HomeMy WebLinkAboutCLE202100031 Application 2021-04-08 (2)Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 54
Receipt M I o 5
Clearance Number: a- Oa 0 - 00011
Date Paid: -J / l l 011
Check #: [ 6 5-5-
Applicant - Fill out the entire page below
And return to Community Development 401 McIntire Rd, North Wing,
,l OF A
Albemarle County
�2
Communky D"lopmanl
401 McIntire Rd, Nadh Wing
ChadotleMle, VA 22902
I•
Phone 4M.296.6M
By: C O VK "' / i�`0 D sec Ai e
/y t�he9lbemarle ounty
�3o h Deev�to nt Department
Date Y-9 21
File 2-02-1- 3 i
Charlottesvilfe,,- A"C280'2
Ct'j,e� t-Lc
Name:
The Body Energy Spa, LLC
E-Mail Address:
Ske@�z}: ZK✓1✓O Sl Cc
Mailing Address:
2340 Commonwealth Drive, Suite 010A
Phone #:
Tax Map and Parcel
number and/or Address
of the Business:
061 WO-01-OA-009BO
Zoning:
Start will fill out if unknown
C1
Parcel Owner:
Commonwealth Executive Center, LLC
Owner's Address: 180
Roslyn Forest Lane, Charlottes
Check any that apply:
V New Business ❑ Change of use ❑ Change of Ownership ❑ Change of Name
Business Name: Ali
-IM
Description of Business:
Describe the business including use, number of employees,
number of shifts, availability of parking, and any additional info.
T '
Previous Business on Site:
PJ Networks
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:
1000
Is the Parcel Zoned LI, 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?
Public Private
If on private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic?
F&I] 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 #a:
Zoning Clearance review cannot begin until the application above is complete and all applicable fors 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 wt abid th n .
signature PmttedSUe Albrecht
Date 2/24/2021
2
2�y of Albemarle County
Zoning Clearance Application $ m° m 01McIiry Rd,N W
4Dt MGMire Rd, NMh W ing
Charlottesville. VA 22902
hBC,�D- Pho 4N.29&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,
to e�C6+,u, YP-,P e owner
of Tax Map and Parcel Number 01 of IQo=I -n -o,)g L to 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)
Hand delivering a copy of the application to the owner identified above on
Date 21 Z q Z
❑ 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 elp de i g this inform on if needed)
Signature of Applicant
Applicant Name Printed SLU- hrP
Date
3
For Albemarle County Staff Review Only
Proposed Use:
I C €€t -e A Ck q S
Permitted:
(❑�Aes ❑ No
Permitted by Section:
I z Z. Z , ( C b�
t — (b) t 8)
1 Supplementary Regulations:
-
Applicable Special Use Permit (SP):
Applicable Razonings (ZMA):
Applicable She 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:
( �p
Defined by: I
Zug, Plan ZZoningpOrr�dinance❑ CoD QExlsting
Total Square Footage of the Use:
(COl) Af2�' - S b9f G O � - - 5
Required number of parking spaces:
5 4�0 3 } L�3 `f�F( Y S ,1✓t �R/twt '�
Associated Clearances:
2b[ 3'' `16 S —1 tS 1 —14L -I 3 7 Z 01 ? 7-0 . -12 f 2616-0% "o?,171
Variances:
y—
Violations:
---'
Is a sic inspection necessary?:
❑ Yes o
Site Inspection on (date):
To Confirm:
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Appr val Information
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
_ 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
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