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ATL200700001 Application
e Application for pleas �WA Zoning Clearance off.._ Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS Tax map and parcel: 0 9zA 0 - d 0 " o 0 - b /�� Existing Zoning: Parcel Owner: C - `%!%1�� -d- xkf 14.4 q O Parcel Address: I3 7(o g jL&V_3 P—/) City LL Cate V* Zip 27-lell (include suite or floor) Contact Person (Who should we call /write concerning this project ?): Address 13 9_4 Q1 �0_2_11W�.5 9b City iNhal 4IT�3 L�1 lLState 04 Zip 2,;-%) Z Daytime Phone `� 3`) - l� 7- O i /J� Fax # L� E -mail e r�►c� Q�/CA�y I%144� yd�✓� 4.34 • PJ-- -N -7 . c vv Business Name /Type: sg7p A WD 23 l� 1 Previous Business on this site: ��a.t% Proposed use: �J 6Z /J �/94574 AP" SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1) Circle (if applicable): Fireworks / Christmas Tree *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 accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abi a by em. Signaturepf Business Owner or Agent Date , ate is �- �`a KF1 G () Print Name APPROVAL INFORMATION [ ] Approved as proposed Approved with conditions ] Backflow device and /or current test data needed for this site. Contact ACSA 977 -4511, x119. ] 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 wi4h the si%plan ass of this d tee r � w /f . n U A _ . _ . J a At,,l OP Building Official Date t Q---) / Zoning Official Date l 0 7 Other Official Date FOR OFFI U ONLY Ij - Fee Amount $ gff Date Paid #oBy who? Receipt # Ck# 1�6 By: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/1/06 Page 2 of4 Applicant to complete the following: Do you have one of the following? [YES ❑ NO Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate) YES ❑ NO Do you have a Floor Plan (sketch or an architectural drawing) that includes the following, and if so please provide it with the application? The total square footage of the use and /or; The square footage of each room or area of use; Use of each room or area If using less than the entire structure, note the location within the structure. Tech to complete the Violations: F1 YES Z NO If so, List: Variance: ❑ YES NO If so, List: Intake to complete the following: ❑ YES NO Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. YES ❑ NO Will there be food preparation? j If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE T7 /4 ID Eq Qk,(Ci, c.�� ES [:1 NO Is parcel on private well and septic? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE ❑ YES ��10 Is on public water and sewer? ❑ YES ❑ NO Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. /V 0 1�7 0 Permit # �-- ❑ YES [Z NO Will there be any new construction or renovations? If so, obtain the proper Permit. /V Q � /'1��L��C� Permit # a f,— 0 , „ /�'4,Lj- � ❑ YES NO Zob 2ZC �� Is this for sales of Fireworks? If so, obtain a copy of FIR permit. Permit # 911616_6 -F; 40prw/J Proffers: F-1 YES NO If so, List: SP's: ❑ YES NO If so, Lis . 5/1/06 Page 3 of Reviewer to complete the following: Square footage of Use: YES ❑ NO Permitted as: i 1-esq a eJ Under Section: lei y Supplementary regulations section: ro 1 Parking formula: Required spaces: "-` ✓ ❑ YES ❑ NO Items to be verified in the field: Inspector Name & Date: Notes 5/1/06 Page 4 of 4 y +u i tvicmure Hoaa, Hoom 227 Charlottesville, Virginia 22902 -4596 FAX (434) 972 -4126 TELEPHONE (434) 296 -5832 AT.L: Z©© %— D©p© f FEE: $35 rA ACCESSORY TOURIST LODGING RECEIVED JUL 112007 TTD (434) 972 -4012 DATE:_ STAFF: OWNER (as currently listed in Real Estate) Name kA15 ?0P 1ICA - Grdc -i ELL. Phone Address 1326, SU^L 6P—S . f —DA-17 APPLICANT (if different from above) NameI� /Jl�} /a'DDb1�c_ Phone Address CONTACT PERSON (if different from above) Name Phone Address Day Phone LOCATION: PLEASE PROVIDE A DESCRIPTION OF YOUR REQUEST ON THE BACK OF THIS FORMf INCLUDING NUMBER OF