HomeMy WebLinkAboutCLE200700115 Legacy Document 2013-12-12Application for
Zoning Clearance
/Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS e
Q K A
Tax map and parcel: y ' I � I � '7q /i� C G � � 1 ► / Existing Zoningl:-
Parcel Owner: A Gl r-- h im f d ct f , Co rn M trl n it y 6h Lf rch U� f r!c�� /, d� Z �'1 %f' ii t✓'�
Parcel Address: J ' 0 D + C 16 e g -86n d City � ��� (� a } � t 6 �� P � � State V � Zipaci Cl I
(include suite or floor)
Contact Person (Who should we call /write concerning this project ?): v!f" ��C y1(C
Address 6 1 U D D i c k er 6c) n h City C. h e r /0 'ifs u+ Ile-. State VA Zip
Daytime Phone C� l T -1600 Fax # ( 3 NO r 0 e) E -mail
Business Name /Type: N o ('
v
Previous Business on this site: (2-h u (-c h
Proposed use: D CC. 6(2-h Op 1
rld
�1 f I cF � Ul711 rye ,C)n
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
Circle (if applicable): Fireworks / Christmas Tree
*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 of my knowledge. I have read the conditions of approval, and I understand them, and that I will
abide by them.
~ Sig ature f Business Owner or Agent Date
JTr
Print Name
APPROVAL INFORMATION
[ ] Approved as proposed
[Vpproved with conditions
] Backflow 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
] site complies With the�,ite u as of tl 's�` aje, K O-L" ` 3 oars 40 P 0
Building fficial
Zoning Official
Other Official 4AII. Z
FOR OFF144CE USE ONLY
Fee Amours h1n'1VPd D ti
.,A.,,,ff�-, AF
with the existing site plan.
Date ' t A (JZ
Date
Date
M
CLE # % JQ / '-' f /--L
Paid A., By who ? Receipt # '— !_Ck #y /t/ By:
U A 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 of4
Applicant to complete the following:
Dot you have one of the following?
® YES ❑ NO
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate)
® YES ❑ NO
Do you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
The total square footage of the use and /or;
The square footage of each room or area of use;
Use of each room or area
If using less than the entire structure, note the location within the
structure.
Zoning Tech to c
Violations:
❑ YES [P/NO
If so, List:
Variance:
❑ YES NO
If so, List:
the
111L"Q1'kG LV UU1111J10LG L11G iv11v Tr111F,.
❑ YES IN NO
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
❑ YES Z 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
M YES ❑ NO
Is parcel on private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
❑ YES V NO
Is on public water and sewer?
YES ❑ NO
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
❑ YES ['N NO
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
❑ YES [� NO
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proffers:
❑ YES [ErNO
If so, List:
F SP'
YES ❑ NO
If so, List:
5/1/06 Page 3 of
Reviewer to complete the following:
Square footage of Use:
G
FL,KYES ❑ 0
Permitted as:
n C d
Under Section: {�r o7� o[� � 5 (�' ���
Supplementary regulations section:
Parking formula: 0 S&441 �0 �( V&U-e --
Required spaces: nlc'W4 /Orr /I dG-k
YES ❑ NO
Items to be verified in th@ field: p -A .
Inspector Name & Date:
Notes
5/1/06 Page 4 of 4
AZ
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v�RGI131P
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road, Room 227
Charlottesville, Virginia 22902 -4596
Phone (434) 296 -5832 Fax (434) 972 -4012
November 1, 2006
Tracy Tucker
29 Mill. Ridge Court
Standardsville, VA 22973
RE: SP 2006 -022 Northridge Community Church of the Nazarene; Northridge
Preschool (Sign #79) - Tax Map 21, Parcel 11A
Dear Mr. Tucker:
On October 4, 2006, the Albemarle County Board of Supervisors took action on SP 2006 -022,
Northridge Community Church of the Nazarene — Northridge Preschool, to allow establishment
of a Day Care /Pre - school within an existing church, with no exterior building changes proposed, and SP
amendment., on Tax Map 21, Parcel 11A in the White Hall Magisterial District. This special use
permit was approved based on the following conditions:
1Q Special Use Permit 2006 -22 shall be developed in general accord with the interior
concept plan received May 30, 2006, and titled "Northridge Preschool' (Attachment A),
Hours of operation shall be limited to 7:30 am to 1:30 pm Monday through Friday;
Enrollment shall not exceed eighty (80) children;
i;XTLicensure ' he church building must be approved for day care use by the Building Official;
by the Virginia Department of Social Services is required;
Health Department approval is required before the commencement of the use; and
The existing woodland shall remain undisturbed with one exception: the woodland may
be disturbed within ten (10) feet of the highest water level in the storm water facility.. In
no case shall the site be disturbed within thirty -five (35) feet of the western boundary of
this parcel. (Reference Attachment E).
Please be advised that although the Albemarle County Board of Supervisors took
action on the project noted above, no uses on the property as approved above may
lawfully begin until all applicable approvals have been received and conditions have
been met. This includes:
Tucker
SP- 2006 -022 Northridge Preschool
Page 2 of 2
November 1, 2006
• compliance with conditions of the SPECIAL USE PERMIT; and
• approval of a ZONING COMPLIANCE CLEARANCE.
In the event that the use, structure or activity for which this special use permit is issued is not
commenced within twenty -four (24) months from the date of Board approval, it shall be deemed
abandoned and the permit terminated. The term "commenced" means "construction of any
structure necessary to the use of the permit."
