HomeMy WebLinkAboutCLE202100036 Application 2021-04-08 (2)Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 54
Receipt#�t3if 2a1RP�a6 il5`tX
Clearance Number: DpgLi -0003 6
By: fo-KC Li/eA&RCIVED
,byy the Albemade County
By: �tntt1lit ikelopment Department
Date
File 2-Oz1—)6 —
Charlottesville, VA 22902
Date Paid: 3 /,y /a -
Check #:
Applicant - Fill out the entire page below
And return to Community Development 401 McIntire Rd, North Wing,
Albemarle County
4 A ` Corrnunity oe eloprnent
401 Mcl nNre Rd, North Wing
Charlottesville, VA 22902
Phone 434.29e.5B32
Name:
Jane Webb
E-Mail address:
jwebb@studiol3.net
Mailing Address:
1200 Alderman Rd, Charlottesville, VA 22903
Phone #:
434-466-5263
Tax Map and Parcel
number and/or Address
of the Business:
55-67C
517+GAP FA W;y{q;n
Curet- 5�cln k--Leofkc Czwii:L—
zoning:
Staff will fill out ffunknown
Office Building per
Albemarle GIS site Q -Z
ParcelOwner:
Crozet Pediatrics and Counseling Center LLC
Owner's Address: IWOR1,sonde..,can.siWA.cn.W.Al,VAM01
Check any that apply:
0 New Business Change of Use 0 Change of Ownership ❑ Change of Name
Business Name:
Studio13 LLC
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
Education focused on acceleration, t employee, 1 shift, multiple parking spaces available with Studio13 adding only one vehicle.
Studiol3 works in partnership with Crozet Speech and Learning Center at this location.
Previous Business on Site:
unknown
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:
approximately 240 square feet
Is the Parcel Zoned LI, HI, or PDIP?
Yes M 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?
✓❑ Public Septic If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
ElYes R1 No If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
7 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,;7 Printed \—kIV� Vy
Date 3/1 %20z 1%20:z1 2
,� Albemarle County
Zoning Clearance Application onm�ni401 McIntir,e Rd, eRd,opment
North Wing
Charlottesville, VA 22902
Phone 434. 298. 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,
Studio13 LLC C L15 ZUZ( — b
to Crozet Pediatrics and Counseling Center LLC the owner
of Tax Map and Parcel Number
05500-00-00-067CO
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
0 Mailing a copy of the application to the owner identified above on
Date March 1, 2021 to the following address:
900 Rio Road East Ct, Suite A, 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
Jane Webb
3/1 /2021
S1
For Albemarle County Staff Review Only
Proposed Use:
o 6 i
Permitted:
❑hies ❑ No
Permitted by Section:
-t'xikf�0 —6040✓t-v
fh�2
Supplementary Regulations:
�
Applicable Special Use Permit (SP):
Applicable Rezonings (ZMA):.
Applicable Site Plans (SDP):
IgIF5-5z
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 LC L)
I Defined by.
ite Plan ❑Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
��(Q
Required number of parking spaces:
Associated Clearances:
Variances:
Violations:
.� -
Is a site Inspection necessary]:
Yes \ o
Site Inspection on (date):
,,..
To Confirm:
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Information
[� Approved as proposed 1 ] 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 Official Date
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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