BEDROOMS TO BE USED NUMBER OF BATHROOMS AND ANY .ADDITIONAL INFORMATION THAT MAY BE IMPORTANT TO THIB REQUEST. OFFICE USE ONLY ' TAX MAP /PARCEL: 1. Q ��o - Ga -6 2. _ — — ZONED: OR INANCE SECTION: EXISTING USE: gro PROPO,S•ED USE: F ( Special Permit Iv. ( Proffers ( ) Variance tJ !k - Magisterial District Building Officia Magisteri /tom o Action: Fib ci 7 / !4-/ � 7 Action: _ V4L U, R iulA Td►iEW►Z1 �t 12�v�- t�t�i2 ©t�! L, r ea th Dept: rj /�/ Action:.. . Service Auth /_/ _Action - -° - ---/' Zonin A i istrator Action: l i DESCRIPTION OF REQUEST: G-/ C,��j n t- -✓S 77 Tl� D .�G�Lc�5r.3 ��tf -r v�I!J1d 7d,rlS I hereby certify that the information provided on this application and accompanying information is accurate, true and correct to the best of my knowledge and belief. o211410 &3 7 7,5 � Signature Date Receipt # IkLe7 Date 17 '.f SGreo.o � s .. �• o z Zr Min OSUON 'IT- N a Z:) - Z-1 1 x s- NN O � U d 9Z T PEL66 F unn -3N I 0 I Q3W 1S I -lU 1GN39 ' naU NiO 90 : T T LOGE /6T /EO i Q a Ni U Min OSUON 'IT- N a Z:) - Z-1 1 x s- NN O � U d 9Z T PEL66 F unn -3N I 0 I Q3W 1S I -lU 1GN39 ' naU NiO 90 : T T LOGE /6T /EO i •r 1. ,alt t r ! ` t uws.+ COMMONWEALTH OF VIRGINIA. DEPARTMENT OF HEALTH CERTIFIES THAT Arcady Vineyard 6 & B, LL C, is hereby granted a permit/license to operate a Bed & Breakfast Food Service by the Albemarle Health Department in accordance with the regulations of the Board of Health, Commonwealth of Virginia. FACILITY NAME: PHYSICAL ADDRESS: MAILING ADDRESS: EXPIRATION DATE: CONDITIONS: ARCADY VINEYARD BED & BREAKFAST' 1.376 Suffers Road Charlottesville, Virginia: 22902 1376 Sutlers Road Charlottesville,. VA 22902 December 34,.2007* E c S Myers,: Environmenta Health Specialist., Senior Please direct questions or concerns to the Albemarle Health Department, Environmental Health Services, (434) 972 -6259. to -nt;, This Permit Is NOT TRANSFERABLE From One Indivi u`�ca"" {q';�9' d A M1_104 P�$ Y� i` J;r 1 V `M( �t !j or Location'to Another. JUL 0 9 2001 c;() $A141 4'N F11 { EW" ;AL'..(I�'rtPl�it,.£.\i5 i. TO: FROM Ms. Sherri Proctor Erika Goodell Permit Plazlner COMPANY: DA'11: County of Albemarle 2/19/07 1 AX NUMI1E& TOTAL NO, OP PACES INCLUDING COVER: 972 -4126 2 PRONE NUMBER 5P,NDLII'S FAX NUMBER- RL-: RE: Bed and Breakfast Permit #306 Dear Ms, Proctor, 434962 -2597 SENDER'S PHONE• NUMBER 434 - 924-8713 Attached is a sketch of the bed and breakfast portion of our building, We indicated the use of the rooms and the square footage. Please dote that the stairwell., the upstairs area above the common rooms, and the basement of both the main building and the suite /office space is our personal living space and not to be included in the bed and breakfast permit. If you need to know the square footage of our personal space I'll be happy to have my husband figure that out for you. Please let me know if you need anything else. I call be reached any time a Erilca(a,areadyvineyard,com Best regards, Erika Goodell .Arcady Vineyard Wine Tours 1376 Sutlers Road - Charlottesville, V,A, 22902 Erika(c)areadvvinevard,coin Home: 434- 872 -9475 Cell: 434 -960 -0820 TW OS2 ' ON 9ETvEL66 F dM -9N I O I a3W 1S I -1UN3N3S ' nGU diD SO = ti I LOW /6 T /E0 l ALBEIT 14MLE C®B.JAJ7_V www. ACHreRescue. org FIRE SAFETY INSPECTION REPORT TYPP_ OP AGCUPANCY : Aktndn ON DATE ��' J INSPECT RELATED,ACTION #` :' .' PAGE' A of BUSINESS-NAME C$ V, Y -') � ; ADDRESS.. L)t I (" � ' '� rq CITY: .' i'? 4C � STATE:' �+ OWNER/MANAGER �^ r,I y, - � ' '" DAY;TELEPHONE :;.::' —' J . OTHBI2 TELEPHONE:.; NOTICE' OF VIOLATION(S) ISSUED FOR ITEM(S);NUMBER E MAILc: TYPP_ OP AGCUPANCY : Aktndn ON DATE ��' J INSPECT ._.`i);F`?.. �.ffjfp�.i e�y�Jpj'/�df�/ l '�i -t/+ i/�,7 I '_,/�..�+W..;�}.,./'y�.�' �i /'Ole" tr•.,.,�t fq ffP �4'4g'. J� /{ }tee^ %trS'� S�.„,_�1 /^✓), r /9 Lf YEA! � tIf ". 