HomeMy WebLinkAboutCLE202300015 Application 2023-01-27Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $59 +Technology Surcharge: $2.36
Receipt M
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
' Albemarle County
Community Development
401 McIntire Rd, Nash W ng
ChenoftesAe, VA 22W2
Phone 434.296.5832
Name:
PS Salon & Spa
E-Mail Address:
license@salonps.com
Mailing Address:
55 Public Square Ste 2075 Cleveland, OH 44113
Phone #:
440-600-1592
Tax Map and Parcel
number and/or Address
of the Business:
04500-00-0 -026 7
250NICHOLSCT
Charlottesville, VA 22901
Zoning:
Staff will fill out If unknown
Home For The Elderly
Parcel Owner:
The Blake At Charlottesville Landlord LLC
Owner's Address:
j 50 N'
cr
Check any that apply:
® New Business Change of Use ❑ Change of Ownership ❑ Change of Name
Business Name:
Salon PS Virginia LLC dba PS Salon & Spa
Description of Business' I
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
We will operate existing salon within The Blake at Charlottesville, senior living community, for the residents.
1-2 part time employees, 9-3 pm
Previous Business on Site:
existing salon
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:
b
Is the Parcel Zoned LI, HI, or PDIP?
Yes ® No If yes, fill out a Certified Enoineer'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 Q 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 X❑ No If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
Yes XD No If yes, obtain appropriate building permit and list permit # below
Please list any applicable Building Permit #s:
N/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 I will abide by them,
( �' ff John Polatz
Signature Printed
Date
2
a� d/
Albemarle County
Zoning Clearance Application "` ° 401 MOnty Deve
991 McIntire N.1h Wng
n'
Rd, A. -- ChadotlesNlle, VA 229 22902
nPf1,;Q� Phone 4U.296.58U
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 04500-00-00-026A7 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
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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 (Sop):
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:
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 4
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PS
LIFESTYLE
PS SALON & SPA OPERATIONS AGREEMENT
This Salon & Spa Agreement ("Agreement") is entered into on the 31d day of January 2023, by
and between SALON PS VIRGINIA LLC a limited liability company ("PS"), and any of its affiliates and
assigns,and THE BLAKE AT CHARLOTTESVILLE ("CMTY"), for the salons located at:
Salon — physical address / suite number (if applicable): 250 Nichols Ct, Charlottesville, VA 22901
Whereas, CMTY wishes to engage PS to manage the salons over which CMTY has care, custody
and control within its senior living communities, and
Whereas, PS wishes to provide professional salon & spa services and products to the occupants
of the senior communities owned and / or operated by CMTY, and
Now, therefore, for the mutual promises herein, the parties agree to the following:
1. Obligations of PS. PS will professionally manage CMTY's salon & spa, assuming control over the
following functions and activities:
(a) Employment of Professionals. PS will source, background -verify, hire, manage, and train
(initially and ongoing) the licensed W-2 employees ("PS Pros") who will staff CMTY's salon
& spa.
(b) Licensing. PS will apply for, secure and maintain all cosmetology, business, sales tax or
other as -mandated -by -statute licensing required to operate a salon & spa within CMTY's
zoning, building and senior living environment, subject to local ordinances which govern
the use of CMTY's approved salon & spa space.
(c) Pricing. PS will develop, maintain and publish a Menu of Services and, where applicable,
a Take Home (product) menu reflecting the price of all services and products offered.
Initial service pricing will remain in place for the first 12 months of operation. Future
annual price changes will be submitted to CMTY for approval at least 30 days prior to
publishing and activation in order to maintain and attract quality talent.
(d) Operating Schedule. PS will develop, maintain and publish a schedule of Days and Hours
of Operation for each salon & spa space based on demand and use.
(e) Professional Salon & Spa Supplies. PS will procure all of the professional Paul Mitchell,
PS Pro, IBD and OPI (or equivalent, high quality) products and supplies used in the salon &
spa operation.
55 Public Square, Suite 2075, Cleveland, CH 44113 • Phone: 440,600.1595 • eFax: 888.793.7372 • www.salonps.conn
PS
LIFESTYLE
The parties have executed the Agreement as of the date first set forth above.
BY Z O PO , C -F EXECUTIVE OFFICER
SAL N PS VIRGMA LLC &
PS LIFESTYLE LLC SOLE MEMBER OFSALON PS VIRGINIA LLC)
THE BLAKE AT CHARLOTTESV
BY ITS REPRESENTATIVE
55 Public Square, Suite 2075, Cleveland, OH 44113 • Phone: 440.600.1595 - eFax: 888.793.7372 - VMW.s210nPS.00M