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Home My WebLink AboutCLE201500176 Application 2015-08-31Application for Zoning Clearance CLE # 600 1 'J 11 PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # i O'S i Date: Receipt # 10 1 o-5 1 Staff: ' PARCEL INFORMATION Tax Map and Parcell: % � — 3A I Existing Zoning S M�X�e1 ,-7 ,j Parcel Owner: ft) 10� U LLS A , / ,/1 Parcel Address: 1 95 b l ` City l 1Y1,C I Cf 7 IBJ' eState V 1 - Zip ZZ� (include suite d floor) PRIMARY CONTACT S her l e- F7 Ia re S Who should we call/write concerning this project? Address :._3 3 3 0 Hllj26 S On ELIC6± Lf tCity U U.(4Ji yt. M )d &tate JAA' Zip Cell # 38 L0 Fax # E-mail � le r,0S � q � Office Phone: (_) .CtA APPLICANT INFORMATION Change of ownership Change of use Change of name New business Check any that apply//: r� Business Name/Type: I -0 t) ,e Abe) y 2 r i La Previous Business on this site 1 t i ) 0 S S LJ 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: T:-� 4jnt?Ss Ccn+P r . +b cc,e P S- V inye eS *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 kno nge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed, J-��/,� Cioro 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, xl 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 plan as of this date. Notes: Building Official Date 1`t t, Zoning Official Date f/z' 21'2_c)%5 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 M 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/N 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 or b�v�'r? If private well, provide Health nt form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that appl ies Is parcel on septic or sewe . 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 # 7.nnin¢ tO complete the following: Reviewer to complete the following: Square footage of Use:(�� /N mittedas: Under Section: 25/j • 2• ! Supplementary regulations section: Parking formula: Required spaces: Y / Items to be verified in the field: Inspector: Notes: Date: Violations: Y / If so, List: Proffers: O/ N If so, List: s Varia ce: Y/ If so, List: SP's: !/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, / )I ,Q [County application name aenumber] was provided to V-1 the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number manner identified below: by delivering a copy of the application in the 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 A - Y 1 b l U �A S H— [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& t 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]. §igifatdre of Applicant Pr�� r►�� 10,^e C plicant Name Date -FIE LOS w I () LESS p --es i -Y - -F A-Y,ies-,; Z0' Ta cr-wr Do U -7v q %W/ -)j � G5Lo abbey �2d 1400 C', -V-F Jay Schlothauer From: 9Round Charlottesville <flores@9round.com> Sent: Monday, August 24, 2015 9:58 AM To: Jay Schlothauer Subject: RE: Fitness Gym at Pantops Jay, We anticipate up to 14 members being present at any given time. We will have two restrooms. Thank you, Sherie Flores Owner 9Round Charlottesville 434-974-9000 flores@9Round.com http://9Round.com/Charlottesvil]eVaTimberwood 1�5- 9R01 U N 30 MIN KICKBOX FITNESS -----Original Message ----- From: "Jay Schlothauer" <JSCHLOTH@albemarle.org> Sent: Monday, August 24, 2015 9:35am To: "flores@9round.com" <flores@9round.com> Subject: Fitness Gym at Pantops Sherie, I am reviewing the recent zoning clearance application for your fitness gym and have one simple question. How many customers do you anticipate being present at any one time? Thanks, Jay Schlothauer Manager of Building Inspections / Building Official Albemarle County Department of Comm unity.Development 401 McIntire Road Charlottesville, VA 22902 telephone: (434) 296-5832, ext. 3228 fax: (434) 972-4126 jschloth@albemarle.org