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Home My WebLink AboutCLE201400170 Legacy Document 2014-09-15091 A011N. tim, I lk M% �' rjo"' _o'7- % I 'o- �& 1#5� ......... . . ......... MY .......... . . ........... 0 1: g earane&'*'*'** ....... ...... .... . ..... j At. ... ....... r VII..1 1 OFFICE LY 'k PLEASE REVIEW ALL 3 SHEETS Clieelc# Date: M 4 I R.ecelptfiw_�� Staff; n1i PARCEL INFO (W VIV: Parcel: Existing zortin NapnndPai Tax -0 - '_�WU Parcel Owner: Linda Blake Gayle Parcel Address: 2005 Commonwealth Drive City Charlottesville State va Zip 22901 (include suite or floor) PRIMARY CONTACT Visespong Punyanitya Who should we call/write concerning this p,,j,,,, Address., 2800 Magnolia Drive City Charlottesville State VA zip 22901 Office Phone: (j�b 296 3830 Cell 0 434 825 6656 Fax 0 E-mail punyanitya@gmall,corn APPLICANT Eli ri ORMIATION Cheelc any that apply: ±_ Change of ownership _ Change of use Change of name New business Business Name/Type; Thal Cuisine Restaurant , a dine- in restaurant Previous Business on this site Bangkok 99 Thal Cuisine Restaurant Describe the proposed business including use, number of employees, number of shifts, available arking spaces, number of vehicles, and any additional information that you can provide.- The business will operate a sit Slown restaurant In the exact oparption as lz�_lsln_ess. Thlere iAdll be albout 6 employee, 2 shifts, nQ changelp pa;kIng spaces —same previous *This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a now 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 kno% ledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed Visespong Punyanitya A PPROVAL INFORMATION Approved as proposed Approved with conditions Denied Backflow prevention device and/or current test data needed for this site. Contact ACSA,977-451I,x1I7. )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 Ditto Zoning Official Date Cf Z 9 Other Official Date 2�� 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: Reviewer to complete the following: y Is use in LI, HI orPDlP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. YIN ill 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 tile one that applies Is parcel oa private well Ctq ublic water If private well, provide Healt epar ment form. Zoning review can not begin until Nye receive approval from Health Dept, FAX DATE Circle the one that applies Is parcel on septi _ i s wor YIN Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # YIN Will there be any new construction or renovations? If so, ob# ie pe it Permit #' � Zoning to complete the following: Square footage of Use: x'2 -7 YIN '--� Permitted as: PA M M Under Section: �.-Z� 2 •� Supplementary regulations section: Parking formula: ,,, 006 Required spaces: Z Y/ Items to be verified in the field: Inspector Notes. Date. Violations: �IN If so, List: Proffers. Y if so, t: Variance: t) /N if so, List: SP's. YIJ l:f so, List: Clearances. SDP's r� Revised 7/112011 Page 3 of 3 CERTIT' ICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applicailons (Horne Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) tf the application is 1101 the owner; 1 certify that notice of the application, [County application naive and number] was provided to Linda Blake Gayle the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 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 X Mailing a copy of the application to Linda Blake Gayle [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 a'ff W f0T- ti%tWtl -- -- - on 8/29/2014 to the following address; Date PA. Box 4874 Charlottesville, Va. 22905 [address; written notice inailed 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 tay, assessment records satisfies this requirement], J y� Signature of Applicant Visespong Punyanitya Print Applicant Name August 29, 2014 Date 25'•0 518 ° ---- - 22••$518" 15'•1 6' -3 - --- _---------- _..__-- _.- ...- -. I------- - - - -.. -- -... - mil - _ - - --- j \♦ u 1�1.� AIV.tt1 j I I ♦ n / I UP E f `� • 6'•41/2" VWR z-[ ' ` E I E ------ - - -I`� 48' -b 116" LIVING AREA 2270 a R.