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HomeMy WebLinkAboutCLE201400230 Legacy Document 2014-12-02Application for Zoning Clearance�`'�� CLE# 201q—Z50 ��RL'IN�P OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check # 2-101059584 Date: 111281 q Receipt # q 7 19 Staff: PARCEL INFORMATIONP /N' ' L- gkt41(t4& Tax Map and Parcel: 6?j — 4/9D5 4ZJ 12&-7-2-- Existing Zoning i6y io Parcel Owner: Ev 5p-, /-- r4aL Parcel Address: %9Z� io f� /� L�� City eW4 f2Ca ZrL3 fl Ll State W Zip 1-0 90 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? si 60A-CA WALLAC -e Address : 98 ke02i City K1N57rar'J State We- Zip 29 56 - - f7Y Office Phone: (JZJ 52D - 2 Z!e r Cell # 2S?-' 50- 01ei 99 Fax # 2-52' ZA!R `/' 00 E -mail ;;i.J I Lc.e a a�'•�o :.da.b[� Cu.fe, coves APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business pp F— ABusiness Name /Type: M>t X;,a &,Le IdC. 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: A FV-benaeQ;s CfAQ- •2�.yf- t1RM pfd'; Y7�_OrA S�°e.rtees �:���c�U2►rst>. „� y: =r�r�� �s -ia �m�Ia,p� . / sl�,•F }, :sr- i��jsc� �.�;.�re2 ��r�rr� *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 abide by them. Signature �./ Printed 21 APPROVAL INFORMATION ] Approved as proposed [ ] Approved with conditions [ ] 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 (l t Zoning Official Date Z ' ) Other Official Date 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: Y /0 Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y/ Will ere 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 r p is w ter? If private well, provide Head �ment form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that ap Is parcel on septic or OE5P 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, obtain the proper Permit. Permit # Zoning to complete the following: Reviewer to complete the following: Square footage of Use: 3 ,�a V /N rp- 'Permittedas: in J Ie-A l Under Section: ZS, Z. Supplementary regulations section: Parking formula+115� Mru /a 0f Required spaces: l YIN / Items to be verified in the field: Inspector : Date: Notes: Violations: (b /N If so, List: A�A4 P offers: 0/N If so, List: z.