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Home My WebLink AboutCLE202100034 Application 2021-03-26Zoning Clearance Application Albemarle County Community Development 401 McIntire R0, North Wing Charlottesville, VA 22902 Phone 434.296 5832 FOR OFFICE USE ONLY Clearance Number: ',)0,1-Ooo3q/� Fee Amount: $ 54 Date Paid: l �Jc�� 1 By: 1 O i T., �a Receipt#: 15L�� (G Check#: 1153 7 By: K/ 1� `Z- a r v Applicant - Fill out the entire page below _ 2 ? 1_ And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, Vo ooQno GAG Name: HINA QURESHI E-Mail Address: dochina3l @hotmail.com Mailing Address: 941 GLENWOOD STATION SUITE #103 Phone #: 434-284-2809 Tax Map and Parcel number and/or Address of the Business: 061 YO-00-OC-10300 Zoning: Neighborhood Model District Parcel Owner: GLENWOOD C-3 LLC Owner's Address: 941 GLENWOOD STATION SUITE #103 Check any that apply: New Business W Change of Use V Change of Ownership Change of Name Business Name: Description of Business: J.OTTESVILLE COLABORATIVE q*RE CL1NIf Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. PHYSICIAN OFFICE, URGENT CARE CLINIC, LABORATORY SAMPLE COLLECTION AND TESTING FACILITY. TWO SHIFTS, DAY AND LATE EVENING, NUMBER OF EMPLOYEES 6-13, PARKIG AVAILABLE Previous Business on Site: Dr. Gretchen Beck, MD -Allergy & Immunology Specialist 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: z,1z1 SF Is the Parcel Zoned LI, Hl, or PDIP? 0 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? le Public jj 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 ® No If yes, obtain appropriate building permit and list permit # below Please list any applicable Building Permit #s: N/A 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. �J Signature � Printed Hina Qureshi Date 02 / 23 / 2021 2 Albemarle County Zoning Clearance Application Coloty°evelo Nopment nh 401McIntire Rd, Wing Chatlollesville, VA22902 Phone 434.2W 5832 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, HINA QURESHI MD L (_ E 202 ( " 311 to GLENWOOD C-3 LLC Na 9.1('OW of Tax Map and Parcel Number 061 YO-00-OC-1 0300 the owner by either delivering a copy of the application to them in person or by sending them a copy of the application by C✓ mail. (Please check one of the following below) Hand delivering a copy of the application to the owner identified above on Date 2/22/2021 ❑ Mailing a copy of the application to the owner identified above on 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 Hina Qureshi Date 02/23/2021 a nnc In 7rArf3fAfaRfld7a4R4hecn77n79419R7g7Ra941 K For Albemarle County Staff Review Only Proposed Use: C r fL Permitted: Yes ❑ No Permitted by Section: P 1- 7-MA G _ .E Supplementary Regulations: ZfMA 5 Applicable Special Use Permit (SP): 0 q-14 --?2 Applicable Rezonings (ZMA): lDDu_ f b 200 - r l Applicable Site Plans (SDP): Z0d 5 _ Z G 1� c . Parking: If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some Parking Formula: l/gyp Defined by: I Site Plan []Zoning ordinance ❑ CoD❑Existiing Total Square Footage of the Use: I Z Q SY 1 8 V fC. ( C Q . rDV t' n2(J 5- ZZ (,/' /rC-J HI Required number of parking spaces: v r lt f l5f Associated Clearances: ;.. y Z60 - Z g - Z7 Variances: i t wl t�ti1NK Violations: Is a site inspection necessary?: Ely- o Site Inspection on (date): P2 Notes: Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees Approval Information [9/Approved as proposed ❑ Approved with conditions ❑ Denied ❑ Backflow prevention device and/or current test data needed for this site. Contact ACSA, 434.977.4611 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 " 7 11/Z� 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 nnc in 7A45f7fgfaAf1d7a4A4her..077079419A747AnA41 2 Jeffrey Baker From: Robin Amato <9810767@gmail.com> Sent: Tuesday, March 23, 2021 4:22 PM To: Jeffrey Baker Cc: Hina Qureshi Subject: Re: 941 Glenwood Station_103_application Attachments: 941 Glenwood_Station_103_Zoning_Clearance-Lab.pdf Follow Up Flag: Follow up Flag Status: Flagged 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. Hello Jeff, As it turns out there are two separate businesses that will officially run out of the space, although they both share the space and are run by the soon to be new owner. Attached is a copy of the Zoning Clearance that I'll drop by the County with payment tomorrow, Wednesday. The "approved" zoning clearance best describes the Clinic and the attached describes the Lab. Do you need the previous application to have Prodia Laboratories' name removed or can you mark the portion of the application out? Robin ROBIN AMATO Associate Broker, CCIM 434.981.0767 ANYTIME 9810767Ccil¢mail.COm EMAIL REAL ESTATE III COMMERCIAL PROPERTIES 1116 E High Street Charlottesville, VA 22902 Licensed to sell real estate in the Commonwealth of Virginia On Tue, Mar 23, 2021 at 12:21 PM Jeffrey Baker <jbaker@albemarle.ore> wrote: Hina, Are these two separate businesses? If so, each needs to have their own zoning clearance. I only like to highlight the names and it makes it clear which clearance is being worked on and assumed PRODIA LABORATORIES AND CHARLOTTESVILLE COLLABORATIVE CARE CLINIC was just the full, long name of the business.