowed to be once every 3 years for dry -chemical or halogenated agent portable fire extinguishers that are supervised by a listed and approved electronic monitoring device, provided that all of the following conditions are met: 2.1.Electronic monitoring shall confirm that extinguishers are properly positioned, properly charged and unobstructed. 2.21oss of power or circuit continuity to the electronic monitoring device shall initiate a trouble signal. 2.3.The extinguishers shall be installed inside of a building or cabinet in a noncorrosive environment. 2.4.Electronic monitoring devices and supervisory circuits shall be tested every 3 years when extinguisher maintenance is performed. 2.5.A written log of required hydrostatic test dates for extinguishers shall be maintained by the owner to verify that hydrostatic tests are conducted at the frequency required by NFPA 10. 3.In Group 1-3, portable fire extinguishers shall be permitted to be located at staff locations. Violation Count: 1 Type First Name Last Name Signature Date Owner/Rep. Jody Montgomery 11/19/2019 Signature Graphic Comments All extinguishe rs shall be annually inspected Page 1 of 2