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Home My WebLink AboutCLE201200042 Legacy Document 2012-03-09Application for Zoning Clearance CLE # �ja- n Lounty 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 W) OFFICE E ON PLEASE REVIEW ALL 3 SHEETS Check # CW.4KQ Date: Receipt # 5K q Staff: PARCEL INFORMATION 2 Pla.nnecl� De' o m �f Tax Map and Parcel: 0n6�I MO -(`D " a "�1 61 Existing Zoning 1� j y eCl i_CtCjy�rn�YG1 �( D E T� E L L- C I_�' ; Parcel Owner: I" Parcel Address: b ao gerkwr cl, (CIC City l ,Yj(,YbftMe state VA Zip 0101 (include suite or floor) PRIMARY CONTACT Who should we call/write this project? (concerning ),! Address : I N. � V ) ed i' ca l Part DeiCity � 5 (� ,rS1� � 11 estate � !-T -zip Office Phone: (� Cell #5SgQ `90- /U Fax #�'1 f t L l E- mailS(eQJML�QIIS�'GeVPa5.5CJU� APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: O +h o) PYQCiCC a - CQ I Sh 1 eGne d _ r1 +nCS.S doldlery Previous Business this on site i Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of information Merl iNe it vehicles, and any additional that you can provide: ►`rci n� �Y carp- om, �J ck (661 cnhal a rr l.s . o:: � sb,,- k,_ qhj olt ?,4 1n1QVS . C' nHL,, rar�c OV_.J *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 t the best of my knowledge. I have read the conditions of approval, aan`d�I,understand them, and that I will abide by them. Signature �v� Printed sofa ?j ( c APPROVAL INFORMATION 1 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 3 ` a J 2 Zoning Official ! Date /2 / Other Official Date Lounty 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 W) Intake to complete the following: Y/N Is use in LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified Y /I�tlf Wil 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 ublic wat If private well, provide Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applie Is parcel on septic or 6blic sewer Y/N Will you be putting up a new sign of any kind? Sign permit. Permit # If so, obtain proper Y�/ N Will there be any new construction or renovations? If so, obt ' Zerro)M. Permit # Zoning to complete the following: Reviewer to complete the following: Square footage of Use: &12-/ j/N Permitted as: T / J{ 5r>L LI1 'S- Under Section; Supplementary regulations section: Parking formula: Required spaces: Y/N Items to be verified in the field; Inspector : Notes: Date: Violations: Y / If so, i t: Pro ff W.- Y/ If so, ist: Varia ce: If / If so( SP's: _\ If /(N 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 (Home 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, 1( cabon I iatv—e [County application name nd number] was provided to D E t' 1REP , LLG the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number (%' / AO -00 ✓ja W� Z )� 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 Mailing a copy of the application to _ I [Name of then cord owner i 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 a� � � f a� � - to the following address: Date Cj cck�, ►-�o I1C, [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]. �daks Sib ature of Applicant &,a e ' Print Applicant Name Date County of Albemarle Community Development Department L••, 401 McIntire Road Charlottesville, VA 22902 -4596 BUILDING APPLICATION -Page 7 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Planned Development Mixed Primary Zoning Commercial Application "B2012-00190 -Alt Entered By: Todd Shifflett on 0210212012 ddlt� , Associated Building Sub Application Typ CatiO or commercial building Permit Street Address: 620 BERKMAR CIR CHARLOTTESVILLE, 22901 Work Class Frame Type Water Supply Type Sewage Disposal Type Foundation Type i{o'7j.4:� rY'Y G" a : —n*a v,+'::y, {y+��,, ��yr >�'v �{'�u .,;' Jh c'r ' �. tL• dCw� z'r''�,15�.•i., r r`' 5 v �' is rtii�� ys.r7� :.a�! -ii.0 '',- ,`�,'! ° a ,�1'�'t'ri 4Y. �.. W •3, _C(� '5,�� ! �t6 '`Jkd '�v7n,x.,7�,(!1(� �' la r'C b '�r�: If +r�M�r,�f a ys U, � � P'$,Q �'.�,_7, 'G 1,'u'!+`�'� "S�t;� 9 7"� %M'.'.. ��.d'ih rFT >7S}r� "Kio1; i "•�.:e, &'�F(< 3`�iY• {ri �. kr � t<? 2 r n `�l r 'S vLs ri�,iC.v ��.....,�., •,�+„+.,'n'3f?;ed'....n _.....?!�.,�r,��a,.,�,,,,; ....:..- :._..._ ..... ..:..::.:.::�•. — .I .. v:a.! ..! :_,;!,!....,; ', � ,4•i! r! � � !1 i ! ! t Work Valuation Jurisdictional Area Other Foot / Found. DeSC.: $ 156,000.001 Water && Sewer Work Description: / TENANT UPFIT FOR EYE DOCTOR OFFICES. Directions 620 BERKMAR CIRCLE. LOCATED IN BERKMAR CROSSING; INTERSECTION OF BERKMAR DRIVE AND RIO ROAD. Legal BERKMAR CROSSING B B1 FITNESS GALLERY Description: Use Group Unknown Construction Type Square Footages: # of Stories Porches Unfinished Basement 1st Floor 3,321 Decks Other Unfinished Total Unfinished Sq. pp�� 2nd Floor Garage Footage �J 3rd Floor Swimming Pool�� Finished Basement Other Habitable Total Habitable Sq. Footage 3321 Total Building Sq. Footage 3321 Set Backs: Zoning Pre-construction., j Ld!!u UZC. Front Back Fire Alarms Required? J_ Bldg Pre- Construction? Left Side Right Side Fire Sprinkler NAPA Code/Year I Dwelling Units Accessory Structures Mobile \Prefab. Homes Mobile Offices \Prefab. Units Carports Bedrooms Baths Paint Spray Booths Garages Kitchens El Swimming Pools \Hot g Other � Elevators \Escalators \Lifts Tubs \Spas (Res. Only) 1 r (DA)i a!;j,�;�� D. wnl l C