HomeMy WebLinkAboutCLE202200087 Approval - County 2022-07-14FOR OFFICE USE ONLY
Fee Amount: S 61.36
Application fee: $59 • Technology Sumhw9e $2,36
Receipt #: C t -
Clearance NumbecC('Y'ZQ 22-000Ot'1^ �a r`
Date Paid: 4 11 g l 2 2 WD61 n l� ute ( jm -e 'i�/%�
Check M N) yt By: ppe pu cant
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charloltesvdle, VA 22902
Name: E-Mail Address: CntiSXG
Y,attk� wt�;.0 —
Mailing Address: ! !Q-_�SVs�, Phone N:�
Tax Map and Parcel Zoning'
number and/or Address t3� slam ew se
outxunkrowm PD-SC
of the Business:
Parcel Owner tAfL film rr= . m S owner's Address: o Y
Check any that apply: (p New Business Change of Use Change of ownership ❑ Change of Name
Business Name: IR i�rs S�•t
Description of Business: Describe the business including use, number of empl es, number of shifts, availability of perking and any additional info.
Previous Business on Site:
Floor Plan:
b ClfQ. C.
Please attach either an architectural drawing or a sketch of the proposed business indicating the location of uses, ate
uses of rooms, the total square footage of the use, and any additional information.
Total Square Footage Used
for the Business:
o�a mil. +'
Is the Parcel Zoned LI, HI, or PDIP?
❑ Yes No If yes, fill out a Certified En eer's Report (CER)
Will there be food preparation?
E:] Yes �No If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
yyrublk: ❑ Private If on private wait, 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?
:Kves No If yes, obtain appropriate building permit and list permit It below
Please list any applicable Building Permit its:
6AA pe¢ (mt1#coo 3 ( B2022-19330P
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. Ialso and�unat the d
information provided is true and accurate to the best of my knowledge. 1 have read the conditions of approval,
them, and that I will abide by them.
Signature.—�/1& / 6— Printed
Date b-q --;;L C—L 2
Alb#merla county
pplication
Zoning Clearance A
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.
I
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,
CLE2022-87
clearance number provided by Statf or business name
to 1� t4-extw E y� F;vn 5 the owner
Name of Wntlowner on record
of Tax Map and Parcel Number fo l - 13l 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)
i
Hand delivering a copy of the application to the owner identified above on
Date to'
Ej 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 Kne'.rc� i�o< u� l
Date b q a a--
For Albemarle County Staff Review Only
Proposed Use:
Child Day Care
I Permitted:
Yes ❑ No
Permitted by Section:
Sec. 25.2.1(1) -- 22.2.1(b)(13)
ISupplementary Regulations:
Applicable Special Use Permit (SP):
SP1 982-50, 1982-56 (amusement centers) LZC2014-9
Applicable Rezonings (ZMA):
N/A
Applicable Site Plans (SDP):
SDP1979-7, 1999-57, 2005-37
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:
5.5/1000sgft GLA
Defined by: I
991te Plan ❑ Zoning Ordinance ❑ CoD [-]Existing
Total Square Footage of the Use:
2,222sgft
Required number of parking spaces:
12 spaces required (adequate available on -site)
Associated Clearances:
CLE2022-69, 2022-25, 2022-20
Variances:
N/A
Violations:
N/A - Do Not Apply
Is a site inspection necessary?:
❑ Yes NNo
Site Inspection on (date):
To Confirm:
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
DSS & Fire Rescue Approval Required VDH Approval Required
Requires change of use permit
Approval Information
❑ Approved as proposed V Approved with conditions
❑ Denied
❑ Backf low 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:
Requires change of use permit
07/12/2022
Building Official (
Date
07/14/2022
Zoning Official
Date
Other Official DOE/DSS/Fire Rescue notified
Date 6/27/22
VDH Notified
7/12/22
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax 434.972.4126 4
�
Todd �r
9 � rZI01fn j
r` t
eD
pn
n�
,MW
m
_j
c
L i