HomeMy WebLinkAboutCLE201600007 Application 2016-01-25Application foK Zoning Clearance
CLE # 0—
OFFICE
U LY
PLEASE REVIEW ALL 3 SHEETS Check # Date: -1q -16
Receipt # Staff.
PARCEL INFORMATION
Tax Map and Parcel: 061 WO-01-OA-009BO Existing Zoning C1
Parcel Owner: PMJB Land Trust
Parcel Address: 2340 Commonwealth Drive Suitel0 City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Sue A. Albrecht, CID, ASID
Address: 265 Ipswich Place City Charlottesville State VA Zip 22901
Office Phone: (434) 973-6161 Cell# 434-531-2435 Fax 434-973-0732 E-mail sue@designenvirons.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: PJ Networks LLC
Previous Business on this site Forensic Evaluation Services, PLC & Canopy Insurance
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: Computer repair & support: 5 employees; I shift, 7.30 AM -
*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 �heestf kno ge.L�haveadthe onditions of approval, and 1 understand them, and that I will abide by them.
Signature Printed V J—
_9 J7190C
PPROVAL 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.
[ ]`Phis site complies with the site plan as of this date.
Notes:
Building Official Date Jt
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 11/02/2015 Page 2 of 3
Intake to complete the following:
Y /
Is u in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y //N
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 ublic wale
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 applie
Is parcel on septic o ublic sewer?
-Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit#�U1' 06S
Y /IN,/
Wil ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: 7 C C
P /N
Permitted as: ��'UcSiD,ti
[ander Section: �2 •2 . � T
Supplementary regulations section:
Parking formula:/
�a a 11;Z7L
Required spaces:
Y/N
Items to be verified in the field:
Inspector :
Notes:
Date:
Viola ' ns:
Y/
If so, List:
Proffers:
Y/A
If so, ist:
Varia ce:
Y/ V�.
If so, List:
SP's:
Y/A
If so, ist:
Clearances:
SDP's
Revised 11/1/20I5 Page 3 of 3
o
M
--!V"'c 01, ON'
r
0
M
9
Z
D
PROJECTNAME:
DESIGN ENVIRONS CORPORATION
DFMNFD . BUILT . F ws ED ArTALLm
REVISIONS:
PATE: BY:
:,, _, •f
I
DRAWN BY; '_ "-W:
imoi of nivmae ep9.......r��Ba°wa„°'`�iA rui µniprae� '"a'00.01010�
Kimball,
IInl�techli
DATE: SCALE;
340 GREENBRIER DRIVE CHARLOTTESVILLE, VIRGINIA 22901