HomeMy WebLinkAboutCLE200800149 Legacy Document 2013-01-17n
Application for
Zoning Clearance
Building Permit# J
B2009- 00539AC
Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ON Y p
CLE # Z/ —N
�
E (�1 Date: , D'
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 32 -19J Existing Zoning PDIP
Parcel Owner: University of Virginia Foundation
Parcel Address: 1001 Research Park B1vdity Charlottesvilthe VA Zip 2291
(include suite or floor) Suite 120
PRIMARY CONTACT
Who should we call /write concerning this project? Todd Marshall
Address: P.O. Box 400218 City Charlotte svilitete VA Zip22904
Office Phone: CA3� 982- 5304Ce11# 531 -3644 Fax #982 -4852 E- mailstm7y @virgin.i.a.edu
APPLICANT INFORMATION Delta Bridge, Inc.
Business Name /Type:
Previous Business on this site None
escribe the proposed business, including use, number of employees, number of shifts, available parking spaces and any
additional information that you can provide:
office Space
*This Clearan6e 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 ttM s of m ow edge. Jhave read the conditions of approval, and I understand them, and that I ill abide by them.
Signature 1 Printed
APPROVAL INFORMATION
�[ 7 Approved as proposed [ ] Approved with conditions [ ] Denied
] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x119.
[ ] 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 Z r ii
Zoning Official 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
5/1/06 Page 2 of 3
4218
Intake to complete the following:
❑ YES ❑ N
Is use in LI, HI o PDIP zoni If �so, give applicant a Certified
Engineer's Report (CER) packet.
❑ YES X NO
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
❑ YES ❑ NO
Is parcel on private well or lx is wat r?
If private well, provide HealthDGpaftment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
❑ YES ❑ NO r—�
Is parcel on septic or ublic selver?
❑ YE S 0
Will you b putting up a new sign of any kind? If so, obtain proper
Sign per f t.
Permi
❑ YES ❑ NO
Will there be any new construction or renovations?
If so, obtai the pro er Permit.
Permit # 7/-%C-
Zonin Tech to complete the following:
Violations:
❑ YES
If so, List:
IVI NO
Variance:
❑ YES
If so, List:
[P NO
��,�A-JTMP
Reviewer to complete the following:
Square footage of Use:
YES ❑ N��' l�Lt
Permitted as: n u
Under Section:
Supplementary regulates section:
Aq
Parking formula: J /n & O A !^_
Required spaces: f -k e l a,r, v p- 9
❑ YES ❑ NO
Items to be verified in the field:
Pro M s:
W
YES ❑ NO
If so, L'��!
/c1 -1
Sp�
❑
; YES ❑ NO
If so, 'st: ` 141-:5
C Os^#•P . a4 4 J
511106 Page 3 of 3