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HomeMy WebLinkAboutCLE202300031 Application 2023-03-15 (2)Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number Fee Amount: $ 61.36 Date Paid: By Application fee: $59 + Technology Surcharge: $2.36 Receipt #: Check #: By. Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Albemarle County f^ Community Development 401 Mdnb,e Rd NM Wng Chadones Ale, VA 22902 Phone 434.2% 5832 Name: Keystone Novelties Distributors LLC E-Mail Address: permits@keystonenovelties.com Mailing Address: 531 N 4th Street Denver PA 17517 Phone #: 717-390-0844 Tax Map and Parcel number and/or Address of the Business: 061 MO-00-12-001 CO Zoning: stafrwfllfill out if unknown Parcel Owner: Federal Realty Investment Trust Owrtees Address: Philadelphia PA 19178 Check any that apply: New Business ❑ Change of Use Change of Ownership J Change of Name Business Name: I Keystone Novelties Distributors LLC Description Of BUSIne55' Describe the business including use, number of employees, number of shifts, availability of parking, and any additional into. Sale of fireworks via temporary tent from 9am-11 pm daily from 6/22/23-7/5/23. Operated for multiple years, lic #901574 Previous Business on Site: N/A 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: 20'x4O' temporary tent - Map included Is the Parcel Zoned LI, HI, or PDIP? ❑ Yes No If yes, fill out a Certified Engineers Report fCERI 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 Private If on private well, provide Virginia Department of Health approval Is the Parcel on public sewer or septic? Public E Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? ❑ Yes Ll 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. I hereby certify that 1 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 '7z� �.�'^'"""""7 '' Printed Alex M Date 3/8/2023 2 o,ev& Albemarle County Zoning Clearance Application 401 WIn"y°e4eNorth` 461 Mclesvie North 2 Chatlottesville, VA 22902 Phone 434 296.5832 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, Keystone Novelties Distributors, LLC clearance number provided by Staff or business name to Federal Realty Investment Trust the owner Name of landowner on record of Tax Map and Parcel Number 061M00-00-12-001CO 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 3/8/2023 to the following address: Andy Seligman 301-998-8114 Email: aseligman@federalrealty.com (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 Alex 3/8/2023 3 For Albemarle County Staff Review Only Proposed Use: Permitted by Section: Permitted: �F-1 Yes ❑ No 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 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: 7 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 Offic Zoning Officiz 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 Zoning Clearance Information k Albemarle County 'G Community Development (` 401 McIntire Rd, Nadh WM g ChadonesNlle. VA 22902 Phone 434.296,5 What 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. A Zoning 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, if 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 Submitting an Application 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. Keystone Fireworks Tents Keystone Novelties Distributors, LLC 531 N. 4" Street Denver PA 17517 Email: permits@keystonenovelties.com Main Ph. 717-390-0844, Leasing ex.102, Permits ex.103, Fax: 717-290-7774 March 8, 2023 County of Albemarle - Community Development 401 McIntire Road Charlottesville, VA, 22902 Keystone Novelties is in the process of planning for our annual Fourth of July tent sales. I have included in this package everything that I believe is necessary for the purposes of applying for our permit. Below is an outline of our intended event & supporting documents provided with this submittal. Location/Hours & Documents: • Location of Sale: 520 29th Place, Charlottesville, VA 22901 • Sale Dates: 6/22/2023 through 7/5/2023 Tent is set a few days prior to opening date and removed by July 10" Hours of Operation: 9am to 9pm Daily, 9am to 10:30pm on the 3`d and 41" • Application(s) Included: Permit — Zoning clearance • Plot Map Diagram: Showing proposed location of tent on the property • Tent Layout: Showing tables and exits The tent is installed by a professional rental company and will be anchored per manufacturers instruction approximately every ten feet around the tent perimeter. • Flame Retardant Certificate: Copy of the tent fabric flame certificate (will be