HomeMy WebLinkAboutCLE202200058 Approval - County 2022-06-10gF ALg�'
Zoning Clearance Application = 1
FOR OFFICE USE ONLY Clearance Number:C,(,P- 022 - DODGJb'
Albemarle County
community tievebpmnt
401 McIntire Rd. Na Wing
Chadoaesvllle, VA 22902
Phone 4942% 5882
Fee Amount: $ 59 + 4% Technology Surcharge Date Paid: 14 ( Z g l ZZ By CCtvb ur. ( k",- b
Receipt* C •C , l' 3 tO Check #: u J A By:
Applicant - Fill out the entire page below
And return to ComDevelopment 401 McIntire Rd, North Wing, Charlottesyille, VA 22902
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Name:
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E-Mail Address:
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 will fill out if unkmwn
Downtown Crt Dstrict
Parcel Owner:
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Owner's Address:
Check any that apply:
New Business ❑ Change of Use Change of Ownership Change of Name
Business Name:
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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 Site:
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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 Ct
uses of rooms, the total square footage of the use, and any additional information.
Total Square Footage Used
for the Business:
6J V Jrq,"4—
1 1
Is the Parcel Zoned Ll, HI, or PDIP?
❑ Yes gr 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 R No If yes, obtain appropriate sign permit and list permit# below
Will there be new construction or renovations?
Yes R.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 th I will abid by them. n (/F/1�
Signature , Printed OLr Yy bin,�A L_ iV'j�
Date
4
lot- Plan or) "T.?a, of pci& et
,1 OF
Zoning Clearance Application �? Albemarle County
Commonly Devebpment
401 McIntire Rd, Noah Wing
229
r,� .�Chatlotlesville, VA 23902
"vHCt145�' Phone 434.296.5632
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,
clearance number provided by Staff or business name CLE2022-58
to Name of landowner on record the owner
of Tax Map and Parcel Number TMPnumber of
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 copy f the application to the owner identified above on
Date 2-7 ZZ
❑ 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)
0 Signature of Applicant `11/ `�
Applicant Name Printed C( VD L c � ck JOck 0
Date 4/ 22o Z2-
3
For Albemarle County Staff Review Only
Proposed use:
I Barber, beauty shops
Permitted:
Yes ❑ No
Permitted by Section:
Sec. 20B.2(A)(3)
Supplementary Regulations:
Applicable Special Use Permit (SP):
SP201 55-30 LZC2019-1
Applicable Rezonings (ZMA):
N/A
Applicable Site Plans (SDP):
S D P201 6-9
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:
1 /1000sgft nfa
Defined by
991te Plan []zoning ordinance ❑ CoD ❑Existing
Total Square Footage of the use:
1 1163sgft
Required number of parking spaces:
1 space required (32 provided per SDP2016-9)
Associated clearances:
CLE2021-110 2019-234, 2017-280
Variances:
N/A
Violations:
N/A
Is a site inspection necessary?:
❑ Yes Q'0No
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 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:
Will need to obtain a building permit to change
Building Official . 06/09/2022
.he use of the space. Date
Zoning Official_
Other
06/10/2022
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126
(t 1 63 �-