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Home My WebLink AboutCLE202100106 Application 2021-09-14tic�/)Cli f Rxyma* �)lIli zi Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number: L1_ 10U Albemarle County Community Development 401 McIntire Rd, North Wing Chadotlesville, VA 22902 N�R�,I`jp Phone 434.296. 5832 Fee Amount: $ 54 Date Paid: $ / �q I a) By: UI-NWr m4ow cneck #: By: by the Albemarle County Receipt #: �5`�FAAOPgIo CCed\E CG(d By: ur ity Development Department Applicant - Fill out the entire page below p to %- lY And return to Community Development 401 McIntire Rd, North Wing, Charlottefm , Name: Karen Zimet E-Mail Address: ubeft@unboundmedicine.com Mailing Address: 3 Boar's Head Ln Ste E Phone M 434-923-0010x623 Tax Map and Parcel number and/or Address of the Business: 3 Boar's Head Ln Ste E Chadottesville,VA 22903 Zoning: Staff will fill out ifunknown _ Parcel Owner: University of Virginia Foundation Owner's Address: PO Box 400218, Charlottesville, V Check any that apply: New Business ❑ Change of Use ❑ Change of Ownership ❑ Change of Name Business Name: Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. Online medical information. 3 employees in Charlottesville, working approx 8:30am-5:30pm. Plenty of parking. Moving from the City of Charlottesville to the address above. 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: 888 Is the Parcel Zoned LI, HI, or PDIP? Yes 9 No If yes, fill out a Certified Engineer s Report iCER) Will there be food preparation? ❑ Yes z 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,(] Public ❑ Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? Yes 9 No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? Yes W 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. 1_ /y� Signature ""''I Printed Yaye)n �✓1tJt7t� Vf Iodico�.ter Date 2 Zoning Clearance Information .1`iM Albemarle County Community Development I03� m 1 401 McIntire Rd, North Wing 1 ChadoResville, VA 22902 r�ACl:dvC Phone 434.296.5832 What is a Zoning Clearance? A Zoning Clearance is verification from Albemarle County that a proposed use, whether it is a new business or other activity (seeZoning definition of "Use"), satisfies all requirements of the Albemarle County Zoning Ordinance and ensures public health and safety. A Zoning Clearance Application is reviewed by the Zoning Department, Building Inspections Department, as well as any other applicable departments or agencies. A Zoning Clearance is Required in the Following Circumstances • Opening a new business • Changing or expanding an existing business • Buying an existing business • Moving a business to a new location or changing its name • Before natural resource extraction • Any uses listed in Section 5 of the Albemarle County Zoning Ordinance as requiring a Zoning Clearance Items Required to Apply for a Zoning Clearance Before filling out a Zoning Clearance Application ensure you have or have done the following: ["Tax Map and Parcel number or Address of the property. Include suite/unit/floor number, if applicable. Description of the proposed business/use. Include any and all relevant information such as a description of the business. the number of employees, number of shifts, availability of parking, etc. [� A Floor Plan. A sketch or an architectural drawing of the total square footage of the use. If using less than the entire structure, note the location within the structure. Note the square footage of and use of each room. [y]� Provide notice to the owner if the applicant is not the owner. Within ten days of applying for a zoning clearance, the applicant, if they are not the owner of the parcel and/or structure, shall inform the owner that they have applied for a Zoning Clearance. Please fill out the form on page 3. • Other Approvals/Documents if applicable. • A Certified Engineer's Report is required if the parcel is zoned Industrial (LI, HI, or PDIP). • Health Department approval is required for food preparation or if the parcel is on private well or septic. • Bakeries require USDA approval. • Any additional approvals the Zoning Administrator may require including Department of Social Services and Fire + Rescue. • If you have any questions feel free to contact Staff at (434) 296-5832 Submitting an Application Once you have all the required information provided above: 1. Fill out an application. Please complete page 2 in its entirety. 2. Submit an application. Bring or send a completed application to Albemarle County Community Development at 401 McIntire Rd, North Wing, Charlottesville, VA 22902 3. Pay. The $54 application fee can be paid for in person or online. If paying online please attach a copy of your payment receipt. A Zoning Clearance Application will not be processed until payment has been received. 4. Notify the Owner. If you are not the owner of the property please fill out page 3. �2 a T� Albemarle County Zoning Clearance Application -n;l 401MIntire°RdeNonnw,n9 Chatlo1leeville. VA 22902 19R��^vp Phone 434.296.5832 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, C(-F- Zaz(- I o6 to University of Virginia Foundation the owner of Tax Map and Parcel Number 3 Boar's Head Ln Ste E 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 Mailing a copy of the application to the owner identified above on Date 6/10/2021 to the following address: PO Box 400218, Charlottesville, VA 22904-4218 (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 ApplicantC�� Applicant Name Printed Karen zimet Date 6/4/2021 3 For Albemarle County Staff Review Only Proposed Use: 0 6 G-e. Permitted: es ❑ No Permitted by Section: Z Ir 71' (2 1 Supplementary Regulations: �� Applicable Special Use Permit (SP): — Applicable Rezonings (ZMA): �- Applicable Site 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: 1 oo Aci Defined by: I ❑Site Plan oning Ordinance ❑ CoD ❑Existing Total Square Footage of the Use: D V Required number of parking spaces: Cq�p Associated Clearances: pR ZOzO'66 0(6' c 2D1-121 -1113 201(-Qd `gi -iZ Variances: 1-[ G �� 0� (�.. W S r e464, Violations: I Is a site inspection necessary?: ❑ Yes 0 Site Inspection on (date): To Confirm: Notes: 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 C i V Dated 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, EXHIBIT "A" Attached to the Lease Agreement between the UVA Foundation and Unbound Medicine, Inc. dated May 5, 2021. PREMISES FLOOR PLAN 3 Boar's Head Lane, Suite E, 888 RSF Toe �Aoo � o � bu lc "t 14 Rev. 07-23-2020