HomeMy WebLinkAboutCLE201300175 Legacy Document 2013-12-31�4wm
Application for Zoning Clearance
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # Date:
Receipt # Staff.
PARCEL INFORMATION ,1 ,� Y -{�
Parcel: � -�4CJim � ri-1 17 Existing Zoning
Tax Map and
Parcel Owner: V Vr ,us ' see rote- rncrp
Parcel Address: yolr Maus - cSl°-e, mctp City r7rOW4, State VA Zip
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? Jess► Ca M Qu ��l
Address Citya- V it l State VA- Zipzoo(
Office Phone: (-=J -' Cell # U1'4iPDI Fax # E -mail . 5( C1(6744yni C1'
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
- pa A4
Business Name/Type: 501 CM 3) 14on- 4 �6 L P-jxk M f
Previous Business on this site
Describe the proposed business including use, number of emplo ees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide: O' �Jy-- V - O1.C2_ ( 50 2-M pyt
*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 certifr7hat 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 ac rate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printe LM_
AP AL 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 he site plan as of this date.
Notes: P
Building Official Date
Zoning Official Date 110
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
0
Intake to complete the following:
Y /N)
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y/
Will 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
Circle the one that applies
Is parcel on private well o ublic 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 ap l'
Is parcel on septic ublic
Y /9)
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y / zre Will be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
WIN
Zoning to complete the following:
to complete the following:
Square footage of Use:
Y/N
Permitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y/N
If so, List:
Proffers:
Y/N
If so, List:
Variance:
Y/N
If so, List:
SP's:
Y/N
If so, List:
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
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"TAPP
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,
[County application name and number]
was provided to the owner of record of Tax Map
[name (s) of the record owne f the parcel]
and Parcel Number 5U -95A 5-� �6a `jam U 0-g,5co-53, by delivering a copy of the application in the
manner identified below: 56-41-4, 5U - 6'+B
Hand delivering 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 y.�
Date
_X-6 Mailing a copy of the application to Grax_
[Name U the record owner if the ord 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 0 13 to the following address:
Date
See, CUI-acJh -e� e,
[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].
Suture of Applicant
�) e551 Ca 0 04LA
Print Applicant Name
� -•5.13
Date
Crozet Trails Crew Mail - Permission for Crozet Trails Crew 5k race- October 12 Page 1 of 4
jessica mauzy< jessica @crozettrailscrew.org>
Permission for Crozet Trails Crew 5k race- October 12
jessica mauzy<jessica@crozettrailscrew.org> Mon, Jul 22, 2013 at 11:56 AM
To: Debi Burdick <debi.burdick @redlightmanagement.com>
Debi,
Thanks! We will go ahead and list the race.
I called the insurance company (USA Track and Field) and addressed your concerns.
The insurance covers the day of the race AND all race - related activities in preparation for and clean -up
from the race. I will get additional insurance certificates for all third parties, including the 5 you listed. I also
amended the liability waiver on the registration form to include the 5 names you gave me.
As soon as I complete the insurance paperwork, I'll send you a copy.
Thanks and I hope you and/or some of your colleagues can make it out for the race.
Jessica Mauzy
434 - 989 -4681
On Mon, Jul 22, 2013 at 10:50 AM, Debi Burdick < debi. burdick @redlightmanagement.com> wrote:
Hi Jessica,
Please see info below:
In addition to having the proper entities listed, you will need a Certificate that also covers the days in
advance of the race date when they are doing site work as well as the race day. The Certificate should:
• include mobile equipment (it seems they will be using equipment to do site /trail prep
work)
• additional insured status needs to apply for On -Going ANDCompleted Operations
• If the Certificate references a form (as the one you sent did), we need to review the form
to make sure it will provide the coverage intended
Coverage needs to be primary/non- contributory in regards to the additional insured
Additional insured should be
Lickinghole Creek,LLC
River Bend Management, Inc.
And their officers and directors and managers
Coran Capshaw
Boyd Tinsley
Robert Hauser
Thanks,
- Debi
Debi Burdick
Red Light Management, Inc.
o 434.245.49`!:.
m 434.249.9E.�.
https: // mail. google. com/ mail/u/ 2/? ui= 2 &ik= 809d261628 &view=pt&search= inbox &msg =1... 7/23/2013
Crozet Trails Crew Mail - Permission for Crozet Trails Crew 5k race- October 12 Page 2 of 4
Skype: deb1116
On Jul 18, 2013, at 4:23 PM, jessica mauzy wrote:
Debi,
Good afternoon.
