HomeMy WebLinkAboutCLE202100011 Application 2021-02-02" ( Mm nity Devebpment
Zoning Clearance Application Albemarle ��n9
(Maracas iAe, VA 22X2
P m. 4U,298.5=
FOR OFFICE USE ONLY Clearance Number: Dc' c--�Ca1 ccc 11
Fee Amount: $ 54 Date Paid: Vq3 lad By; svvwc X\ UA Receipt #: 1-,;Glow Check #: 1 By: D
by the Albemarle County
Applicant - Fill out the entire page below unity Development Department
Z-z--i i
And return to Community Development 401 McIntire Rd, North Wing, CharlottesvlNi, VA 0 t 2 �a 1�„
Name:
Shannon Burns
E-MailAddress:
Shannon@salutethesunyog
Mailing Address:
4215 Millington Road Free Union 22940
Phone M
4349899368
Tax Map and Parcel
2216 Ivy Road Suite 206
Zoning:
number and/or Address
Charlottesville, VA 22903
Staff will fill out if unknovm
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C
of the Business:
I I
Parcel Owner.
Owners Address 22r$v t 3a3
Check any that apply:
New Business Charge of Use Change of ownership ❑ Change of Name
Business Name:
LC
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
Yoga Studio
Previous Business on Site:
Momentum Pilates Studio
Floor Plan:
Please attach either an architectural drawirg 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
1200 square feet
for the Business:
Is the Parcel Zoned LI, HI, or PDIP?
Yes No If yes, fill out a
Will there be food preparation?
Yes No If yes, provide Virginia Department of Heafth 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?
a Public Septic If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
a Yes No If yes, obtain appropriates n
Ka permit and list permit N below
Will there be new construction or renovations?
0Yes ® 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.
Shannon Burns
Signature Printed
Date 1/19/2021
2
Albemarle County
-1
Zoning Clearance Application Wi eRd. N"Wng
ChatlWte.4 iAe, VA 22902
1'6?7' Phone 434296.5832
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,
_ Salute The Sun Yoga, LLC
clearance number provided by Staff or business name
to Townside East, LLC the owner
Name of landowner on record
of Tax Map and Parcel Number 00 -c(DG ( 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)
V Hand delivering a copy of the application to the owner identified above on
Date 1122121
❑ 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)
Shannon Burns
Signature of Applicant
Applicant Name Printed Shannon Burns
Date
1/21/21
3
For Albemarle County Staff Review Only
Proposed Use:
pL,4,(G�
pemYtted:
P4es ❑ No
Permitted by Section:
Z�� Z ,
1
Supplementary Regulations:
..�-
Applicable Special Use Permit (SPI:
Applicable Rezonings (ZMA):
Applicable Site Plans (SDP):
j tQ G_ Lt3
Parking:
If there its 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�� 0
Defined by.
Site Plan ❑ Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
I� ZOQ ($j
Required number of parking spaces:
6 3-RG-CS G J5 7 s p 9-L(3)
Associated Clearances:
2-0Z6 - 0/zf,2ot 9 - 2Sf —2 3 1 Z //t - 2 2 -t - 2$ za(z- Z tf c
Variances:
Violations:
Z.+/lb Zl �I Z Lab4r(trr{.
Is a she inspection necessary?:
❑ Yes L7 '•-
Site Inspection on (date):
To Confirm:
I c.
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
ET' 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 Officia
Date
2 2-ZI
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