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HomeMy WebLinkAboutCLE200700126 Legacy Document 2013-12-13s Applicatio for Zoning Clearance® m OFFICE USE ONLY Zoning Clearance = $35 CLE # PLEASE REVIEW ALL 3 SHEETS Check # Date: _ %- Receipt # Staff- PARCEL INFORMATION Tax Map and Parcel: Existing Parcel Owner: l it/ lT V Parcel Address: 53°%O• --A l-,� /Vo+d —P 11 ity State Zip - (include suite or floor)____ _________ ------------------------------------------------------------------------------ APPLICANT INFORMATION 1___7 ' r� 1 Who should we call/write concerning this project ?�. Y, 1 i`I�� P N Z�' 6Z Address V p Office Phone: % IZl Cell # °/ o- /---;iM Fax # f23 —7q2/ E -mail +12©/DO 6t/ +4-1 e 110MI ni" ------------------------------------------------------------------------------------------------------------------------------------------------ PRIMARY CONTACT /' ] I I LIiC� (Oln✓�) t l2 � Business Name/Type: (..� ; Previous Business on this site: Proposed use: 0 O %t/ iW Circle (if applicable): Fireworks / Christmas Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1) *This Clearance will onjy 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 rewafred. I hereby certify at I own or have the own 's permission to use the space indicated on this application. I also certify that the information provided is true and ac to\ 6 a best o/�f /�my /�knowle e. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature A %-17 A, rrrw d -------- ------------------------------------------------------------- APPROVAL INFORMATION VApproved as proposed ] No physical site inspection has been done for this clearance. ite plan. [ ] This site complies with the site plan as of this date. Building Official Zoning Official Other Official [ ] Approved with conditions Bad dVor Therefore, it is not a determination f "cT @k* &*d 06ntact ACSA 977 - -4511, x 119 Date1 'Date 1�440 Date ------------------------------------------------------------------------------------------------------------------------------------------------ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Applicant to complete the following: Y/N Do you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; Y/N Do you have a Floor P1 6'�o;p)lease an architectural drawing) that includes the following, 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. at SCE CkAL-✓ W I P1 az7w Tech to complete the Violations: / N � so, List: 2,► nCg — a7 Nr i ill" 9/28/05 Page 2 of 4 Intake to complete the following: Y J/ N use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y / ltla' Wil ere 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 Y / Is p al 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 /N on public water and sewer? WY� i u be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/ ) Will ere be any new construction or renovations? If so, obtain the proper Permit. Permit # Y/ Is th for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Proffers: Y / Ifs st: Variance: SP's: Y / Y Ifs ist: Ifs , —fist: Re-s -,iewer to complete the fo11 Square footage of Use: J� / Y /N` Permitted as: b 0.4655 v v Oa� &P-A r Under Section: Z, 112 Supplementary regulations section: '' V1 01 Parking formula: Required spaces: �. Y / N f Items to be verifigd in the field: S ,4 t-[Q (,P 6n,6&q VV 3 Inspector Name & Date: Notes w/-wuD rage i oI 4 3/26 /U--) Yage 4 of 4 Clinical Compliance Group May 10, 2007 Albemarle County Engineering Department 401 McIntire Road Charlottesville, Va 22902 -4596 Dear Ms. Proctor: I am writing to obtain zoning clearance for 5370A Three Not&d Rd, Suite 6, Crozet, Virginia, 22932. This is office space used to facilitate a business in clinical research consulting. At the moment the business will have 2 employees in the office space. The office is located on the top floor of a building. The first floor is a laundry mat and a video store. Clinical Compliance Group does not require foot traffic from the public. It is currently zoned as "LI ". Below I have addressed the Performance Standards provided in the zoning ordinance, Section 18 -4.14: Noise The operation will not create any noise other than voices. Vibration The operation will not create any vibration of any kind. Glare The operation will be totally contained in the office space described. The interior lighting does not travel beyond the lot. Air Pollution The operation does not use any equipment that produces any pollution. Electrical Disturbances The operation does not create any Electrical disturbances that would affect the operation of equipment on any other lot or premises. Please feel free to contact me with any questions or comments. 5370A Three NotcWd Road, Suite 6 Crozet, Virginia 22932 434 -823 -7921 office /434 -823 -7920 fax polonut4l@hotmail.com May 10, 2007 S' erely, f Diana Farrell, RN, CCRA Clinical Compliance Group, Owner