The URL can be used to link to this page

Home My WebLink AboutCLE201200145 Legacy Document 2013-04-09Application for Zoning Clearance CLE # 26 I2 - i 4 PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # lD & - Date: - `� ' 1 z Receipt # W7 4ZI Staff: C!2TZ-/ PARCEL INFORMATION Tax Map and Parcel: PSL 146 —TI-00 — iZZ06 Existing Zoning - - Parcel Owner: ffA► - H--�'Y �U -r�✓►� ` I Parcel Address:--374-2 !t �i4M P[� City State Zip (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? \ , 1 Address: �iJ �—rJ , 1�d . City e tat! V0. Zip Office Phone: L_S, /— Cell # Fax # E -mail UP L- ca LAOLLy. Go v4A APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: 1 , \\ ---- _ Previous Business on this site 4,10 F-1 Describe the proposed business including use, number of employee ,, 1number f shif available parking spaces, num er of vehicles, and any additional infq ination that you can ovide: J�r7X I i *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 o have the owner's permission to use the space indicated on this application. I also certify that the information provided is true th b t owledge. I have read the conditions of approval, a u rstand th and that I will abide by them. and accurate of my Signature Printed APPROVAL INFORMATION 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 t i YL Zoning Official f' Date T 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 n Intake to complete the following: Y4 Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y/6 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/A laic- �xter? If private well, provide Hea`Cfii Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Reviewer to complete the following: Square footage of Use: h 2 J Y/N Permitted as: Cces�K �Lj c Under Section: Supplementary regulations section: Parking formula: Required spaces: MWO Circle the one that applies Items to be verified in the field: Is parcel on septic or •usew ? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Inspector : Date: C9 / N Notes: Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 7� 2� 7nnina fn vmmnlPtP the fnllnwina- Violations: Y /LI If so, List: Proffers: Y( If so, List: Variance: Y If so, List: SP's - Y /YsY If so, List: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 o � , 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, C- L L" 20 (2 - 145 [County application name and number] was provided to � LIYZ, the owner of record of Tax Map j [name j4) of the record owners of the parcel] and Parcel Number .5-4 # —0 l ZZ by delivering a copy of the application in the manner identified below: ✓Hand delivering a copy of the application to .� S / �Q-r [Name ofitfie 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 fo that entity] on 7 Z ty 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 current real estate tax assessment records satisfies this requirement]. Signatu of Applicant Print Applicant Name Date LEGEND: IF THIS DRAWING IS A REDUCTION Acts ACCESS ESMT GRAPHIC SCALE MUST BE USED DMA SIGHT DISTANCE ESMT SDE STORM DRAIN ESMT SCALE: 1" = 20' ELE ELECTRIC /POWER ESMT SSE — SANITARY SEWER ESMT U-,n VARIABLE WITH ESMT Pot - - 10' PUBLIC UTILITY ESMT 20' 0 - - 20' 4017 - - -_ � 6 SID — — — — san : Hsu+ su, su, IL —�—sm ED 4 ti6 a1 o sEreacKS: WESTIiALL V www � x FRONT= 15' SIDE= 0' LOT 122 ENGINEERS REAR= 10' `• DRIVEWAY ASPHALT= 571.79 S.F. ABBREVIATIONS: VJHITEIIALT DISTRICT r i ` \ jLOT 122 63 0.181 AC SHC =SEWER HOUSE CONNECTION AT.REMARLE COUNTY, VIRGINIA, 6 � r ASSOCIATES i ` LOT 123 a FFE =FIRST FINISHED FLOOR GFF= GARAGE FINISHED FLOOR \ i' 0.176.ACr I I Po Box 4119 3040Avcmare Squ=P] Ly.,hbu18,VA245D2 0.1.11 —U VA229" j CONC = CONCRETE cv 3y r 16 DECK DATE: 5/14/12 Ta 1 Of 1 210069.03 c I+3 m D/W= DRIVEWAY 5.01' i o ELEVATI01V L , 6 \ r \ 35 — — — / 64 71 644.67 \ \\ - - -- I y 0 /� , I �p a 9.99' i 1 \1 F°643,21_ r\ \ �i _ \ I 2 -8 "(R) T34 o a \ � I� r r I 1- 11 "�T)4 _ 4 96 - = , - / 2.52' I_ xF I — — SID — — — — san : Hsu+ su, su, IL —�—sm ED 4 ti6 a1 o sEreacKS: WESTIiALL V www � x FRONT= 15' SIDE= 0' LOT 122 ENGINEERS REAR= 10' ® SURVEYORS DRIVEWAY ASPHALT= 571.79 S.F. ABBREVIATIONS: VJHITEIIALT DISTRICT AREA OF LOT - HOUSE AND DRIVEWAY= 5,468.07 S.F. ZONE• w - W - Vf - -- W --- w -- % -- W I co a1 o sEreacKS: WESTIiALL V www � x FRONT= 15' SIDE= 0' LOT 122 ENGINEERS REAR= 10' ® SURVEYORS a ABBREVIATIONS: VJHITEIIALT DISTRICT PLANNERS SHC =SEWER HOUSE CONNECTION AT.REMARLE COUNTY, VIRGINIA, WHC =WATER HOUSE CONNECTION ASSOCIATES � BFF=BASEMENT FINISHED FLOOR a FFE =FIRST FINISHED FLOOR GFF= GARAGE FINISHED FLOOR SCALE: 1 " =20' DRAWN 3Y. SHEET. WWA NUMBER: Po Box 4119 3040Avcmare Squ=P] Ly.,hbu18,VA245D2 0.1.11 —U VA229" j CONC = CONCRETE Phone 434316.608D Phouc 434.9842700 DATE: 5/14/12 Ta 1 Of 1 210069.03 www. 8oc D/W= DRIVEWAY