physically located on tent) • Insurance Certificates: Liability &/or Workers Comp insurance certificates • Fees: Check for $61.36 to pay for the permit. If no check is included, please provide amount due and instructions for prompt payment. The tent will be put up a few days in advance and removed as soon as possible after July 5th but no later than July loth. We post "No Smoking" & "Exit" signs at all egress points and always have a fire extinguisher on hand. Should you have any questions or if anything has changed for this year, please call me at my permit extension or email me at the listed email address (both located in header). Respectfully, Alex Mutzabaugh Field Operations Manager Keystone Novelties Distributors LLC LICENSE AjiKEEMF,NT LICi CENSEE: A. None: Keystone Novelties Dis[ribuuxs, LLC -'- _� - ',. D. Ofieds if ❑ Indh idual(c) ❑ Sole Proprietor I OR [] Pat1nerahtP j._J Corporation M LLC: { ... Wheceli'3rti>ed (Stae)_:Punnsytvania C- Irado Name .Keystone Novelties Distributon,LLC D. Addmss: 531 N 4' Street Denver. PA 1751 i_ Annlack 41a} E. Telephone 610.888.5715 .. LIC&Vyow F FFDBRAI KPALI YELP LP, a Delaware hmucti parr rstJg as owner orauthorizcdagcm i G: Notice VAddress: VoFedcrul Realty, 909 Rose Ave, Sraitc 200 N. Oeitte5da, MD 20852, Anen- '.. tion: Legal Department '... Pigment Address:- Federal Realty, P.O. Box 8Stl0.34?6 Philadclphia, PA 19178-3426 (or such -- -410►P(.1`G`..... other address as Licensor may &sigreste by mitten notice). - 11 20Pface Shopping Center ("Shopping Center`) _ CENTER: PREMISES: _ 1. If a license for in-tme space, Space No N/A (Promises) as shown on Exhibit A, aaached. Oth- ! erwisc, the cross -hatched area on Exhibit A. If Licensee utilizes a tent on the Remises, it must be accused 9lub water harrelsto secure Ine tent Licensee may not bore into die pavement. Any cordairer(s) placed onsite as partof Licensee„s setup must be ciest and free of chipped and/or missing paint. LICENSE J. Commencing June 17, 2023 and expiring July 10, 20:3, during which Licensee shall operate PERIOD): _ during Sitopping Cz,Wer bounce. . LICENSE FEE: K. payable on or before June J, 2023 Any partial license periods shall be Prorated on a daily basis calculated on a 365-day yea. PERCENTAGE L. Intentionally Deleted. `LICEVSEFE »' ADDITIQNAIL M. Administmhee Fee, To reimburse Licensor the cost of preparing this License Agreement,sim- CHARGES ultane sets with its execution hereof, Licensee shall parr to I Jcensor the amount of one hundred LI,tlws (SI0(..001 tthe "Adminisltauve Ece ). the panes agree that this document shalt be ctm- tingem upon l.i"nsor`s receipt of such Adaunismmv: Fee upon Licensee-s execution of this . I,icenze Agreement,.. SEC-IRITY N. Intentionally Deleted. DF,POSIT: PERM) I LED O. The Remise; shallhe used for the sale ar Mind of fireworks mid sparklers as permitted by the I SY: muniopalm. and for no other purpose In no event shall Licensee use Inc Premises for any use ur purpose that would violate any exclustve or rout ded use, whether now of hereafter -existing at the Shopping Center, nor any laws. statutes, orders, ordinances, zoning and other regulations and radinmtecs of federal, stale, county, municipal and otter goterranental autlroritics into sett jurisdiction. The rotors and conditions appearing on the ADDENDUM, the location of the Premises as shown on EXHIBIT A and the RULESAND REG LLA I IONS. attached u.ECHI BIL B(incltding the Merchant Married Rules and Regulations,if applicable) land CORSTRLCTION ADDENDt'kt (if ang)l, all of which are ittmhcd heroic, have been reviewcd and approved by the parties and a� incorpor ned inn and made a part of this I.icenc ASaeemern (hereinafter.. the "AFrree. mein') hp reference. February 28, 2023 IN WCINESS.WHEREOF„ dhe parties hereunto set then hands on LICENSOR: LICENSEE: FEDERAL REALI OP LP, a Delaware insured KEYSTONE NOVELTIES DISTRIBUTORS, partnership, as owner or authorized agent LI.C, a Permsykarnia limited liability company By 13Y Nave: Michael Kelleher The. Series Vice President- Specialty Revalue `CA ' TENT SEMINOLE TRAIL ---G&A AT b� I► 41k VAA 4r �a 4 t Y I a � s, qy\ v c SAP.3 Sq`. X �.r '- ym•`° 7 �� Google Farth 20x40 (2) Exit Table 6 Table 7 Table 8 Table 9 I I L. _______1______- Skirting .