HomeMy WebLinkAboutCLE201500046 Application 2015-04-02Building Permit # B2015 -00264 -AC
Application for Zoning Clearance'
CLE #
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # Date: 31 1 K'
Receipt # qCJ 12, `1 Staff:
PARCEL INFORMATION
Tax Map and Parcel: 03200-00-00-019JO Existing Zoning PDIP
Parcel Owner: UVA Foundation
Parcel Address: 1001 Research Park Blvd. jpU%City Charlottesville State VA Zip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Jim Wilson
Address: P. O. Box 400218 City Charlottesville State VA Zip 22904
Office Phone: (434) 982-4842 Cell 531-1940 Fax# 982-4852 E-mail jmw6w@virginia.edu
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: Habilis, Inc.
Previous Business on this site n/a
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 small software company with two employees, two vehicles and daytime shift.
*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 kn�owled�e. I "ave read the conditions of approval, and I understand them, and that I will abide by them.
Signature tl'V Printed ,,war% 14, &;/&J'�'
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 a
Zoning Official Date
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:
01' use
s use in LI, III or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
YIN
Will there 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 puG is wa r?
If private well, provide Hea ment form.
Zoning review can not begin until we receive approval from Iealth
Dept. FAX DATE
Circle the one that applie
Is parcel on septic public sew ?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
7nninv to emmnle.te the fnlinwinu:
Reviewer to complete the following:
Square footage of Use:
1-v C>
�)/N
Permitted as: �Py�y 1 l i ( e--
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces: �.-
Y/N
Items to be verified in the field:
Inspector:
Notes:
Date:
Violati s:
Y/V
If so, st:
Proffers:
Y/N
If so, List:
Variance:
Y/N)
If so, 1st:
3's:
/N
If so, List:
�v
Clearances:
SDP's
69 �d Z
e--) u2)
Revised 7/1/2011 Page 3 of 3
Suite 100
Client's initidls`- Rage,11 Rev 03;09.15
HABILIS, INC..
703-879-1824 March 13, 2015
mcbride@habilis.com
Community Development Department
1001 Research Park Blvd 401 McIntire Road
Suite 1008 Charlottesville, VA 22902
Charlottesville, VA
22911 To the County Engineer:
We are a small software consulting company. We have two employees in our office.
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. We have no major sources of noise.
Vibration: We operate no equipment in our office.
Glare: The interior lighting associated with this office does not produce glare that is
visible beyond the lot line.
Air Pollution: There will be no emission of smoke, odor or gaseous pollutants.
Water Pollution: No liquid wastes will be generated by this operation. Our operation
does not represent a hazard to water quality.
Radioactivity: Our operation does not require handling of radioactive materials.
There will be no radioactive emissions.
Electrical Interference: Our operation does not require any equipment that would
generate electrical disturbances.
Please feel free to contact me with any further questions you may have at
703-879-1824 or by e-mail at mcbride@habilis.com.
Sincerely yours,
Philip McBride
CHARLOTTESV�LLE ALBEMARLE
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