1f 1 i t C J ! fq f,:5M Te t /? , d"G -t✓� 1� I r? , rte. c",Z � n q. r-{4 °' - It ash 0 r r far 41 0 SAID VIOLATIONS) SHALL BE;CORRECTED BY NOTICE Ot= VIOLATlgj: ' NUMBERS) NOTICE' OF VIOLATION(S) ISSUED FOR ITEM(S);NUMBER MID 14 11 fig I I I I Ifflo ggia-M g.1irl(Agi riail Signing is not an admission of guilt, only that you have been advised of the violation(s) and will be provided with a copy of this report as the property representative of the business that has been inspected by.our personnel j t Signature of Property Representative ; Sigoj ture of Fire Inspector " Date White- Office Yellow- Supervisor I'-AX (434) 972 -4126 ATL: ZOO `/- O ©p© j FEE: $35 PA 11 Department of Building Code and Zoning Services 401 McIntire Road, Room 227 Charlottesville, Virginia 22902 -4596 Y TELEPHONE (434) 296 -5832 ACCESSORY TOURIST LODGING OWNER (as currently listed in Real Estate) Name 0,J4A15'f0PH1De_ �- EE7_R11CR frOOl7EU_. RECEIVED JUL 112007 TTD (434) 972 -4012 DATE: U STAFF: Phone ( ±3) e3_V_-_C _K' . Address 13 26, Jf ups ADAI t C I-�PrgwTresyiue V.A 02. APPLICANT (if different from above) Name Phone Address /,3 ` � �5V7Z_ -W S ��oiiZ- - G/ /LLB 114 Z41DZ. CONTACT PERSON (if different from above) Name Phone Day Phone Address LOCATION: PLEASE PROVIDE A DESCRIPTION OF YOUR REQUEST ON THE BACK OF THIS FORM, INCLUDING NUMBER OF BEDROOMS TO BE USED, NUMBER OF BATHROOMS AND ANY ADDITIONAL INFORMATION THAT MAY BE IMPORTANT TO THIS REQUEST. J" OFFICE USE ONLY TAX MAP /PARCEL: ZONED -e-A OR INANCE SECTION: / (17 EXISTING USE: '?r10 PROPO ED USE: (" (` pecial Permit N ( Proffers Nbk ( ) Variance t A- Magisterial District Building Officia Action: RREINS �ea th Dept: Service Auth.: d nine 1 __ �. / Ke Action: ATeo%AL, riN6*JTf P c cE tarV4 �e �. � Action: - �- A � r r • 1 ii,r istrator • isG -• i mil/ i% ,l I. 02/19/2007 11:05 CTR ADU.GENERALIST MEDICINE -UUA 99724126 r N0.350 D02 'moo *SN. `� v� �a COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH CERTIFIES THAT Arcady Vineyard 6 & B, LLG is hereby granted a permit/license to operate a Bed &, SreakfastFood Service by the Albemarle Health Department in accordance with the regulations of the Board of Health, Commonwealth of Virginia. FACILITY NAME: PHYSICAL ADDRESS MAILING ADDRESS: EXPIRATION DATE: CONDITIONS: ARCADY VINEYARD BED &• BREAKFAST' 1376 Sutlers Road Charlottesville, Virginia: 22902 1376 Sutlers Road Charlottesville, - VA. 22902 December 31-,,2007 , E is S Myers,, . Env! ronmentay Health Specialist., Senior Please direct questions or concerns to the Albemarle Health Department, Environmental Health Services, (434) 972 -6259. This • Permit- Is NOT TRANSFERABLE From One Individu'bX i j ' i rl or Location to Another. JUL 0 9 2007 N 6� ,r TO: Ms. Sherri Proctor Permit Planner FROM Erika Goodell, COMPAM: DXMI: -- County of Albernark 2119107 r AX MXIE& TOTAL NO, OP PACES INCLUDING COVER: 972 -4126 2 MOM NUMBER: 5P.NDER'S FAX NUMBPl K RL•: RR Bed and Breakfast Permit #306 Dear Ms, Proctor, 434 -982 -2597 SENDER'S PIIONL NUMBBIL 4349248713 Attached is a sketoh of the bed and breakfast portion of our building, We inclicated the use of -the rooms and the square footage. Please note that the stairwell., the upstairs area above the common rooms, and the basement of both the main building and the suite /office space is our personal living space and not to be included in the bed and breakfast permit. If you need to )uiow the square footage of our personal space I'll be happy to have my husband figure that out for you. Please let me know if you need anything else. 1 cwi be reached any time a Erika(a,arcadyyineyard.com Best regards, Erika Goodell Arcady Vineyard Wine Tours 1376 Sutlers Road Charlottesville, VA 22902 Erika(i).areadwinevard,com Home: 434- 872 -9475 Cell: 434 -960 -0820 092 ' ON 9ZZbZL66 F Finn-9N I0I Q9W 1S 17Ud3N99 ' nGU aiD S0 : Z Z L00Zi6ti /M