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HomeMy WebLinkAboutCLE202300049 Application 2023-03-28Zoning Clearance Application gF D= p nr Albemarle County Community Development 401 McIntire Rd, North Wing T!• Charlottesville, VA 22902 D1N1P Phone 434.296,5832 FOR OFFICE USE ONLY Clearance Number: ��//JJ�� Fee Amount: $ 61.36 Date Paidb'24`� By.p��V Application fee: $59 + Technology Surcharge: $2.36 //�� Receipt #:'ayjq, Check eiNg By:�n501K OF Ch 1g t Applicant - Fill out the entire page below and return to: vv��MM �- ww..++ Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: Sfik$"6 OFCNANbtL LC DR IMOV 0 E-Mail Address: S044ACCHA4 .ZV A0c, COM Mailing Address: Phone #: 703 4�7, 27/ p Tax Map and Parcel number and/or Address of the Business: 017g00-00-00,0/r7lilp Zoning: Staff will fill out if unknown NAAKUP-6 DEVEco�+w' SrwA°iNb Parcel Owner: iouJC I,q,,,a TQvsr Owner's Address: 22 Sr .W. etiAeo vr� Check any that apply: F7 New Business ❑ Change of Use ❑ Change of Ownership Change of Name Business Name: S6t50NS OFCt+AV6Fc I L I-C RCTik1L Fbe4li Description of Business' Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info - THE QernlL, SALE Va. 41fe"-D Fl&wtXK_S u5vv6 A 'X40 � 5T&kC 6AL47 eoAlrttwEc Feum z3 - 7 /o �oz 3 Previous Business on Site: M&D Eef e&ss 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: 32-0 SO FT, Is the Parcel Zoned LI, HI, or PDIP? Yes [ No If yes, fill out a Certified Engineer'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 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 o 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 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. SignatuRk/JCSAgl�Q� Printed Date 3 - ib - z3 2 Zoning Clearance Application V Albemarle County community oeveimment 401 M Intirele, , North W 401 MCtesvile, N229Wig Plane 434.298.5832 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 gooDkW--0 P�eerri;-s, Z2y IV'"sr.N.w the owner Name or landowner on record of Tax Map and Parcel Number 07800- DO-oo - Oil DIP 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 Yr Mailing a copy of the application to the owner identified above on Date ,3-20-23 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 z 6 ,Si-so-PD Date 3 - /lo • e 3 j 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 approved Code of Development. Parking Formula: Defined by: [-]Site Plan [_]Zoning Ordinance ❑ Coo ❑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: 434.296.6832 Fax: 434.972.4126 4 Ponderosa Land Trust 224141° Street NW, Charlottesville, VA 22903 Phone:(434)989.6 ,3d FAX:(434)293-2280 Ematf: TaaBshlp .,y�ll0dp[QP[OtHYNe3 COt11 PARIONG AGREENtENT This Parking Agreemml, wade this I° day of Decemb 20)0 is between Panderosa Land Trust, hereinafter r ferred to as 'Lessor; with office 10,7ed at 12414 Stine N r, Chatiammue, VA 22903 (434-971-3860), and pan Simone wSeas as of Cls nge LLC jointly and severally, if more than one, hereinafter reflected to as 'lessee," whether singular or plural. Woodard Properties is the Agent for Lessor_ Lessor and Lessee bereby agree to the follourinQ addifl0ad terms and cundmans: 1. Property, Term, Parking Payments and TtenewaL The bum shall be for 0}? (5) v'eara fora 7 Wree %reek period, beginning on Jan.= 1. 