��a 2003 9 �99y 23 Variance: �IN If so, List: L/ SP's: MIN If so, List: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 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, was provided to Iot�d [County application name and number] [name(s) of the record owners of the parcel] and Parcel Number manner identified below: Hand delivering a copy of the application to the owner of record of Tax Map by delivering a copy of the application in the [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 office for that entity] on to the following address: Date [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]. %nature of "Applicant Print Applicant Name C /- Dat ' ov ILA A � O a Iv o� CA � b a � � o Q \, Q 3 i Y d Ug tl N o -a 0 �o a �c Qr A o C � y� `7 b V 1 C� x n y z k` n o o m H a Q, C CD r to ' ov ILA A � O a Iv o� CA � b a � � o Q \, Q 3 i Y d Ug tl N o -a 0 �o a �c Qr A o C � y� `7 b V 1 C� x n y z k` n o o m H S310N / NVId A111191SS333V ovn N 1.39HS dA'3111AS31101 WHO :NO11V0Ol 1O3rOEld :31tlaNOISIA3S VlSM 3ownssuMId SW 'AS 03NO3Ho SW 'AS NMVSO su"iou v :'ONlo3rotld 31tl0 n-co-ol SL -IS•ZI '31V0 N011tldIdX3 ZSSL0010K ;tl3SWnN 3SN3011 1o311H3uv 'snxw'r ismoIW �tl3s 4; Mn _C) O 0 m0 rn Cn rr M m m Drn Z o C �M� V® !N01L"80M1103r0Nd 0OvV90Z'ZSZ' 3 LZL9'LZS -ZSZ' d b9S9Z ON'NOISNIX ZZS 31His'avol 3301VH tra '7N I'3SV3318tl08OddV .11. of�uosyaei po�o6Je�f"i1A ®�I�YVaDi7Y � .'I ; 3nJ W �A +.�'��VYGY'1M'LSB:.wN.Pl HLS9NW N4W W3'Otl�AMMLHII S 1 0 A 1 1 H 0 U V sm -lim ; iinswo 1 10-i b/I OV N7id A11'1161 4993007 NOS j0 aNMOIN30 Ol 'jVdtl .09 IV AJJ'MSeOOV j0 108JA5 ltlNa1VN2HiN 1NIOW S1.H91aH --VAw 'w AOSs -ODY lv01dT 21e5N3dsd 213dVd 13101 bo"w L q a0viNIS 1-�-1 a 9ALL331d321 W w011091 1 / 1 yU� I I WIVA31e INO21d - 39tlN915 WOO V 000 X3SIN(I 51y?J3yN13ary Sb ?19 am T1V/A eHl W I.OV2IIN00 aHv Y 0.107 11-11 H1UA lsV?1IN00 109JAS XaSN1 4 NOS 3 ,11 w aY w"Ve 4 ■ aM S21317vuH7 11'11 VL 1HD191-1 NI 19 -10 LNLINLJ v 3e llVMS WVWOlO1d SH! 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NHAA dMINOO NOLLVWOjN 10e1j321 SNVld -5311 'I SONWINVIS 21312121108 1vsniD311HD21b 0 S `a 's 4 0 m ROOM FINISH LEGEND FLOOR FINSH C CARPET (GLUE —DOWN) VCT VINYL COMPOSITION TLC (SCRUB CLEAN AND /OR STRIP TILES, RINSE CLEAN) AND APPLY 3 -5 COATS OF HIGH QUALITY CROSS— LINKED ACRYLIC POLISH OFFICE SV SHEET VINYL FLOORING 101 V STRIP VINYL Fl00RING � — WALL FINISH WALL FINISH R p P PAINTED NEW GYP. BD., SEMI —GLOSS FNISH BASE MATERIAL (TEXTURED, PRIMER AND 2 FINISH COATS) I FLOOR FINISH F WHITE FRP PANELS OVER DRYWALL, 48' H FROM TOP OF SHEET VINYL COVE BASE (PTO. GYP. BD. ABOVE) UN UNFINISHED GYP. BD. AND /OR EXISTING WALL FINISH BASE MATERIAL R 4" RUBBER COVE BASE SV CE t VNYL FLOORING SELF —COVED UP THE WALL V H W/ METAL TRIM CAP AT TOP COLOR