HomeMy WebLinkAboutCLE201400224 Application 2016-03-25Application for ZoninClearances:.°'f'
CLE# ZQ)q•-ZZ-
irt•fKir
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check # Date:
Receipt # q -7$ 1 Staff:
PARCEL INFORMATION
Tax Map and Parcel: t -y C. rA , i `S C p tp Existing
Zoning
Parcel Owner: fti�ifi 'Q
Parcel Address:_0 J S . _Ra>Ah bir City �'y t1L State V A Zip
(include suite or boor)
PRIMARY CONTACT 11 C
Who should we call/write concerning this project?
Address : G -In5, City ` �\V Vw—State--\.!A Zip l
Office Phone: $4 Z.Cell # M M Fax # E-mail
APPLICANT INFORMATION
Check any that 1
apply:Change of ownership Change of use Change of name l New business
l�
Business Name/Type: , aN et `� ' v-vz \o.s tom- ri, n c ,rteV.A---�_ �'1 C_X-
Previous Business on this site QS J,i t
Describe the proposed business including use, number of employees, number of shifts, available arNng spaces, number of
vehicles, and any additional information that you can provide: 'Q'SZ a of
k s g4 0 -
*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. 1 also certify that the information provided
is true and accurate to the best of my knowledge. I haZ
e read the conditions of approval, and II understand them, and that I will abide by them.
Signature , Printed 6//-c r__ G- b
AP OVAL INFORMATION
[ Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xI 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 it 1( i
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:
Y/N
Is use in LI, HI orPDIP zoning? Ifso, give applicant a Certified
Engineer's Report (CER) packet.
Y1
Will re 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?
Reviewer to complete the following:
Square footage of Use:
Led as: _ 6a(� 1�MPATA
CM
Under Section: 3.2.2
Supplementary regulations section:
Parking formula: [ 3 -V `
V1
Required spaces: CLA
N
s to be verified in the
Y
Wi ou be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit # Inspector : Date: 1¢
Y /Q Notes:
t 0
Will there be any new construction or renovations? 4k PM"8 I.J. �b
If so, obtain the proper Permit.
Permit #
1-1
Zoning to complete the followine:
Viol"ins:
Y V(N )
If so, st:
Prof
If so,'List:
Vare:
Y1N)
If so, t:
SP's:
Y/
If so, ]st:
Clearances:
SDP's
Lqq+ 1 LD?-*' AACAA
1 1
Revised 7/1/2011 Page 3 of
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,
was provided to
[County application name and number]
[name(s) of the record owners of the parcel]
the owner of record of Tax Map
and Parcel Number by delivering a copy of the application in the
manner identified below:
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
[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
to the following address:
[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].
IV
�h
o /C, Al
/rjC/
Signature of Applicant
Print Applicant Name
Date
AkZONING COMPLIANCE
W0100.
WWW.dmvtvw.com
wa.. Dn&—t .1 hftwr
itdtOffia DW27412
.11011'roDd, VirgFria 23259,0001
ALBEMARLE LIMOUSINE AND TRAVEL SERVICE
175 SOUTH PANTOPS DR
CHARLOTTESVILLE, VA 22911
Purpose: Use this form to verify that your business is -being operated from a properly-z�ned address.. -
Instructions: Send completed form to Motor Carrier Services at the address above.
OA 139 (710112013)
......... ..
v� -X�--�. M.,...................:{...:.:.}..o:...
You are receiving this Zoning Compliance form from DMV Motor Carrier Services because you have either changed your business address previously filed with
this office, or we have received information indicating that the business Is no longer located at the address previously provided.
In order to confirm compliance with the established place of business requirements set forth in Virginia Code 46.2-2011.11, it will be necessary to provide the
information requested below. Failure to provide this information by the response date listed below will lead to the suspension and subsequent revocation of
your certificate or license. If your new business address does not satisfy all applicable local zoning regulations, the certificate or license will remain suspended.
If your certificate or license is suspended, you will be required to submit to DMV a $50.00 reinstatement fee. If your certificate or license is revoked and you
still intend to provide or arrange passenger transportation, you will be required to re -apply for the certificate or license fulfilling all requirements necessary for an
original application.
. .... ........................... .. ..... ... .. . .......... 1.1.7 .........
. .... ...... ........ ......... ....... ... .....................
J,
.. .......... . ...... .... .....
RESPONSE DATE
Please provide the Information listed below by
11/26/2014
BUSINESS NAME
CUSTOMER NUMBER
ALBEMARLE LIMOUSINE AND TRAVEL SERVICE
T25024681
TRADE NAME OR DOING BUSINESS AS (if different from Business Name) TELEPHONE NUMBER � FAX NUMBER
CERTIFICATE/UCENSE NUMBER
434-465-6966 434-295-1807
CONTRCT PASSNGR 721
IMPORTANT NOTE: The business address provided below MUST be owned or leased by at least one of the business officials.
BUSINESS STREET ADDRESS (do not give P.O. Box)
CITY
STATE
1p CODE
175 SOUTH PANTOPS DR
MARLOTTESVILLE
VA
�22z9ll
PRIMARY CONTACT PERSON NAME
TELEPHONE NUMBER
FAX NUMBER
ANDREA E SAATHOFF I
434-960-8316
434-295-1807
PRIMARY CONTACT EMAIL ADDRESS
BUSINESS WEBSITE
andrea@albemarlelimousine.com I
........... .. ................... .
.... ..................... ..... ....... AM .......... .... ... ....
Virginia Code requires that the primary business location of the above named business must be in compliance with local zoning regulations. Please provide all of the folim-Mrig
information for the address listed above.
-TAY MAP NUMB R
LOT NUMBER
SECTION
ZONING DESIGNATION
lie
I verify that the business location listed above is in compliance with the zoning ordinarVxis of this city/county,
ZONINQ�017FICIAL NAME (print)
ZONING FF IAL SIGNATU
DATE (milln/dd")
R'Ptie-cca- .:>d4je Z
- Tag- CZ"
110 Lq
ZONING OF ICTAL EML ADDJ I
TELEPHONE NUMBER
rf] A-; 11 1 13P>
a a
454- '&5a
(1 rr)n 10
1 -,99
COMPZURM (07/13)
-�7 ..... ...... '.9
I certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in
all supporting documentation is true and accurate. I make these certifications and 211irmations under penalty of perjury and I understand that knowingly making a false
statement or representation an this form is a criminal violation. I understand that any Virginia Operating Authority certificate or license issued to me can be suspended and
revoked if any of the information in the application is found to be untrue or inaccurate.
AUTHORIZED REPRESENTATIVE NAME
AUTHORIZED REPRESENTATIVE TITLE
AUTHORIZED REPRESENTATIVE SIGNATURE
DATE (mmidd/yyW)
COMPZURM (07/13)
`*r✓w r.dervNOW.-111
5ar,�nia Papahment of Wo" Vft*c.a
"net tMf- RN 17497
Rhm"60. Wola 23268.0005
ALBEMARLE COACH, LLC
175 SOUTH PANTOPS OR
CHARLOTTESVILLE, VA 22911
ZONING COMPLIANCE
Pug3ose:- Use this form to verify that -your business -is -being operated from a properlyzoned address:
Instructions, Send completed form to Motor Carrier Services at the address above.
OA 139 (710112013)
You are receiving this Zoning Compliance form from DMV Motor Carrier Services because you have either changed your business address previously filed with
this office, or we have received information indicating that .the business is no longer located at the address previously provided.
In order to confirm compliance with the established place of business requirements set forth in Virginia Code 46.2-2011.11, it vWll be necessary to provide the
information requested below. Failure to provide this information by the response date listed below will' lead to the suspension and subsequent revocation of
your certificate or license. If your new business address does not satisfy all applicable local zoning regulations, the certificate or license will remain suspended.
If your certificate or license is suspended, you will be required to submit to DMV a $50.00 reinstatement fee. If your certificate or license is revoked and you
still intend to provide or arrange passenger transportation, you will be required to re -apply for the certificate or license fulfilling ail requirements necessary for an
original application_
ria Code requires that the primary business location of the above named business must be in compliance with local zoni
nng regulations. Please provide
ation for the address listed above.
MAP.WWMBEi2 I LOT NU emrtnu ___
I verify that the business location listed above is in compliance with the zoning ordinan es of this citylf
ZONING O FICIAL NAME rint) ZONING FI IAL SIGNA
ZONING OFFICIAL EMAIL ADDRESS .�
following
I certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in
all supporting documentation is true and accurate. I make these certifications and affirmations under penalty of perjury and I understand that knowingly making a false
statement or representation on this form is a criminal violation. I understand that any Virginia Operating Authority certificate or license issued to me can be suspended and
revoked if any of the information in the application is found to be untrue or inaccurate.
AUTHORIZED REPRESENTATIVE NAME AUTHORIZED REPRESENTATIVE TITLE
TURE
rnue7, —, o-1,
Site improvements: There is an asphsk parking lot ssith 21 parking spaces one of which is
handicapped. The parking lot is in below average condition and will need
sealing or paving in the near future. There are aggregate sidewalks leading
from the parking lot to the exterior doors. The sidewalks are in average
condition.
Improvements Conclusion
The building functions well as an office building. it has some issues with the first floor space not being quite
as high quality as the second and third floor space. The building, does not have and elevator, and so most of
the building is not AD A compliant; therefore not suitable for most medical users.
The followin-a floor plans were provided bv the office manager Julie Reintges
�,L"PL
FROPPIP-1.- - PP,
-Virginia Real Estate, LLC
�CCDfld fludir Plan
Qinia. Real Estate, LLC Page 31
'irginia Real I' ,state, LLC
i hard floor plan
TWMFLCWAR