2021, unta December 31 2024. This lase is only applicable for the three week period on or atom June 10 to July 9• ThmIcre, nothing in this lease precludes the Lessor from noting the premises to a third parry, during this five Year period, outside of the three week applicable period Either party my terminate this agreement when one party gives to the other, 9MI .5 wtiren motive of intent to terrwwte. Lessee agrees in pay Lessor jWrr year for puking in the assigned spaces located at '60 Pa,r,ns C' ntr. Navuw•ot ss dsx on the tart (lry day of the aelNog penod, ps}reble to Wooded Ptopertia. Cash is not accepted for payment. Fees may apply for credit card ua wactiom a my electronic parnsewt to theevent the Lessee is unable to operate the business doe to Csoverean4at or County restrictions err taandan"'Y shutdowns directly related to the COVID-19 pandemic, Lessee will not be required to pay the rent for the restricted emefiame. This Puking Agreement will act automatically renew, and shall terminate no Decem rL� 31 '0_>_. 2. Conditions: a. Parking is on - valid for Lessee and specified spaces. b. Use of the parking lmwhm snow and or ice are presew is strictly at the risk of Lessee. c. Puking and use of the parking tot is strictly at Lessee's own risk =in&", but not indted to, vehicle and personal safety and security. d. Lessee shall be liable fen any damages to Lessor's property caused by Lessee or by Lessee's vehicle, c. Lessen may change the configuration of the parking area, as. Lessor deems necessary. f Lessee is responsible for the rensocal of sigrnsge and trash on the last day of the two week period. 3. Late Payments and NSF Payments: In the event that Lessee's full paynnew is not received in the office of Lessor by 5:OOPkf on the P day Past the den date, Lessee agrees to pay a late fee of $5 per parking space. Lessee also agrees m pay a S50.00 handling fce for any check retmmed by the bank for my reason. Lessor reserves the right to require a cashiei s check or monec Order for payment. 4. Noa-PaSmeat: if way payment required to be wade winder this Parking Agreement is unpaid when due, and Lessee fails to make such paya ew vuhia five (5) days alter wriaea entice is served" Lessee notifying Lessee of own -payment and of Lessor's initaui a to terwinue this Parking Agreement. if such payment ¢not paid within the five day period, Initials-Ot)kv T7y- Pagel https:itwoodardproperties.nos.eehosign.com/publie/viewARr...FOUZsb4jyGwSRkliUchXPXI WNrRbm2gv_owevw3U_XNyS4X& 1213120, age 3 of 6 } Lessor may terminate this Parking Agreement and puking pemnt will immediately become invalid and any vehicle parked m the parking lot displaying svch permit may be towed, without warning, at owner's risk and expense. S. Lessor's Remedies After Termination: If this Parking Agreement is terminated due to a breach m default, Lessor shill have a claim for unpaid parking fees, a trmiantion fee equal to one momth's parking flee and a separate claim for actual damages for the breach or default aid reasonable attorney's fees as provided by law. Actual damages include collection costs of any kind mcrmed by Lessor to collect wriotmts owed by Lessee and interest at IM on the unpaid balance until paid in Bill. In the event that Lessor files a wanam for collection of any unpaid aunt due under this Puking Agreement. Lessee agrees to pay a processing fee of 575.00, in addition to coma costs and legal fees. 6. Contact Person: Lessee hereby appoints Dan Simone as a primary Comact Person for this Parking Agreement, The Comm Person shall be responsible for cemnuuucating with all persou(s) listed as Lesser asd'or Vehicle OwntrQpetator as well as distributing any additional copies of this Parking Agreement. Contact Information is as follows: Work Phone Number. (703)927.271 g Email: ceasoruofchntsge2'i�`aol.cnna 7. Notices: All notices to be given with respect to this Parking Agreements shall be in writing. All writes from Lessor m Lessee shomd besm2 m 40163 John llosbv Hirhway. Aldie_VA 20105 and ill entices from Lessee to Lessor should be sent to Woodard Piotxm'es ?123 Il�S,lregt NW Ctatiot�esy�Je V�23903. Each notice shall be sent by electronic nail, regular mail or hand delivered to the pasty to be