SCHEDULE WALLS: SHERWIN — WILLIAMS #SW6120, "BELIEVABLE BUFF', SEMI —GLOSS (U.N.O.) DOOR FRAMES: SHERWIN — WILLIAMS #SW6118, "LEATHER BOUND ", SEMI —GLOSS CHAIR RAILS: STAIN TO BE "FRUITWOOD" BY CABOT STAIN, 2 COATS GLOSS URETHANE FINISH DOORS: STAIN TO BE "FRUITWOOD" BY CABOT STAN, 2 COATS GLOSS URETHANE FINISH CARPET: SHAW, STYLE EARTH SKIN, STYLE # MZ 5A144, COLOR NAME 38103, WITH INTEGRAL PAD RUBBER BASE: JOHNSONRTE #276, "MYSTICAL ', 1/8' THICK, 4' HIGH, COVE VCT: AZROCK STANDARD VCT # V -602 'NATURAL MOON" CLEANED AND POLISHED VCT2: AZROCK STANDARD VCT, # V -987, 'BRAZLIA' (CLEANED AND POLISHED) ) SV: JOHNSONITE MELOOIA HOMOGENEOUS SHEET FLOORING, # 610 BERBER V: CENTIVA RESILIENT TILE PLANKS, CUSTOM COLOR # X 2157, SURFACE TR, SQUARE EDGE COUNTERTOPS: WLSONART # 4608 -60, "CALDERA BEIGE" CABINETS: WILSONART # 7951 -38, "ASIAN SUN' SOLID SURFACE TOP: CORIAN 'FOSSIL" PANT MUST BE SHERWN SPLASH WHERE NOTED: WILSONART #1531 -60 "BEIGE" WILLIAMS PROMAR 200 TRANSITION STRIP: JOHNSONITE 150— WETLANDS ACCENT WALL COLORS: (SEE EQUIPMENT PLAN FOR LOCATION) #SW6966, 'BLUE BLOOD'; #SW6802, "JACARANDA'; #SW6424, "TANSY GREEN" DOOR SCHEDULE 1� I I NEW LORKSET W/ LEVER HANDLES I REPLACE DEADBOLT WITH DOUBLE I NEW PANG BAR DOOR r VISION FULL FULL FRAME WINDOW GLASS � I PRIVACY SET W/ LEVER HANDLES I. EXISTING DOOR & FRAME 2. FALSE TRANSOM PANEL — REFER TO 3 /AI 3. PROVIDE ADA 12ESTROOM SIGNAGE AS REQUIRED 4. POCKET DOOR & HARDWARE 5. DOUBLE ACING 6. PANT INTERIOR DOOR /FRAME 'LEATHER BOUND' 7. CLASS TRANSOM + INTERIOR DOORS ARC 1 3/4" 812CH VENEER FLUSH PANEL DOORS WITH STAVE LUMBER CORE, READY FOR STAINED FINISH. CABOT STAN FRUTWOOD 8122 (U.N.O.) ry E2�pL *T% LOW METAL WD FL � EL STAVE S.C. WOOD GOA EXISTING D EXIST. AL AN AL AN 5 I 1000 3'- 0'x7'-0' D 1 3/4" ALI AN AL AN 10 7 103 3'- 0'k6' -8" A 13/4" WD SF HM P p 2 KICK PLATES 104 3'- 0,6' -8' A 1 3/4' WD SF HM P 2 I CLOSER I NO LOCK SET 105 106 3'- 0 "x6' -8" 3'— O'k6' —B" B A 1 318' 1 314' WD WD SF SF HM HM P P 4 6 5 3 108 5- 0'k6-8" A 1 314' WD SF HM P 9 109A V- 0,6' -8" B 1 318' WD SF HM P 4 5 1098 V- 0'k6' -8" 13 4' HM P HMI P 1 6 IIDA 3'- 0'x6' -8" _L A 13/4' HM P HM P I 6 1100 3'- 0"x6' -8" A 1 3/4" WD SF HM P 8 113 3'- 0 "x6' -8" B 1 3/4' WD SF HM P B SF STAINED 0 COAT STAN & 2 COATS GLOSS URETHANE FNSH) © TEMPERED CLASS + PROVIDE CLASS WOOD STOPS — STAN TO MATCH DOOR D 1� I I NEW LORKSET W/ LEVER HANDLES I REPLACE DEADBOLT WITH DOUBLE I NEW PANG BAR FLUSH VISION FULL FULL