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HomeMy WebLinkAboutCLE200700042 Legacy Document 2014-04-25Application for Zoning Clearance pf ALQ�� � irrciK�r oning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY , 0� -7 / CLE # 7 Check # '!Q? tjo Date: -0 ` D ` Receipt # (,2 Staff: PARCEL INFORMATION Tax Map and Parcel: d U' 1 0 —CO — ©d — I � 5� � Existing Zoning o© P-n pd J Parcel Owner: �h o- ocki� SA V i c> i�'1 Parcel Address: I I i a (' D H D - City - LA C-Y- 1041'ej'yal¢� State y Zip o� a Vii. (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project9 Address: j q r +\"� ��- City �'.�r��Lp�}��V�[�� State X A Zip Office Phone: (4,3 cl 73 -a ;71 C I# Fax# 973- -a).71 E -mail APPLICANT INFORMA ON _. Business Name /Type: iT) z- - , t� v �%10 �zS� 6 r i Y2 Previous Business on this site iq 0 Describe the proposed business, including use, number of employees, number of shifts, available parking spaces and any additional information that you can provide: :Ttri f P 51.E D , °4 e_ Y p IBS ( I rpAr-1 -+, rn :L_)1 !, -5 pmlzkin!i SDI-1C.2S Open _TZ'-t jbA n - alS' 16 -1 12-M. *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 my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature mow-^ -� CL 4d''�-'-� --� � � 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, x119. [ ] 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 Zoning Official Date Other Official — rr7L ✓ %5 ba v��S (� a4f& GhZd Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 511106 Page 2 of 3 ne-f Intake to complete the following: Reviewer to complete the following: ❑ YES TO Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Square footage of Use: Engineer's Report packet. ❑ YES ❑ NO �(CER) ❑ YES ❑-NO Permitted as: Will there be food preparation? If so, give applicant a Health Department form. Under Section: Zoning review can not begin until we receive approval from Health Dept. FAX DATES Supplementary regulations section: Parking formula: ❑ YES [1Q0 Is parcel on private well or public water? If private well, provide Health Department form. Zoning review can not begin until we receive approval from Health Required spaces: Dept. FAX DATE �� E� YES ❑ NO Q , _ ❑ YES E] NO Items to be verified in the field. Is parcel on septic or public sewer? •�`�� ❑ YES F,]--N'O Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Inspector : Date: ❑ YES DINO Notes: Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Gonin2 Tech to complete the tollowing: Violations: ❑ YES ❑ NO If so, List: Variance: ❑ YES ❑ NO If so, List: Proffers: ❑ YES ❑ NO If so, List: SP's: ❑ YES ❑ NO If so, List: 5/1/06 Page 3 of 3 OF ALISeAf GO ��RGIN�P Inspections Department 401 MCINTIRE ROAD. ROOM 2 -2 CHARLOTTESVILLE. VIRGINIA 22901 -4596 ( 804) 296 -5832 CERTIFICATE OF OCCUPANCY PERMIT This is to certify that the change of use and interior alterations erected on Tax Map 06100 -00 -00 -14500 Legal Description Rio School Street /Route No. 1147 E. Rio Road Owner Church of Our Savior Occupant The Schoolhouse Thrift Shop at Rio Building Permit # 91- 1611AC Type of Construction 5B Fire Grading N/A Use Group M Zone C1 District CH has been inspected and the following occupancy load therefore y' is hereby authorized: BASEMENT 1 st FLOOR 2nd FLOOR 3rd FLOOR Add floors c Special Conditions This Certificate must be posted, as required by the Uniform Statewide Building Code and permanently maintained in a con - spicous place at or near the entrance of the building. Any change of use voids this certificate of occupancy. Date October 1, 1992 BUILDING OFFICIAL R �.A_1-_� ZONING ADMINISTRATE °° 3�,_0„ F% R �f ill I i ,9 f I 1 f . ...._•............... __...._...... ..._...........,.... I did.. f . L vN�Y OF AL SjeAf GOpF AL/j�`G�Y O Y ` /RGIN�P Inspections Department 401 MCINTIRE ROAD, Room 2-2 CHARLOTTESVILLE, VIRGINIA 22901 -4596 (804) 296 -5832 CERTIFICATE OF OCCUPANCY PERMIT This is to certify that the change of use and interior alterations erected on Tax .. 06100-00-00-14900 Legal D- • h•• Street /Route No. 1147 E. Rio Road Owner Church of Our Savior Occupant The Schoolhouse Thrift ShD-P---at Rio Building Permit # 91- 1611AC Type of Construction 5B Fire Grading N/A Use Group M Zone C1 District CH has been inspected and the following occupancy load therefore is hereby authorized: BASEMENT 1 st FLOOR 2nd FLOOR 3rd FLOOR Add floors a Special Conditions This Certificate must be posted, as required by the Uniform Statewide Building Code and permanently maintained in a con - spicous place at or near the entrance of the building. Any change of use voids this certificate of occupancy. i BUILDING OFFICIAL rl C ZONING ADMINISTRATOR_ °° ti I� �i j �N.�•{ OF ALSeAf �O pF AGIIE�,y �t 1 %RC1N�P Inspections Department 401 MCINTIRE ROAD, ROOM 2 -2 CHARLOTTESVILLE, VIRGINIA 22901 -4596 (804) 296 -5832 CERTIFICATE OF OCCUPANCY- PERMIT This is to certify that the change of use and interior alterations erected on Tax Map 06100-00-00-14900 Legal Description Rio School Street /Route No. 1147 E. Rio Road Owner Church of Our Savior Occupant The Schoolhouse Thrift Shop at Rio Building Permit # 91- 1611AC Type of Construction 5B Fire Grading N/A Use Group M Zone C1 District CH has been inspected and the following occupancy load therefore is hereby authorized: BASEMENT 1 st FLOOR 2nd FLOOR 3rd FLOOR Add floors as necessary Special Conditions This Certificate must be posted, as required by the Uniform Statewide Building Code and permanently maintained in a con - spicous place at or near the entrance of the building. Any change of use voids this certificate of occupancy. �• - .. BUILDING OFFICIAL c� ZONING ADMINISTRATOR' Total Persons p Floor load max. live load, 15 5 50 Special Conditions This Certificate must be posted, as required by the Uniform Statewide Building Code and permanently maintained in a con - spicous place at or near the entrance of the building. Any change of use voids this certificate of occupancy. �• - .. BUILDING OFFICIAL c� ZONING ADMINISTRATOR'