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Home My WebLink AboutCLE201400027 Legacy Document 2014-03-20Application for Zoning Clearance Q '" '9 CLE # 2-6 I4 `-2 � y },, � PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY n,� Check # 1 1 2 � Date: D ° 14 Receipt # rf Staff: L- PARCEL INFORMAG I N 'fax T-2- - 1 _ �� Map and Parcel: Existing Zoning le,5 � `- Parcel Owner: ��y� � -L Parcel Address: C) / `� -`,(eq- NcV( City CO 9A State y A Zip7ZOI 3 (include suite or floor) PRIMARY CONTACT A 1 f ^ r U-S Who should we call /write concerning this project? 1�1 16 `'91 Address: 25 2_1, , e�Czc ety\ City Liln&J(AeSU1(1{' State 11V Zip Office Phone: U Ll ° iv Cell # c .9 % . & Fax # E -mail 1( (5 C�Ako s c D� MCL( C APPLICANT INFORMATION Check any that apply:ij Change of Change of use Change of name New business (ownership / Business Name/Type: 1 \I '�I ��G �� 1 _• � Cc' L ,LL C?. s C 1 01 Previous Business on this site CLO (c'�t C S Describe the proposed business including use, number of employees, number of shifts, available parking s aces, number of �t vehicles, and an additional information that you can provide: Q,�'� 5 GAOL C,�i�d ✓� _i; fs . P: r, y � s , c � �l- , � s-sac, e_"(.oa rt«, *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 knowled e. I have r ad the conditions of approval, and I understand them, and that I will abide by them -1, I Signatu u �/ l ,/ Printed d cc. ' U Sar\ �c b`' A1�F� API �ROVAL INFORMATION [.Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, xl 17. [ ] 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 4s of this date. Notes • w 0� Building Official Date Zoning Official _-A 4,,,( Date 1 Other Official hYV G�Itk�'I/X I jam, ,r=Rl c� 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: Y Is us in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y / Will iere be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we recei ap oval from Health Dept. FAX DATE t I Circle the one that applies Is parcel on private well or ublic ater? 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 ublic ewer? Y� N Will you be putting up a new sign of any kind? If so, obtain proper Sign perim Permit #e_�� Y /(0 Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoning to complete the following: Reviewer to complete the following: Square footage of Use: o � Y)/ N ermitted as: Under Section: Supplementary regulations section: t5 , 1 6 B Parking rmula: I � 60o Required spaces: N ' s to be verified in the field: Ix-l7 d t Inspector : �j�� Date: d 1C fz4 Viol 'ons: Y/N If so�-ist: Prof f /N) so st. Vari ce: Y/W If so````W ist: SP's: If /T1 If so, ist: Clearances: SDP' s LtK Revised 7/1/2011 Page 3 of 3 ,: Owlmag #.ashx 1,024x768 pixels �j�� &.s 2/10/141.41 PM mg http : / /gisweb. albemarle. org /GISWeb /Showlmage .ashx ?t= s &f= S0000042\50020534 Page 1 of 1 �� 3r r V� J. a+� yds. .r:.x.• 2/10/141.41 PM mg http : / /gisweb. albemarle. org /GISWeb /Showlmage .ashx ?t= s &f= S0000042\50020534 Page 1 of 1 ON 56A2-01--30A 56A2.01--31 56A2.01-26 169 ft 56A2- 01, -71 B . . ....... ........... Map 1, for DI,play Para .... Only - Won lmg,,y farm the Commonwealth of Virginia and Other Sources . 56A241--41 1 \"7, %k1 k olx �,,,, � ,� � � a ,. � -mss► J� GIS•Wab Geonaphi. Data S..I..a JAN 4 —.1bantrao.,f, (434(296.6832 February 10, 2014 Legend (Not.: Some It.ms on map any net pp ... In lg..d) 5 56-66D 6 K4115D 1IVA 5136A2-0138A, us '-r , J lij! n25� . 