HomeMy WebLinkAboutCLE200800247 Review Comments Zoning Clearance 2010-06-28Building Permit #
B200800371AC
Application for Zoning Clearance
. CLE # ';260 ? ' Z: _3- is
PARCEL INFORMATION
Tax Map and Parcel: - Tax Map 76 - Parcel 17B, 17B6_ Existing Zo
Parcel Owner: University of Virginia Foundation
480 Ray C. Hunt Drive
Parcel Address: Fontaine Research Park City Charlottesville State VA
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? Michael Stumbaugh
Address : P.O. Box 400218
City Charlottesville
State
VA
Office Phone: 4( 34 ) 982-3777
Cell # 531 -1938 Fax # 982-4852
E -mail
stum @virginia.edu
Zip 22903
Zip 22904
APPLICANT INFORMATION I
Business Name/Type: Life Sciences Annex (LISA)
Previous Business on this site None
Describe the proposed business including use, number of employees, number of shifts, available narking spaces. number of
vehicles, and any additional information that you can provide: Underground animal laboratory to include animal rooms
and procedure areas.
*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�uynderstand them, and that I will abide by them.
Signature 7�° �' �1( ~ Printed /Yl,i LA,-,-e_1 I L-1 ,,, 'bCi L
v of Alhemnrle Dnnnrtment of C..nmmnnity Develnnment
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08 Page 2 of 3
Intake to complete the following: Reviewer to complete the followin • -elr
Y /�d / Square footage of Use:
Is u M i LI HI or PDIP zoning? If so, give applicant a Certified j
Engineer's Report
t�(CE ) pack, Y le)r/:Itted av """V� ��'��' "v as: 02 , o� � � a�
�/ '%�
Y / �jPG`YZ�U
Will re be food preparation? Under Section:
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health Supplementary regulation section:
Dept. - FAX -DATE -- = - ��_ --
Circle the one that applies
Is parcel on private well or pu pepartment r?
If private well, provide Health form.
Zoning review can not begin unntil we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on septic or p lic er?
Y/N
Will you be puttin up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any ew construction or renovations?
If so, obtain the pr per Permit.
Permit #
Zoning to comnlete the following:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector : Date:
Notes:
Vio ns:
Y /
If Vi s, t:
P offers:
/ N
f so, List:/
VaMi e:
Y
I f s t:
's:
/ N
so, List: �l
6 �-
Clearances:
SDP's
Revised 04/28/08 Page 3 of 3
Line of Life Sciences Annex Building Below
FO-11
IV
nnn
FE-01
■
Note 1
Note 1 Note 2
Note 2 I J
PERKINS
+ W I L L
To set the office add—,,
Select Neldablockanddick Ne
properGesbutton. Clkkthe Edffi w
button.
Uncheck the Address Notice box and
check thebox of the desired office
actress.
LISA
University of Virginia
Foundation -
Fontaine Research Park
Charlottesville, VA 22903
NO ISSUE 1147E
7 Revisian7 11/09/07
10 Bulleti n il5 2115/08
26 Bulletin 12B 9175/08
Sheet Information
Date
September 26, 2008
Job Number
As noted
Drawn
Author
■
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Approved
Approver
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PERKINS
+ W I L L
To set the office add—,,
Select Neldablockanddick Ne
properGesbutton. Clkkthe Edffi w
button.
Uncheck the Address Notice box and
check thebox of the desired office
actress.
LISA
University of Virginia
Foundation -
Fontaine Research Park
Charlottesville, VA 22903
NO ISSUE 1147E
7 Revisian7 11/09/07
10 Bulleti n il5 2115/08
26 Bulletin 12B 9175/08
Title
Ground
Level Plan
Sheet
Capydght02007 Perkins.Will
Sheet Information
Date
September 26, 2008
Job Number
As noted
Drawn
Author
Checked
Checker
Approved
Approver
Title
Ground
Level Plan
Sheet
Capydght02007 Perkins.Will