HomeMy WebLinkAboutCLE201200213 Legacy Document 2012-10-24Application for Zoning Clearance
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PLEASE REVIEW ALL 3 SHEETS
- # Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: TM61W, Parcels 3- 198,23,24,25 Existing Zoning NMD
Parcel Owner: ALBEMARLE PLACE EAAP, LLC
Parcel Address: 1951 SWANSON City CHARLOTTESVILLE State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? JOHN MEADOWS - MANAGER OF ARCHITECTURE, PIER 1 IMPORTS (U.S.), INC.
Address: 100 PIER 1 PLACE City FORT WORTH state TEXAS Zip 76102
Office Phone: 8( 17 ) 252 -8698 Cell # Fax # 817- 252 -7788 E -mail !meadows @pierl.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name IX
]_New
business
Business Name /Type: PIER 1 IMPORTS #1592/ RETAIL USE
Previous Business on this site NONE
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: SPECIALTY RETAIUHOME FURNISHINGS, 14 EMPLOYEES, 2 SHIFTS,
*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 ghat 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 accurat t}1 f my 1 wledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed JOHN MEADOWS
APPROVAL +ORM TION
j 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 (.0 S t Z
/�-
.0 Zoning Official / 1617-421617-42z) Dat1617-42z) -I--
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 7/1/2011 Page 2 of 3
Intake to complete the following:
Reviewer to complete the following:
Y /Q Square footage of Use:
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet. / N I
lermitted as: /-S 11
Y/FNJ
Will there be food preparation? Under Section: 4A, -P/ec i
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
Circle the one that applies
Is parcel on private well or pUi7iIC Wat2r
If private well, provide 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 septic o —ubliC sewer
YC� N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #- ARB APPROVED B2012- 01075
m/N
Will there be any neW_construction or renovations?
If so, obtain the proper Permit.
Permit# I B201102264NG
` - 01L- (ZS-
7nnina fin emmnlete the followinu:
Parking formula:
' �8y
Required spaces:
Y/N
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y/N
If so, L0i t:
Proffers:
/Yl /N
lfeso, List:
2.00S� zi
Variance:
Y/1
If so, i t:
SP's:
Ifs /o`,'List:
Clearances:
SDP's
u
Revised 7/1/2011 Page 3 of 3
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BREAK
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ELECTRICAL
66 S.F.
STORAGE
49 S.F.
OFFICE
108 S.F.
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SPRINKLER
67 S.F.
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If 61 S. F.
If CORR
If 41 S. F.
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DISPLAY
110 S.F.
WOMEN
61 S.F.
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BUILDING AREA
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80% SALES
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13% RECEIVING
C OFFICE
S.F.
6% OFFICE /TOILETS
632
S.F.
1 % SERVICE ROOM
81
S.F.
SALES WALL SPACE
I SEASONALI
I I I I I I I
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BUILDING AREA
10,325
S.F.
80% SALES
8,280
S. F.
13% RECEIVING
1,332
S.F.
6% OFFICE /TOILETS
632
S.F.
1 % SERVICE ROOM
81
S.F.
SALES WALL SPACE
252
L. F.
SALES GLASS SPACE
99
L. F.
-1592— CHARLOTTESVILLE, VA
FIXTURE LAYOUT
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FIRE ALARM PANEL HERE
REDUCE FIXTURE TO 3' SHELVES
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Revision,10ate
Store Name!Address
CHARLOTTESVILLE, VA
FY13 NEW
2020 BOND ST.
CHARLOTTESVILLE, VA 22901
tore No.
Sheet No.
1592
Date
9/17/12
Scale
Send to
CERTIFICATION THAT NOTICE OF 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
owner.
I certify that notice of the application,
[County application name and number]
was provided to ALBEMARLE PLACE EAAP, LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number TM61 W, Parcels 3- 19B,23,24,25
manner identified below:
by delivering a copy of the application in the
Hand delivering 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
X Mailing a copy of the application to
ALBEMARLE PLACE EAAP, LLC
[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 9/27/12
Date
to the following address:
7200 WISCONSIN AVE. STE 400, BETHESDA, MD 20814
[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].
Jdb" rm XQ
Print Applicant Name
,q 2't It,
Date