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HomeMy WebLinkAboutCLE202200074 Application 2022-05-23Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $59 + Technology Surcharge: $2.36
Receipt #:
Clearance Number
Date Paid: By:
Check #: By:
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
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Albemarle County
Community Development
401 McIntire Rd. North Wing
Chadohesville. VA 22902
Phone 434.296,5832
Name:
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E-Mail Address:P>r
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Mailing Address:
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Phone #:
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Tax Map and Parcel
number and/or Address
of the Business:
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Zoning:
Staff va no out ff unknown
Parcel Owner:
( f/o/.e6��oC se �{ �9,"a�OwneesAddress:
Check any that apply:
New Business Change of Use Change of Ownership Change of Name
Business Name:
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
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Previous Business on i e:
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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:
Is the Parcel Zoned LI, HI, or PDIP?
Lj Yes [Z No If yes, fill out a Certified Enrineer's Report ICER)
Will there be food preparation?
Yes [Z 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 0 Septic If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
Yes V No If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
❑ Yes W1 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 y t em /mYt LL
Signature Printed 011( wOfitS'd/�/e-
Date all c Sdioo/
2
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Zoning Clearance Information
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Albemarle County
Community Development
401 McIntire Rd North Wing
Charlottesville. VA 22902
Phone 434.296.5832
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:
❑ Tax Map and Parcel number or Address of the property. Include suite/unit/floor number, if applicable.
❑ 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.
❑ 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 application fee can be paid for in person or online. If paying online please attach a copy of your payment re-
ceipt. 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.
,Mbemarle County
Zoning Clearance Application oemmuniryoaveNorthmen,
Ch ottesveetl.A 229 Wing
CM1adotlesville, VA 22992
4D Phone 43 .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 1
PROVIDED TO THE LANDOWNER
I certify that I will provide (or have provided) notice of this clearance application,
clearance number provided by Staff or business name
to OcttKo/ e -tea ��s�� ��� the owner
Name of landowner o ecord
of Tax Map and Parcel Number o/9A v-�2o--oo-o-3 /oc 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
�. I 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 Applicant
Applicant Name Printed
Date
3
For Albemarle County Staff Review Only
Proposed Use:
Permitted:
❑ Yes ❑ No
Permitted by Section:
Supplementary Regulations:
Applicable Special Use Permit (SP):
Applicable Rezonings (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 of Development.
Parking Formula:
Defined by:
❑Site Plan ❑ Zoning Ordinance ❑ CoD []Existing
Total Square Footage of the Use:
Required number of parking spaces:
Associated Clearances:
Variances:
_-
Violations:
-- -
Is a site inspection necessary?:
❑ Yes ❑ No — ---
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 I I 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
Zoning Official Date
Other Official
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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ys
101AM Charlottesville
N if
Catholic School
May 23, 2022
Keith Bradshaw, Co -Compliance Officer
County of Albemarle
Department of Community Development
401 McIntire Rd.
Charlottesville, VA 22902
Dear Mr. Bradshaw:
Attached is the Zoning Clearance Application for the Charlottesville Catholic School 21" Annual
All Terrain 5k Run/Walk to be held on Saturday, October 1, 2022. Charlottesville Catholic
School is a 501(c) (3) non-profit educational organization. All contributions to this event arc tax-
deductible to the fullest extent of the law and any proceeds from the event benefit the school.
Approximately 2.50 people of all ages participate in the event which begins and ends at CCS,
located at 1205 Pen Park Rd. On -site registration is available beginning at 7:00 a.m. and the run
kicks oll' at 8:00 a.m. On -site registration and water tables will be set up on the school property
only. The nm route begins at the school parking lot, turning right on to the right-ol-way of Pen
Park Road and then another immediate right on to park property. A certified flag person will be
stationed where the Charlottesville Catholic School driveway intersects with Pen Park Road.
Runners then proceed to the cart path of Meadowcreek Golf Course. All runners are off the cart
path in less than 30 minutes, or before 8:30 a.m. I have spoken to the manager of Meadowcreek
Golf Course, and received his permission for use of the course.
From the cart path, runners move to the Nature Trail drat encircles part of the golf course.
Emerging onto the park parking lot road, past the tennis courts to Pen Park Road. A certified flag
person will be positioned at the intersection of die parking lot road and Pen Park Road. Runners
will cross Pen Park Road at this intersection and finish die race on the rgghl-ol-way of Pen Park
Road back to the Charlottesville Catholic School driveway. The time for runners and walkers to
complete the run circuit ranged from 20-54 minutes last year. The post run activities are finished
by 10 a.m. Please see the map included in the permit applications.
The run route is marked with flags and traffic cones that arc provided from the Charlottesville
Track Club are placed along the run route to direct runners, provide water and to clean-up any
articles and garbage left along the event routes. The volunteers are divided into groups by task
assignment. Each group is managed by a volunteer coordinator. All coordinators and volunteers
are given verbal and written instructions. Most of our volunteers have worked at the event in past
years and arc well seasoned.
1205 Pen Park Road I Charlottesville, Virginia 22901
434.964.0400 1 (fax) 434.964.1373 1 cvillecatholic.org I info.ccs@cvillecatholic.org
I appreciate your prompt review ofthis application. III need to provide anything else or you have
questions please contact nie at -131-964-0400, extension 305 or by email at
m.rilm illecatholic.ora . Colleen Smith can also answer questions. She is our development
director and is laying the groundwork for the event. She can be reached at extension 114 and by
email at c.smillr,z'cxillccatliolic.oi .
Sincerely,iZ�
Michael Riley
Principal
Charlottesville Catholic School