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HomeMy WebLinkAboutCLE202000176 Approval - County 2020-12-30Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number: Z@ZX-176 Fee Amount: $ 54 Date Paid: By: Receipt #: J2 Z` 70 Check #: By: Albemarle County Community Development 401 McIntire Rd, North Wng - _ Charlottesville, VA 229M Phone 434.296.5832 Applicant - Fill out the entire page below And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: Anne Delaney E-Mail address: annedelaney4@gmail.com Mailing Address: 1109 Foxvale Lane, CV 22902 Phone M 434-960-9848 Tax Map and Parcel number and/or Address of the Business: 061M0-00-13-002F1 671 Berkmar Court Charlottesville, VA 22901 Zoning: Stan will fill outifunknown Planned Development Mixed Commercial Parcel owner: Joel M Schectman and Lisa Draine Owner's Address: uoa Locust Ave, Charlottesville, VA Check any that apply: ❑ New Business ❑ Change of Use ❑ Change of ownership ❑ Change of Name Business Name: Delaney Hearing Centet`'LLC Description of Business' Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. It is an Audiology medical office providing hearing -related services including hearing aids. There is one provider and one office manager and we are open normal business hours for a medical office (M-F). Parking is right outside the door (including handicapped). Previous Business on Site: I ISOft Store 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: 77 a 992 Is the Parcel Zoned LI, HI, or PDIP? ❑ Yes I No If yes, fill out a Certified Engineer's Report (CER) Will there be food preparation? ❑ Yes 51 No If yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? 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 10No If yes, obtain appropriate buildingpermit 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 L2w/ Date P-110 -ZF7-Q � pF AL �2� q Albemarle County Zoning Clearance Application = 401 M.Inbr. Rd N.r1 ent 401 affe ee, Nanh 2 �ChahotlesvAle, VA T2982 r LRG1NF� 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 to Joel M Schectman and Lisa Draine the owner Name of landowner on record of Tax Map and Parcel Number 061M0-00-13-0021`1 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: 963 Locust Ave, Charlottesville, VA 22901 (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 r)&A�ke� --� K3 For Albemarle County Staff Review Only Proposed Use: Permitted: yes No Permitted by Section: a 5A 2. ( 0 Supplementary Regulations: n A Applicable Special Use Permit (SP): ir� 1H Applicable Rezonings(ZMA): Z/AA 1A01_© Applicable Site Plans (SDP): SpP 11t,611y 5[)pIqt5,-3j Spplqq2> 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: 1 Z� Defined by: Site Plan Zoning Ordinance CoD Existing Total Square Footage of the Use: 1(�a Required number of parking spaces: Associated Clearances: ;xD — 250 A Q A bi mo — —oj Q —'5°i Variances: N'� Violations: I,���Q 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 C 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. n This site complies with the site plan as of this date. Conditions: Additional Notes: �� - . 0 1 rat ✓ Building Official Date ��' �� / /'% 2r1 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 W Michael Dellinger From: Michael Dellinger Sent: Monday, December 21, 2020 2:26 PM To: Anne Delaney Cc: Betty Slough; Lea Brumfield Subject: RE: The electrical wires in the medical office The electrician has confirmed in writing that the wiring has the EGC as needed for healthcare wiring. If this is the only issue from bldg. we're good to go. M v4. 17elli rt�'er; CBO Busil�u' "n�OfjruiaL 4Umvra�rZPiCoccnty rndeMaWet-Oa&ie* I& org 0f/6C,e'43,9-296-5832 X3228 401 Mrilnt- elRoad; North W&nc, Chas-Zottej4vd,4Pi, 1/a-229o2 ,4udec46!oi Oz,l7ectto-appea iG v accordance. )Vdh� j cc Chapter 119 From: Anne Delaney <annedelaney4@gmail.com> Sent: Monday, December 21, 2020 1:20 PM To: Michael Dellinger <mdellinger@albemarle.org> Subject: Re: The electrical wires in the medical office CAUTION: This message originated outside the County of Albemarle email system. DO NOT CLICK on links or open attachments unless you are sure the content is safe. I just sent the email from the electrician. What else do you need? On Mon, Dec 21, 2020 at 1:16 PM Michael Dellinger <mdellinaer@albemarle.or¢> wrote: If the electrician wants to provide a detailed report of what is installed that will be fine. We just have to have documentation that it is wired with health grade wiring in accordance with the NEC. Let me know which way you want to proceed. Regards,