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CLE202200125 Application 2022-09-15
Zoning 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 dr Albemarle County Cammunay oevebp nt 1 401 McIntire Rd Na Wing Chanofteevllle, VA 22902 �rkGI R�' Phone 4U,M55e32 Name: Church of Our Saviour E-Mail Address: re o r.andersonl 9 9 rY• @gmail.com Mailing Address: 1 1165 Rio Road East, Charlottesville, VA 22901 Phone #: 434-964-6805 Tax Map and Parcel number and/or Address of the Business: 2412 Huntington Road (house for which rezoning is requested) "1165 Rio Road East (Owner -Church)" Zoning: Staff will fill out Kunknown Parcel Owner: Church of Our Saviour Owners Address: Check any that apply: L] New Business [x] Change of Use Change of Ownership ❑ Change of Name Business Name: Church of Our Saviour Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. Temporary compassionate housing in single family home for refugee family - stays of no less than 30 da s per LOR requirement, but expected stays of no more than 1 year per family. This mission work in conjunction with IRC Previous Business on Site: Multi -use meeting space for Church 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: 1442 sq ft Is the Parcel Zoned LI, HI, or PDIP? Yes FN] No If yes, fill out a Certified Engineer's Report (CER) Will there be food preparation? ❑ Yes X] 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 # below Will there be new construction or renovations? Yes 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. 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 II wwi_ll abide by them. Signature /441, (/ \ e az L Printed Gregory R. Anderson (for Church of Our Saviour) Date r¢10 y `/� 2 0 2 2 2 h _ Albemarle County I;I Zoning Clearance Application ° 401 MclnueRd, Wing a" NNMMh Charlottesville. VA 22N2 UrRG)Nl- Phone 434,M.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 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 the owner Name of landowner on record of Tax Map and Parcel Number 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 ❑ 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 Parking Formula: approved Code of Development. 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 ❑ 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 Date Other Official Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 September 14, 2022 IN LIEU OF FLOOR PLAN (All space in the house expected to be used by occupying family) The house at 2412 Huntington Road referenced in the SPD201300064-LOR2 and Zoning Clearance applications is a split foyer, 1422 sq ft home built in 1970. It has 4 bedrooms and 3 baths. Greg A derson 434-964-6805 Application fo Letter of Revision ® Letter of Revision - S 118.86 + $4.75 Technology Fee $ 123.61 This application may require additional review by the Fire Marshal. Fees in addition to those shown on this application may be required as required by the Fire Prevention Code five Schedule. A copy of the schedule is available from the Fire Marshal. Final Site Plan Name and Number: CHURCH OF OUR SAVIOUR NEW ANNEX BUILDING gnP7ni annn... Contact (who should we contact about this project) Greg Anderson Street address 2758 Femieaf Road CIty Charlottesville Stare Virginia —irZip Code 22911 Phone Number 434-964-6805 Email gre O r.andersonl mail.com Owner of Record Church of our saviour Street Address 1165 Rio Road East City Chadottesviile grate Virginia _lip Code 22901 Phone Number 434-973.6512 —Email Carolyn@cooschv.org Applicant Church of Our Saviour (Greg Anderson acting as agent) Street Address 1165 Rio Road East City Charlottesville State Virginia Pho-_7ip Code 22901 SUBMITTAL REQUIREMENTS• Number 434-964-IME Email gregory.r.andersonl@gmail"com SUB Q The appropriate fee. ❑ The site plan number that the change applies to. A request letter describing the proposed changes tiom the owner or authorized agent, 4 copies ofthe plan that shows the proposed changes, Changes must be shown on the sheet or sheets from the approved final site plan. or on an I I" X 17` coy of that final site plan. P portion of the approved Owner/Applicant Must Read and Sign I hereby certify that the information provided on this application and accompanying information is accurate, true and correct to the best of my knowledge and belief,01 �J / ......—..