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CLE202200034 Approval - County 2022-05-11
Keystone Novelties Distributors, LLC 531 N. 4`^ Street Denver PA 17517 Ph. 717-390-0844 Fax: 717-290-7774 0 Info@keystonenovelties.com February 25, 2022 County of Albemarle - Community Development 401 McIntire Road, North Wing Attn: Zoning Charlottesville, VA, 22902 We are in the process of planning for our annual Fourth of July tent sales. I have included in this package everything that I believe is necessary for the purposes of applying for our permit. Below is an outline of our intended event & supporting documents provided with this submittal. Location/Hours & Documents: • Location of Sale: (520 29th Place Charlottesville, VA 22901) • Sale Dates: 4/22/2022 through 7/5/2022 o Tent is set a few days before & site is clear by July, loth o Hours of Operation: 9am to 9pm Daily, 9am to 10:30pm on the 3•d & 4th. • Application(s) included: Permit - Zoning • Letter of Permission: Copy of signed lease • Plot Map Diagram: Showing proposed tent location on the property • Tent Layout: Showing tables and exits, o The tent is installed by professional rental company and will be anchored per manufacturers instruction approximately every ten feet around the perimeter of the tent. • Flame Retardant Certificate: Copy of the tent fabric flame certificate • Insurance Certificates: Liability &/or Workers Comp Ins. Certs. attached • Fees: Check for $54.00 to pay for the permit. If no check is included, please provide amount & instructions for prompt payment. The tent will be put up a few days in advance and removed as soon as possible after July 5w but no later than July lOw. We post "No Smoking' & "Exit' signs at all egress points and always have (2) fire extinguishers on hand. Should you have any questions or if anything has changed for this year, please call or email me at 717-390-0844 or permits@keystonenovelties.com. Respectfully, Alex Mutzabaugh Field Operations Manager P. I � g; 0 A07 *7- .. AN)N Zoning Clearance Information lbAlbemarle County Community Development 401 Mclnlire Rd, North Wing ChadottesAle, VA 22902 Phone 434.296 M32 What is a Zoning Clearance? A Zoning Clearance is verification from Albemarle County that a proposed use, whether it is a new business or other activity (see Zoning definition of "Use"), satisfies all requirements of the Albemarle County Zoning Ordinance and ensures public health and safety. A Zoning Clearance Application is reviewed by the Zoning Department, Building Inspections Department, as well as any other applicable departments or agencies. A Zoning Clearance is Required in the Following Circumstances • Opening a new business • Changing or expanding an existing business • Buying an existing business • Moving a business to a new location or changing its name • Before natural resource extraction • Any uses listed in Section 5 of the Albemarle County Zoning Ordinance as requiring a Zoning Clearance Items Required to Apply for a Zoning Clearance Before filling out a Zoning Clearance Application ensure you have or have done the following: W Tax Map and Parcel number or Address of the property. Include suite/unit/floor number, if applicable. W Description of the proposed business/use. Include any and all relevant information such as a description of the business, the number of employees, number of shifts, availability of parking, etc. A Floor Plan. A sketch or an architectural drawing of the total square footage of the use. If using less than the entire structure, note the location within the structure. Note the square footage of and use of each room. W Provide notice to the owner if the applicant is not the owner. Within ten days of applying for a zoning clearance, the applicant, if they are not the owner of the parcel and/or structure, shall inform the owner that they have applied for a Zoning Clearance. Please fill out the form on page 3. • Other Approvals/Documents if applicable. • A Certified Engineer's Report is required if the parcel is zoned Industrial (LI, HI, or PDIP). • Health Department approval is required for food preparation or if the parcel is on private well or septic. • Bakeries require USDA approval. • Any additional approvals the Zoning Administrator may require including Department of Social Services and Fire + Rescue. • If you have any questions feel free to contact Staff at (434) 296-5832 Submitting an Application Once you have all the required information provided above: 1. Fill out an application. Please complete page 2 in its entirety. 