HomeMy WebLinkAboutCLE201100107 Review Comments Zoning Clearance 2011-06-06Application for Zonin Clearance
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CLE # Vfl ' I
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PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY r� 2 M1
Check # 1,9-)5 Date:
Receipt # 99,?L(1 -71-1 Staff Qr1
PARCEL INFORMATION �0',
Tax Map and Parcel: Existing Zoning
Parcel Owner: Joseph RitkMOVA, f'.
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Parcel Address: 1282 Q, J,4p— il, City CA9rj&jtidk State VA Zip 22
(includ uite Jr floor)
PRIMARY CONTACT
Who should we call /write concerning this project? n
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Address : 122. in 1E l City bft�h tate VA Zip
Office Phone: ( 200f7Ce11 # Fax # E -mail ODAAAAAAM 441,x
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: a h%ri Lir
Previous Business on this site
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:EiQ,
*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 pennission 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 thee//m,, and that I will abide by them.
Signature
PrintedNti1
APPROVAL INFORMATION
[o Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x117.
[ ] 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:
Building Official Date
-•�
Zoning Official 1"/ Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 1/1/2011 Page 2 of 3
Intake to complete the following:
Y/N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /
Will ere be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on private well �r"publiG ater?
If private well, provide Healt,�epartment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the orie,that applies
Is parcel o septi or public sewer?
Y /
Wil you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y /N)
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoninu to emmnlete the fnllnwinu:
Reviewer to xomplete the following:
Square footage of Use:
Yj/ N
'Permitted as: �►� 1 G�" '�'"
Under Section: ?�'� •�' 1
Supplementary regulations section:
Parking formula:
y00
Required spaces: tea/
Y/
Items to be verified in the field:
Inspector : Date:
Notes:
5olations:
/N
f so, List:
Proffers:
Y/(Q
If so, List:
Variance:
Y/�I'
If so, List:
SP's:
Y/0
If so, List:
Clearances:
SDP's
Revised 1/1/2011 Page 3 of 3
From. Kathryn Dunn Fleisher <openheart@mindspring.corn>
Subject: Fwd: occupancy permit floor plan map
Date: May 26, 2011 2:17:58 PM EDT
01, 1 Attachment, 103 KB
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*All measurements are rounded to the nearest half
foot. This is not a professional architectural drawing.
** Includes 1/2 of hall/stairway
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2nd Floor Suite B & C
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1st Floor Suite A
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4282 Ivy Road Floor Plan"
Leasee: Ivy Publications, LLC
Owner: Joseph Richmond
lst Floor Suite A: approx 1225 sq ft
2nd Floor Suile B: approx 443 sQ f**
2nd Floor Suite C: approx 402 sq
1/9"= I foot
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*All measurements are rounded to the nearest half
foot. This is not a professional architectural drawing.
** Includes 1/2 of hall/stairway
1-\-T
II mac. MEN a.
I "
ralwn
2nd Floor Suite B & C
MO,WDOOR
1st Floor Suite A
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