HomeMy WebLinkAboutCLE202100126 Approval - County 2021-09-24a2� rn.;, Albemarle County
Zoning Clearance Application ( Community Development
4nt �McIntired NWing T• ChaBotlesNlle229. VA 22902
hBGIN��' Phone 434296,5832
FOR OFFICE USE ONLY Clearance Number: ZOZ (—Up( 2-,6
Fee Amount: $ 59 + 4% Technology Surcharge Date Paid: —(f •-Z By: UVe-e CR/e A4,qofo Lc,
Receipt #: l Z� g 5 Z Check #: ' G By: )� yJAarse County
Y qCIfQth yit (tebpment Department
Applicant - Fill out the entire page below Date ?` 2-`t Z(
And return to Community Development 401 McIntire Rd, North Wing, CharlottesvillPlPA 22-962 ----
Name:
Mailing Address:
��� 5 t -t
L 5 r y%l0� Tr
E-Mail Address:
Phone M
4V
Tax Map and Parcel
number and/or Address
of the Business:
61-1a0�
t"
Zoning:
Staff will fill out ifunknown
,P-t '�
Parcel Owner:
! l G
Owner's Address:
h C & l4S m4S/,GtL
Check any that apply:
New Business El Change of Use ❑ Change of ownership Lj Change of Name r
Business Name:
Description of Business
o cc be the busine s inclutling se, n mtLetr f employees, number of shifts, availabili of akin ,tl any additional info.
f
Previous Business on Site:
Floor Plan:
Please attach either an architectural drawing or a sketch of th 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:
�,� 5s
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 VNo
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 pe mlt #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.
— / —.
T/
01
Date
y OF
GGdR Albemarle County
Zoning Clearance Application U 401 Wriirye Rd,
401 McIntire atl. North Wing
:ar Ghatlottesville. VA 22902
r>801M�' 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,
to
clearance number provided by Staff or business name (l 20 2 t - 1 Z V
Name of landowner on record
the owner
of Tax Map and Parcel Number TMP number of property 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 deliver ng a copy of the application to the owner identified above on
Date 15 ,2-
❑ 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 App
Applicant Name
Date
3
For Albemarle County Staff Review Only
Proposed Use:
�2 ��r 6C,I ¢�I
�'L
Permitted:
es No
Permitted by Section:
Z f t 21 f C "i l .� 2z Zr I JC l 2
Supplementary Regulations:
(❑
sl t 0`j
Applicable Special Use Permit (SP):
�—
Applicable Rezonings (ZMA):
•—�
Applicable Site Plans (SDP):
! GCt 7 C O C/.,-
✓parcel,
Parking:
If there is an approved site plan associated with the the parking requirements will be defined by the SDP. Some
parking requirements are determined by a ZMA or by an a roved Code of Development.
Parking Formula:
t�D
"t t. r
Defined by:
- Site Plan ❑Zoning Ordinance ❑ CoD []Existing
Total Square Footage of the Use:
$2 5 (
Required number of parking spaces:
e j
! O
Associated Clearances:
ZO !- O 4 / L� _ 0 Q4 L 1` 120 e
l ! C�-4 CLL O l
Variances:
^
Violations:
Is a site inspection necessary?:
❑ Yes ❑ No
Site Inspection on (date):
To Confirm:
Notes:
` f5 [�PLt✓�'Nt2- f'e�14/,2.5 �-�.� ZD2�-G�6� QS �!� 1.C4N S
i,e_ ckq
Conditions of Approval:
Additionalconditions of approval apply to Fireworks and Christmas Trees al
j�,�a7wi�>_ ,r.�r��II31i.wi�nr�l�}� j
i — i -
Approval Information i
❑ 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 Officia Date
Zoning Official Date C Z'
r
Other Official PO I— ®55 IF( I�> �SC ((.C- IIA`l ' j Z
(ed Date L,J if
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126
9115121, 31*06 PM
061000000120F0_01.jpg(2000x1500)
https://gisweb.albemarle.org/GISData/CAMA_images/Apex_Sketches/061000000120F0_01.jpg 1/1
_-� rnY NwwNr /"II�
i I
LCYR r{ Ca K
tMw1 fM Lul'NL
1
P!,olm: ass
M^i.^45
,M NM TN.01-Ib6
1
A 1
yypu
TAR.
