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HomeMy WebLinkAboutCLE202000115 Approval - County 2020-08-20Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount: $ 54 Receipt #: APPROVED by Yw Aln fie Coup Qi1AiClpitlt�+Db�Ffnt I*aid: —$y!— Check #: By: �.. Albemarle County O 11f commwmy oevtlw nl 401 Mtln9re Rd. NO w,ne Cllarlon Ie. VA 22902 y�$4'L y2 Wwne434.M5932 Applicant - Fill out the entire e-Wow` T YGR C y %�Gi✓i !le / And return to Comm evelopment 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: Rd& Eybod C/,(Ay,)Dti'851iijk E-Mail Address: Mailing Address: 1140 oz,G+ Aenvk Phone#: Tax Map and Parcel number and/or Address of the Business: y o8 Crcvl / V Cwac+ A 22w ..3Z Zoning: Staff will fill VA V unkmmn � n �l Parcel Owner: Alb wyy Ic (;c;,,kY,t Owners Address: Check any that apply: New Business 8 Change of Use Ej Change of ownership [] Change of Name Business Name: 1— i r7 �� c,1100 1Gt✓) D i� V; i' Fi Description of Business: Describe the business including use, nurliber of employees, number of shifts, availability of parking, and any additional into. 72 Igo ; -� Sic OnY6 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: ( l 30 x 30 +-e11 i5 900 5q � ectUlu 1 Is the Parcel Zoned U, HI, or PDIP? Yes ' No If yes, fill out a Certified Encineer's Report ICER) Will there be food preparation? LJ Yes No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? public L Private if on private well. provide Virginia Department of Health approval Is the Parcel on public sewer or septic? public VSeptic If on septic. provide Virginia Department of Health approval — (/ Will you be putting up any new signage? ❑ Yes 0 No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? p Yes ]z No If yes, obtain appropriate building permit and fist 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. Slgnahir Printed o9�h eCl Date —167 S/io1Zr� 2 t'1C 71T For Albemarle County Staff Review Only Proposed Use: / O)( Permitted: Yes No Permitted by Section: 5 Supplementary Regulations: Applicable Special Use Permit (SP): A All 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: Defined by: I ❑Site Plan []Zoning Ordinance ❑ COD ^W xisting Total Square Footage of the Use: O V /` Required number of parking spaces: ' Associated Clearances: Variances: Violations: Is a site inspection necessary?: VY09 ❑ No Site Inspection on (date): a o To Caln�fin'n: 1 ,. TM I/1fS Q t Notes: Q� Vil k ��-r fD Ct�d Conditions of Approval: Additional conditions of approval apply to Fireworks and Chr�i/s�t,�mas Trees Y r l C'"c 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: Building Official + �/� � �/ IT Datpl[.Y l 1 Zoning Official Date t Other Official 00j Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4 4 a v � a Cc: O f0 v o n N c c N a c t c 3 L Y 0o c o Y o 3 u u(0 °�' c N m o o 3 o o c� M X y `° :E v co a O di Y c L \ �M O" .� U y .CL 3 +�+ 7 N n tYif a)x �N M O_ 0 CY O_ 0D c-i v r0 00 I ;;T\ Permit - Tent 'Property' information Occupant Name: Field School Inspection Date: 8/19/2020 Street Number: 1408 Street Name: Crozet Street Type: Avenue City: Crozet State: VA Zip: 22932 '1�x Cod -_ First Name: Tracy Last Name: Kunkel Email: tracy@fieldschoolcv.net Cell Phone: 334-343-3435 Work Phone: 434-923-3435 'Permit information Inspection Type: Inspection Inspector: Matthews, Zachary Inspection Fee: 0.00 No Violations Found On Inspection L im, Inspection Notes Inspection for 3 - 6 tents (900sf and under/no fee or permit needed) for use during the beginning of the school year for social distancing/student safety concerns: Field School, Tracy Kunkel, tracy@fieldschoolcv.net 434-923-3435. See attachment titled " 1408 Crozet Avenue —Tent Application 2020-08-07". Aug 24 is the start date of school. Permit Conditions 1. Must comply with all applicable Federal, State, and Local laws, rules, regulations, codes, and ordinances. 3. Permit will be valid for a period of thirty days from date issued. Type First Name Last Name Signature Date Inspector Zachary Matthews 8/19/2020 urapmc Page 1 of 1