HomeMy WebLinkAboutCLE202100177 Application 2022-01-050 Zoning Clearance Application
FOR OFFICE USE ONLY Clearance Number.
Fee Amount: $ 61.36 Date Paid: , .) By:
Application fee: $59+ Technology Surcharge:$2.36
Receipt #:, v Check #: By:
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22"k?
Albemarle County
Community Development
401 Mcirthe Rd, North Wing
CharloaesWOe, VA 22902
Phone 434.296.5832
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APPROVEia
C�' Albemarle County
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Name:
E-Mail Address:
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Mailing Address:
Yon�
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Phone #:
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Tax Map and Parcel
number and/or Address
of the Business:
I'll 03100 _ 0 p_ p0_ U -2a%pZoning:
0101`40
Staff will fill out ifunknown
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Parcel Owner:
LIF I—L-
Owner's Address:
3t� kms
Check any that apply:
xNew Business ❑ Change of use ❑ Change of ownership D Change of Name
Business Name:
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Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and a�n"y additional info.
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Previous Business on Site:
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Floor Plan:
Pleal 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:
//� 51/
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 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 renovations?
Yes � 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
Date
2
vil
1m
Albemarle County
Zoning Clearance Application Community Rd,
Cih roftesee, Nag Wing
ChetlottesNlle, VA 229g2
Phone 434.296.5832
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,
t�wk,n (a(t Law c/C 1'2-1-177
clearance number provided by Staff or business name
to -1 F L( . C� the owner
Name of landowner on record
of Tax Map and Parcel Number 03t ()Q 00 -0()_ 0 (p I-► O 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 I I /.23 /2 I to the following address:
3g� rii fbkTk Ro«Q. E61w1WJV,IG,U��aa�3�
(Written notice to the owner and last known address on our Fecord 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:
O �i �, , De
�cvu.
Permkted:
Yes 0 No
Permated by Section:
%
Supplementary Regulations:
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Applicable Special Use Permit (SP):
Applicable Rmonings (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 by an approved Code o evelopment.
Parking Formula:
2PC
Defined by:
❑Site Plan Pioning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
Required number of parking spaces:
rj r U4
e
Associated Clearances:
Variances:
�-
Violations:
Is a site Inspection necessary?:
❑ yes 1940
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:
I ;,(
Building Official ! ✓�'
q
Date
Zoning Official ���
Date / —m5, ZZ
Other Official Lt v ^� `J/f T r
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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COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126
MEMORANDUM
TO: Zoning Clearance or Home Occupation Applicant
FROM: Zoning Division
RE: Request for Approval of Letter of Performance Standards or
Certified Engineer's Report
Proposed Business/Use: low
gO - �,
Address: rl00 fZw rzrv- , Rd J
Re CLE (Zoning Clearance Number):
HO (Home Occupation Number):
Contact Person: MM 104 Wa
Phone Number.
Fax Number: Date Faxed to Applicant:
Please return this form along with all required documentation to the Zoning Division upon
completion.
Thank you.
To be completed by staff:
Approved: iZ - 2 Z - 'Z j
Comments: P� C t..'16 we� Y,I j tit f iyt i V1�
CER Packet Revised 2/11/09
November 22, 2021
Community Development
Department Division of Zoning and Current Development
401 McIntire Road
Charlottesville, VA 22902
To the County Engineer:
We are a consumerhealth law firm. We have 3 employees in the office during business hours. We see
clients in the office as needed and by appointment. We have addressed the performance standards of
Zoning Ordinance Section 18- 4.14:
Noise: Our office will notcreate sound or impact noise levels in excess of the values specified in Section
4.14.1. Our majorsourcesof noise are talking at normal volumes and the ringing telephone.
Vibration: We operate a copier/scanner/fax machine and computers in our office. There is no other
equipment required.
Glare: Our operation is completely contained within the building. The interior lighting associated with
this operation does not produce glare that is visible beyond the lot line.
Air Pollution: There will be no emission of smoke, odoror gaseous pollutants.
Water Pollution: No liquid waste will be generated bythis operation. Ouroffice does not representa
hazard to waterquality.
Radioactivity: Our office does not require handling of radioactive materials. There will be no radioactive
emissions.
Electrical Interference: Ouroffice does not require any equipmentthat wouldgenerate electrical
disturbances.
Please feel free to contact me with any further questions you may have at434-249-4545 orbye-mailat
mwade@nortonhealthlaw.com.
Sincerely,
Mary Wade