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HomeMy WebLinkAboutCLE201500206 Application 2015-11-241W1f Applieation for ZoningClearance CLE #r! t 01 S '- 0(�> OFFICE USE QNLY _._-----.__..------_—._._-- PLEASE REVIEW ALL 3 SHEETS Check # 10 3 Date: - -- _— - Receipt # TQ y'T Staff. PARCEL INFORMATI N Tax Map and Parcel:o� Z, — Existing Zoning__ -- __�� Parcel Owner:_ A"s= T` Marcel Address:����f F--2�&CAA & City state Zip (include suite or floor) PRIMARY CONTACT Who shouldwecall/write concerning this project? L _ Address: f —O p'� City State V Un' � A i Office Phone: Z'Cell # �~ FaN� E-mail _ Lt.r[� i r �.�5 @ cul • r?�� APPLICANT INFORMATION --� Check any that apply: Change of ownership/Change/'—fof use _Change Of' —U1 n—;e _---N-cw business-� Business Name/Ty.pe: _[�ll�.i il�Gl� _--&_ f LC.. -- _� Previous Business ou this site Bd-,r-r pJ 1kU)LhW_ Describe the proposed business including use, number of employees number of shiffi',ffavailahle parking sp•,ei�s, ,-:r,.rstbu, a/ 1 vehicles and any additional informati n that you canprovide: -f- a4 O 0LX_lr' * 'his['It ar-n - -. arr r" ba -aid on tl z parcel for which it is approved. If you change, intensify or mnve the use to a nr.v4 !oc tition, 0 lift sv : on iog I Clearance wid be required. I hereby ceriffy that I own or have the owner's permission to use the space indicated on this application. I also certify that fire i:vFuri:�'-i ,.: p: UX is trate and accurate to the best of my knowledge. I have read the cond-Nons of approval, and I understtand them, and ti:at I •. is i aht.'c i";, t.h-;o). Signature — _ _-- — - -- P: inted �1� �✓ LLt L-_- I _ i AP WOVAL• INFOR1yl.,. 71ON [ Apprr aed as F.oposed [ ] Approved with conditions ; } De -tied i ] 8ack_fi'.•w prat f;t,titro JCIJc , indicr cLit7 ant teat data needed for this site. Contact ACSA, 97" �1:'1 I. ;:I 17. [ ] No physical sii:e inspection has been di -me for tris clearance. Therefore.. it is not a deter: ma6on of comr•iia , •:r .lt r tl :; i.dme i site plan. [ 'j This site complies with ttw site pktri is of this data: i1W etas; Building Official Zoning Official i Other Official L Date Date nrr�rt ' ul 1 if,¢°�;ta le f Jrpaatment of f;omn,M11t,', 00A e't 400 ; fJoiirc, Rw_d 4 22992 'Voice: (4341296-53:3., ".0419;::_!26 Intake to complete the following: 2usNPDIPoning?`IIk) i5e in .LI, HI or I so, give applicant a Certified Engineer's Report (CER) packet. Y /�T Will 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 or public water? 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 applies Is parcel on septic or public sewer? Y I © Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # IY/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # -- - _-- - I Zoning to complete the following: Reviewer to complete the following: Square footage of Use: ) l Olt) — Y)/ N ra ermitted as: Waday Under Section: �, A 4( Supplementary regulations regulations section: Parking formula: 11 PMA 1 M 1f, -f - Required spaces: °)nq Ite be verified in the field: Viol s: Yq if `, st: — ` J r ffers: -_—.— -------------� IYo/N so, List: U�� Variance: Y f N i If so, List: SP's: YIN If so, List: _--...------ Clearances: — SDP's - Rev—.'sed 7/1/201 i _71 of' Allied Portable Toilets Serving central Virginia and the Shenandoah Valley 434 823 2785 AlliedPortableToiletsOg mail.com November 16, 2015 Community Development Department Division of Zoning and Current Development 401 McIntire Road Charlottesville, VA 22902 To Whom it May Concern: We are a portable toilet rental and service company. We have addressed the standards referenced in Section 4.14 and provided the following responses: Noise Our operation will not create sound or impact noise levels in excess of the values specified in Section 4.14.1. The main source of noise will be trucks entering and leaving the building Vibration Equipment operated by shop does not produce any detectable earthborn vibration. Glare We use the building and the adjacent parking lot. The building does not have electricity. There are no interior or exterior lights. Air Pollution There will be no emission of smoke, odor or gaseous pollutants Water Pollution No industrial liquid wastes will be generated by this operation. Our operation does not represent a hazard to water quality. Radioactivity My operation does not require handling of radioactive materials. Electrical Interference The building does not have electricity. E R E E CD . iA4 'Mill, I K_41j f 4tl Z3 I 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, 41 ® 644 � - f [County application name and number was provided to Lie, the owner of record of Tax Map [name(s) of t5e record owners of the arcel] and Parcel Number -6 �� r 7 , 71 �7 7__i lj by delivering a copy of the application in the manner identified below: Hand delivering a copy of the application to f/!� [Name of the record owner if the record owner isf ate` 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]n,, _ Date - 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 recipiert'stitleor office for that entity] on Date to the following address: [address; written notice mailed to the owner at the last known address of the owner as shown on Che current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. Signature of Applicant VQ/ AME fto, 41§ Lk Ouew - f er6-445- Print Applicant Name - —'—k?k10 — Date