HomeMy WebLinkAboutCLE200600068 Legacy Document 2014-07-0804/06/2006 10 ; 4j0FAAX 0 002/003
UUMMIIY UtVrLUVRENll hsk 4349(1C1'lti tb4l Z3 lUU6 1U�lfe �Y 04
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Applicati for g Clearance
Omcr VSL OMP '�D d P
[] Zoning Cleo r )mm -• 535 CILIg 0
Check Oil Dam'
PLEASE REVIEW ALL 3 SHEETS Receipt # r! Stab
)?, MC]CL DWORNII.ATION C,a y -/ b - o
SC.
Tax map and Parcel:
j?grcej OfYTael[: SIMON PROPERTY GROUP 115 W WASHINGTON STREET, INDIANAPOLIS IN 46204
2901
Parcel Addrela: 1600 E RIO ROAD SPACE,15D5 city CHARLOTTESVILLE State VA Zip 2 --
(1►l�ludo suite or door --------- - -'• - _.-------- - -- -- ------- -_........
------- ----- - -- - -- ------ --- - - - - -- -
.rPLICANT MORMATION RONNAYETKA - ALLEGHENY DESIGN MANAGEMENT, INC.
Who should We call/writc concelrAtag this proJed?
AddremS ; 1154 PARKS INDUSTRIAL. DRIVE city
VANDERGRIFT Stlste PA Zip 15690
Office Pbome. 7( 24 ) 845.7336 Ceti
FAY i1, 724- 845.9889 )&- .Im,>atl ryetke��alleghenydesi nm ml.com
_ ................•-----
pR M.A.RY 66NTACT The new tenant for this space
Basiliess Namerrype:
l'reviaus Rnsiaess otz tllta site:
RETAIL TENANT
)Proposed u,e• RETAIL
retail
Circle (if appbeable): Firrcworics / Christmas Tree
v,vv coNDI oNs OF AfTADVAL UT -l') tlE Cr,�A xi4 i.NcE V ]FOR FOMWORK OR C>r� $TM'+S UMP S A L1�5 (Sheet 1)
#This Clearanec will or11y bo vnlid on the parcel fbr which it is ■ Provcd.
Clca ee will tae rtpuirad LPG vMcd 1s
owes pffMIZIM to use az spacc indicated on this llcadOn. 19130 certify' toot the Itl"ortt►atiOn W
�wled>ca, I aa•+o read too coudiliom of approval, and i underatand then. M(f that I w1U ibldc by thM
If y0u Chung jArensliy ormavc the uxe to a Ah w location, a now zoning
1 b=by ccTtl! tthac wn or bave.
ttuc and rwcnrere r c btst of
pl.d RONNA K YEfKA
Si�atulsc
...-. ......- ..------- -------- - - - -•• t 1 lip .
,4�ROV'oRMA'T�O A rw�with cohxdinaas
Approved ss proposad
fk�& physicel site Ilnspcs on has boon doxia for this clearance. Tire 'fare, it Is not of a mpuzlicc with the ex �" z
S;,ro pinu,
J' l= site eoinpUes with the site p104 as of this date, gaGktlow Device and/or
his
)3'ltjli(1Wg Q ICIAI
pate .5' �b
Zonih& Official
Data
other Officisa - -r ------------ -� -- - - - - -- _..., -. - - - - -- - - - -- - --- - - --
.. _--------- •--------- ------- - -_- - of,A►1bew rXe Dep�a Ent of �CoAOwunity prevelo�lrxnle�ott
�nf trvI�T�.H Y7n t �'lhn rinrwwxvitle_ "VA 22907, 'Vuico: (434 ) 2,96 -5832 Fdxt (434) 977-4126
04/06/2006 10:40 FAX
COMMUNITY DtVbL0P9tNI1 Fax 4W 724176
S
n r -
Applicant to complete the following:
'r' N
` o yqa have one of the fallowing?
Tax Map and P'arccl Number and or,
Address efust (ineludc Wit or floor if appropriKtc;
Q (x+JN
N
have a Floor Plan (slCerch or an eurehicectUral drawing) that
includes the following, and if so please provide it with the
applicadon?
The total square footage of the use and/or;
The square footage of cacti room or area of use;
Use of each room or area
If using less than, the entire Structure, note tlae loNcatiott with the
SUMCCU _
TOTAL SF OF LEASE SPACE 1505 -4500
RETAIL SALES FLOOR 2491 SF
STOCKROOM, OFFICE, TOILET 2000 SF
�oyio 'I� ech to
Yo oaia:
Yj
y L'
the
1&003/003
gar 23 2006 1017am P0031004
,r-- J t, Ari V■ r
liatake to cowplete the following!
y 1.2 use LI, HI or PDIP zonlag?
Engineer's Repoxt (C)ER) packet.
If so, give applicant a Certified
Y
vvm L ba food prepatntiora?
if'so, give applic=t a Health Department form.
Zouirnz, revlc% CZA not begin enrol we reccive approval fxonn
Health Dept, FAX DATE
Y nX
Is pkeel on private well and septic?
if so, ,give applicant a Health Departmout form,
Zoning review —a not begin until we Vocuaive approval f=n
Health Dept. FAX DA.Tl4
LN
public water and sewer?
Wil u be puttuxg up n new alta of arty hued? ff so, Obtain
prop =r Sign permit
IPexmI101
I Ibme be any new 00)istrucdOn or renovations
if so, obtain the proper Pe itr �w
Y Y
Permit 1f - � g�
Y
Is toor sxlPa of FEYewntics?
If so, obtain a copy of F/R pert It.
permit #
Y /(
If so,
?ja>aco: SPI6:
X N �
i :
ao, List. � s
t / ,
Reviewer to complete the following:
Square footage of Use:
I
Y/N �a
Permitted as:
Under Section: 0�5 • o`. �. o�� • o�. (�
Supplementary regulations section:
Parking formula:
Required spaces: /J.s �✓tG� (Qf�(�^C� �1�11
It/
Item o be verified in the field:
Inspector Name & Date:
Notes
i u/ 14 /uJ Yage 4 of 4
j: