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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 IE. APPROVEia C�' Albemarle County �',� 1� OF lrlt lnc, �lr)plrtfTtri if t(-5-ZZ Name: E-Mail Address: mw, ha. Mailing Address: Yon� 6i- y I Phone #: _ vrt(,r 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 �15tif Ibllhi" 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: ov+0 %al q Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and a�n"y additional info. A T n� )0 1 -te S iI IVI GII Previous Business on Site: f 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: `— 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 q00 Reas f" KOCJ EoAv\vwiI�RI Vc, aacl3(n Psy T ' 3S 1 loom,I'MEMMEMEM S■■■■E, .M■■■ ■■ ■ M ■ ■ �■I IME ■■■■N■■■■■■■� IN ■ N■■■■■■■ I■ ■ ■■■■■■■■■■■■ MR HE W ■NOMMO■■■■■■■E"EMI1■ ■ ■N■■M■■■■■■■■■Sir■11® ■lA■®ON■■■■■ : -■■■■■SHE ■ ■■E■■ ■■■O■N■■■■■■11O ■■■EME■■■■■OS■■■■■I ■ OMEON E■■■■■■■■■■■111■ SOMEONE ■■■ MONSOON S[IN ■ N■ w"■O■Oi■■®■ONNO! 1N Av.- 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