HomeMy WebLinkAboutCLE202200019 Application 2022-02-16 .12
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e 9 Albemarle County
� � � O II` �' community Development
Zoning Clearance Application `'■m_v, u � 401 McIntire Rd,NonhWin9
Charlottesville,VA 22902
1.18GINaP Phone 434.296 5832
FOR OFFICE USE ONLY Clearance Number:N.1,202Z 00011
Fee Amount: $ 61.36 Date Paid: O 15 By:
Application fee:$59+Technology Surcharge:$2.36
Receipt#:C n Check #: KVA By:
Applicantt-- Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name: Kevin Fink E-Mail Address: kevin@martinhorn . com
Mailing Address: 210 Carlton Road Phone#: 434-270-0160
Tax Map and Parcel Zoning:
number and/or Address 4 907 Plank Road Staff will fill out if unknown
of the Business: North Garden VA 22959
Parcel Owner: Owner's Address: 4907 Plank Road
Check any that apply: New Business Change of Use I I Change of Ownership Change of Name
Business Name: North Garden Voluntee
Description of Business: Describe the business including use,number of employees,number of shifts,availability of parking,and any additional info
Southern Albemarle service . Property includes USPS office and parking lot
Previous Business on Site: N/A
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 10, 000 +/-
for the Business:
Is the Parcel Zoned LI, HI, or PDIP? n Yes [ No If yes,fill out a Certified Engineer's Report(CER)
Will there be food preparation? Yes I XI No If yes,provide Virginia Department of Health approval
Is the Parcel on public water or private well? n Public x Private If on private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic? n Public I x Septic If on septic,provide Virginia Department of Health approval
Will you be putting up any new signage? Yes X No If yes,obtain appropriate sign permit and list permit#below
Will there be new construction or renovations? x Yes No If yes,obtain appropriate building permit and list permit#below
Please list any applicable Building Permit#s: TED 3 72 —003 2-2-AL
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 tha I will abide by them.
/ ze
Kevin Fink
Signature Printed
Date 1 . 2 0 . 2 2 2
OtiAtn.
'�1 F9 Albemarle County
Zoning Clearance Application Community Development
401 McIntire Rd,North Wmg
Charlottesville,VA 22902
Phone 434298 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,
North Garden Volunteer Fire Department
clearance number provided by Staff or business name CLE `L 9ZZ ( 7
to North Garden Volunteer Fire Departmef owner
Name of landowner on record
of Tax Map and Parcel Number 09900-00-00-005Do 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 1 . 20 . 22 to the following address:
4907 Plank Road, North Garden VA 22959
(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
Applicant Name Printed Kevin Fink
Date 1 . 20 . 22
3
For Albemarle County Staff Review Only
Proposed Use: Fl re_ Ve pj ( Permitted: ✓ Yes No
Permitted by Section: S 12 P ,02..(` Supplementary Regulations:
Applicable Special Use Permit(SP): J ? 7 Q - U[0/ /Q?.5— Z/
Applicable Rezonings(ZMA): D C [ ✓D
Applicable Site Plans(SDP): Z(1Z `OQ) L 9_7 t/ ` F7 fo f 7 _ fl 6,1(
1f 4'1t p( 4 /U� C A)
Parking: If there is an approved site plan associated with the parcel,the parking requirements will bed_eefined by the SDP.Some
parking requirements are determined by a ZMA or by an approved Code of Development
Parking Formula: i/)A fey .cL y,1 Z 7 Defined by: Site Plan Zoning Ordinance CoD [ xisting
Total Square Footage of the Use: .4
0i(l d 0 I
Required number of parking spaces: ex(5�( 4," c . G (4 014-5(te_
Associated Clearances: Z D l ( —`o L
Variances: — —
Violations: ---- /
Is a site inspection necessary?: Yes o
Site Inspection on(date): To Confirm: 1 /
Notes: /ff„VG•2 .4 ? //O. z •z ..3 5( /g4ft - -34 T 'h
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:
Building Official Y" " 4/44,----- Date 3/,7j/2�
Zoning Official Date 3 Z ge507
Other Official Date
i
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Phone:434.296.5832 Fax:434.972.4126 4