PANEL WINDOW GLASS GLAZED I PRIVACY SET W/ LEVER HANDLES (6'x30 ") ('0AM OD) CLEAR I DOOR STOP SET /7: INTERIM HALL DOOR DOOR TYPES ®X —RAY CONTROL BUTTON — REFER TO ELECTRICAL DRAWINGS FOR ADDITIONAL HARDWARE GROUPS SET /k SET 9 FRONT ENTRY NEW LORKSET W/ LEVER HANDLES I REPLACE DEADBOLT WITH DOUBLE I NEW PANG BAR CYLNDER DEADBOLT I NEW WEATHERSTRPPNG SET /6: INTERIM STAFF TOLET I PRE EEPOEEEP PROVIDE 1 1/2 PR. BUTTS OSW6424 'TANSY GREEN" THIS WALL ONLY I PRIVACY SET W/ LEVER HANDLES SET 02. OFFICE I DOOR STOP SET /7: INTERIM HALL DOOR I LOCKSET W/ LEVER HANDLES ®X —RAY CONTROL BUTTON — REFER TO ELECTRICAL DRAWINGS FOR ADDITIONAL 1112 PR. BUTTS I CLOSER W/ DEAD STOP ARM I DOOR STOP 11/2 PR. Burrs SET P. NIERDR PUBLIC TOILET ENTRANCE LOCK5ET (551PO FUNCTION) I PRIVACY SET W/ LEVER HANDLES I KICKPIATE CLOSER SET SET #B: INTERIOR STORAGE 11/2 PR. BUTTS I PASSAGE SET W/ LEVER HANDLES ST I POOR S I KICKRPLATE 1 1/2 PR. BUTT SE1 14: INTERIOR XUBUD -ACTING DOOR SET /4 CROWN PROCESSING I FOOT FN4�McKHN*Y #3001)PR I/2' e 1 e 1 1 1 n 1 1 I I e e l e e ------- - - - - T I ASSAGEE SET W/ LEVER HANDLE 2 PUSH PLATES I THRESHOLD 2 DOOR STOPS I DOOR STOP 2 KICK PLATES I AUTOMATIC DOOR SWEEP e AS e e ... ..... ... ... . . . . .- I........... 1 I LIGHT SEAL PACKAGE 7 5 1 p9 AS 10 i SET /10. VESTEU.E � I PUSH /PULL TO MATCH EXIST STOREFRONT SCHLACE 'S' SERIES BRUSHED I CLOSER I NO LOCK SET CHROME, LEVER HANDLES. ALL I DOOR STOP OTHER HARDWARE TO MATCH ----- — d ' li e I I e LEVER FINISH. ALL LOCKS TO BE AS 1S . r-T---- MASTER KEYED. 10 1 _ 6 i _'__ _ A5 1 1 EQUIPMENT PLAN LEGEND Ot CONTRACTOR TO PROVIDE AND INSTALL WHITE ALUMINUM MINI BLINDS ON ALL WINDOWS AND TRANSOMS (MOUNT TO FACE OF WINDOW FRAMES SO AS TO OVERLAP THE VERTICAL WINDOW MULLIONS — DO NOT INSTALL BLINDS ON ENTRY DOOR OR VESTIBULE GLAZING O2 CONTRACTOR TO PROVIDE AND INSTALL 2 1/2' COLONIAL PROFILE CHAIR RAIL (33' A.FF TO BOTTOM) ON ALL WALLS IN WAITING ROOM. 03 DENTAL CHAIR UTILITY CENTER — TYPICAL OF 5 — REFER TO PLUMBING AND ELECTRICAL DRAWINGS 04 DENTAL CHAIR BY OWNER — TYPICAL OF 5. O3 1/2' DIAMETER HOLE N COUNTERTOP WITH PLASTIC GROMMET. ©VACUUM PUMP AND AYR COMPRESSOR PROVIDED BY OWNER. ©PROVIDE AND INSTALL WHITE PRO GLUED TO WALL AROUND INSIDE THE MOP SINK UP TO 60' A.F.F. OSW6966 'BLUEOLOOD' THIS WALL ONLY 09 SW6802 'JACARANDA' THS WALL ONLY OSW6424 'TANSY GREEN" THIS WALL ONLY ©ADA— COMPLIANT DRINKING FOUNTAIN — REFER TO PLUMBING DRAWNGS ©CUT OUT CHAR RAIL AS