HomeMy WebLinkAboutCLE200900104 Review Comments Zoning Clearance 2009-11-16F.R.
RECEIVED JUL 15 2009
Application for Zonin Clearance
CLE # Doq 0
le-
Clearance = $35
OFFICE USE ONLY
Check # I Date:
G
PLEAZoning
REVIEW ALL 3 SHEETS
Receipt # Staff:
PARCEL INFORMATION
19L4— d"
Tax Map and Parcel: — Existing Zoning
Parcel Owner: 1-131101 J MANN
Gqv Parcel Address: City- C i6l tl L/ State VJ91 Zip zzgW
(include suite or floor)
PRIMARY CONTACT
/J
R J4L'J
Who should we call /write concerning this project?
//4'
Address: \'�'�� 13 l�L� City C� /O #CS / /AeState �a • Zip
Office Phone. q 4r 22k, Cell # Fax # E -mail I IAna. @_Ca - d/na /SCre6�_-
631-11 99ci-A
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: Cdr 4► n.ad '5 Cr e-s 1-
Previous Business on this site NIP
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide:
*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.
Signature -V, Printed :c L,+06 W . Lq fi m N
APPROVAL INFORMATION
[ ] Approved as proposed "W] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x119.
[ ] 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.
Notes:
,w
%l rv� t�',t;ti�FL�. 1T � -{"H � � � f il'1: ST+�t �inrilDi✓ ; �. `� � i� t�i �
Building Official - Date t
Official Date /� 5
Zoning
r Official Date 07 1" I ` -2-c'_�l
I Cohnty of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08 Page 2 of 3
`17
IVA
Intake to complete the following:
Y /1
Is usa4m''d, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Reviewer to complete the following:
Square footage of Use:
Y/N
Permitted as:
N
Proffers:
Y/N
If so, List:
ill there be food preparation?
Will
Under Section:
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Supplementary regulations section:
Dept. FAX DATE
Variance:
Y/N
If so, List:
Circle the one that applies
Parking formula:
Is parcel on private well or public water?
If private well, provide Health Department form.
Zoning review can not begin until we receive approval from Health
Required spaces:
Dept. FAX DATE
Clearances:
Y/N
Circle the one that applies
Items to be verified in the field:
Is parcel on septic or public sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Inspector : Date:
Y / N
Notes:
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
7nninu to cmmnlPtP the fnllnwinsr:
Violations:
Y/N
If so, List:
Proffers:
Y/N
If so, List:
Variance:
Y/N
If so, List:
SP's:
Y/N
If so, List:
Clearances:
SDP's
Revised 04/28/08 Page 3 of 3
V v
Application for
Y
T1 • T 7 • Jv'v.
Accessory 1 ourist lLociging
Accessory Tourist Lodging = $35
Project Name: G�
�a -1-qr&e( If 11 `Z
Tax map and parcel: �(, t� 0 -ao -CEO D4 Q !_'1 Magisterial District: Zoning:
Physical Street Address (if assigned): r e e G e-mon �G C jj A/ f D3/%�� U 1 �� E' 1 V6
Location of property (landmarks, intersections, or other):
Contact Person (Who should we call /write concerning this project ?): J- 1 G n cx Ma y1 11
Address 1 a't(Q Sree 2 L'
rnon,+ 't>r. city Ciha r1,oA _,sv�lle State V/� zip � iii
Daytime Phone _�'/ gL /�� --?-q '3 Fax # L__) E -mail 1 I Qoa (2 C04 -A i rljs' Cresf ,
Owner of Record _-T:_ L o n S j{ F} 0) p In V\
Address Zree2gvngn,�-- city yVy,e State a , Zip o aq!/
Daytime Phone AA A Cj 'e3 q V49 Fax # (� y E -mail 110 , [� C al-U d 1 tl cd5c- re � �C t3ir1
Applicant (Who is the Contact person representing ?): _ (. 0'rd 1 tl a l S Cr e15+ L I- G
Address 5L R>Ce eZ e „A bY- • City U&,rrlo-h�s O PU°e. State _V Zip o�;La'gl�
Daytime Phone l 1X71 �J Sal` 7 CI Fax # E -mail I IQ ✓!Ct cl� if 6L rd I V) '-0 SC rCS} . COA-;1
Intended use or Justification for request:
I �
Owner /Applicant Must Read and Sign
I hereby certify that the information provided on this application and accompanying information is accurate, true
and correct to the best of my knowledge and belief.
Signature of Owner, Agent Date
L&$_el W I VVlct: 14 �;y —i$14 --(_'`413
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY ATL #
Fee Amount $ Date Paid By who? Receipt # Ck# By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
5/1/06 Page 1 of 1
COMMONWEALTH OF VIRGINIA
DEPARTMENT OF HEALTH
CERTIFIES THAT
Cardinals Crest, Inc.
is hereby granted a permit /license to operate a Residential Bed & Breakfast
by the Albemarle County Health Department in accordance
with the regulations of the Board of Health,
Commonwealth of Virginia.
FACILITY NAME:
PHYSICAL ADDRESS
MAILING ADDRESS.
MAX. ROOMS:
EXPIRATION DATE:
CONDITIONS:
CARDINALS CREST
1248 Breezemont Drive
Charlottesville, Virginia 22911
1248 Breezemont Drive
Charlottesville, VA 22911
5
Eric# Myers, REHS
Environme, tal Health Supervisor
Please direct questions or concerns to the
Albemarle County Health Department,
Environmental Health Services, (434) 972 -6219.
This Permit Is NOT TRANSFERABLE From
One INDIVIDUAL or LOCATION to Another.