___ Signature Owner, Agent Date Gfe An r;Aerso n Print Na --""— FOR OFFICE USE ONLY LOR a Fee Ainount S 23 t bate Paid _ft2 nv ,hc �Vy-')6-/-68ar _ --- Daytime phone number of Signatory Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 REVISED 7/1'2021 (Fee Update) Page I of I 2758 Femleaf Road Charlottesville, VA 22911 June 29, 2022 Ms. Rebecca Ragsdale County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA. 22902 RE: SDP201300064 Church of Our Saviour New Annex Building Letter of Revision #2 Please consider for approval this Letter of Revision #2 to the Church of Our Saviour New Annex Building Final Site Plan, SDP201300064, for a proposed change to designation of the "House", which would be used as a "Dwelling". This would include 2 required parking spaces on the pad adjacent to the "Dwelling", as shown on the attached sheets. The owner wishes to use the "House" as a "Dwelling" for humanitarian use as housing for intermediate term housing for immigrants: single family, no less than 30 day but no longer than 2 year stays for any given family. Please do not hesitate to call if you have any questions, Sin cerely, rsoWn Parishioner, Church of Saviour Cell: 434-964-6805 OV-ZZ*i 6 dINIO�JIn `AiNno t7900-C lOZdaS 0 w `i , 0 N J O r i ¢ Cr O N Vol ? co W d � x. O Z O N 0 � � f ZO • ❑ y H v, V�j N rLLI Jk N Wig0 \ Zr J Z 2 mat , wog `, W .,may❑ - zhLL W� ❑ : ' UPI-, O s❑sI$4 ., UPa 3 J W F c3rcz� 3yo saixi O O ULIJJ K Lm- tu O p ff - a VLLI 'n nQ - '"- a l7 a lW7 Q 9M M V VV) F -<LN LL C � "V d,IUI/\V 5 di ]U H J d,IH J .� � . X3NNV AAgN-NV9d]1 S]\NU lit . . . 1� 3 H S� 3 A O O S( S�N2WR( s N}&K ff �\QO,W@ \ » � E(k \ ) k &awf>! §/\2 kk/\ (�§\ )� / § Or § 4� COUNTY OF ALBEMARLE Department of Planning & Community Development 401 McIntire Road, Room 218 Charlottesville, Virginia 22902-4596 (804) 296 - 5823 Fax (804) 972 - 4012 March 5. 2001 Paul Hostetler 1496 Minor Ridge Road Charlottesville, VA 22901 RE: SP-00-060 Church of Our Savior, Tax Map 62A1, Parcel A3 Dear Mr. Hostetter The Albemarle County Board of Supervisors, at its meeting on February 21, 2001, unanimously approved the above -noted request. Please note that this approval is subject to the following conditions: 1 A privacy fence shall be provided between the house located at 2412 Huntington Road and the residential property located at 2414 Huntington Road, 2. The existing driveway entrance to the home at 2412 Huntington Road shall be blocked off ana the access between the church and the house shall be improved to allow for emergency vehicle access to the satisfaction of Fire and Rescue. 3. The parcels containing the existing church and the house at 2412 Huntington Road shall be combined to satisfy zoning requirements for parking; 4. The items listed above (1, 2. and 3) shall be performed and a zoning clearance must be Issued prior to church use of the building; ,; Day care use shall be prohibited unless approved through a special use permit amendment: and 6. Church development shall be limited to the improvements shown on the plan entitled. 'Alterations and additions to the Church of Our Savior", dated 1/13187, prepared by M. Jack Rinehart. Jr and to the addition of the residence located at 2412 Huntington Road. The thrift store located at 11a7 Rio Road is not included in the special use permit. In the event that the use, structure or activity for which this special use permit is issued shall not be commenced within eighteen (18) months after the issuance of such permit, the same shall be deemed abandoned and the authority granted thereunder shall thereupon terminate. For purposes of this section. the term "commenced" shall be construed to include the commencement of construction of any structure necessary to the use of such permit within two (2) years from the date of the issuance thereof which is thereafter completed within one (1) year. Before beginning this use, you must obtain a zoning clearance from the Zoning Cecartmert. Before the Zoning Department will issue a clearance. you must comply with the conditions in this letter For further information, please call Jan Sprinkle at 296-5875. Page 2 March 5 2001 If you should have any questions or comments regarding the above -noted action, please do not hesitate to contact me. Sincerely. / Ii rI, bl. W40AA V Wayne C ilmoerg Director of Planning VWCJa' Cc: Amelia McCulley Jack Kelsev Tex'P/eaver Steve Allshouse Bob Bail. /DOT