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Home My WebLink AboutCLE201200263 Application 2013-01-15Dec. 6. 2012 8:02AM No, 2578 P. 1 Application for Zoo Clearance CLE # D6 0 OFFIClc 9 NLY Check# �� Date[ 1-P -17- P PLEASE REVIEW ALL 3 SHEETS Receipt # Staff- PARCEL INFORMATION UNrv. A- os" ".Wc pprA0614, F- L16HT /yAd 1 � Tax Map and parcel: _�xlstingZoning ...GL,c Yar•cel Owner; 1641 601-10Y RlM Co., Parcel Address: 1641 151> 41 GIf 49K/ City O S VIL- State VA Zip'2 2 � rr (include suite or floor) PRIMARY [CONTACT Who should Nve call/rrq ite concerning this project? PHIL G !7"4 Address! 1641 i5o L.1 cll Q6V6 CityM07MVI"C9 State Llk Zip l� QFfce Yhonc; ��° �'Ccll # �( �L• �`f�' 3 ax # l; -mail ohil, klibeYley eAiemrh . APPLICANT INFORMATION (Check any that apply; _ Change of ownership Change Of wo Change of name Nell business )'3usiness Natne /T`ype; 9197MC-MI L-iV 96Y I AI C - —` 1/6#1 NEV. prer�iotrs Tipsiness on this site M1CXQ&60 161C. (MoV /0 /1C o 6d I r•od 4� Describe the proposed business including use, number of en pr es, number�of shifts, availab a parking spaces, number of vehicles, and any additional information that you can provide: 1-19;4't /`'f y,It,/(IFACIVA IA(6 —, *This Ocarsnoo will only be valid oii the parcel for which it is approved. Ifyou change, intensify or move ilia use to a now location, A nowzolfing Clearance will be required, I hereby certify that Y own or havo tho owners permission to use ilia space indicated on this application. I also certify tlrct the information provided is trio and nccur ' )o the best of my knowledge. I have read the conditions of approval, and I undorstond their, and thaat I will abide by them. j Signature Printed r"Y!1' H 46 — APPY.OVAL INFORMATION DL.�Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Baekflow 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 a P Zoning Official 4), Date 16113 1 (3 , Other official _ � A� � plate � i � � 9� Coiunty of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice; (434) 296 -5932 Fai: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3 C" Dec. 6, 2012 8:02AM Intake to complete the following: D/ N Is use h Rsepolt ITT or PDIP zoning? If so, • e ap licant a Certified Enginee (CER) packet. cYl1� Will there be food preparation? � tu-y � t �l I is 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 an private well o 17'Depar water? If private Well, provide Heft t m0nt fOrtn. Zoning review can not begin until we receive approval from Health Dept, FAX )DATE Circle the one that ap Is parcel on septic o' ulbllc sewer y 1 Will you be putting up a new sign of any kind? If so, obtain proper Sign pennit. Pernllt Z "Y' %N ill there be any new GQnstnrction or renovations? If so, obtain the proper Permit. Kermit # sdoji i- o o c�a;t~ %— Ac ZoninLy to comWete the following: No. 2578 P. 2 Reviewer to complete the following; squaro footage of Use: 4-$� 2 `5'- (� onniNtted as: � ll Under Section: Suppitmentary regulations soction: Spe CK-15., "Pt'L 12einPlojzLs (,�ro,?.rv)f�J► . Pariring fonnula:. kequired spaces:. 156 xy N Ttenis to be 4fied in the field: F uAl- h Inspector; Date: Notes: Violations,, yIITT If so, List; Mrs: '=f N s4, List: —05--o 6 Variance: Y!N If so, List: 51"sa YIN If so, List: Clearanees: Revised 7/1/2011 Page 3 of 3 Dec, 6. 2012 8:02AM No, 2578 P. 3 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PRO'V'IDED TO THE LANDOWNER This form must raecompany zoning appitcrnions (Horne occgPation, zoning Creafaftee, Zoning AliriinistratorDeterniiiications orAppeals, Sign Permits, .BriilditigPerrnits) f the ttpp1jearion is riot the I certify that notice of the application, . ZOAII IJ9 [County application name and number] was provided to 1641 +F"DL1CH ,<eWj CO, L,44 the owner of record of Tax Map [name(s) of the record owners of the parcel] and ,parcel Number f- 2 VV 9S# jfK by delivering a copy of the application in the manner identified below: Hand delivering a copy of the application to ,66A65 9412 - /(" 41 O'Dt,/C"f � [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] 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 cuiTent real estate tax assessment records satisfies this requirement]. 1 Signature o Applicant MIL �147H L 6Y Print Applicant Name Date Rebecca Ragsdale From: Robbie Gilmer Sent: Friday, January 11, 2013 4:36 PM To: Rebecca Ragsdale; 'Hatherley, Philip (E F PR GT TBV USOP 4)' Cc: Shawn Maddox Subject: RE: Zoning Clearance Application (CLE 2012 -263) Rebecca, I just spoke with the Philip Hatherley from Siemens Energy about a fire inspection and permits. They had already contacted my office and taken care of it. Thank you, Robbie Gilmer Albemarle County Fire Rescue Assist. Fire Marshal 460 Stagecoach Road, Suite F Charlottesville, Va 22902 o- 434 - 296 -5833 c- 434 - 531 -6606 From: Rebecca Ragsdale Sent: Friday, January 11, 2013 4:20 PM To: Hatherley, Philip (E F PR GT TBV USOP 4) Cc: Robbie Gilmer; Shawn Maddox Subject: RE: Zoning Clearance Application (CLE 2012 -263) Phil- Happy New Year to you as well. The CER has been reviewed by Zoning and Engineering. Because the report notes there would be potential flammable /hazardous /etc, materials, it was forwarded to the Fire Marshal's office. They have requested you contact them regarding any necessary inspections or permits: Robbie Gilmer or Shawn Maddox Albemarle County Fire Rescue Assist. Fire Marshal 460 Stagecoach Road, Suite F Charlottesville, Va 22902 o- 434 -296 -5833 c- 434 - 531 -6606 Thank you, Rebecca