HomeMy WebLinkAboutCLE200800179 Legacy Document 2013-02-19Building Permit #
B2008- 01256AC
Application for Zoning_ Clearance
CLE # %(/UO
PARCEL INFORMATION
Tax Map and Parcel: 03200- 00- 00 -006AO
Parcel Owner: University of Virginia Foundation
Existing Zoning PDIP
Parcel Address: 995 Research Park Blvd CityCharlottesvillmte VA Zip 22911
(include suite or floor) Suite 400
PRIMARY CONTACT
Who should we call /write concerning this project?
Todd Marshall
Address: P.O. Box 400218 City Charlotte svil9tate VA
Office Phone:L3_� 982 -5304 Cell #531 -3644 Fax# 982 -4852 E -mail stm7y @virgi.nia.edu
APPLICANT INFORMATION
Business Name/Type: Northrop Grumman
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: Office Space
*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 accurat th t of now dge. I h e read the conditions of approval, and I un rsrow them, and that I will abide by them.
Signature Printed
County of Albemarle Department of Community Development
4O1 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08 Page 2 of 3
4218
Intake to complete the following:
Y/N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/N
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 or public 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 public sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit # .
Y/N
Will there be any new construction or renov ions? ('
If so, obtain the proper Permit. �D
Permit 'LOOS - 12,5 (,A C,
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: ZZY 3 G `"'I
m tted as: A-f'I�'
Under Section: A l . x r
Supplementary regulaVon� sac ion
I
Parking formula: 12 P / _ , l`lx
Required spaces: /�ry k 0d _ 1 13
Y/N _/ t
Items to be v dfod in the field:
Inspector:
Notes:
Date:
Violations:
Y/
If so, ist:
offers:
Y/N
f so, List: 1 8 a 7 _ JL�
ljyjr,
Varia ce:
If so, ist;
SP's:
Wso, List: 2
ss
Clearances: 4Y. ` "' +'
SDP's
Revised 04/28/08 Page 3 of 3