2. Submit an application. Bring or send a completed application to Albemarle County Community Development at 401 McIntire Rd, North Wing, Charlottesville, VA 22902 3. Pay. The $54 application fee can be paid for in person or online. If paying online please attach a copy of your payment receipt. A Zoning Clearance Application will not be processed until payment has been received. 4. Notify the Owner. If you are not the owner of the property please fill out page 3. r Albemarle County Zoning Clearance Application 401 Winn Rd, 401 McIntire RQ North Wing Ch ndoVesNtle, VA 22902 Phone 434 296.5632 FOR OFFICE USE ONLY Clearance Number:UF-2oZZ" 0003N Fee Amount: $ 54 Date Paid: 31��j By:l/o, ah-A Receipt #: I26Zl5l 1 Check #: Z �$ 5 By: C ��j,'D Applicant - Fill out the entire page below And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: 11 Keystone Novelties DistributorsLLC E-Mail Address: eras ke stonenoveftles.com Mailing Address: 531 N 4th Street Denver PA 17517 Phone M 717-390-0844 Tax Map and Parcel number and/or Address of the Business: 061 MO-00-12-001 CO Zoning: Staftwifirautdunknown k PD-SC Parcel Owner. Federal Reafty Investment Trust Owner's Address: Charlottesville VA 22901 Check any that apply: 0 New Business ❑ Change of Use ❑ Change of Ownership ❑ Change of Name Business Name: Keystone Novelties DistributorsLLC Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. 6/22/22-7/5/22 Sale of fireworks via temporary tent from 9am-11 m daily. Operated for multiple years, llc#901574 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 for the Business: 20x4O Tem ora Tent for retail sales - map attached Is the Parcel Zoned LI, Hl, or PDIP? ❑ Yes ❑ No If yes, fill out a Certified Engineer's Report ICERI Will there be food preparation? ❑ Yes 0 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 If below Will there be new construction or renovations? ❑ Yes ❑ No If yes, obtain appropriate building penny 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 fors 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 0-� Tql— Printed Alex Mutzabaunh Date 2/25/2022 2 Albemarle County Zoning Clearance Application Community DeNonhW Cot McIntire RE.d, North Wing Charlottesville, VA 22902 Phone 43 M M32 Applicant - If you are not the landowner, please fill out the entire page below, confirming that you have either informed or are going to notify the owner of your 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, Keystone Novelties Distributors, LLC CLE2022-42 to Federal Realty Investment Trust the owner of Tax Map and Parcel Number 061M00-00-12-001CO 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 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 2/25/2022 to the following address: Andy Seligman 301-998-8114 Email: asellgman(Wederalrealty.com (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 Alex Mutzabaugh Date 3 For Albemarle County Staff Review Only Proposed use: Temp. Event Use (Firework Sales) Permitted: VYes ❑ No Permitted by Secdom ...Permitted by Admin. Practices Supplementary Regulaffons: Applicable special use Parma (sP): SP2011-1, 1999-35, 1995-8, 1988-92 Applicable Rezonings (ZMA): Applicable Site Plans (SDP): SDP2013-13, 2012-45, 2012-16 Parking: If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some Parking Formula: 4.75/1000 1 Dsgnsd by: I IVSite Plan ❑ Zoning Ordinance ❑ CoD ❑Existing Total Square Footage of the Use: 800 sgft (20' x 40') Required number of parking spaces: 4 spaces required (adequate on -site available) Associated clearances: CLE2021-62, 2020-83, 2019-1082018-124 Variances: violations: Is a site inspection necessary?: ❑ Yes Nlo Site Inspection on (date): To Confirm Notes: Fire Rescue inspection not required due to tent being under900sgft 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 