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Home My WebLink AboutCLE201200147 Legacy Document 2012-07-31ApplICa.-tl-on- ior-..konin -- CLE # -dot a— 7 OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check# 1550 Date: T3- Receipt # Staff: v'� 5 — — - -- _ _PA RCE L- IN FOR MATIO(.N t�- l-� — — g - - — 73-D Oa k. /kb ZoninTax Map and Pa Parcel Owner: L i nI, 6 6,4P, 60,SAL Parcel Address: U15 VUmmmUit0-h Or City l�Vl� l�� State V/4 Zip��d (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? L Address: 113 -I //'y►,Di 1 j 11' Yi(,- br- City tirAinsv '+ iL State rl Zip Office Phone: Llbo i%oI_ 6810 Cell # s,VI)J32- 3155�F x# 4eo $32-39 3 E -mail Wi asUZj APPLICANT INFORMATION Check any that apply: /Change of ownership Change of use ,Change of name New business Business Name/Type: W M 1 i0" 1 21 S'� i-a G t- C - Previous Business on this site t t�,- COS %l7 ct Jet S0 1 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 /�G?/ �! �� Printed 1,0-11"o ,hGAt'q tee. APPROVAL INFORMATION CJ 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 `� ( (b' f� l Date / / 2-0) Zoning Official s -t' Other Official Date /1121771 County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3 N I - "Intalee to 'complete the following: - -- - -- - -Reviewer-te Y 'l_% / Square footage of Use: ! Ll Is use in LI, H1 orPDIP zoning? Ifso, give applicant a Certified Engineer's Report (CER) packet. / N Permitted as: — -- O / _ Will there be. food preparations Under ,Section ` If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Supplementary regulations section: 'v Circle the one that applies Parking formula! Is parcel on private well o ublic water? - - -If private well, provide Health:A_epartment form. - - - - -- - - Zoning review can not begin until we receive approval from Health Required spaces: Dept. FAK DATE Y/N Circle the one that applies Items to be verified in the field: Is parcel on septic or ublie sewer? (JY / N Will you be putting .up a new sign of any kind? If so, obtain proper Sign permit. Inspector : Date: Permit # — Y /9 Notes: Will there be any new construction or renovations? If so, obtain the proper Permit, Permit # 4jUIL lig W GVlll low luv iVUVrrlu Viol 'ons: Proffers: Y/ If so, 'st: If o�, -Dist: Variance: ( Y If so;�ist: If so, List: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 7 Dept. FAX DATE ' 4jUIL lig W GVlll low luv iVUVrrlu Viol 'ons: Proffers: Y/ If so, 'st: If o�, -Dist: Variance: ( Y If so;�ist: If so, List: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 7 Revised 7/1/2011 Page 3 of 3 7 out-sije r 03.1- ' f ,� V e �t 0 CERTIFICATION THAT NOTICE DF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, ,Sign Permits, Building Permits) if the application is not the i owner.. . 1 certify that notice of the application, [County application name and number] --------- - - - - -- was provided-to the owner of record of Tax Map [name(s) of the record owners offthe parcel] and Parcel Number manner identified below: and delivering a copy of the application to by delivering a copy of the application in the [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the .recipient's title or office for that entity] on 6—X6- ) Z Date Mailing a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date to the following address: [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. �_ Signature of Applicant wJ f �reriG ��i-� Print Applicant Name Date • All; 4-1 ?4 4. 3� (MI r- 1hoi_n.as efferson HEALTH DISTRICT CAE XI,t IN9 Serving: Albomarle Charloll"011e Fluvanna Greene Louisa Nelson Foodsenrice Facility Plan Review Evaluation Charlottesville%llbemarle• 138 Rose Hill Drive — Charlottesville; VA 22903- - P. O. Box 7546 Charlottesville, MA 22906 Phone; (434) 972 -6259 Fax: (434) 972 -6221 Should I contact the IIeaItb Department when opening a new establishment or when selling or transferring ownership of my restaurant? The Health Department should be one of the first agencies contacted whenever a change of ownership or construction of a now facility begins. Restaurant permits are non - transferable. The Virginia Food Regulations require that the new owner submit a plan review application for a restaurant permit. Once plans are approved this form will be submitted to the local building authority allowin them to issue our building - .g ty g y g pemtit and business license. Furthermore, a plumbing rough -in and an opening inspection