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Home My WebLink AboutCLE201200234 Legacy Document 2012-11-09Application for ZoninLy Clearance CLE # PLEASE REVIEW ALL 3 SHEETS OFFICE US LY Check # Date: Receipt # Llec4llf Staff: J %✓G(,d& PARCEL INFORMATION ii Tax Map and Parcel: o col A/ -C>}- Existing Zoning C. -3- CA" Y►1,e,(C.,i c.. Parcel Owner: G �s i3 p_ -0-ty� Parcel Address: 11`15 .Semi ,note_ I c U; City CNc� tl ol�2S� � �� State u Zip ddro 1 (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? Y, f1 Address : 31 S t'�Uz yu Lyw x Ac. Le City State v 11 Zip 3c?9(,/ bneu an n }� Office Phone: (y3Li) Cell # Fax # E -mail }'Y' C )kPPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: - c,tivc CEJ,nc.e v {a� LLC_ Previous Business on this site N 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: C_h t; �� rn�s i (te- Le 1- t '")- ;:w , u *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 Y my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature - Printed c f' C- 0-ec ynL V, AP INFORMATION .,!OVAL [']'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 a site plan as of this date. Notes•Q�_� I f/1 D Il Building Official _ r �- Date (i i Zoning Official X), Date G !' 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 RECEIVED NOV 0'7 2012 Application for Zoni*nLy Clearance CLE # BIZ- PLEASE REVIEW ALL 3 SHEETS OFFICE US Y,' Y �1 Check # Date: Sta ff: Receipt # PARCEL INFORMATION Tax Map and Parcel: cc, 10 -' Existing Zoning C,-1 C-o `n't i-e< .i << Parcel Owner: G w (fie - cv"C'^ Parcel Address: I ofS Sew,t -nolz T e., City CNe•cl��1�e5.,�1� State u21 Zip (include suite or floor) PRIMARY CONTACT (10r, ll m G r Who should we call /write concerning this project? v .n Address: '31S R`juY) 6&!QoL 1�[C��e City State L., 141 Zip 2k Office Phone: Cell 4 Fax E -mail APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name/Type: C st'A i C- ! y 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: C_ + , �' r=XW, t'= *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 knowledge. I have the conditions of approval, and I understand them, and that I will abide by them. is true and accurate to the best o f my read Signature - - Printed t- APPROVAL INFORMATION ( ] Approved as proposed [ ] Approved with conditions [ ]Denied [ ] B ackflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x117. Therefore, it is not a determination of compliance with the existing [ ] No physical site inspection has been done for this clearance. site plan. [ ] This site complies with the site plan as of this date. Notes: Building Official Date (C t - Zoning Official 1 Date Ilit?r1� t �- Other Official Date t,- ..: +v n vralnnmont County of Alpemarte jjeparuucu� va �.v .. +....J ,....... 1 _..__.- 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/201 JL Page 2 of 3 N O n E z° o` 0 a' v 2 Intake to complete the following: . V .. -- Is us n• LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /OI Will there 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 otgq water 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 or u is sewe Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/ Will ere be any new constr ction or renovations? If so, obtain the proper Pe it. Permit # Zoning to complete the following: Reviewer to complete the following: iti Square footage of Use: a't cj tw r .J 1P er N permitted as: (,—Y-aSdW sca jLz Under Section: ((�; Supplementary regulations section: Parking formula: hSIV �C 5 In Required spaces: F `CA Y/N Items to be verified in the field: / Inspector• Notes: Date: Viol ti s: Y/ If so, ist: Proffers: Y/N If so, List: Variance: Y/N If so, List: SP's: Y/N If so, List:. Clearances: SDP's 100 Revised 7/1/2011 Page 3 of 3 CUE aas4 Zoning Clearance Checklist Applicant MUST HAVE the following information to apply for a Zoning Clearance: 1) Tax Map and Parcel or Address, Building Name, Suite /Unit/Floor numbers, if applicable. 2) A Floor Plan - either a sketch or an architectural drawing a) If using less than the entire structure, note the location within the structure; b) Note the total square footage of the use; c) Note the square footage of each room or area of use; d) Note the use of each room or area of use. 3) Certification that notice of this application has been provided to the property owner, if owner is different from applicant. FEES Zoning Clearance = $50 Temporary Fundraising Activity = No fee FIREWORKS: 1. No person shall sell, offer for sale, store, display or disc e any fireworks in any filling station or on any premises where gasoline or other inflammable liquids are stored or dispensed. ��1967 10 -13.) County Code Section 6 -200 and 6 -300 and must be a minimum of 100 ft from any gas pumps /prop distribution tank. 2. The site shall be cleaned and restored to ' riginal condition on or before July 11th. This shall include removal of all structures, signs, debris, and the like. 3. A thirty (30) foot front setbac all be maintained, Display shall be located so as to avoid traffic congestion. Modifications subject to Zoning Administrator's a oval. 4. Building permits sh e obtained for all proposed structures and /or lighting. 5. Sign permits sl e obtained for all proposed signage. Aost Ccm p 8 6. The sale of-fireworks requires a special permit from Fire /Rescue department. �,/� �� 'CHRISTMAS TREES: I N,i rtS �� WA lG�t I 6 PnJV&A --, PesTs he outside storage of'combustible material or flammable materials shall be located so as not to constitute a hazard and shall not be than 15 feet from any building on the site. Any open burning must comply with the Virginia Statewide Fire Prevention Code and the Albemarle County Code. 2. The site shall be cleaned and restored to its original condition on or before January 2. This shall include the removal of all structures, signs, debris, and the like. 3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subjecj+� to Zoning Administrator's approval. �� 4. Building permits shall be obtained for all proposed structures and /or lighting. 5. Sign permits shall be obtained for all proposed signage. OTHER REVIEWS: 1. Is the property on public or priv=isin r? Private requires Health Department ACSA review (2 to 5 days) 2. Will you be operating a bakery? USDA review is required (approx. as long as 6 weeks) 3. If you are serving prepackaged but not making them on the Premises, only Health Department will review. (2 to 5 days) 4. If you will be operating any bu ' an industrially zoned district or of an industrial nature you will need to provide a Letter of Performance Standard or Certified Engineer's Report (a staff member will provide an information packet addressing this requirement) (5 to 10 days . soon as the Letter or Report is received by this Department) 5. If there has been no s' inspection within the last three (3) months for the parcel /site, then one will be conducted to verify that the project is in compliaip6 with an approved site plan (if applicable). Revised 7/1/2011 Page 1 of 3