If you have questions or comments regarding the above -noted action, please do not hesitate to
contact Sherri Proctor at 296 -5832.
Sincerely,
V.
V. Wayne C' imberg
Director of Planning
VWC /aer
cc: Northridge Community Church of the Nazarene; David R Marsh Etal Trs
5100 Dickerson Rd, Charlottesville VA 22911
Virginia District Church of the Nazarene
3910 Manza Drive, Richmond, VA 23234
Amelia McCulley
Chuck Proctor
Tex Weaver
Sherri Proctor
September 17, 2007
Sherri Proctor
Senior Permit Planner
Albemarle County Virginia
Charlottesville, Virginia 22903
Dear Mrs. Proctor,
In response to your email on Thursday, August 16, 2007, I have enclosed the two letters
you have asked for. I do hope this is adequate.
We were unaware of outstanding paperwork to be submitted. During this past summer,
we contacted your office on several occasions to resolve this matter. We also brought
copies of the original paperwork to your office because we hadn't received a letter of
confirmation. We were told that the Board of Supervisors had cleared the preschool as
well as the Health Department and were only waiting on the water testing report. The
water testing (performed by Aqua Air) report was normal and a copy was supposed to be
mailed to both yourself and Eric Myers at the Health Department.
Please let us know if there is any additional paperwork that we need to take care of. We
appreciate your prompt attention in the resolution of this matter.
Sincerely,
Debbie Swanso , ector
Northridge Preschool
COMMONWEALTH of VIRGINIA
CHRISTOPHER H. FRACHER DEPARTMENT OF SOCIAL SERVICES VERONA LICENSING OFFICE
LICENSING ADMINISTRATOR 68 DICK HUFF LANE
P. O. BOX 350
VERONA, VIRGINIA 24482
August 28, 2007
Ms. Debbie Swanson, Director
Northridge Community Church of the Nazarene
Northridge Preschool
5100 Dickerson Road
Charlottesville, VA 22911
Dear Ms. Swanson:
Northridge Preschool, operated by Northridge Community Church of the Nazarene and located at 5100
Dickerson Road, Charlottesville, Virginia 22911, has filed the required documentation as a religiously
exempt child day center. This exemption is effective 8/22/07 through 8/21/08.
According to the documentation provided to us by the Building Official for the County of Albemarle, your
total occupancy is 200 people (including teachers). It is our understanding that you will be providing
services for 80 children three years through five years of age.
Pursuant to the information you have filed with us, your operation is in compliance with the staff -child
ratios required in the law. The exemption law requires that you maintain these staff -child ratios throughout
the year. Any significant changes in the number of staff or children should be documented on a new
Staff /Child Ratio Sheet (along with the supporting health statement for any new employees) and be
submitted to this office in order that we may update our records for your facility. Please be sure to get
both the Criminal History Record Check and Central Registry Search on all new employees.
The exemption law requires that you file the required documentation annually. You will be notified
approximately 60 days before the expiration date in order to facilitate the timely filing of the renewal
documentation. If you have any questions, please feel free to contact Rebecca Zickefoose, Administrative
and Program Specialist, at (540) 332 -2330.
Thank you foour cooperation.
Ij
_Shr4sto er . Fracher
Licensing dministrator
MAIN TELEPHO (540) 332 -2330 �c� FAX: (540) 248 -9334
PEOPLE HEAPING PEOPLE
Requested by VIRGINIA DEPARTMENT OF SOCIAL SERVICES
as authorized by Title 63.1, Code of Virginia
NAME OF FACILITY,
NAME OF OPERAT(
LOCATION ---A
TYPE OF FACILITY
Adult Care Residence
ChiidllCaring institution
Farn Day Horne (Complete Section A only)
Adult Day Care Center
Independent Foster Home (C.omplele Secifon A only)
hild Day Center
Religious
Certified Preschool or Nursery School Program
F-xempf.Center
SECTION A: WATER •SUPPLY•ANI� j E ISPOS SYSTEMS Y.►�v pubro on -Pubro
� , Water Supply; Owned by
if public, operated by one or more municipalities'
Approved by Health .Department. Yes No.
Date of most recent non-public water sample u tic ___Non- Public
2, Sewage Disposal System: Owned by es No
if public, operated by one or more municiparrEies•
Approved by Health Department: _ Yes —No �--
COMM
SECTION B: F SERVICE
[, Food se a facilities are in compliance with rules and regulations of Yrrginia Department of Health which gevem restaurants;
Yes — No —A . ' N/A 1 n /2.,
'i7 A
COMMENTS
r C1
(Attach copy of Health Department Inspection Form)
SECTION.C:: • SWIMMING POOLS ..(Attach copy of Health Department Inspection Form) �:G--=--- "otAppgcable
1. Pool meets Health Department guidelines: Yes No
COMMENTS
RECOMMENDATIONS: t/ Yes No
I . Does this facility meet mandatory requirements of state orlocal health department?
2, If violations of mandatory requirements were noted, how long Aces o erator have to comply with Health Department regulations?
3. Do you recommend issuance of license /certification
COMMENTS
- Yes No
(County/City) (Sig i
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1 1 0::?, P -&
(Telephone Number)
032 -05 -159[7 ' (REV. 2/94)
'DSS LICENSING UNIT
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