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Home My WebLink AboutCLE201400200 Legacy Document 2014-10-30Application f ®r Zoning Clearance � <<, 4 CLh # „n,��* OFFICE UM, PLEASE REVIEW ALL 3 SHEETS Check # Date: Receipt # i Staff: PARCEL INFORMATION -1 5'1 b PD —MC TaxMapandParcel: 078- 00- 00- 8''7A1 Existing Zoning ... ParcelOwner: Rivianna Ridge Parcel Address: J Charlottseviiie State VA Zip 22911 1986 Abbey Road City (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? Starbucks Coffee Co— Erika Aultman Address: 319 Elaines Court City Dodgeville State WI Zip 53533 Office Phone :CLO� 407- 9082Ce11# Fax# E -mail erika@permit.com APPLICANT INFORMATION Check any that apply, Change of ownership Change of use Change of name X New business Business Name /Type: Starbucks Coffee Co Owner permitting shell building. Starbucks new tenant u Previous Business on this site 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: 2 -9 staff der sl1 i ft - 4 8 seats , see upfit plans for additional information *This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or clove 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 e o the best of my knowledge. I have read the conditions of approva and I understand them, and that I will abide by them. Signature Printed tl APPROVAL INFORMATION Approved as proposed [ ] Approved with conditions [ ]Denied [ ] Backf ow 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. • I [ ] This site complies with the site plan as of this date. Notes: Building Official Date _ (0 � (C '+ j%T Zoning Official l Date % c_____ / 2;�2, Other Official Date 1611o�y County of Ainemarle 1Jepal'Lrnen[ U! t.viiiiuui1uy Gral UP- 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of fit. pu . u ktnke to complete the following: Y/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. g/N Will there be foot] preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE 1.D 617&)9 Circle the one that applies Is parcel on private well or )lie r? If private well, provide Health nt form, Zoning review can not begin until we receij(� approval from Health Dept. FAX DATE v'! Circle the one that applies Is parcel on septic c public sewe •. v/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # (9/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit# Reviewer to complete the following: Square footage of Use: / 5S (2) / N - Permitted as: eAA M Under Section: e!' 4,'L'I Supplementary regulations section: Parking formula: /0 OD Required spaces: J Y/N Items to be verified in the field: Inspector : Notes: Date: GUlllll LU VUL LjJMM bllo AUl1U7T111 Violations: If so, List: Proffers: /N If so, List: zh,A /9 Varga ce: Y /I If so, List: ,S-,P1's: V/ N If so, List: Clearances: SDP's Revised 7/1/2017 Page 3 of 3 IN 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 ofthe application, Albemarle County [County application name and number] was provided to Rivianna Ridge the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 078- 00- 00- 0731A1 manner identified below: by delivering a copy of the application in the Hand delivering a copy of the application to [Naive 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 fa• that entity] on Date . X Mailing a copy of the application to Rivianna Ridge [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 10/8/2014 to the following address: Date 1986 Abbey Road, Charlottesville VA 22911 [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]. MN I o Date c c I S.t 8 STATE PERMlFS, INC, MUIYMM d sfi.m 319 Elaines Ct. - Dodgeville, WI 53533 608/319 -2096 * fax: 608 /319 -2011 www.st8.com Date: 101812014 To: Stewart Wright Building Department / County Building 401 Mcintire Road Charlottesville, VA 22902 Phone: (434) 296 -5832 Attn: Stewart Wright Re: Starbucks #15338 -041 Rivanna Ridge Street Location 1986 Abbey Road Charlottesville, VA Letter of Transmittal Proj: 530145 We Transmit - VIA UPS - Application Check #18893 Amount $50.00 Payable To: Albemarle County ITEMS: 1 Check for zoning clearance 1- Zoning clearance application These Are Transmitted - As Requested Remarks Stewart: Here is the Zoning Clearance application and fees as you requested. Nichole Day x9089 Page 1 of 1 319 Elaines Ct. - Dodgeville, WI 53533 - 608/319 -2096 - Fax:608/31.9- 201.1. - www.st8.com