No objection Date 04/25/2C Zoning Official_ Date 5/11/22 Other Official Fire Marshall approval Date 5/10/22 County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4 LI ENSM, A. Natne: Keystone Novelties Distributors. LLC D. C'heck. if. 0 Individualls) ❑ Sole Pmprictor OR © Partnership ❑ Corporatum ® LLC Where finned (Statim Pennsylvania C" Trade Name: Keystone Novelties Distributors, LLC D. Address: 531 N 41p Street Denver, PA 17317. Arm Jock May F., Telephone 610.819 5715 LICENSOR F F'PDERAt4 REALTY r>P LP. a Delauars limed pami rship. as owmr our authunced agent U tintive Address CID Federal Really, 409 Ruse Ave, Suite 200, N, Bethesda MD M852. Atten- tion- Legal IDLranswist Payment Address: Federal Realty, P.0 Box 85W-332b Philadelphia. PA 19178-3426 tar such other address as Licensor may designate by written tatice) SHOPPING: I I 2r Plan Shopping Center ("Shopping Cents'") CENTER: PREMISES: 1. If a license for in-linc spmce, Space No.N/A DPremim) as shown on Exhibit A, smackod, aP erwise, the crass -hatched area on Exhibit A 1IT.icensoe mihzen a teal en the Prnmisaa, q tmrx he secured with sandbagcbamels or water bunch; to sedum the tea Licensee may rat bore into the pavement. Any maamensi placed 011i as pan of Licensee's setup must be clean and I'm of chipped andior missing paint. LICENSE J. Climmenems ludo 17, 2022 and expiring July 10, 2022. during which Liceruee shall operate PERIOD: durmiz Shopping Center hours, LICENSE FEE: K. payable an or before Jere 15, 2022- Any partial license periods shall he prorated on a daily basis calculated on a 365-day year. PERCENTAGE 1. Imemionaliy Deleted. LICENSE FEE: ADDITIONAL M. A lmddsrato c Fee. To reimburse Licensor the cost ofpreparml; this l.iceruc Agreanan, sst� CHARGES: uhsreous web its execution hereof. Licensee shall pay to Licensor the amount of one hundred I D>oilra tt I W. WNthe "Adaninisonin Pec"1 The panics agrcc this, this doconem shall be d:os- ' fingers upon Licensors receipt of each Administrative Fee upon I.iretsm'x execution of this License Agreement. SECURITY N. intentionally Deleted. DEPOSIT: PiRM1TIrED O The 15mm srs snall be used fair the sale at mad of freworkc and sparklers W permitted b} the USE= municipality, and Don no outer; purpou. In to event shall Licensee use the Premises for rp use or purpose that would violate any exclusive or restricted use, whether raw or hereafttt exisii at the Shopping Center. not any taws, sta milts, orders, otdmamm zoning and other regulations rW ordinances of f xictal, slate, county, municipal and other governmental surhonfics having jurisdiction. The terms anal conditions appeanngon the ADDE%DUM, fix location of the Premises a., shown on F:XHISIf A and the RULES AND REGULATIONS attached as EXIHRIT R (including the Merchant Minimal Rules and Regulations, if applicable) land CONSTRUCTION ADDENDUM (if an))l• ail of which an attached hcrcso. hate been renewed and approved by the parties and are incorporated orated into and made a pan of this Lxemc Agreement thercinalicr, the "Agrm- mena") by reference. March 11, 2022 W WITNESS WHEREOF. the patties hereunto set their bands on —_ LICENSOR: FEDERAL REALTY OP I.P, a Nlavvare limited partnership, as owner or authorized agent Name. Michael Kelleher Title. Vice President Ancillary Revenue LICENSEE: KEYSTONE. NOVEI TIES DISTRI131TORS, LEE, a Pennsylvania limited liability compmty Title: TENT _ EMCNOLE TRAIL 1WOO �_._ _ _ it #.� +E t� ♦y .f 4 v G G�- « X ry .. ry ` s s Google Earth 1� . Cn Cn 20x40 (2) Exit Table 6 Table 7 Table 8 Table 9 I --------------1-------- .