HomeMy WebLinkAboutCLE202100112 Application 2021-09-20Zoning Clearance Applic;4ion
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $59 +Technology Surcharge: $2.36
Receipt #: [• L3 g73
Clearance Number: , 021.-61
Date Paid: J`/23%„Z I
Check #:;LO r
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesv le,
Albemarle County
Community Development
401 McIntire Rd, North Wing
Charlottesville, VA 22902
Phone 434.296 5832
By: /M o-,1< KAPPIMED
by 4 Albeinarle County
By b'DA19nitf-Dbioifinent Department
Date Z0-2-1
File
VA 22902
Name:
E-Mail Address:
%V AM6 *1 Q 4i 1 •Lew.
Mailing Address:6Ytrk
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Phone #:
t•F;y, 401 }6$}
Tax Map and Parcel
number and/or Address
of the Business:
Rol 021 -FWC'AX Rk
S` 51eth-►� tCTC3 k
e• A4i t Ar LZgZ
Zoning:
Stattwill fill out ifunknown
Parcel Owner:
���b4gklis.Owner's
Address:
mR Amams, 21j"t%%witut
Check any that apply:
New Business Change of Use ❑ Cha•
ge of Ownership ❑ Change of Name vb
Business Name:
t •tvill
Description of Business•
Describe the business including use, number of employees
number of shifts, availability of parking, and any additional info.
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1
Previous Business on Site: M► �t f
I
Floor Plan:
Please attach either an architectural drawing or a sket
uses of rooms, the total square footage of the use, an
n of the proposed business indicati he location of uses, the
any additional information.
Total Square Footage Used
IFfor the Business:
�� 5� �P�LtYt pptt th
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 XPrivate
If on private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic?
Public N 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:
7>`i
— AL
Zoning Clearance review cannot begin until the application above is comp Ate and all applicable forms and fees are submitted.
This Clearance will only be valid on the parcel for which it is approved. If y u 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 ha ,e read the conditions of approval, and I understand
them, and that I will abide by them.
Signature
Date
Printed milawl F,6?chu
2
For Albemarle County Staff Review Only
Proposed Use:
60 titq j.-,e
Permitted:
Yes ❑ No
Permitted by Section:
1 10, 2,
Supplemental y Regulations:
r y 5
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 requirements are determined by a ZMA or L j an approved Code of Development.
Parking Formula:
.-ty
Defined by:
Site Plan []Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
b 5 -70
Required number of parking spaces:
Associated Clearances:
7-00-2- $ 201[2-" (2Z zolf(- 6 2CV9-3b 2tv -3D
Variances:
r^ -
Violations:
Is a site inspection necessary?:
❑ Yes ❑ No
Site Inspection on (date):
To Confirm:
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
v0o v(
Approval Information
Approved as proposed Approved with conditions ❑ Denied
Backflow prevention device and/or current test data needed fo this site. Contact ACSA, 434.977.4511 ext. 117
❑ No physical site inspection has been done for this clearance. l terefore, 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
Zoning Officia
Other Officialyk(5 044e
Date q Lzelt�
j
Date 2-
Date [ - 7 -Z1,
County of Albemarle Department of Comn inity Development
401 McIntire Road Charlottesville, VA 22902 Phone: 1 4.296.5832 Fax: 434.972.4126 4
Oil
5(46 Seminole Trail, Charlottesville VA
A )emarle County Tax Map 21 Parcel 17A
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032 033 Tax Map:
0 800BraIs 1,900 2400 Albemarle Co anty 021
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Note' This map is fw display purposes only
t
and shows parcels es of 1213112019,
>_;,', See Map Book mhoCucGon W odmonal details,
Mark Kopeny
Zoning Application
11 August 2021
Description of Proposed BusinesslUse
Description ofthe Business and its Location
This business is a multiple -use food services operation. 7 he name of the business and of the
establishment is "The Filling Station". The business will .)perate in a single -story building at
5046 Seminole Trail, Charlottesville VA. The floor plan attached) shows the building's six
rooms, and gives the square footages of each. Total area; n the building is 1656 square feet.
Food Services Offered and Spaces Used for Each
1. Catering. The kitchen is the primary space used to support the catering operation. The office
is an ancillary catering space that is used for meeting with. catering clients and prospective
clients.
2. Country/Convenience Store. The store occupies 60% c. f the total square footage in the
building. Store customers are restricted to this space (anc use of the restroom. Approximately
90% of the square footage in the store is dedicated to she! wing, coolers and deli cases for
merchandise fresh and packaged merchandise. Two 2-top tables for customer seating will occupy
the remaining 10% and are located close to the point-of-s rvice counter. The kitchen is used to
prepare fresh deli foods for sale in the store; meats (e.g., i risket), salads and other sides (e.g.,
cole slaw, mac and cheese) and pastries.
3. Take-out breakfast and lunch sandwiches. Customers, an order sandwiches to go at the
counter in the store, or in advance by phone or online. O: ders can be picked up in the store, or
staff will bring orders out to customer vehicles in the pa6 ing lot. The two tables in the store are
close to the counter and are intended for customers that cl.00se to wait inside for take-out orders.
Hours of Operation
The store will be open to the public Monday -Friday from 7:00 a.m, to 3:00 p.m. Monday thru
Friday.
Number of Employees and Shifts
Each shift runs from 6:30 a.m. to 3:30 p.m., with either 1 or 2 (maximum) employees per shift.
Parkin
The parking lot adjoins the south side of the building and accommodates 8 regular sized cars and
trucks (see attached picture).
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Restroom IRestroo
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Clearance
Applic�aion
`
-i-'°I401Mc°tireRdNoah'
Tr
Albemarle County
Chrnrr�Zoning
401 McIntireRd229 Wing
Charlottesville VA 22902
r'm...�.i
PM1onc 434. 296. 5832
Applicant - If you are not the land owner, please fill out the entire p tge 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 U.NDOWNER
I certify that I will provide (or have provided) novice of this clearance application,
CL-I=-2-CZ1-I(Z
clearance number provided by Staff or )usiness name
to�2lasat,�e'S.�i
l
�_ �y�Yie
owner
Nam
f art1owher on record
of Tax Map and Parcel Number OZ N J�A by either delivering a
i �!operty
copy of the application to them in person or by sen( Ing 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 i ientified above on
Date
Mailing a copy of ty application to the owner identified above on
A
Date 1(4 I:11,1Cilli C-t) C.1 to the following address :
(Written notice to the owner and last known address or our record books will satisfy this
requirement. Please see staff for help determining this reformation if needed)
Signature of Applicant
Applicant Name Printed
Date
3