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Home My WebLink AboutCLE202300050 Application 2023-03-28Zoning Clearance Application FOR OFFICE USE ONLY Clearance Number: Fee Amount: $ 61.36 Date Paid;3l11125 Application fee: $599++Technology Surcharge: $2.36 Receipt #:' 26V I Check #:�$ q Applicant-rFilll out the entire page below and return to: 4 gr . ,l. Albemarle County Community De elopnent 401 McIntire Rd, North Wing }n . Charlottesville, VA 22902 Phone 434.296.5832 By'um, ti OF L/ ho� Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Name: SEh50NSO(-CNq LLC L� I E-Mail Address: 5c-oksousoFCmx6t2@AO1.0 Mailing Address: q pyb nj S NAJ Moro µw A t-U IE . ZoloS- Phone #: 703 27- 27 / 8 Tax Map and Parcel number and/or Address of the Business: U IP I WOOZ OAOO 2 d 0 Zoning: Staff will fill out if unknown C Parcel Owner: G V , CI E,j Owner's Address: zt (64 also Check any that apply: New Business Change of use Change of Ownership Change of Name Business Name: SE&sovS OF 64"(.e I. L_C ETA I L h ecwo _ K.S Description of Business' Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info. [� ke T-4I L 5&tOF VA - MP,eotiEfl IQEwoQK VSi3O A 9)(410/51-EEL SALkS CoAriAWE 23- 10 Zo23 , --RAfk SE. As PQeV10us ea.e.S Previous Business on Site: CoAe t SV: J1Ft P0u,ER Eau' MeN 1 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: 32o SQ 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? FlYes 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 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 willabide. by them. SignawwlPrinted Date 9 -16 -23 2 Albemarle County Zoning Clearance Application Community OeveNortIn l Ch McIntiree, A22 Wing Charlottesville, VA 229112 V 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, clearance number provided by Staff or business name to 6"" CH&.-) the owner Name of landowner on record of Tax Map and Parcel Number 06 (WOOZ CA00 z0 a 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 Y Mailing a copy of the application to the owner identified above on Date 3- /49 - Z 3 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),jA,, e4 G si�ro.vy Date 3 -/6- 23 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 approved Code of Development. Parking Formula: Defined by: I [—]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 ❑ 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: Additional Notes: —i 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 Q LEASE AGREEMENT This agreement of Land Lease is made this I day of between CCU , C N E.IU ,(LESSOR) and 5CA:005 04 C1VW&(--, /J -C ,(LESSEE) for the Property described as an area at the front of i I q5 5e1nfnua V_ r2L more specifically Described on the attached site plan. LESSOR and LESSEE agree that for and in consideration of the sum of �6 Paid by check to the LESSOR at the signing of this document or prior to the commencement date of said Lease, LESSEE may land lease the site indicated on Exhibit A here to during the period of (a I� I THIS Z023. LESSEE agrees to obtain the necessary permits from (,o )NTY DF A L 3r--MAKLC for the purpose of selling VA- ^ftoft FIkkxipCKS during this period. LESSEE agrees to provide a certificate of insurance to the LESSOR providing coverage during the above dates, naming GV ; CHEnj as additionally insured. LESSEE agrees to remove all stands, merchandise and refuse from the leased area by 7 IS 2023 And shall restore the area to the same condition it was before the lease began. In addition, LESSEE agrees to hold G t1 " CHEA) and owners harmless of any and all accidents; etc. LESSEE will be responsible for all activities on leased premises related to their business operations. Given the unprecedented and unpredictable