HomeMy WebLinkAboutCLE202100097 Approval - County 2022-06-22�pF
2� Albemarle County
Zoning Clearance Application Q1Mointi Development
40tlntlre Rtl, Nanh Wing
Chanotleville, VA 22902
. h D Phone 43 .29e.5=
FOR OFFICE USE ONLY Clearance Number. C\E 30,'A l —
Fee Amount: $ 54 Date Paid: By:
Receipt #: Check #: By 1-� )Tic A C Ia ��i- 13c �3 \m/ H
Applicant - Fill out the entire page below
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
Vanessa Johnson
E-Mail Address:
vanessa@thdve2healservices.com
Mailing Address:
1138 Lindburgh Dr
Phone #:
9198011793
Tax Map and Parcel
number and/or Address
of the Business:
2307 Commonwealth Dr
Charlottesville,VA22901
Zoning,
Staff will fin out runiuwwn
Parcel Owner:
300 East95th LLC
Owners Address:
C/O BABAIAN 1944 ASHVILLE D
Check any that apply:
Z New Business ❑ Change of Use Change of Ownership Charge of Name
Business Name:
Thrive2Heal Counseling and Therapeutic Services
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
The business provides parent coaching, supervised visitation and counseling services. Only 1 employee. Parking is available
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:
+/_ 510
Is the Parcel Zoned LI, Hl, or PDIP?
Yes Z No If yes, fill out a Certified Engineer's Report (CER)
Will there be food preparation?
11Yes z No If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
V 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 * below
Will there be new construction or renovations?
❑ Yes z 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 IIwill abide by ' them.
Signature �Vz - Printed Vanessa Johnson
Date
2
" -y(
Zoning Clearance Application `
1_y
Albemarle County
Community Development
North Wing
CfletlotlesWlle, VA 22902
Ch ottesvee,
Pnone 4342M 5832
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,
IR
Thnve2Heal Counseling and Therapeutic Services
300 East95th LLC
the owner
of Tax Map and Parcel Number 061wo-01-oB-00500 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
V Mailing a copy of the application to the owner identified above on
Date to the following address:
CO Babaian PO Box 236 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
Date
Johnson
K
DocuSign Envelope ID: 8A131F62-62F8-4685-AAFO-66A63109986F
wV:�`. �.�
For Albemarle County Staff Review Only
Proposed Use:
-` ..
Permitted:
Yes ❑ No
Permitted by Section:
;)L3 d— C (
Supplementary Regulations:
Applicable Special Use Permit (SP):
AIA.
Applicable Rezonings (ZMA):
ItA
Applicable Site Plans (SDP):
AA
Parking:
If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some
Parking Formula:
, /17
Defined by:
❑Site Plan [:]Zoning Ordinance ❑ COD []Existing
Total Square Footage of the Use:
5/3 X , g ! i/#*
Required number of parking spaces:
S ca S
Associated Clearances:
Variances:
Violations:
1s a site Inspection necessary?:
❑ Yes [R No
Site inspection on (date):
To Cordirm:
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:
Building Official
Date
Zoning Official
Q J
Date
Other Official
Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5632 Fax: 4M.972.4126 4