HomeMy WebLinkAboutCLE201600122 Application 2016-06-13Application for Zoning Clearance
CLE # _ C� �Q ea a
FReDipt
USE ONLY
PLEASE REVIEW ALL 3 SHEETS Date:
# Staff•
PARCEL INFORfAATIML
Tax Map and Parcel:. _ rr, f 0-1- •LI J0.Z Existing Zoning
Parcel Owner:
r
Parcel Address:_,. G City 6ANA State Zip
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project?� 0� L4 k4U( KbPP4
Address : _ (�i5� SQ,yVyt.] •i' �717�1` City.d0&Wm—;mtState Q • Zip m_Q
Office Phone: �� Cell # S Fax # E-mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: i7M& es Ca S j d�
Previous Business on this site
Describe the proposed business including use, number of employees} number of hifts, avhable pa mg sp�s, numller of
v h'cI , a>}d any ditionttj informati n that you can provi e: Yfl S� s ,GS D 'C.Q,,„- _ram CSC. {t�`�
v151`o n rtA . til� 41
*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 o r have the owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate a est of knowledge. I have read the conditions of approval, an�Xunderstand them, and that I will abide by them.
Signatur Printed � l�
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 f t 6 I (C-
Zoning Official qc�Date 17 f
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 l l/l/2015 Page 2 of 3
Intake to complete the following:
I Din LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y 0
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 . _
Reviewer to complete the following:
Square footage of Use: T 0 &
)! / N
Permitted as: �4 r
Under Section: '
Supplementary regulations section:
Circle the one that applies Parking formula: Yd
Is parcel on private well r publi ater?„ ,
If private well, provide He ent form.
Zoning review can not begin until we receive approval from Health Required spaces:
Dept. FAX DATE
Circle the one that applies
Is parcel on septic or p fsewe .
YIN
Will you be putting up a new sign of any kind?
Sign permit.
Permit #
YIN
Items to be verified in the field:
If so, obtain proper
Inspector : Date:
/ N Notes:
Will there be any new construction or renovations?
If so, obtain the proper Permit. —
Permit #
Zoning to complete the following:
Viol ons:
Y/
If so, List:
Proffers:
6/N
If so, List:
Varia ice:
Y /
If so, List:
SP's:
Y
If so, List:
Clearances:
SDP's
Revised 11/1/2015 Page 3 bf 3
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Use Group
Consi, uctlon True
Square Footages: ai: orswrtes
Ist Floor.
znd Floor
3rd Floor
FirdEhed Basement
Other Habitable
Total Habffiable Sq. Footage
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Sacks: 1 Fmnt Back
Left Side f � l2 ht: Side
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Fire Alarms Required?
Fire Sprinkler NAPA Code/Year
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Kitchens
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BUILDING PERMIT FORM
Tax Map/Parcel #:
Community/Subdivision: Cascadia Zoning:
Current Owner/Developer.
Address:
Builder: NVR Inc - Ryan Homes
Address: 1885 Seminole Trail Suite 201 Charlottesville, VA 22901
Uen Agent: Benjamin C. Winn, Esq (703) 803-7529
Address: 3926 Pander Drive, #200, Fairfax, VA 22030
Lot #: 102 Section Phase
Address: Delphi Lane
House Type: Stanhope Elevation:
House Dimensions:
Bldg Ext. part Brick
# bedrm: 4
Fireplace: Family Room
32x65 Poured Concrete Foundation
K
Decks: 240 (sq. ft) Porches: 135 (sq. ft)
# Bathrm: 2 Full / 1 half
Wood Gas/Propane
Sewer Service Public;- _X_ Private Septic.
Water Service Public: X Private Well:
Heat Service Gas:—X Elect:_ HVAC____X Propane:
Finished Square Footage
First Floor
1167 Second Floor 1317 Basement
Morning Rm
18O Ext. Owners 180 Rec Room 687
Bonus Rm
Other. Exercise Rm 180
Extensions
Powder Rm
Total First
1347 Total second 1497 Total Basement 867
Unfinished Square Feet
Garage Att x Det 400 Sq. Feet Unfinished Basement area: Sq. Feet
Total Finished Square Feet, 3711 Total Unfinished Sq. Feet 400
GARAGE TO BE TEMPORARY SALES OFFICE - -
Estimated Cost of: Electrical - $7200.00 Plumbing- $6900.00 Heating/Air: $8300.00 Gas: $900.00
Estimated Building Cost of Structure: $120,000
Water &Sewer Fees (Vendor #28572 Service Authority, Acct 121-012A)
$ Building Permit Fee (Vendor 27802 Albemarle County, Acct 121-010B)
Proffer Fee (Vendor 27802 Albemarle County, Acct 121-010B)