HomeMy WebLinkAboutCLE202000153 Approval - County 2020-11-23Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 54
Receipt #.jV16gLfKG00 7L4 Lf V
Clearance Number: o-E )-bo oo 153
Date Paid: W I W' Q
Check #:
Applicant - Fill out the entire page below
And return to Community Development 401 McIntire Rd, North Wing,
Albemarle County
Community Dwebpment
401 Mclnfim Rd, NOM Wing
r' Chadotle.Wle. VA 22902
ITRCINy1' Phone434.296.5632
By: /KI CkCLt 1 5(CJS
By. KZ APPROVED
by the Albemarle County
Community Development Department
CharlottesviW A 22902 tiia3w
MlI
Name:
Michael Spatz
E-Mail Address:
mrspatz@sentara.cOm
Mailing Address:
500 Martha Jefferson Drive 22911
Phone #:
434-654-7038
Tax Map and Parcel
number and/or Address
of the Business:
606000-00-00-03800
Zoning:
Staff will fill out 9 unknown
Parcel Owner:
246-2248 Ivy Road LLC 2nd floor
owners Address:
P10 4th St. NE Charlottesvill
ly:
New Business ❑ Change of use ❑ Change of ownership ❑ Change of Name
pPrimar!y;Care
Sentara Blueridge Internal Medicine
ness:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
ysician Practice
Previous Business on site:
tory House Real Estate
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:
165 sf
Is the Parcel Zoned Ll, 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?
10 Public ❑ Pnvate 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?
RI Yes No If es, obtain a ❑ ❑ y 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:
C
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.
MicGtae-G S�iia.#z,
Signature Printed Michael R. Spatz
Date 11/9/2020
2
a oe aL
2� Albemarle County
Zoning Clearance Application 4 ` '' Community Development
Wi99
k• Charmlesville, VA 22902
! GINIn 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,
Sentara Blueridge Internal Medicine
clearance number provided by Staff or business name
to 2246-2248 Ivy Road LLC the owner
Name of landowner on record
of Tax Map and Parcel Number 06000-00-00-03800 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 10/9/2020
to the following address:
310 4th St. NE Charlottesville, VA 22902
(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)
A17
Signature of Applicant Mic�ia e-(, S t-����"
Applicant Name Printed Michael Spatz
Date 11/9/2020
3
For Albemarle County Staff Review Only
Proposed Use:
Permitted:
Yes ❑ No
Permitted by Section:
$ - 95 -A. 1. I
1 Supplementary Regulations:
—.
Applicable Special Use Permit (SP):
pi — % _ TA. I �I
Applicable Rezonings(ZMA):
00 _(5 icr T—`IG11,4
Applicable Site Plans (SDP):
2015/ — `
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: ®Site Plan ❑Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
S;
Required number of parking spaces:
SOP 5FnI5-(d2_
Associated Clearances:
19'
Variances:
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
Approved as proposed [] Approved with conditions ❑ Denied
❑ Backf low 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/a(]
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4