HomeMy WebLinkAboutCLE202000150 Approval - County 2020-11-23y0 A
�^2K .I;I Albemarle County
Zoning Clearance Application . T Community Development
Co McIntire Development
North Wing
ChedoBesville, VA 22902
t}R('t Nyj Phone 434.296.5832
FOR OFFICE USE ONLY Clearance Number: (,(f olo" 00 ISO
Fee Amount: $ 54 1 1 Date Paid: (�I � 0� 0 By: W � 0 (1`'s V O
Receipt #: V v q�6aa «U � qV heck #: By: �� APPROVED
J by the Albemarle County
Applicant - Fill out the entire page below
And return to Community Development 401
Community Development Department
McIntire Rd, North Wing, Charlottesville,t J\ ab
File - bQ
Name:
Nicholas Bottorff
E-Mail Address:
bottorffnd@vcu.edu
Mailing Address:
240 Hydraulic Ridge Rd #101 Charlottesville, VA 2290
Phone #:
7039815829
Tax Map and Parcel
number and/or Address
of the Business:
06100-00-00-027A1
Zoning:
Staff will fill out if unknown
G 0
Parcel Owner:
Young Property Investments LLC
Owner's Address:
240 Hydraulic Ridge Rd #101
Check any that apply:
0 New Business ❑ Change of Use ❑ Change of Ownership ❑ Change of Name
Business Name:
Elevated Dentistry of Charlottesville
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
Dental practice. 6 employees. Unassigned parking
Previous Business on Site:
Young Dentistry
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:
pv� 5 t per Pnd' aWr011a1-1
W
Is the Parcel Zoned LI, HI, or PDIP?
❑ Yes RI No If yes, fill out a Certified Engineer's Report (CER)
Will there be food preparation?
Yes Rj No If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
V 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 0 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 /yrT%Le �a7T^7 Printed Nicholas Bottorff
Date 10/26/2020
`a
nF
J I;�� Albemarle County
Zoning Clearance Application Deveopment North
401 McIntire RE. North Wing
Ohatlahos01., VA 22902
'hdG1N Phone 434.2965832
Applicant - If you are not the landowner, please fill out the entire page below, confirming that you have either
informed or are going to notify the owner of your 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,
to
Elevated Dentistry of Charlottesville
Mark
the owner
of Tax Map and Parcel Number 06-100-00-00-027A1 by either delivering a
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)
0 Hand delivering a copy of the application to the owner identified above on
Date
10/26/2020
❑ 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
/vcCiL9&2 Bette /
Nicholas Bottorff
10/26/2020
3
For Albemarle County Staff Review Only
Proposed Use:
dl -,k-
Permitted:
Yes ❑ No
Permitted by Section:
18 ,2 3 2 \ ( 17
Supplementary Regulations:
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 Formula:
\I t 7 6- („1Q.1-
Defined by: I
❑Site Plan Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
I
Required number of parking spaces:
\
Associated Clearances:
aP,Il - ) 32
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
l ❑ 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 oll compliance
with the existing site plan.
❑ This site complies with the site plan as of this date.
Conditions:
Additional Notes:
%% z3 ZD
Building Official / Date 2IT
r
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 4