.°�) f wrerfj`tl�2
Mwxw�
I
i rlmwnmi u1lw�,wNn.�u�n. a^IWM
HI'YwJI�rMPnd RL11L ImLE
- nmus me v;
IlIr NM' M/F-ILL ap4PIbV
tl �e i a Mnvrpnawro Wu. 4� n
P ro.a
1, a 41[19LY4 Tom. 1
iMr F- r, 1
I
GoitEAL NoRs ;I
1. p,,Avu I1NpFAUjI_b4 I
„TMWe t LWlN1.-GNO WLN4V L
A.
1 1WaT rimy TJ�PN'i�l A�
1 i.O W. ..LO][+NtN IawV-ftunluunm oaNees °.I!
L�I w15 r/t 'NM Neoevl:nW OrlOvwu.Lrmx ua.are 'x
Cp \E9KYLTNN bILbmN nR aVNMgM, \G QMM,`y
s, nmtwn smct[ 1' ,''
e: Mi 9 e
' IMIn9Vp
G. �lWE4 N]IA. ,1
alre IS IM III"vYRhSNFU AMGL -
-\.YTL I SL:rytO HIfiNMYY Y[VJMHCNLCN{.JI
6: jyWLyfS'Et ln:fibl:
WNYaA \minu2,el teYMINJL.RryJTnM
.n\ - b wN:a:e.o Nlar ua mWT,a
II SITS DATA. m�
:y, Dlf0. [L'i�IC REF4FPllCt ,�
oe uct ''•+
w.y Pei[iL•9 .1 i�'�' �i'i
♦wYULL'Ma {I 1-1()r-1'lOrl '' �.'Ii `. l,.al'' 11
9 ^le icr
s
.ro e: i }rswwr
¢ A:r..nn
b S1SAHi.4i
MHIq Ki �" JMV tl IJi leJN'FMq)
_
04�
MefT eTt .15 6Ya1
-
'
vcvYl,}M, Nx}MlY1fY
Vol-u.)I->
6UIL�Iti( DATA
NnnM.iww xnx role
CisuWvuL VY)
I. AMILm1+0 Aa1.
9. IPL L,t�
[atT. alwzlYe
lei or ru,� f
aNf WaMeWevK
���///
<}I[,nne reatnLac oten,ese msN
��,WN+n s.pePreer:rxt
?' - 7
ax1xN T1111fWfIL Q6LN56 -.
1LL� TWL MLtp WCMIXPJ
e�lre n�AN
M[ p:N ID MNPN.C? W VxaMT
a.TNp AY..a IMgI ea seParsntNµn)
i
4u1l�1'w ao`
'Ix qep pee�(01114�PafiE 4'
i
FINAL SITE PLAN (REVISED 6/15/97)
Me vxnnva+ nxa [nwn
nxnxrl...0 n.b.eNlLern}.nr...an ew.aNNnwWu
b.- ran .nsra a PMaepnul sr //Y.
Cxmnn to eLYllne P1u1911Jbe:
A
Ma n �M.'eaaa IOOaxry
rnPnr O.ean Nu811•rp.Me
/'ne4aM /a I! [.n Puu+ep .x /w.u¢
MLr.YWe M�YYIIwJ
rn ev [,,..r..n .r aw
awltll..us v. nlu -
•11
. Tnn W.WaeOY pueArym: CwM
o}W tl�YW Tntl
.xYr.No v. uNl
I. Tn Mry: Tu MNM�Iaml Ytrlll ��
PA V I Ir—, UATA'
ILL MOM:MI:AINWAOI MKL i
! NM.Pux.W WL mmil Ptl.L�on _
Mvc'N>Vu4..
ML201I /•P!1`/
I. TOM'nA1HY
8rtY 6u1pp: K tl pLSM., 1LNtlMGQLp
fauutt Yw1. aJcyt'1 M1CMxef BV
vutlm sna.+n, mc. _
PARV:IfiC' 2COUI F'YfAPHTS-; -'
-I we/eHISp}tlL L}L r.w,ety �(1 6R:e}
- 1 TbfiL swcte Pmulnto '..pp epcf5
YTI.L.aIY[M..p1L"11fR0..}�/JPL�t
1. YMNNLMLItlx:lW n:i1�YMWa11M�Je N'Lf%wj}v YYWe
f1 ArWTwaK I.WeMetMMUNuICUW
'
• u+•an•rxu Nr.iii.l'j�e�peeMe� I Yew
RECEJ
IN:Yfr^8da.mfp!
R d �>A}J[�..W.n a arm
1.. 1,—