---------------------I t 48" Aisle ~ I Min I m I u I 1------- — — — — Skirting ----------I m �— — 84— — —� :31 Table 10 Table 11--------_---tmI 84" 1 W x• 1----------- Skirting----------1 I s mm I I 54" n � I 0 n A I 1 1 Skirting I I c I � v --------------------- Table 1 Table 2 (96"x30") Table 4 Table 3 All Tent Sides Rolled Up During Business R p.i CERTIFICATE OF FLAME RETARDANCE R.efereme Your Order # . Vernal Our Order # 0011649 This is to certify that Her,ulite Amhiten;. Lot # 95`'19 E ; : e" is.Qarne retardant according; to the following speciBcatiom and standaft California Fire Marshall Regisrration (Title 19) Reg. l abric 0 F12203 National. dire Pr,,t•:ction Association ,NTJ'A) it)1, }arse Canvas Pt'oducts ,' ssociatinn International (CP.AI) ?S K'ttllt &- Tops?; Also we certify this lot of HerCulite Atchitent rent and Structural fabric is its �reral t:ontotrrtance willt the ;>vwr,ge ry};ital, physical and technical oe;�futTrirtttce parameters publisbed'in our descriptive prod= literature and technical bullet!ns. 12 41JAr 62411E AN# M16 7 Ts. c# If'ta 14, N Y N Y 201 " NIVY kober A4axwt !i 01 N „ Quality Corlml Marta¢ts ataf la.IDf AUI� lE+tTJ'. bv' tilAt N9E 74AIJ. Products Mark:ted by HERCULITE PRODUCTS, INC. P.O. BOX 786 YORK, PA 17405 have been tested by an approved lawratory in accordance mvith iht+ p-hvisi+ire of Seitian 11'3 i 21 . of the fie&M and Sofety Code. and mccrs the minimurn racuirerm is established -by he :Stare Fire Marshal for FLAME RETARDANT FABRIC Strtte Fire ti4rrstlal 3V19 33) 0 05? trc.rore�1�. r.up 2022 Beginning Inventory VA Item Units Quantity Item Units Quantity #8 Gold Sparklers 96 2 cs Mini Mystic Sundaes 18/4 1 cs #10 Gold Sparklers 288 1 cs Morning Glory, 14" 360 1 cs #20 Gold Sparklers 48 1 cs Mystic Sundae 8 1 cs 3D Glasses 75 75 pcs Open Flower Happy Bird 72 1 cs Anniversary Celebration 16 2 cs Party Poppers 120 1 cs Big Dog 12 3 cs Punk 25 25 pcs Chase the Ace / Desert Moon 96 2 cs Red Riot 72 2 cs Crackling Balls 96 1 cs Rising Storm 36 1 cs Crackling Crystals 12 1 cs Silver Star 30 1 cs Cuckoo 144 1 cs Smoke Balls 180 1 cs Deck The Sky 12 1 cs Snappers 300 1 cs Dragon Slayer 60 1 cs Spaced Out 16 2 cs Fight Like A Girl 12 2 cs Tie Dye Surprise 108 3 cs Flash Frenzy 18 1 cs Tomahawk Rocket Fountain 144 1 cs Flying Betsy 24 1 cs Turbo 30 1 cs Freaky Tiki 8 1 cs Value Pack Fountain 24/3 2 cs Glow Sticks 50 50 pcs Waterfront Celebration 36 2 cs Gotham City 16 2 cs Whispering Willow 24 1 cs Hand Held Snow Cone 48 1 cs Wrath of the Beast 18 3 cs HN 90/Floral Assorted Fountains 144 2 cs Jumbo Morning Glory 48 2 cs USS Tug of War (Bonus Item) 48 2 cs Killer Bees 48/2 1 cs Lighthouse 24 2 cs ASSORTMENTS Lightning Rod Candles 96 1 cs Crowd Pleaser 60 5 cs Lil' Big Shot 54/2 1 cs High Voltage 15 5 cs Magic Color Burst 60 1 cs Jackpot! (CT) 32 4 cs Magic Snakes, 4 pack 72 1 cs Larger Than Life 8 4 cs Mammoth Smoke Sib Extinguisher 100 1 cs Mega Monster 2 Pennants 3 3 cs 8 Baskets (Bags on Top) 1 Small & 1 Large sign holder Trays Banners Covid Pack Lowest Prices Sign Tent N: CERTIFICATE OF LIABILITY INSURANCE I DAM /6/202YVYY) 6/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such andomement(s). PRODUCER Britton Gallagher One Cleveland Center, Floor 30 1375 East 9th Street Cleveland OH 44114 INSURED Keystone Novelties Distributors LLC 531 N 4th Street Denver PA 17517 e _ Axis Surplus INSURER E : COVERAGES CERTIFICATE NUMBER: 645065566 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IPOLICY lTR TYPE OF INSURANCE NSIR ACOL WAID BURR POLICY NUMBER EIFF lmm POLICY EXP m LIMITS - A GENERAL lJ11BIlJTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Y V SIBML00041-211 lMlQO21 12n1QW2 EACH OCCURRENCE S1,OOaDDO $500,000 S S1,OOa000 PREMISES Ea occurrar¢e MED EXP (Arty me Penton) PERSONAL S ADV INJURY GENERAL AGGREGATE $2.000,000 GENL AGGREGATE POLICY UMIT APPLIES PER X PRO- X LOC JFCT PRODUCTS-COMP/OPAGG _ $2,000,000 S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS AUNT ED C Me ED79INGUE LIMIT Ea ecd,aem BODILY INJURY (Per inni S BODILY INJURY (Per acadRx) S S S PROPERTY DAMAGE B UMBRELLA LIAR EXCESS LIAB X BUR CLAIMS4IADE Y Y P-001-00MMI74843 12J IM21 1251NM EACH OCCURRENCE $4,000,000 _ $4,000,000 S X AGGREGATE DED :RETENTIONS WORKERS COMPENSATION ANDEMPLOYERS'LUIBIUTY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (ManOMeryInNH) If yyes, describe under DESCRIPTION OF OPERATIONS W. NIA WC STATU- OTH- $ - S $ EL EACH ACCIDENT EL DISEASE - EA EMPLOYEE EL DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atbch ACORD 101, AddNlonal Remarks schedule, N man."ce Is npulrecil Additional Insured extension of coverage Is provided by above referenced General Liability policy where required by written agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD