HomeMy WebLinkAboutCLE202200026 Approval - County 2022-04-130 Zoning Clearance Application
FOR OFFICE USE ONLY Clearance NumberCL��z���j ,
Fee Amount: $ 61.35 Date Paid: 2/21 By: David Brockman
Application fee$59 + Technology Surcharge $2.36
Receipt At: C+, C,
Check #: N/A
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Albemarle county
Communiy Devekgn,anr
401 bidnree RA 11 h wing
Chadollesvee, VA 22902
Phone 434.29&5832
Name:
David Brockman
E-Mail Address:
a ent otvmana ement.com
Mailing Address:
10 5 Heathercroft Circle Suite 103 Crozet VA 22 3
hone M
702-985- 088
Tax Map and Parcel
number and/or Address
of the Business:
5380 Golf Drive, Suite 103
Crozet, VA229,
Zoning:
StaffwllfilloutMunknown
NMD
Parcel Owner:
Old Trail village Center, LLC
Owner's Address: 11005
Heathercroft Cir. Suite 100, Crozet,
VA 22932
Check any that apply:
New Business ❑ Change of Use Change of Ownership Change of Name
Business Name:
ON Management, LLC
Description of Business:
Describe the business induding use, number of employees,
number of shifts, availability of parking, and any additional Info.
Real Estate Development Advisory Service
Previous Business on Site:
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:
100 s.f.
Is the Parcel Zoned LI, HI, or PDIP?
Yes ® No
If yes, fill out a Certified Engineer's Report ( ER)
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 Vrginia Depar went 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 #a:
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 abide by them. r/�Jp , /�
Signature Print CG/T� /LJ
Date v"��• p'f
2
Zoning Clearance Application Albemarle County
Commonly pftekp nt
C AklnereNMh WYg
ChaeoMesva%e, VA 22902
iD Phone 4 .29&5e32
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,
CLE202200026
clearance number provided by Staff or business name
to Old Trail Village Center LLC the owner
Name of landowner on record
of Tax Map and Parcel Number 55E01-C 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 2/21/22
❑ 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 ft"elp determining !Pds information if needed)
Signature of Applicant
Applicant Name Printed ZS/e&.,g, �
Date a/-aa
3
For Albemarle County Staff Review Only
Proposed Use:
Office Use
Permitted:
®Yes No
Permitted by Section:
Per N M D COD
Supplementary Regulations:
Applicable Special Use Permit (SP):
Applicable Razonings (ZMA):
ZMA2004-24
APpllcable Site Plans (SDP):
SDP2010-1 SDP2009-66
Parking:
If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some
packing requirements are determined by a ZMA or by an approved Code of Development
Parking Formula:
5.5/1 000nta
Defined by:
Site Plan ® []Zoning Ordinance ❑COD ❑Existing
Total Square Footage of the Use:
100 sgft
Required number of parking spaces:
1 Space req. (adequate On -Site available)
Associated Clearances:
CLE2022-39 2020-57 2019-268
Variances:
Violations:
No violation found/abated
Is a site Inspection necessary?:
❑ Yes ® No
Site Inspection on (date):
N/A
To Confirm:
I N/A
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
Approval Information
Approved as
proposed ❑Approved with conditions
❑Denied
[INQr
❑ Backlilow 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 No objection
Date 04/13/2022
IZoning Official —
Date 4/13/2022
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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