NEEDED TO MOUNT OWNER SUPPLIED MAGAZINE RACK — FELD VERIFY EXACT LOCATION 01 1/2' DIAMETER HOLE N COUNTERTOP WFFH PLASTIC GROMMET. ®PASS —THRU CABINETRY FOR PA X —RAY FURNISHED BY TENANT AND INSTALLED BY GENERAL CONTRACTOR ®X —RAY CONTROL BUTTON — REFER TO ELECTRICAL DRAWINGS FOR ADDITIONAL NFORMATIO14 ®PROVIDE A 9' D. x 28' W. WALL MOUNTED COUNTER AT 41' A.F.F. — COUNTCR TO HAVE A I' RADIUS ON EDGES AND CONSTRUCTED OF MELAMINE WITH 'ASIAN SUN' LAMNATE ©SERVER CABINET BLOCKING — REFER TO 12/A5 W W af r Q Q Of O � Q U e 1 e 1 1 1 n 1 1 I I e e l e e ------- - - - - T T -I � u I i 9 A6 e e AS e e ... ..... ... ... . . . . .- I........... 1 7 5 1 p9 AS 10 i � i e 1' 1 ----- — d ' li e I I e J e II e e .........I .. -------- "1 AS 1S . r-T---- 10 1 _ 6 i _'__ _ A5 1 1 4 Li AS AS A6 L...... (r88 ... � ) 10 v \ ... . . ...... ................ e i I I I 4ORTH n ENLARGED CHAIR ROOM /2' - r -0' IIDA 10 ID 1, .toUIPMENT MA34 ROOM 6 6 C R P 1 DENTAL PREP 1 _} P - - - - -- a A4 AS O 9 ( CROW _77 ROCESSING I09A 108 9 08 C R P rr i RESTORATIVE 4 CHAIR (Room 112 3 N5 STORAGE 111 � 107 I 1 C R P l0 P II ' A4 19 ° 10 r > O 2 1 A6 II STAFF UROO A4 ESTROCI 4 CHAIR ' 12 1 S H4 i A4 I SV F 1 3 T - -- 112 Q i C R P 1 , , e ' 1 e e .. e I ---- 9—QIMPRESSIONS 6 Io I -- - A4 ' C ~ _a_ 2 e A5 DENTURE PROCESII 105 4 I q 114 3'-0' C R P 9 —iJ1— I A4 10 -��- ° ANAGER'S O OFFICE II 101 CHAIR ROOM li Aq CT R P 3 4 k2 DOCTORS 115 OFFICE C R P A4 L 1 R P 4 O A6 —0. LHAIR41ROOM vCT C _ ________ 9 5 116 rIAICTI R I P L1 B 3 F:le A6 A4 117 RECEPTIO A4 A4 C R P = 102 2 6 C R P A6 X —RAY 11 1 A4 118 3 `I C R P I A4 1 2 3 12 6 3 A4 y A4 A4 8 A4 13 T ________- A4 i 1 i___ ° 1 1 1 1 J-- -. -. -- - -_ A6 EQUAL EQUAL MIENS IS F-11-9­1 5V c WAITING ROOM SV F 101 / R P C V V c O O 2 rt II O " 6 WOMENS OV C VESTIBULE 120 100 SV F 120 I C R P I I I IOOA NORTH n EQUIPMENT FLOOR PLAN A2 1/4' - r -O' CONSULTANE WILKUS A R C H I T E C T S 11MTVwwyyVMRd,FM� 44�MN6VM Tebpvc9s2D{1.�90' iNmn CLIENT. DEN UORES° smile AFFORDABLE CARE, INC 874 HARDEE ROAD, SUITE 822 KINSTON, NC 28504 p. 252.527.6121 IF . 252.208.4400 PROJECT INFORMATION: N uj ie�i Q 1� Lj N z > W 0 W LLI U_j Lu J i W W af r Q Q Of O � Q U Ey �q MICHAELJ. WILKU$.ARCHITECT LICENSENUMSER: 4101007582 EXPIRATION DATE: 124145 DATE PROJECT NO.: AFF201"999 DRAWN BY: WS CHECKED BY: KWS 11SSUE: DATE: 1 PERMITISSUANCE IM-0 14 REVISION: DATE: PROJECT LOCATION: CHARLOTTESVILLE, VA SHEET NUMBAER /TITLE: EQUIPMENT / FINISH PLAN