HomeMy WebLinkAboutCLE201200057 Legacy Document 2012-05-01((r
Application for Zoning Clearance:
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PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # Date: (1
Receipt #. 04gol& Staff:
PARCEL INFORMATION
Tax Map and Parcel: f OC7 - 0Q -00-63786 Existing Zoning LC
Parcel Owner: Uf2G! A L" 06t:iDaUGS
Parcel Address: 56& Dfz* f. ny City - .T V 1 State X Zip
(include suite or floor)
PRIMARY CONTACT
Who should we call /write concerning this project? N f c y Nom`
Address: F F1 w L14 7 City A State Zip2!2R Z
Office Phone: q5-49Z Cell # 9&0 l q 5L Fax # E -mail An rc
APPLICANT INFORMATION
Check any that apply: Change of ownership. Change of use Change of name New business
Business Name /Type: 1:00qL P7FI CAS S01 -074ZJ 5 '- OFEI� FtJIP�C7l42E 5�4C�
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Previous Business on this site W AK 5U Aft '
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 Ile i eS Ave. 5.6 �rea..
0 -rOTW_ 15 wt,PLdYI E5 kkLwRV67, G7 UL.'( 2 c to 3 4-9is v5Ua LL_,Y o.0 -St
*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 es y ]mo 1 ge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed (Z�1ICFkDL Al 2
,
APPROVAL INFORMATION
[ ] Approved as proposed [1tifApproved with conditions [ ] Denied
[ ] BackElow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x1 17.•
[ ] 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 lan as of is dat .
Notes:
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g Official �4!r�,��` '�!— — Date
rc4�i fficial Date
Other Official Date 1 f a1
County of Albemarle Department of Community J)evelopment
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:
Reviewer to complete the following:
N
Square footage of Use: bb
is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Lettedas:
Y /
Wil ere be food preparation?
Under Section: �? • �- • � � � 7�. •
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Supplementary regulations section:
Dept. FAX DATE
Circle the,offe—that a Pies
Parking formula:
Is parcel o private 11 or public water?
If private weIl, provide Health Department form.
.Zoning review can not begin until we receive approval from Health
Required spaces:
Dept. FAX DATE ZZ//?_ &) ?/
Y/N
Circle the one th_t applies
Items to be verified in the field:
Is parcel o septi or public sewer?
Y/N
Will you be putting up anew sign of any kind? if so, obtain proper
Sign permit.
Permit #
Inspector: Date:
Y / N
Notes:
Will there be any new construction or renovations?
-If so, obtain the proper Permit.
Permit #
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Violations:
If s2>; L.ist: � �
Proffers:
If
If s&- L/ist: .
Varia ce
If so, List:
If sb; List:
Clearances:
SDP's
Revised V1/2011. Page 3 of 3
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Rebecca Ragsdale
From: Kirtley, Joshua (VDH) [Joshua.Kirtley @vdh.virginia.gov]
Sent: Tuesday, May 01, 2012 1:12 PM
To: Rebecca Ragsdale
Subject: Zoning Clearance 2012 -57
Rebecca:
Good afternoon. Thanks for your email.
After reviewing the application, it appears that the current use will involve eight (8) total employees and that the
existing "warehouse" use will remain the same . When I review the approved septic information, I note that the
facility is approved for water use up to 750 gallons /day. This is more than adequate for the number of
employees and the proposed use indicated on the application. If the use were to change or if more employees
are added to the facility as part of an expansion, I would like to revisit this issue in order to verify that they are
still within the limits.
If you have any questions, please let me know.
Have a nice day,
Josh
Josh Kirtley
Environmental Health Specialist Senior
Thomas Jefferson Health District
1138 Rose Hill Drive
Charlottesville, Virginia 22903
Office (434) 972 -6288
From: Rebecca Ragsdale [ mailto :rragsdale(�)albemarle.org]
Sent: Tuesday, May 01, 2012 11:48 AM
To: Kirtley, Joshua (VDH)
Subject: RE: 556 Dettor Road
Josh - Please see attached.
Thanks,
Rebecca
Rebecca Ragsdale, Senior Planner
Count), of Atbemarle
Department of Coinintniity Development-
Zoning
401. McIntire Road
Charlottesville, VA 22902 -4596
(434) 296 -5832 Ext. 3226
Fax (434) 972 -4012
E-mail: rragsdale 9.albernarle.ort*
From: Kirtley, Joshua (VDH) [ mailto: Joshua .Kirtley @vdh.virginia.gov]
Sent: Monday, April 30, 2012 12:22 PM
To: Rebecca Ragsdale
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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. .
' P�U Fa�2
I certify that notice of the application,
[County application name and number]
was provided to VIR& 11 L" /lfi�s3 ' the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number St� - �� by delivering a copy of the application in the
manner identified below:
c/ ri 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
Da .
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].
Signature of Applicant
'Print Applicant Name
Date