HomeMy WebLinkAboutCLE201600139 Application 2016-06-23Application for Zoning Clearance
CLE # c I U — l 3°1
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # Date: '
Receipt # Staff:
PARCEL INFORMATION
/+
Tax Map and Parcel: Tin•K fine -it —le 2- -PoLt C-0- { 2S C Existing zonin _
1g
Parcel Owner: Sylo ti►3 1a &,& d + �.'�vi•rC.I.
Parcel Address: I S 2 S !g-� 1— R-e ell City �.L.a.. L. He3 w11 t State UA zipz R � rr
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? A, CJ��
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Address: 191Y Rr on K i t n,be City ChL11 (t State UAr .. zip A aA 1
Office Phone: ( ) N� �9 Cell # 6 a 3 g L(Fax # ��'� E-mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name ✓New business
Business Name/Type: tN15 A O T C r I`� S +�'t 00
Previous Business on this site is YbOLALJ fh t l�, 4%, ^_(}-
W c. v. F A
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional inmatian that you can pro.v.ide: Sr�a + o.+
i ! ��Sti r.N.a 1ti�1w-.. {1Mr iV
1/1G
t tQ�f
——
— • •—
*This Cearance l 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 an5d to to the best of my ledge. I have read the conditions of approval, and I understand them and that I will abide by them.
Signature d-C•Cr printed r w
APPROVAL INFORMATION
[ pprroved 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.
f ] This site complies th the site plan as Pf this date ,
Notes: -
Building Official Date Co G
Zoning Official ddeDate
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 l
Is use J I,I, HI or PDIP caning?
Engineer's Report (CER) packet.
YIN
ill there be food prei
If so, give applicant
Zoning review can not
Dept. FAX DATE
Circle the onr,=DruviffC1
Is parcel on
If private we
Zoning review can not
Dept. FAX DATE _
If so, give applicant a Certified
Department form.
until we receive approval from Health
kat 01 �
public water?Cj
th Department forhl. CO
until we receive approval from Health
Circle the o plies
Is parcel on ptic puBlic sewer?
Reviewer to comp to a following:
julaarer G � I6 fobtag o Use: t V
ermined as: �j
Under Section: to w O( 3 5
Supplementary regulations section:
Parking formula: 1 110
Cj_ 1 I�,
Required spaces: 9 D
YIN �J
Ite be verified in the field:
Y/No
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit # Inspector
Y Notes:
Wil a be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Date:
Vio�ns.
Y I\N)
If so, st:
e :
Y N
if st:
Va YI;YI"S:
If so, ►st:
N
o, List -
Clearances:
SDP's
Revised 11/1/2015 Page 3 of 3
S�
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This, for►n 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, 6 d Q d tia
[County application name and number]
was provided to 19Vr4md W ()I -e Vvl%, -4 A CLnI—AOe owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number "rosy¢. N a jP tP 2 r U-( 16C by delivering a copy of the application in the
manner identified below:
.r
�✓ Hand delivering a copy ofthe application to Uri -e- S -e W D f-i ct- a
[Name of the record owner if thiE 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 Z6r%&&v o I (0
Date
Q 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].
Signature of Applicant
e-2 4,,
Print Applicant Name
Date
NAME OF FACILITY
NAME OF OPERATOR
LOCATION — l 5 r
REPORT OF ENVIRONMENTAL. HEALTH INSPECTION
Requested by VIRGINIA DEPARTMENT OF SOCIAL SERVICES
as authorized by Title 63.1, Code of Virginia
CAPACITY W 2R Q
L t
TYPE OF FACILITY
Adult Care Residence Child Caring Institution
Adult Daj7Care Center � Family Day Home (Complete Section A only)
Child Day Center �, Independent Foster Home (Complete Section A only)
Re�Ious Exempt Center Certified Preschool or Nureery School Program
SECTION A: WATER SUPPLY AND WAGE DISP SA S TE l
i. Ulster Supply: Owned by Non-Plic ub•
If public, operated by one or more municipalities:�--Public
Approved by Health Department 4Yes o
Date of most recent non-public water sample '2.0 Ic
2. Sewage Disposal System: Owned by Public Non -Patric
If public, operated by one or more municipalities: Yes Nn
Approved by Health Departrrrent: �. Yes No
COMMENTS YD c
� 4�� �d f� _rill c 7'7Ja�
SECTION B: FOOD SERVICE
1. Food service facilities are in compliance with rules d regulations of Virginia Department of Health which govern restaurants.