56A241--41 1 \"7, %k1 k olx �,,,, � ,� � � a ,. � -mss► J� GIS•Wab Geonaphi. Data S..I..a JAN 4 —.1bantrao.,f, (434(296.6832 February 10, 2014 5.1.06 DAY CARE CENTERS Each day care center shall be subject to the following: a. State licensure. Each day care center shall acquire and maintain the required licensure from the Virginia Department of Social Services. The owner or operator of the day care center shall provide a copy of the license to the zoning administrator. The owner or operator's failure to provide a copy of the license to the zoning administrator shall be deemed to be willful noncompliance with the provisions of this chapter. b. Inspections by fire official. The Albemarle County fire official is authorized to conduct periodic inspections of the day care center. The owner or operator's failure to promptly admit the fire official onto the premises to conduct an inspection in a manner authorized by law shall be deemed to be willful noncompliance with the provisions of this chapter. c. Relationship to other laws. The provisions of this section are supplementary to all other laws and nothing herein shall be deemed to preclude application of the requirements of the Virginia Department of Social Services, Virginia Department of Health, Virginia State Fire Marshal, or any other local, state or federal agency. a nL �RGIN�� COUNTY OF ALBEMARLE Department of Community Development Inspections Division 401 McIntire Road Charlottesville, Virginia 22902 -4596 (434) 296 - 5832 Fax (434) 972 - 4126 February 20, 2014 Nic Clark 2520 Cedar Ridge Lane Charlottesville, VA 22901 Re: Change of Use of Building at 5674 Three Notch'd Road Parcel ID 056A2 -01 -00 -03300 Dear Nic: On February. 12, 2014, an evaluation of the referenced structure was performed to determine the suitability for use as a pre - school for less than 50 persons. Currently the building is classified as Group B (business), and the proposed use is classified as Group E (daycare for children over the age of 2 -1/2 years). The Construction Type is V -B. This evaluation was performed in accordance with Chapter 34 of the 2009 International Building Code. A Chapter 34 evaluation scores. a building's safety attributes in three categories: Fire Safety, Means of Egress and General Safety. A score of less than zero, in any category, indicates that the building, as is, is unacceptable for the proposed use. The scores below are based on one mandatory item: • It is required that illuminated EXIT signs and emergency egress. lighting be provided. The EXIT signs and the egress lighting must be provided with back -up power so that they will remain functional in the event of a power outage. The results of the evaluation are: Fire Safety 10 Means of Egress 7 General Safety 7 u With the inclusion of the EXIT signs and egress lighting noted above, the building is approved for pre - school use for less than 50 persons. The determination stated herein reflects the Virginia Uniform Statewide Building Code only. Please maintain contact with the zoning administrator's office regarding zoning compliance. Sincerely, Jay Sclllothauer Building Official JS /js cc: Keith Huckstep Rebecca Ragsdale Reading File, w /attaclunent Cl� 2o�L4 P Intake to complete the following: Reviewer to complete the follow-Ing: Y Square footage of Use: Is us n LT, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Qr/ N mitted as: JOU C U Will there be food preparation? If so, give applicant a Health Department form. Under Section: U e Zoning review can not begin until we receive approval from Health Dept. FAX DATE Supplementary regulations section: Circle the one that applies is parcel on private well or ttblic ater? Parking ormula: j If private well, provide Healt Repartment form.1 Zoning review can not begin until we receive approval from Health 'Required spaces: l Dept. FAX DATE Y/N ' ants to be vedfied in the field: Circle the one that applies Is parcel on septic or nblic ewer? Varl ce: I /NJ f so,``�Gist: Q Q Y N 1 you be putting up a new sign of any kind? If so, obtain proper Sign permit, X if s0, ist: - a Permit # bispector i Date: Y J Notes: Will t ere be any new construction or renovations? If so, obtain the proper Permit, Permit # . Zoning to complete the followin : Viol��ons: Y J( if so, fi st; Prof, If /(N), If so, tst: Varl ce: I /NJ f so,``�Gist: X if s0, ist: Clearances: we a ynal ep 6 SDP's ivy 1, f } Z r� e :i itl t ;4 M YY Sn i�' c`j —� J� br �T s5 r (, Revised 2011 Page 3 0£3 01 REPORT OF ENVIRONMENTAL SANITATION INSPECTION