is required prior to issuing a permit to the new owner. How soon can I open after I submit a "change of ownership" application? The issuance of a new permit may first require substantial facility renovations and upgrades. It is recommended that the owner and prospective buyer submit the paperwork outlined below and then arrange an inspection with the Health Department to assess if there are upgrades to the equipment or facility that will be required prior to issuing a new permit. Why am I (the new owner) being denied a permit, Syhen the previous facility owner bad been in business for years? - The Virginia Food Regulations are frequently being updated. When a restaurant undergoes a change of ownership, the facility is then treated as a brand new establishment. Subsequently, the facility must first meet substantial compliance with the most current version of the Virginia Food Regulations before a permit can be issued (see the previous question), How can I obtain a cop), of the current version of the Vlrglnia Food Regulations? A limited number of copies are available for purchase at your local health department office, or you can visit the Virginia Department of Health website ()vw %v.vdh,virginia.gov) to obtain an electronic version. Building Permit # Name of foodsendee establishment: ; �J i } i .V v `.S ? 1 `,t r c) L b C Name of Oivner: W ;ter /�l��ry,�� L i c� r t� Abii�ml Type of Ownership: Individual ^Corporation � Facility Address: _ r� 0 S C. n� 1 ^'' ,'1 w� ��f �� ! Architect: Telephone Numbers, (t j3q ) old `j - 66) / 0 Contact Email Address: Plans and Information Submitted By: W 'd(( rd c) /Gt otr4/,l: ?, Date; S 1 Anticipated opening date: q - ) k Seating capacity, Type of Menu - Please check all that apply: Fullservice mast Food Gourmet Carryout Caterer School -Public or Private—Daycare Group Home Grocery Store—Institution Type Nursing home_Hospital ^Hotel Continental Brealdast Mobile /push cart`Seasonal_Type Information to be submitted to Environmental Health Department: Menu Equipment numbered on floor plan drawn to scale Plan review application Annual permit application Type of Water Supply: Type of Sewage System: Pay plan review and annual permit fees Equipment specification sheets and plumbing diagram Public) or Private Approved WPublic 0 Private Environmental Health Approval/Denial: Noncommunity? YES INTO Approval Date: Approved; ❑ YES Approved: 0 YES Approved by: _.;v�z� --� t� ",oLY,71� ��sv,v Date: FOUR 0 NO Date: ~'tll COMMONWEALTH of VIRGINIA In Cooperation with the Tlraiias Jq&i-sorr Health Disfr -ict State Department of Health 1138 Rose Hill Drive Phone (434) 972 -6219 P. O. Box 7546 Fax (434) 972 -4310 Charlottesville, Virginia 22906 July 10, 2012 Wilfredo Marquez 2005 Commonwealth Dr. Charlottesville, VA 22901 ALBEMARLE - CHARLOTTESVILLE FLUVANNA COUNTY (PALMYRA) GREENE COUNTY (STANARDSVILLE) LOUISA COUNTY(LOUISA) NELSON COUNTY (LOVINGSTON) RE: Willito's Bistro, I-t.0 located at 2005 Commonwealth Dr. Charlottesville, VA 22901 Dear Mr, Marquez, Based on the plans submitted and the walk - through conducted on July 9 ", your plans are approved with the following additions: • shorten the pipes at the food preparation to provide a better air gap • seal around all wall surfaces and attached equipment to render those surfaces easily cleanable and prevent insect habitat • complete the wall across from the ice machine, install washable ceiling tile above the back stainless steel table • finish all cleaning • place waste oil dumpster on an impervious surface • new gasket needed for the walk -in cooler • provide a covered waste receptacle for the female restroom • remove all unnecessary equipment and items It is important that any deviations from these plans are to be reported to this department for approval. Failure to do so may result in a delay of the facility's opining, and may also require substantial changes to your final construction. Also, please note that additional issues may arise that have not been anticipated In this plan review. A pre - opening inspection will be done prior to issuing permit. Please contact the Health Department to schedule this inspection once you are ready. Should you have any questions, please contact with me or Eric S. Myers, Supervisor, Sincerely, Abdugheni Ubul Environmental Health Specialist Sr. Thornas Jefferson Health District Pc: Eric S. Myers, REHS, Environmental Health Supervisor file