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HomeMy WebLinkAboutCLE202000111 Application 2020-10-02Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number: IU.iG' CC i / i Fee Amount: 5 54 Date Paid ��3, Z ` By. e APPROVED by the Albemarle County Receipt #: �� It) f y 5 r ��C��/� check #: (immunity DeJelooAmt Department Applicant - Fill out the entire page below Date — `GL��,_ And return to Community Development 401 McIntire Rd, North Wing, Charjottesviller VA22902 I Name: / - nrtu,�N �,ti- E-Mail Address -- I y r J C. v f(A Mailing Address: Phone It. I n umber and[or Address e HARtorrESVI E E VA a290 / sue'll All ew s univriown of the Business: 06106-00-00-AROPO _ I f1ICH"IA Y C_OMn'fE_R'6/ALi //6iiPElYoNfJ!/ECgby'toTlESY/[Q —, Parcel Owner. [jYAA,,6Y/Llf'LB6'AgQ16I Jufl Ri/E5, a sr Address: Check any that apply: New Business ! Change of Use (J C thetnga of Ownership 1 Change of Name Business Name: Description Of Bufiness: Descnoe IM Dusineas ,nduding use, number of employees. number of shins, availability of parking, and any additional into. F ' ""' .+ �x�RY s rtt� �/c, u•+d�� r'st' Ri6Nr" ups - - i Previous Business on Site: pbfb Aurp s4L kS iJkro sziey'IES 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 Z 9 8-5' SF - for the Business: _ Is the Parcel Zoned U. HI, or PDIP? ❑ Yes X. No If yes, fill out a Cendied Enoiri ar'_s Report (CER, Will there be food preparation? Yea No If yes, provide Virginia Department o1 Health approval Fx� Public Private If on private wall, provide Virginia Department of Health approval Is the Parcel on public water or private well? Is the Parcel on public sewer or septic? X❑ Public Septic If on septic, provide Virginia Department of Health approval Yea ❑ No If yes, obtain appropriate sign permit and list permit p below Will you be putting up any new signage? Will there be new construction or renovations? G; Yes No If yes, obtain appropriate building permit and list permit a below Please list any applicable Building Permit Ns: 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 Pnntetl,�61 )ate -Cap �T."�--�---- _ - 2� 4OF .lie F°� Albemarle Count Zoning Clearance Application °`9A °ommuniireRd.p°�y -i- �' 401 McIntire Rd. North Wing ChadottesMle, VA 22902 �4+Gt N1� Phone 434.296.5832 FOR OFFICE USE ONLY Clearance Number: )-&)Z' - 06> /// Fee Amount: $ 54 Date Paid: ?/? f I Z v By: 41 Receipt #: 0A it 114 4 6,1 L U 3)0f i 3 Peck #: By: 66� Applicant - Fill out the entire page below And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: t E-Mail Address: k-ILR, 4 L..r Mailing Address: Gjvi{(e Phone Z r. Tax Map and Parcel number and/or Address of the Business: 16 #o Sr mV49L 6 f /L C#ARLo7rZ-$V/LL€ VA 0.)90/ 06/06-00-00-/07c))20 Zoning: Staff wllfill out ifunknown 111ch"WAY delve roer-/AL Parcel owner: (*4WLe)/ESV/11f41BF{i/#R i )%74iQf/fs, owner's Address: 9/6 �jPEf�iA/ fJ{�E'CyA�Lof(E$yrL Check any that apply: New Business Change of use Change of Ownership Change of Name Business Name: U5 nL�s �O t G, Description of Business: Describe the business including use, number of employees, number of shifts, availability of packing, and any additional info. ��E.a„ .r .�� �,.�� �`Y✓o under- 'BY RiGNr„ trams Previous Business on Site: (./-D AWV Sa LAS d A47Z) SF,RVI S 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: r 9 g,5- sF 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 ❑ No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? Z Public ❑ Private If on private well, provide Virginia Department of Health approval Is the Parcel on public sewer or septic? 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 N 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 Printed Date 2 5 V Zoning Clearance Application Albemarle County Community Development Y01 Mdnlire Rd,NortM1 Wing nesvi0e, ChatloVA 22902 Phone 48A.296. 5882 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, G(,C2aL,--,—( (( clearance number provided by Staff or business name to PM-9TIES,the owner Name of landowner on record L L G of Tax Map and Parcel Number 06/0c5- 00-oD -/aoPo 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) i 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 o77- 3 For Albemarle County Staff Review Only Proposed Use: 1 J�rlh2 Permitted: es ❑ No Permitted by Section:Z� 'L l G a7 Supplementary Regulations: Applicable Special Use Permit (SP): `? 7 C,—Z L(-2 d 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: t i, G Defined by: ❑Site Plan ping Ordinance ❑ CoD ❑Existing Total Square Footage of the Use: 2 6 D Required number of parking spaces: 2 Associated Clearances: ?-Ott 1� I 2-017-'Z(& 2co[ -)z3 Variances: Violations: ` f� Z© 2C%(� (`7 I ( NA u qj Is a site inspection necessary?: ❑ Yes o Site Inspection on (date): To Confirm: Notes: 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: r AggAnqP4 dc dlbo� YI b t- Additional Notes: Building Official Date/ G(� Zoning Official Date l O r Other Official p fz� t, (� -(,�.r4r l� Date r ✓►//�� I ✓IM sic Z L ✓W County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4 First Floor 18'9"x6'1" 18'9x1'2 Walk- In 1 7 13'8"x 13'8"x 13'8" 7> 1 25'6"x20'6" Rest Room 1 14'x72" 6'8"x28' 9'5"x28' First Floor "I I k : 7 -Rest jes 2 , t Room 2 10 Room 06 x 72 c --A--I 25'6"x206 �,t -- Room 1 7 2 1 k-I 6'8"x28' I Sb , 51, Counter - �: I t 9'5"x28' 17 >