Requested by VIRGINIA DEPARTMENT OF SOCIAL SERVICES As authorized by/Title 63.2, Codre•�of Virginia .ME OF FACILITY: .ME OF OPERATO Assisted Living Facility Family Day Home Religiously Exempt Child Day Center -_TION A: GENERAL SANITATION kpproved by the health department: Xlfycs f No, describe general observations: Ull)c,- P&S--60a LICENSED CAPACITY: �- f1 ,�LOCATION.ADDRESS: TYPE OF FACILITY (Choose one) Children's Residential Facility ❑ Independent Foster Home Licensed Child Day Center ❑ Adult Day Care Center Certified Preschool or Nursery School Program ❑ No Date to be corrected: 'TION B: WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS Vater Supply: Public ❑ Non - public A. Owned by .B. If public, operated by one or more municipalities ❑ Yes _ _ 0 Nu ❑ N/A C. Approved by health department: Q Ices r ❑ No D. Date of most recent non - public water sample E. Comments /description of violations: j Date to be corrected: ewaae Disposal System• Public A. Owned by t1l °3 ❑Nan- public B. If public, operated by one or more municipalities ❑ C. Approved byhealth department: ❑ No D. Comments /description of violations: Date to be corrected: :TION C: FOOD SERVICE OPERATIONS: (Attach copy of Health Department Inspection Form)' ood service operations are in compliance with Pit - o j» m nivealth of Virginia Board of Health Food Regulations: ` ❑ Yes ❑ No ommen s4 scription f violations In* C Date to. be corrected: < :TION D: SWIMMING POOLS: plicable to: children's residential facilities annually; local ordinance may dictate inspections at other types of facilities listed in section A of form. Check appropriate category below and complete rest of this section as applicable to the type of facility being inspected. Attach a copy ie health department's inspection form if applicable.) ]Local ordinance does not require inspection of pools. This facility does not have a pool on site. ❑Inspection conducted today.. . ate last inspection: Completed by: health department ❑ state ❑ local or ❑ private swimming pool business )eeify name of private business: omments/Deseription of violations: Dateto'be corrected: AVIARY AND RECOMMENDATIONS Iditional health hazards observed? 0 No ❑ Yes'' If yes specify the hazard observed and the date by which the facility is to have the ections completed: I h you plan, to conduct a follow -up inspection to verify correction of the above v,.i.olati(%ij"3`. O'No ❑ Yes, specify date: A� ounty /City] (Telephone Number) N(Signatfre of Healt hector or Designee) to of Ins�ie i GINAL TO FACILITY: COPIES TO DSS LICENSING AND THE INSPECTING AUTI-IORITY 15- 0159- 09- eng(05 /09) Rebecca Ragsdale From: Robbie Gilmer Sent: Monday, March 10, 2014 8:39 PM To: Rebecca Ragsdale Subject: RE: CLE 2014 -27 Ivy School House- Crozet Rebecca, Nic has fixed all the fire code issues for me already. Fire Rescue will sign off on the Ivy School House- Crozet. Thank you, Robert Gilmer Assist. Fire Marshal Albemarle County Fire Rescue 460 StageCoach Road Charlottesville, Va. 22901 Office 434- 296 -5833 Cell 434- 531 -6606 From: Rebecca Ragsdale Sent: Friday, March 07, 2014 2:36 PM To: Rebecca Morris; Batten, Teresa (VDH) Cc: Robbie Gilmer Subject: CLE 2014 -27 Ivy School House - Crozet Additional information re. the clearance I just sent over. I didn't realize he had already had inspections by your agencies. Please confirm if they have met all you requirements or not. Thanks! From: Sara, Nic Clark [ mailto :ivyschoolhouse(algmail.com] Sent: Friday, March 07, 2014 2 :32 PM To: Rebecca Ragsdale Subject: Ivy School House - Crozet Hi Rebecca, i have included the Fire Marshall report and the Health Dept letter. The plan for the small fence is to build a 3 or 4 foot tall white picket fence down the length of the driveway, and on the inside of the bushes in the front yard. This is to ensure the Children can play safely outside without leaving the designated play space. Thanks, Nicholas Clark Owner Ivy School House Preschool and After School Camp