HomeMy WebLinkAboutCLE202300050 Approval - County 2023-03-31Zoning Clearance Application
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Albemarle County
Community Development
401 McIntire Rd, North Wing
}r ._
Charlottesville, VA 22902
Phone 434.296.5832
FOR OFFICE USE ONLY Clearance Number: CLE2023-50
Fee Amount: $ 61.36 Date Paid.3' 28' 2'S By:l)vo
Application fee: $599/++Technology Surcharge: $2.36
Receipt #:'?�%qI Check � By:mns ifCna�,
Applicant-rFilll out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
I SEAWfi OF-Cwq LLC Li 04OAk
E-Mail Address:
5EA500U50FCtMt k2&AOt.0
Mailing Address:
I qDyb = HN Mpyp µw A hU IE ZoloS
Phone #:
703 27- 2 7 / $
Tax Map and Parcel
number and/or Address
of the Business:
U!P I WOO2 OAOO 2 d 0
Zoning:
Staff will fill out if unknown
C
Parcel Owner:
G V , IfIi EtiJ
Owner's Address:
jljqs 2t rod o75a
Check any that apply:
New Business Change of Use Change of Ownership Change of Name
Business Name:
SEksJA2S QF 64&A u L LC
ETA I L fi lecwok KS
Description of Business:
Describe the business including use, number of employees,
number of shifts, availability of parking, and any additional info.
TRE I[PIAI L 5AoF VA - A-0Per 12EwdQlc USIN
A BX410Z57-CEL 5ALk-S
CoATAWE 4' 23- Iv ZoZ3 Rm SE. As �Qevlo�s tsaes
Previous Business on Site:
CHR t sv: )lam OwEe Ems'
MeN
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:
320 5�2 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?
Fvrlpublic ❑ 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 No
If yes, obtain appropriate building permit and list permit # below
Please list any applicable Building Permit #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 willabide. bbyy them.
Signaww' " ,• � Printed �A.ujr�L �. 3/'�l0•�'�
Date 9 -16 -23 2
Clearance
Application
V
Albemarle County
401McIntty. d,Noeant
CommuZoning
Ch McIntire e, 229 Wing
Charlottesville, VA 22902
Phone 434.2%8 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,
CLE2023-50
clearance number provided by Staff or business name
to ��. CHEF the owner
Name of landowner on record
of Tax Map and Parcel Number 06 (WOOZ DAOO 2 0 0 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- /lo - 23 to the following address:
//ff- Se M"votE ,. , V/4 .
(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)ft.vy'et C si�ro.vy
Date
3-/b-
K3
For Albemarle County Staff Review Only
Proposed use:
Temp. Event (Firework Sales)
Permitted:
S/Yes ❑ No
Permitted by Section:
Admin. Practice
Supplementary Regulations:
Applicable special use Permit (SP):
SP2015-31 (motor vehicle sales), 2015-34 (body shop)
Applicable Rezonings (ZMA):
N/A
Applicable Site Plans (SDP):
SDP1994-49
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:
N/A
Defined by:
[-]Site Plan [:]Zoning Ordinance ❑ Coo ❑Existing
Total Square Footage of the Use:
320sf (8WO')
Required number of parking spaces:
N/A
Associated Clearances:
CLE2022-47, 2021-67, 2020-87, 2019-246
Variances:
VA1984-70, 1975-27 (signs)
Violations:
N/A
Is a site inspection necessary?:
❑ Yes VNo
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:
Building Official _ NO Objection Date 03/30/2023
Zoning Official Date 03/31/2023
Other Official Fire Rescue - No Objection Date 03/30/2023
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4
LEASE AGREEMENT
This agreement of Land Lease is made this I day of
between CCU', C N be IU ,(LESSOR) and
SC-A5X05 d CIVW&CL, I.I-.0 (LESSEE) for the
Property described as an area at the front of I I q5 `JemiAuat_ 'TRL 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
LESSEE agrees to obtain the necessary permits from Cyt)MTY pF AL gr--MAkLG for the
purpose of selling VA . )kftoft FIaWpe KS during this period.
LESSEE agrees to provide a certificate of insurance to the LESSOR providing coverage during
the above dates, naming CtHEAJ 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 GU" 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: 1112,
LESSEE: SEASDNS OF CWAAXe jLLC SIGNFD��/.�,�
WITNESS: DATE:
A� ® CERTIFICATE OF LIABILITY INSURANCE
DA 31M12023VYY)
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 policy(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 endorsement(s).
PRODUCER
Britton -Gallagher and Associates, Inc.
One Cleveland Center, Floor 30
1375 East 9th Street
CONCT
NAME
PHONE FAX
• 216-658-7100 uc No:216�58-7101
E-MAIL
ADDRESS: info britton alla her.00m
INSURERS 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 B
INSURER C:
Columbia SC 29201
INSURER D:
•e ap•.r.- •p
INSURER E:
INSURER F :
uovo.
COVERAGES Ut:Kl D•ItiAI a rvumocn: DIDUJQOIt •-- -------------
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 OF INSURANCE
ADDL
0
POLICY NUMBER
POLICY EFF
MW D/YYYY
10/1/2022
POLICY EXP
M DD/YYYV
WMQ023
LIMITS
RENCE
$1,000,DOD
A
GENERAL LIABILITY
S18GL00655.221
urr nce
$
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 1K OCCUR
one person)
$
ADV INJURY
MAGGREGATE
$1,DD0,0D0
X $2500 Deducible
REGATE
$2,000,000::
OMP/OP AGG
$2.00,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO- X LOC
CO SIN LE LIMIT
a
AUTOMOBILE LIABILITY
EaMa nl
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS NUTOS
ON OWNED
HIRED AUTOS AUTOS
BODILY INJURY(Per accident)
$
PROPERTY DAMAGE
P r ccidenl
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
S
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
$
a
DED RETENTION
WCSTATU- OTH-
WORKERS COMPENSATION
E.L. EACH ACCIDENT
$
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOWPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
(Man
r 8detaryl, NH)
II yes, describe antler
11
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 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 insureds.
Property Owner: Gui Chen
Stand Owner: Dan Simone DBA Seasons of Change
Location: 1195 Seminole Trail, Charlottesville, VA 22901
Dates: 6/1/23 - 717/23
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
an 1RRR-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05)
The ACORD name and logo are registered marks of ACORD
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