____—____—__________—� I v 48" Aisle F- Min I------+---- Skirting ----------I 84 I-- —- —- __—_—I Table 10 Table 11 I--_—_—_—_—_-t 84 W S w r I m x 7____ Skirting -------___i I s z m I 54" Chi I ,r c d I I fr 3 n I v ____________________t__ Skirting _____________________I Q Table 1 Table 4 Table 3 Table 2 (96N30") All Tent Sides Rolled Up During Business PAGE 01 p.t CERTIFICATE OF FLAME RETARDANCE Reference Your Order # "'�rbat Our Order # 0011649. ?52.19f i:2A This is to certify that Hercttlite Arehitent, Lot # Ls flame retardant accordibgg to the following specifications and standards: California Fire Marshall Registration (Title 19) Reg, Fabric # F12203 National. Fire rlot,:ctton Associaao^. `NFPA? i(il, large Canvas Products:Association international (CF.At) $4 4,4"ttl?,s cot `tops) Also we ccrtify this lot of Her -elite A.rchitent rent and stnactural fabric is in tPpga( conformatice'with the average typical, physical and technical foe torninme parameters published in our descriptive product literature and tectthical bulletins. 10VIP4 fRoW ANP POLE F44rS. �j 12 ' PIZ f1tRAJe_ 00 POU F� 7S. !cc+. � 15 P >: � _ * 201 /4 u H Robert Maxwell g r o w n� Quality Control Manaveri 60, *19f- WU 7WS. 60, 4014E Wit T'fatr3, Froduc:c Marketed by HERCULITE PRODUCTS, INC. P.O. BOX 786 YORK, PA 17405 have been tested by an appmved labofatory in accordance with ibe p:,>vision't o. section'13 M . of the Health and Safety Code. gad mecrs the miainiurn recuirerne:iis established -by Oip-Stare Fin Marshal for T-T.AME RETARDANT FABRIC State Fire Morsilat JV O-353 Q OSF r8,.HI9tEV.!•�71 2023 Beginning Inventory VA rib Gold Sparklers!!!!j 96 2 cs Mini Mystic Sundaes MEM 18/4 1 cs #10 Color Sparklers 48 1 cs Morning Glory, 14" 360 1 cs #20 Gold Sparklers 48 1 cs Mystic Sundae 16 2 cs #36 Gold Sparkler 48 1 cs Open Flower Happy Bird 72 1 cs 3D Glasses 75 75 pcs Party Poppers 240 2 cs Anniversary Celebration 24 3 cs Red Riot 72 2 cs Big Dog 12 3 cs Rising Storm 36 1 cs Chase the Ace / Desert Moon 144 3 cs Silver Star 60 2 cs Crackling Balls 96 1 cs Smoke Balls - Colored 180 1 cs Crackling Crystals 12 1 cs Snappers 300 1 1 cs Cuckoo 144 1 cs Spaced Out 16 2 cs Deck The Sky 12 1 cs Tie Dye Surprise 108 3 cs Dragon Slayer 120 2 cs Tomahawk Rocket Fountain 144 1 cs Fight Like A Girl 12 2 cs Turbo 30 1 cs Flying Betsy/ America the Beautiful 24 1 cs Value Pack Fountain 24/3 2 cs Freaky Tiki 8 1 cs Waterfront Celebration 36 2 cs Gotham City 24 3 cs Wrath of the Beast 18 3 cs Hand Held Snow Cone 48 1 cs HN 90/Floral Assorted Fountains 216 3 cs BadBass (Bonus Item) 24 2 cs Jumbo Morning Glory 96 2 cs Killer Bees 48/2 1 cs Crowd Pleaser 60 5 cs Lighthouse 24 2 cs Lightning Rod Candles 192 2 cs High Voltage 15 5 cs Lil' Big Shot 54/2 1 cs Jackpot! (CT) 32 4 cs Magic Color Burst 60 1 cs Larger Than Life 10 5 cs Magic Snakes, 4 pack 72 1 cs Mega Monster 3 3 cs Mammoth Smoke 100 1 cs 51b Extinguisher 2 Pennants 8 Baskets (Bags on Top) 1 Small & 1 Large sign holder Trays Banners Lowest Prices Sign Received By: Tent# ACORd CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD"YYY) `% 1/11/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER ACT Britton Gallagher PHONE FAX One Cleveland Center, Floor 30 ESL . 216-658-7100 AX; rm:216-15%7101 1375 East 9th Street ADDRESS: Cleveland OH44114 INSURERISI AFFORDING COVERAGE NAIC9 INSURED Keystone Novelties Distributors LLC eoec INSURER B: Axis Surplus Ins Company 26620 531 N. 4th Street INSURER C : Denver PA 17517 INSURER D: COVERAGES CERTIFICATE NUMBER: 81532456 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ' NSR SUBR POLICYNUMBER PNIMIDDODYNEVY"V MMMOr EXP LIMITS A GENERAL LIABILITY Y X COMMERCIAL GENERAL LIABILITY +_JGLAIMS-MADE X OCCUR Y SISML00041-221 lMl/022 12/312023 EACHOCCURRENCE $1,000.000 A T RE PREMISES Ea NTEET ce $500,000 MED EXP(Any one person) $ PERSONAL S ADV INJURY $1,000000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X PRO- X LOG GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGG $2,000.000 $ AUTOMOBILE LIABILITY ANY AUTO ALL GAINED SCHEDULED AUTOS AUTOS NON-O MED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ PROPERTY DAMAGE ParZdera $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CIAIMS-MADE Y Y P-001-000241749-04 1213112022 12W2023 EACH OCCURRENCE AGGREGATE $4,000,000 S4JXx WO DED RETENTION$ S WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE❑N/A OFFICERIMEMBER EXCLUDE09 (Mandatory lnNH) If yes,desalhe order DESCRIPTION OF OPERATIONS toe" VIC STATU- OTH- - TORY IMI FR E. L. EACH ACCIDENT - - E.L DISEASEEAEMPLOYE $ $ E. L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement. Group Code: 17603 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE N ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD