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HomeMy WebLinkAboutCLE201400051 Legacy Document 2014-05-280 Application for Zoning Clearance s'- CLE # 2..01 y -S'_1 .� =: :... PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # 1.0 '�- 3 Date: 3 ZG J Receipt # G O Staff- PARCEL INFORMATION j � Tax Map and Parcel: 'i G1 6j Existing Zoning . Parcel_ Owner:Lli Parcel Address: City. [�iF,{osv; State Zip 2252e (include suite or floor) �2o 1 a . PRIMARY CONTACT p Who should we call/write concernin g this roj ect? Address : c15 I�t VGi^�2°iLtc(� r City (71CL C� Ville State Zip Office Phone: ��[' g 18� Cell #3'F dab "Fax #(Q�in E -mails S-6 ---P _V;r9;k;a APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: jA cliesso n 1 i t jr d"; (20 rL% )ktX -VL t 41 �s elf (%irG i er i s /C Previous Business on this site 1 `i_�� - L,cz' , a,,, tA �t -� _ �, vi,,— Describe the proposed business including use, number of employees, number of shifts, vailable,�arking spaces, number of and any additional information that you can provide: ?a. /vehicles, CD_ EW /J it yeC, ^ L Ski T "t 7; �� f}w� - y5 (�Y� �j l� Ay,,;144le 0.1n k14 s �4G e - *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 accur to e best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. J Signature �n� �'�t Printed AP OVAL INFORMATION [ Approved as proposed [ ] Approved with conditions j ] 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 Q Zoning Official Date 5 Other Official Date --- -.j cyui LwcLL ul �,ummunny 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 /NO Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y/O 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 or 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 applies Is parcel on septic o public sewer? Y /C�) Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # —dDj X -S _Q (t C �',gI- 0/ N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # MZ61 Y -� ( A C Is Zoning to complete the following: Reviewer to complete the following: Square footage of Use: C1 doo YJN ermitted as: Under Section: s, fic] Supplementary regulations section: Parking formula:. l 16 Required spaces: Y/N Items to be verified in the field: e- Inspector : r �) lE c5 D- ate: a- Notes: Viol ti ns: If/ If so `List: pro Y/ : Ifs ,`List: Vari ce: Y /[N) If so, ist: SP's: Y/N If sst: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 . 1 r 9 O 01 O 10 O REAR ENTRANCE O I 9' -5" I NEW VCT 8 TEL /EE LECT. ROOM NEW VCT I a' I i KITCHENETTE O I ----------------I--- EXISTING CERAMIC TILE I NEW VCT I EXISTING CARPET O EG t—NEW CHILDS SIDE ENTRAN E RESTROOM 48" INDOW N — NEW VCT O :o NEW VCT 20' -3 1 /2" 13' -11 1/2" MAIN ENTRANCE O Hollymead Professional Center EXHIBIT A Building "A" 1554 Insurance Ln - 2012 SF rev.03 /21 /2014 r�t-� �IllD1� i L�SSn� L �I�tGz��r~��S ©I�+�a�rTi� 1� ALBEMARLE COUNTY CODE b. All such uses shall conform to the requirements of the Virginia Department of Health Bureau of Tourist Establishment Sanitation and other applicable requirements. 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. po cesS 1 �. Inspections by fire official. The Albemarle Coun 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. V c. Relationship to other lcnvs. 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. (§ 5.1.0.6, 12- 10 -80; Ord. 01- 18(6), 10 -3 -01; Ord. 13- 18(5), 9- 11 -13) 5.1.07 GROUP HOMES Each group home shall be subject to the following: a. Conditions may be imposed on such homes to insure their compatibility with other permitted uses, but such conditions shall not be more restrictive than those imposed on other dwellings in the same districts unless such additional conditions are necessary to protect the health and safety of the residents of such homes; b. Each group home shall be subject to Albemarle County fire official review. (§ 5.1.07, 12- 10 -80; Ord. 01- 18(6), 10 -3 -01) 5.1.08 DRIVE -IN THEATRE a. Minimum area of site shall be five (5) acres; b. The site shall be adjacent to a major road or roads and entrances and exits shall be from said roads; c. Off - street parking or storage lanes for waiting patrons shall be available to accommodate not less than thirty (30) percent of the vehicular capacity of the theatre unless at least six (6) entrance lanes, each with a ticket dispenser, are provided, in which case the amount may be reduced to not less than ten (10) percent; d. The screen shall be located as to be reasonably unobtrusive to view from any major street, public area or scenic look -out; e. A wall or fence of adequate height shall be provided to screen the patrons and cars in attendance at said theatre from the view of the surrounding property. The perimeter of said fence shall be landscaped with suitable plants and shrubbery to preserve as far as possible harmony with the appearance of the surrounding property; f. Individual loud speakers for each car shall be provided and no central loud speaker shall be permitted; 18 -5 -5 Zoning Supplement #81, 9 -11 -13 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Some 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 K(J Erj the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 1-{ (o R.2 ( - 0,2 i3 by delivering a copy of the application in the manner identified below: 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 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 of 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]. .. R. � Signa e of Applicant Print Applicant Name Date