notified at the address set forth herein or at such other address as either party nay from time to time designate in waiting. Nothing contained herein sball be construed to Preclude personal service of any nonce in the manmrc pri stnibed for personal service of a Mumtous or other legal process, All policies, which are or my become m effect governing the operation of the parking facility, apply to all pnkera Terms and policies are subim to change with reasonable mace. Penalties for failure to comply with Ponderosa Land Trust regulations include revocation of parking spares, towing, legal action or other means Less" deers necessary in emfmce its parking policies. S. Sigoage: Lessee is responsible fro sigmge at their expense and with Lessor's final approval. This Parking Agreement is the only agreement regarding parking between the two parties. If approved by Pondemea Land Trust, I agree to the teams outli ed above: Lessee: Seasons of Change. LLC gY 4Wb Printed Name Dan Simone Tide: CEO DaW 2020 Lessor. ' - `—.; B%3, 2020 Tu ashia Wasbingtoa, Authorized Agent of Lessor initials —� — ny— Page2 htips://woodardproperties.nal.mhosion.Cunt/public/viewA0r... P9UZsb4JyGWSRkR0chxPx7WHrgbm7.et_owevw3U_xNy54%& 1213/pt age4ofo A� O0 CERTIFICATE OF LIABILITY INSURANCE DATEYYY) E/1 WD23 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 endorsement(s). PRODUCER Britton -Gallagher and Associates, Inc. One Cleveland Center, Floor 30 1375 East 9th Street Cleveland OH 44114 CONTACT PHONE FAX • 216-658-7100 No:21MB-7101 Aoo ... info br@ton ails her.00m INSURERS AFFORDING COVERAGE NAIL It INSURER A: Everest Indemnity Insurance Co. 10851 INSURED 18166 INSURER B Fireworks Over America of South Carolina, Inc. 916 Rosewood Drive NSURER C: IN6URERD: Columbia SC 29201 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1245131702 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. INSR LTR TYPEOFINSURANCEADDLSUBR POLICY NUMBER POLICY OFF MWOO)YYYY POLICY EXP MIDD/YYYY LIMITS A GENERAL LIABILITY SIBGLOD655-221 -10/12022 10/1/2023 EACH OCCURRENCE If1,000,000 PREMISES (Ea occunweel $ X COMMERCIAL GENERAL LIABILITY 11 CLAIM MADE PIOCCUR MED EXP (Any one pamon) S PERSONAL S ADV INJURY S 1,000,000 X $260D DedeUble GENERAL AGGREGATE $2.000.000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000000 S X POLICY PR JE X LOC AUTOMOBILE LIABILITY MBINED SINGLELIMI T .Ie n 6 BODILY INJURY (Per peraw) $ ANY AUTO BODILY INJURY (Per accident) B ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED ED HIRED AUTOS AUTOS TY DAMAGE _ PROPERTY S S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS S WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNEILEXECUTIVE Y� E.L. EACH ACCIDENT $ EL. DISEASE - EA EMPLOYE S OFFICER/MEMBER E%CLUDED7 (Mandatory in NH) N / A E.L DISEASE•POLICY LIMIT S II �yBBe, describe under OESCRIPTIONOF OPERATIONS babw DESCRIPTION OF OPERATIONS/LOCATIONS/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. Stand Owner, Property Owner and Others listed below are named additional insured's. Property Owner: Ponderosa Land Trust, 224 14th Street NW, Charlottesville, VA 22903 Stand Owner: Dan Simone DBA Seasons of Change Location: 260 Pantops Center, Charlottesville, VA 22903 Dates: 6/1 /23 - 7/7W 3 Seasons of Change Dan Simone 40463 John Mosby Hwy. Aldie VA 20105 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) ©1 The ACORD name and logo are registered marks of ACORD COHI UHAIIVN. All reserved. Vu. InIdals Page 3 ci-c�-cuu,.r c.•c'� va � 1ro :Wi oC4Ce1 Fko,OT VIEW F I IZ E WO R K S �- 5� W,NnaN 5+41F5 Yy1NDOW W�NAOK,i W+NDC+t! WiNGI%V -10' TN15 15 A 8IXg0'-'1`FLt,..- 5(A Cw' A'A)' k WHICH WILL ;BE L6ED FCIP,-ME tALf of CLASS„Cf, VA. 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