HomeMy WebLinkAboutCLE202100047 Application 2021-04-08 (2)2� Albemarle County
Zoning Clearance Application -r' 40o;M nha Rd, NeM Wing
Chadonesville, VA 229U
C l 4RGINI` Phone434.2965a32
FOR OFFICE USE ONLY Clearance Number:C �.LXA) "4�
Fee Amount: $ 54 Date Paid: 31�1a) By: I tj(n, JAM
Receipt #: Check #: C By: \3 111* Development Department
'U 11 '1J yJ-j
Applicant - Fill out the entire page below File
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
John Thier
E-Mail Address:
john@turner-enterprises.com
Mailing Address:1111
PO Box 521, Charlottesville, VA 22902
Phone M
Tax Map and Parcel
number and/or Address
of the Business:
330 Claremont Lane, Crozet, VA 22932
Zoning:
Staff will fill out if unknown
(V
Parcel Owner:
Old rail Medical Arts LLC
Owner's Address
Box 521, Charlottesville, VA 22902
Check any that apply:
New Business ❑ Change of Use ❑ Change of Ownership Change of Name
Business Name:
?Crozet Eye
Description of Business:
Describe the business including use, number of employees,
number of shifts, availability of parking, and any additional info.
Eye doctor 12 employees, 1 shift
Previous Business on Site:
N/A
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:
3,368 Net SF
Is the Parcel Zoned LI, HI, or PDIP?
Yes No
If yes, fill out a Certified Engineer's Report fCERI
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?
PublicEj 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 El No
If es, obtain appropriate buildin
yg permit and list permit #below
Please list any applicable Building Permit #ss L
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 1 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 9 Printed John Thier
Date
\_10\
Zoning Clearance Application
OF Alm
Albemarle County
tl Community Development
lL 401 McIntire Rd, NmN Wing
Chadattesville, VA 22902
Ppane434.29UM
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 the owner
Name of landowner on record
of Tax Map and Parcel Number 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:
(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
3
For Albemarle County Staff Review Only
Proposed Use:
0€�tce
Permitted:
Yes ❑ No
Permitted by Section:
NAO
CrDSr
Supplementary Regulations:
Applicable Special Use Permit (SP):
—
Applicable Rezonings (ZMA):
'L0 t so 100 $-0 5
Applicable Site Plans (SDP):
10ZD _55 z 0 r rI—(
Parking:
If there is an approved site plain associated with the parcel, the parking requirements will be defined by the SDP. Some
parking requirements are determined by a ZMA or by an pproved Code of Development.
Parking Formula:
t L gv 11(4
Defined by:
Vsite Plan ❑Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
) 36 d
Required number of parking spaces:
/)
It l fee(7�j v) tYe r APPZ0 zo - 53
Associated Clearances:
202 t'�
Variances:
Violations:
Lt/[}j
Is a site inspection necessary?:
❑ Yes ❑ No
Site Inspection on (date):
To Confirm:
[,L
Notes:
F-mL odd L e r ci.-L e oLG kP� r�Cf ,j QKte--:e(cpr
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval 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 Offici
�( n
Date �/ I
7 f 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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