I'd like to touch base with you about the status of approving the Crozet Trails Crew 5k race.
Please let me know if there is any more information you need from me. Additionally, I am
attaching a waiver that the property owner next to Lickinghole Basin LLC property put
together. We'd be happy to write a similar document for you guys.
We are trying to get this race listed on the calendars and open the registration site as soon
as we can. I really appreciate your help, Debi.
Thanks,
Jessica Mauzy
434 - 989 -4681
On Wed, Jul 10, 2013 at 4:47 PM, Debi Burdick <debi.burdick @redlightmanagement.com>
wrote:
Hi Jessica,
Can you please send a copy of the policy and also please send the map for the race.
Thanks,
- Debi
Debi Burdick
Red Light Management, Inc.
o 434.245.4970
m 434.249.9966
Skype: deb1116
On Jul 10, 2013, at 4:43 PM, jessica mauzy wrote:
Debbie, Max, and Arlene,
I also should let you guys know that we get the race fully insured through
USA Track and Field, Inc.
Hope that helps. Again, please let me know if yoo have any questions.
Thanks!
Jes §ica
�On Wed, Jul 3, 2013 at 10:44 AM, jessica mauzy
< :::,pica @crozettrailscrew.org> wrote:
MaV, and Deborah,
Th;nks for speaking with me recently about the 5k trail run scheduled for
O $0ber 12, 2013. 1 have attached a map of the proposed route and
included the parcels that are currently privately owned (yours included).
Please review the rnap and the waiver language below and then send
https: // mail. google. com lmaillul2 / ?ui= 2 &ik= 809d261628 &view =pt &search= inbox &msg =1... 7/23/2013
Crozet Trails Crew Mail - Permission for Crozet Trails Crew 5k race- October 12 Page 3 of 4
me an email with the lagal name for the property as it should appear in
' the waiver.
Deborah, The parcels in question for Red Light Management are 56 -95A,
56 -9513, and 56H -13. We may also use part of 56 -53 depending on the
finalized route (VDOT and Westhall dependant).
As for access, we would like to be allowed to access the property a few
times prior to the race (once in August or September and again in mid -
October) to clear an approximately 6' wide path (using bushhog, string
trimmer, mower, pruners or similar) and check for runner obstructions.
The waiver that we used for the last 2 years (at Old Trail race loop) will
change according to the legal entities:
WAIVER: In consideration of your accepting this entry, I [below signed],
intending to be legally bound to myself, my heirs, executors,
administrators, and assigns, waive and release all rights and claims for
damages I may have against The Crozet Trails Crew, Claudius Crozet
Park Inc., March Mountain Properties, LLC, Old Trail Community
Association, Inc., Old Trails Golf Club, LLC, Beights Corporation and
Affiliated Entities, Anytime Fitness, Bad to the Bone LLC, Albemarle
County, the officials, sponsors, directors, officers, employees, agents,
and volunteers of the Crozet Trails Day 5k run, and /or the Crozet Trails
Crew, their heirs, representatives, successors, and assigns, for any and
all injuries physical or otherwise suffered by me in this event. I attest and
verify that I am physically fit and have sufficiently trained for the
competition of this event and my physical condition has been recently
verified by a licensed medical doctor. Further, 1 hereby grant full
permission to use photographs, videotapes, motion pictures, and records
of me, or any other record of this event, for any legitimate purpose. This
entry is invalid unless signed by entrant. If entrant is under 18 years of
age, a parent or guardian must sign entry. The race committee reserves
the right to reject any entry.
Thank you so much for your help and 1 hope to see you guys at the race!
Jessica Mauzy
Founder and Volunteer Coordinator
Crozet Trails Crew
www.crozettraiiscrew.org
Jessica Mauzy
Founder and Volunteer Coordinator
Crozet Trails Crew
w^: w.crozettrailscrew.org
Jessia Mauzy.
https: // mail. google. com / mail /u/2 / ?ui= 2 &ik= 809d261628 &view=pt &search= inbox &msg =1... 7/23/2013
Crozet Trails Crew Mail - Fwd: Crozet, VA 5k trail run
Fwd: Crozet, VA 5k trail run
MotoCD @aol.com < MotoCD @aol.com>
To: jessica @crozettrailscrew.org
Cc: NedDaily @verizon.net, othercd2 @aol.com
Jessica,
Pagel of 3
jessica mauzy< jessica @crozettrailscrew.org>
Mon, Feb 11, 2013 at 11:33 AM
Everything is fine with me. You can include me in the Trails crew email list. Just make sure our names are
listed in the waivers The Daily Family as owners and Jason Ramer as tenant. We want to accept no
responsibility or liability for this race.
