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Home My WebLink AboutCLE201400084 Legacy Document 2014-05-12Application for Zoning Clearance OFFICE USE ONLY Check# C45)11 Date: PLEASE REVIEW ALL 3 SHEETS Receipt # 7Z75,5, c I Staff: PARCEL INFORMATION Tax Map and Parcel: 006100- 00- 00 -146AO Existing Zoning C1 COMMERCIAL Parcel Owner: WILLIAM DEBUTTS FAMILY TRUST Parcel Address: 1131 E. RIO RD UNIT A City CHARLOTTESVILLEState VA Zip 22901 (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? ROBERT KOHLKE Address : 156 CARLTON RD # 102 City CHARLOTTESVILLE State VA Zip 22902 Office Phone: 4( 34) 295 -2133 Cell # 242 -9966 Fax # 295 -0637 E -mail rkohlke @hotmail.com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name x New business Business Name /Type: AIV CL LLC d /b /a ZOOMCASH/ Consumer Finance Previous Business on this site ELSWICK BAND INSTRUMENT REPAIR Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of vehicles, and any additional information that you can provide: CONSUMER LENDER -2 -3 EMPLOYEES -1 SHIFT 2 VEHICLES- HOUR OF OPERATION MONDAY TO FRIDAY 10AM TO 6PM SATURDAY 10AM TO 2PM BUSINESS OWNER & VP OF OPERATION HAVE BEEN IN THE CONSUMER FINANCE INDUSTRY FOR 15+ YRS. *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 pennission 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. Signature Printed ROBERT KOHLKE 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, 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 the site plan as of this date. Notes: Building Official - Date Zoning Official Date. OZ/46/y 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 Intake to complete the following: Y/Z Is use in LI, Hl or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. INK 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 Circle the one that applies Is parcel on private well public water? If private well, provide He De artme rm. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that a Is parcel on septi or public sewer. Y/N Will you be putting up a new sign of any kind? Sign permit. �^ Permit# will > n 'h J4V^ -% Reviewer to complete the following: Square footage of Use: /N ermitted as:�cS.% 1 Under Section: -;7--"-.2 Supplementary regulations section: Parking formula: -A 2t_Oe-�- /I- Required spaces: Y / 0 Items to be verified in the field: If so, obtain proper Inspector : Date: Y / N Notes: Will there be any new construction or renovations? If so, obtain the proper Permit Permit wiII 0+v/� Zoning to complete the following: Violations: Y/� If so, st: Proffer s: Y /rN If so, Est: Variance: 6/N If so, List: SP's: 6 /N If so, List: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 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, ZONING CLEARANCE [County application name and number] was providedto WILLIAM DEBUTTS FAMILY TRUST [name(s) of the record owners of the parcel] the owner of record of Tax Map and Parcel Number 006100- 00- 00 -146A0 by delivering a copy of the application in the manner identified below: X Hand delivering a copy of the application to W. DEBUTTS FAMILY TRUST C/O RAY CADDELL [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 5 -9 -2014 Date Mailing 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 Date to the following address: [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]. ignature &ofA_ppp1icant ROBERT KOHLKE Print Applicant Name 5 -9 -2014 Date SPARE ROOM USED FOR PRIVATE OFFICE 30 sq ft UTILITY ROOM WILL BE FOR STORAGE 40 sq ft 1131 EAST RIO RD UNIT CHARLOTTESVILLE, VA 22902 1200 sq ft unit 1130 sq ft open floor space to be used for customer service. 0 LNbeL'-"