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Home My WebLink AboutCLE202200156 Approval - County 2022-12-12Zoning Clearance Information A6•m•d• CoantY carmnh Da"W N CrSM••ftSN•. MRc,AU WMg �IVA T3902 Plus 4H 56.50�2 VOW 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. AZoning 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, 0 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 $rbmittkV an APPOCa*rt .,. 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. Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount. $ 61.36 Appkcehw fee: $59 - Technology Surcharge $2.36 Clearance Number: CLE2022-156 Date Paid: 12/5/22 By: Receipt #: Check #: By ,J.A. Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Albemarle County Commmily oeww-pm l let Wtl tlr. W . N wl,q Cr H.SAK., VA 22902 PhoMe.34-' .5832 Name: -oA, to- AL E-Mail Address: r s 4"; d Mailing Address: 1q..l} IZcsgrrt.A*,e (6,6+4j,livAZ?-tb3 Phone #- _28 - yFt Tax Map and Parcel number and/or Address of the Business: 94SE44ee. �.4r tt5�:ie 344 e tv;lt.1 Vg2i4o3 Zoning: Staff `vaflnout e"romown eeene^erC44 HC- Highway Commercial Parcel Owner: OAt✓crs: J,%o{ t1:i'.A..TVA Aefia'A Owner's Address: 0 Bcnis FleadPzw a Check any that apply: ® New Business 0 Change of Use Ej Change of Ownership ❑ Change of Name Business Name: SK �t Li-e DCScltptlon of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional Info. TANti--1 Medic: elm., iZw:d:n ..tAtr.,l+tar ♦ �k e.r Onc Emu. e m o�+.4er' n f lw: S Qkt��r d S How t*✓�.2 iri k+ 2Yrt MaA:y TAGJAmt. fi<..(', r f r art 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: Z S 3 Is the Parcel Zoned U, HI, or PDIP? Yes ® No If yes, fill out a Qilrdfied Engineer' Report lCERI VAII 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 It 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 VAN you be putting up any new signage? Ej Yes � No if yes, obtain appropriate sign permit and list permit # below VAN there be new construction or renovations? ❑ Yes No If yes, obtain appropriate building permit and list permit # below Please list any applicable Building Permlt#s: (iEUEVLAt. pPRc-,- uSE 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 by them. Signature `'` - W Date !a / /� z- 2 Albemarle County Zoning Clearance Application iY�.r Ie1 Reel Rd. Nenh WIN 9M Ch2rb4a5Nlq VA 22902 Pho. /34-'W.6832 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, 5 ky 1.-•'e-T4..: Ix PieA,-crg,, LLC CLE2022-156 clearance number provided by Staff or bus ness name to Q&wt/S;b Cyrf5:n:q TD✓Ok4-bb^ the owner Name of landowner on record I. y S E'A00 M"D t,1 5v:(C ZIy of Tax Map and Parcel Number cc r fotk�-Ukx,✓; 11103 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) Kj Hand delivering a copy of the application to the owner identified above on Date I z 1 t 1 Z O L LL ❑ Mailing a copy of the application to the owner identified above on 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 111 I I ZpL2 CI For Albemarle County Staff Review Only Proposed Use: Office (Medical) Permitted: VYes ❑ No Permitted by Section: Sec. 24.2.1 (28) Supplementary Regulations: Applicable Special Use Permit (SP): N/A Applicable Rezonings (ZMA): N/A Applicable Site Plans (SDP): SDP-382 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 /200nfa Defined by: I ❑Site Plan Voning Ordinance ❑ CoD [-]Existing Total Square Footage of the Use: 253sf Required number of parking spaces: 1 space required (adequate available on -site) Associated clearances: TMP 59D2-01--13: CLE2021-35, 2018-225, 2018-160, 2015-194, etc. Variances: N/A Violations: N/A Is a site inspection necessary?: ❑ Yes V6 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 ❑X 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: All electrical wiring in this suite must comply with 2017 NEC 517 for health care wiring. A statement of fact Additional Notes: Building Official See conditions above. Date 12/12/2022 4L 12/12/2022 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 4 EXHIBIT "A" Attached to the Lease Agreement between the UVA Foundation and Skyline Family Medicine, LLC dated November 11, 2022. PREMISES FLOOR PLAN 0 0 m mm Ilffl1 �� rlm�c lt� l l on ONI�MtllF11 , iwQl11 I -� wre-z arc-r rwe'�J wL 145 E11111811111 UtiVe 145 Ednam Drive, Suite 214 14 Rev. 04-09-2021