Sincerely,
Chris Daily
In a message dated 2/11/2013 11:19:16 A.M. Eastern Standard Time ,jessica @crozettrailscrew.org writes:
Thank you both for this permission. Jason, I'd like to add you to the Crozet Trails Crew email list
so that you will get notices of our activities. If you'd rather not be added, that's OK too. Let me
know.
We will need to do a little work (mowing, removing tripping hazards) before the October event.
Should we let you know when we will be on the property? Besides to mower, we will use hand
tools (no machinery or anything).
Thanks,
Jessica
On Tue, Feb 5, 2013 at 1:20 PM, Jason Ramer <jasonramer86 @yahoo.com> wrote:
j Chris /Jessica,
It doesn't look like the race would cause any problems on my end. If I'm guessing
correctly, you want to run along the creek, which is outside of my fence anyway, and
should be fine. Jessica, please give me a call if you have any questions.
Thanks,
Jason Ramer
859- 396 -5736
From: "MotoCD @aol.com" <MotoCD @aol.com>
To: jasonramer86 @yahoo.com
Cc: jessica @crozettrailscrew.org
Sent: Monday, February 4, 2013 5:42 PM
Subject: Fwd: Crozet, VA 5k trail run
Jason,
Below is information I received on a running race they want to put through the
property you are renting from us. If the race has no impact or liability on you,
https: // mail. google. com / mail/ u /2 / ?ui =2 &ik7-809d261628 &view=pt &q =daily &qs =true &sea... 7/23/2013
Crozet Trails Crew Mail - Fwd: Crozet, VA 5k trail run
us or your animals we are willing to grant them a the one day easement they
are looking for.
Please get in touch with us or Jessica (contact info below) or us or your
thoughts about this race.
Sincerely,
Chris Daily
PS I cc'd Jessica on this email.
From: jessica @crozettrailscrew.org
To: neddaily @verizon.net, motocd @aol.com
Sent: 1/28/2013 3:46:02 P.M. Eastern Standard Time
Subj: Crozet, VA 5k trail run
Ned,
Thanks for talking with me earlier.
Chris,
I am the volunteer coordinator for a group in Crozet, VA and we have
held a 5k Trail Race for the last 2 years in Old Trail, Crozet (in mid -
October). We'd like to move the run to Crozet Park this year and so I
was hoping that your family would grant us a 1 -day easement to run a
piece of the race along the back edge of your property (between Crozet
Park and the new WestHall neighborhood).
We require all participants to sign a waiver (to which we can add your
name) and we also have race insurance in case of any accidents. Please
see the two attached files (insurance form from 2011 and race
application with waiver form 2012).
I'd also be happy to contact the tenant who grazes horses so that he /she
knows about the race.
We would love to have the 3 of you come run the race with us if you
have reason to travel to the Crozet area in Mid - October (it will likely be
held the same weekend as the well -known Crozet Arts and Crafts
Festival).
I appreciate your consideration and look forward to hearing from you
soon.
Thanks,
Jessica Mauzy
Founder and Volunteer Coordinator
Crozet Trails Crew
434 - 989 -4681
www.crozeftrailscrew.org
Page 2 of 3
https: // mail. google .com / mail/ u/ 2 / ?ui= 2 &ik= 809d261628 &view=pt &q= daily &qs =true &sea... 7/23/2013
TRESPASS PERMISSION FOR CROZET TRAILS CREW TO CR SS RIBBETT
RANCH FOR AONE -DAY FOOT RACE
Re: Coble Trust /Crozet Trails Crew: Permission is hereby granted to
cross Ribbett Ranch property, north side of Licking Hole Creek on a
marked, mowed trail w/o charge or penalty for a footrace scheduled
for Oct. 12, 2013, (one day).; Liability for this function is the sole
responsibility of the Crozet Trails Crew.
Crozet Trails Crew will monitor trash, and any unusual conditions such
as fire, during the event and be responsible for the safety of all
participants in the event.
s /Jessica Mauzy, Founder /Coord'nr
Crozet Trails Crew
q 2-4.
(date)
A /4ne_sse s
-r/!2 L
f
/s/ E. Max Coble /Joan Coble
Property owners
(date)