health situation of the coronavirus, if the country is mandated to not allow product into the United States and we cannot move forward with the Fireworks season, Lessor agrees to release Lessee of all financial liability for the current year((323) r DATE: LESSEE: SEASONS DF CWAAXe i LLC SIGN WITNESS: DATE: / / A� a CERTIFICATE OF LIABILITY INSURANCE DATE11/202YVYVI 3/1/2023 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 pollcy(les) 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 endorsements). PRODUCER Britton -Gallagher and Associates, Inc. One Cleveland Center, Floor 30 1375 East 9th Street CONTACT NAME: PHONE 216-658-7100 ucNo:216-658-7101 E-MAIL ADDRESS: infolclibrittongallagher.00m INSURER(St AFFORDING COVERAGE NAIC a Cleveland OH 44114 INSURER A: Everest Indemnity Insurance Co. 10851 INSURED 18166 Fireworks Over America of South Carolina, Inc. 916 Rosewood Drive INSURER 9: INSURER C: Columbia SC 29201 INSURER D: a ap•y,+ ';y INSURER E: INSURER F : nu wrssu oo. COVERAGES Gtttl WiLeAl t lvumlacn: DIDUooDlc •------------- 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 TYPE OFINSURANCE ADDL BR POLICY NUMBER POLICY EFF MW D/YYYY 10112022 POLICY EXP MWDDIYYVV 101112023 LIMITS EACH OCCURRENCE $1,000.000 A GENERAL LIABILITY S18GLOO555-221 PREMISESE o urr nce DAMAGE' J $ %( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1K OCCUR MED EXP(An one parson) $ PERSONAL $ ADV INJURY $1,DD0,000 X $2500 DWUGible GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGO $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- X LOC MBINED SIN LE LIMIT $ AUTOMOBILE LIABILITY accident) DILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED UTOS AUTOS NON OWNED HIRED AUTOS AUTOS DILY INJURY (Per BceMeni) E [PR'0 PERTY DAMAGE r ccitlentUMBRELLA $ LIAB OCCUR CH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ a DED RETENTION$ WC STATU- OTH- WORKERS COMPENSATION E.L. EACH ACCIDENT E AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEAVEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In and If yes, RscrIPTI Nantler DESCRIPTION OF OPERATIONS below N/A E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mare 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 insureds. Property Owner: Gui Chen Stand Owner: Dan Simone DBA Seasons of Change Location: 1195 Seminole Trail, Charlottesville, VA 22901 Dates: 6/1/23 - 7/7/23 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 All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD , �j Q jQ1I ARIZ' YN a za R $=je I J a h V1-GJ-GYJYJ�I GL•C'1 U7 JCHJI.AV� .�Y'I�dC�}�1 111FIREWORKS w,.unow w,ueowJ W�,vyati Wl.LIDCW rvwao�J TH16 1S fA ,8"Xqo l-5TC.F/ SGA CavTtlr�V�"� WHICH ViILL BE L6Eb Fb-THE tAtE OF CLASS,,cl, VA, ARVO t1E.la IS TH4 �c > CGvvTA$&Xjy -'� 5 UNIT OSEA r1J �' VrOtJS 4'F S L THIS )_oC J-ik)+v, SINE V�E►�% 5 �„uX�B4A CC PL&gTi C ENA bcx*s 5E{IXO L(XyMC04A& +SM STAND law .�� FIREWORKS I .` 0, GlftrA;. 8d5Q w r�r ccnrucrr aq4 tv sat $ hofge ertcWrsKeiu7rsbor1sCt� �sermmriy UCN cczfirtzd:G"COMM kr Tcnrun 1neon Foon omwxrwcrpnzrr� � who ks �Q Rat "IIx 6-4 Frann co Mi aid pl 1*l vwwd U� ro k7m McwvA40cn vw0 c M5 Pwo-W 1 prl Jl roes 4 - no hh®m = ndmc �' x 8' x 8'y Frb+ci+al Aiy • 31 x ch, � n ba na1`k a.+wnh�, n rx mQ41c Ib�c W47 .ka' C t2:CZ nvn -C: aAaun n L' C 1vt rmn Me$9 c. b n -&T heK' Nr vn rc c �*z Z-rja C==Y -` k- A d vre+ra :Qrc air TM Grt= lz�v 47r-7 ti : TAM n [qMZ wxT' a �n� rn�..iy. k1Q'iMy^r'� !!M= 28K:q Lhr�urn Mom= 650696EE0G VVEI TTBZ/IE/92 ba �A IO A �V • m ggoa u. as .—.a --gym ub _e , � I—= � 6» d* � 4 �if.� %" i t`T�"r 1{ ,} � � J�J� Iq ��if� .K• =' of :., t...�.. �.11•.Li"t� ..-0.4 , .., t ., zda t H L y - L' 1 L • 1 � �p �1 L�> L F •tlf r Y� Jy Y1 Yf `¢: