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HomeMy WebLinkAboutCLE201000239 Legacy Document 2012-04-11Application for Zonin C9 learance 0 CLE # �/d - t Zonin = $35 OFFICE US � O Y Check # C6 5 � Date: ' U Receipt # 7(o Staff: PLEA REVEW ALL 3 SHEETS VI ,W PARCEL INFO LT_ Tax Map and Parcel.• Existing ZoninLy Parcel Owner: Parcel Address: WAD fia ka 1 City t v6 �� State � T _ —Zip= (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? 20 �© it e- �(�Z Address : Avon l ,)or+ City ��. U, 16'� State U/t 1Z,ip� -' Office Phone: (q3q -V3-5)3 xM' Cell # 3q` 1—g6Q Fax # 2,q3 -- E -mail lVO Ode, SbY'.t- ICU"' APPLICANT INFORMATIONS ►'Y� ('i1" Check any that apply: —k- hange of ownership Change of use Change of name New business Business Name /Type: L i clk &use si�tatY;Iore 11g�+f weo 1r,'�,, Previous Business on this site �� �; n;'a rn��✓�� P T pa PA l Sobb +.c Describe the proposed business including use, number of employees, number of-shifts, ,available parking spaces, number of 1 { "fa vehicles, and qny additional information that you can ovide: s�(lf a170.rU/�in� .20 aes j 6, cles t . A nc �' eS ,. OU /m rc, . 36 te 1� *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 nnoowwledge. I have read the conditions of approval, and II understand them, and that I will abide by them. Pr inted 16{ta0A Signature 1�� ALr5l 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 Zoning Official Date Other Official Date �E%G ZOl9 County of Albemarle Department of Community Development 401. McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 04/28/08,10/13/09 Page 2 of 3 ,n eS:S Intake 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. Y 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 o i blic water If private well, provide He epa rtment form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applies Is parcel on septic or ublic sewer? Y/N ill you be putting up a new sign of any kind? Sign pem . Permit # ] If so, obtain proper Y/N Will there be any new construction or renovatio r If so, obt ' ie op Weit. n Permit #f )►A Zoninvr to com lete the following: Reviewer to complete the following: Square footage of Use: &5 6 Termitted as: Under Section: Supplementary regulations section: Parking formula: Required spaces: -.--7 Y/ Items to be verified in the field: Inspector : Date: Notes: IG zoadW4 -S m Lts OYiso/ol ns: st: t Prof s: Y N If so, ist: Var•ance: YAN� If so, st: 's: Oy/N o, List: fqV Tc5 Ri 6 �y Clearances: U SDP's � �7 Revised 04/28/08, 10/13/09 Page 3 of 3 Q.) L d I N �c � 0 a� 00 S OJ -3- QD "rJ � � c C� CID Q.) L I N �c � 0 n AG1/�,�1� U �u�L li "11MV01� COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road Charlottesville, Virginia 22902 -4596 Phone (434) 296 -5832 Fax (434) 972 -4126 MEMORANDUM TO: Zoning Clearance or Home Occupation Applicant FROM: Zoning Division RE: Request for Approval of Letter of Performance Standards or Certified Engineer's Report Proposed Business /Use: �,T + fAJL\3+ 101J ZedechOrrics 0GS'"Ji Address: 2-02® AjUn e ou�� SudGe_ j M7 �n,o�,ne -f rar►�. z03D A ixn 6c�,n -f1 Re CLE (Zoning Clearance Number): HO (Home Occupation Number): Contact Person: W /b a" � ►�S Phone Number: 2g3 -3CV 0 � Fax Number: 2M" -7 77.3 Date Faxed to Applicant: Please return this form along with all required documentation to the Zoning Division upon completion. Thank you. 1 CER Packet Revised 2/11/09 November 19, 2010 Community Development Department Division of Zoning and Current Development 401 McIntire Road Charlottesville, VA 22902 To the County Engineer, We are a small electronic intrumentation manufacturing and marketing company. We design and sell small electronic analyzers to the pharmaceutical industy. We have addressed the performance standards of Zoning ordinance Section 18 -4.14: Noise: Our operation will not create sound or impact noise levels in excess of the values specified in Section 4.14.1. Vibration: We operate no heavy industrial equipment, only electronic instuments and small power tools, e.g. benchtop drill press, 12" band saw. Glare: All operations are contained within the building. Normal levels of interior lighting are used emitting no glare beyond the lot line. Air Pollution: There will be no emission of smoke, odor or gaseous pollutants. Water Pollution: No liquid wastes are generated. Our operation does not present a hazard to water quality. Radioactivity: We do not handle radioactive substances. Electrical Interference. Our operation does not require equipment that generates electrical disturbances. Please feel free to contact me at 434- 293 -3081 (ext 230) or wanderson @lighthouseinstruuments.com if Ru-ther clarification is needed. Sincerely, z�'� William Anderson Lighthouse Instruments