HomeMy WebLinkAboutCLE202100165 Application 2021-11-22Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
.Application fee$599+Technology Surcharge: $-2..336'
Receipt #: %A34PJ-�, H TJ—
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Albemarle County
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Commur'ty Development
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401 WWI,. Rd, Nonh Wing
Chadettesville VA 22902
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Phone 434296.5832
Clearance Number: l"LCX.Ai - I l05
Date PaW�YG/i�b By:�t G r,-►� (&t�D
oyF� arse CouriCheck# By: munity Development Department
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Applicant - Fill out the entire page below and return to: File - — "—
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
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E-Mail Address:
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Mailing Address:
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Phone #:
Tax Map and Parcel
number andfor Address
of the Business:
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Zoning:
Staff will All out if unknown
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Parcel Owner:
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Owner's Address:
Check any that apply:
New Business C; Change of Use C Change of Ownership ❑ Change of Name
Business Name:
W Z
S
Description of Business:
Describe the business including usenumber of employees.. number of shifts, availability of parking, and any additional info.
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Previous Business on Site:'��iiL:
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:
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J
Is the Parcel Zoned LI, HI, or PDIP?
❑ Yes E No If yes. fill out a Certified Enoineer s Report ICERI
Will there be food preparation?
El 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?
Yes No If yes obtain appropriate sign permit and list permit # below
Will there be new construction or renovatlons?
❑ Yes 2q 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.
I ,
Signature , 31'��01i „ Ltd Printed 1!t "r+ [r
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Date _fl Tit
2
For Albemarle County Staff Review Only
Proposed Use:
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Permitted:
Yes ❑ No
Permitted by Section:
U, Z. 1 -4 7 3• Zr C Z
Supplementary Regulations:
-
Applicable Special Use Permit (SP):
Applicable Rezonings (ZMA):
2O p'I8
Applicable Site Plans (SDP):
2 0l8 -25 20 ? -0 L '
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 by an tporoved Code of Development.
Parking Formula:
la/fl, a
I Defined by:
FLISite Plan ❑Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
I tl a
Required number of parking spaces:
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Assoclated Clearances:
Variances:
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Violations:
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Is asite inspection necessary?:
❑ Yes o
Site Inspection on (date):
To Confirm:
Notes:
�Xl 13 cult eO 13 CUSIk a cc�lo s ede- of So Y
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Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
❑ Approved as proposed M11 cpproved with conditions ❑ Denied
❑ Backflow prevention device andlor 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: A ---
Building
Zoning Official Date K 1 Z2 ,21
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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Albemarle County
Zoning Clearance Application °"Nm° W01 Mcl t l n4 Nwn� QChvdoe IleVAd—
Pw ado 20, 0M
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
certify that I will provide (or have provided) notice of this clearance application
�, F,t a bit S4v L-, �,'�lesi�c1
c ,ante umber providad by stalf or business name
to (;'M S u* \ (z1tc+-) ye.At=eC the owner
Name or landowner on record
of Tax Map and Parcel Number bi+u,41 I —CG 0u.-Oc�00, 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 "e ;1 'f4 • � f�
Applicant Name Printed llr&,414 up
Date rl�]
13'-2"
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7'-8 1 /2"
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Jeffrey Baker
From: Kristen Harris <kris@solasalons.com>
Sent: Thursday, November 18, 2021 4:24 PM
To: Betty Slough; Jeffrey Baker
Cc: Kevin McCollum; Brandy Segura
Subject: Fwd: [##2064##]
Follow Up Flag: Follow up
Flag Status: Flagged
CAUTION: This message originated outside the County of Albemarle email system. DO NOT CLICK on links or open
attachments unless you are sure the content is safe.
Jeffrey,
Here is the information from the electrician per Betty's email regarding the electrical requirements for the med spa that
n 5th St. I would also like for this correspondence to serve as confirmation that I
am aware that Dr. Segura (Studio R Esthetics) will be leasing a studio at Sola Salons per your request.
Please confirm that this is all you need from me.
Thanks!
Kristen Harris
Sent from my iPhone
Begin forwarded message:
From: Patrick Geimer <patrick@banyancs.com>
Date: November 18, 2021 at 3:13:21 PM EST
To: Kristen Harris <kris@solasalons.com>
Cc: Banyan Service <service@banyancs.com>
Subject: [##2064##]
Good afternoon Kristen,
Here is the info the electricians sent back to me. Hopefully this is what they are looking for.
Thanks,
0 ------------- Patrick Geimer
Warranty & AfterCare, Banyan Construction Services
317.473.2530 1 patrick(aDbanyancs.com
35 Whittington Dr., Suite 100, Brownsburg, IN 46112
FOR SERVICE ISSUES - service(a)banyancs.com
New Vendor Form
---------- Forwarded message ---------
From: matthew baxter <mbaxterbooth@yahoo.com>
Date: Wed, Nov 17, 2021 at 9:19 PM
Subject: Re: Message from HARRIS WESLEY 1 (96785242044)
To: Patrick Geimer <Patrick@banvancs.com>
Cc: Rob Booth <boothelectric@Rmail.com>
Patrick here is the break down of the material that was used
Part #
MC12/2MCAPHCF
Outlets IG5362RN
Eaton QBGFT1020
4x4 2 1/8 boxes
Description
Hosp Grade MC12/2WG
Recp Dup IG 20A125V 2P3W B&S
1P 20A CB GFI Breakers
single MC Quick Connects
We ran 2 new circuits to the panel with the wire listed above. Installed circuits on GFI
breakers. Installed 4x4s in the ceiling and pulled new wire to all the boxes. Install the outlets listed
above with new cover plates.
Matthew Baxter
Project Manager
Booth Electric
317-604-0298
mbaxterbooth@vahoo.com
On Nov 16, 2021, at 9:06 AM, Patrick Geimer <patrick(a@banyancs.com> wrote:
Hey Guys,
Can you send Kristen an inspection/report of the materials used in the changeover?
Thanks,
F]