Yes No S'N1A
COMMENTS
(Attach copy of Health Department Inspection Form)
SECTION C: SWIMMING POOLS (Attach copy of Health Department Inspection Form)
1. Pact meets Health Department ne Yes No Not Appgcable
COMMENTS
RECOMMENDATIONS:
1 • Does this 13WW meet mandatory requirements of state or local health department? Yes No
2, if V'ioiations of mandatory requhements were noted, how long does operator have to comply with Health Department regulations?
3. I]o you recommend issuance of fieenaelcefification Yes _ No Not Aoaltca6le
, 1_ ,I . ` i
C'5yJ,q,7,? -g2F
(TAPI" Number)
Inspection)
0324)5-159li (REV- 2194) f) I C,
DSS LICENSING UNIT
RESOLUTION TO APPROVE SPECIAL EXCEPTION FOR B20160021SATWR VERIZON WIRELESS
INNOVATION DRIVE PERSONAL WIRELESS SERVICE FACILITY
WHEREAS, David P. Turner and The Marketplace of Virginia LLC are the owners of Tax Map and
Parcel Number 03200-00-00-04100 (the "Property"), and Crown Communications Inc. leases a portion of the
Property and owns the existing personal wireless facilities tower (the "tower") located thereon; and
WHEREAS, Verizon Wireless filed an application for a building permit to add an antenna array to the
tower to be mounted at an elevation of 100 feet above ground level, along with ground equipment in an
approximately 360 square foot lease area, which application is identified as Building Permit 2016 215ATWR
Verizon Wireless Innovation Drive Personal Wireless Service Facility ("B 2016-215u); and
WHEREAS, Albemarle County Code § 18-5.1.40(a)(4)(f) requires that the applicant submit a tree
survey identifying and labeling all trees within 50 feet of the facility and all trees to be removed, which may be
waived by special exception; and
WHEREAS, Albemarle County Code § 18-5.1.40(b)(3) requires that the applicant submit a tree
conservation plan showing tree protection measures, identifying trees to be removed, and identifying dead and
dying trees, which may be waived by special exception; and
WHEREAS, Albemarle County Code § 18-5.1.40(b)(2)(a) requires that the number of antenna arrays
not exceed three, which may be modified by special exception; and
WHEREAS, Albemarle County Code § 18-5.1.40(b)(2)(c) requires that antennas be mounted so that
in no case shall the farthest point of the back of the antenna be more than 18 inches from the facility, which
may be modified by special exception; and
WHEREAS, B 2016-215 included a request for a special exception to waive or modify the foregoing
requirements.
NOW, THEREFORE, BE IT RESOLVED that, upon consideration of the foregoing, the Executive
Summary and staff report prepared in conjunction with the application, all of the factors relevant to the special
exception in County Code §§ 18-5.1.40(a)(4)(f), 18-5.1.40(b)(3), 18-5.1.40(b)(2)(a), 18-5.1.40(b)(2)(c), and 18-
33.9, and the information provided at the Board of Supervisors meeting, the Albemarle County Board of
Supervisors hereby approves the special exception to authorize the waiver of County Code §§ 18-
5.1.40(a)(4)(f) and 18-5.1.40(f)(3), and the modification of County Code §§ 18-5.1.40(b)(2)(a) and 18-
5.1.40(b)(2)(c) as set forth above, subject to the conditions attached hereto.
1, Ella W. Jordan, do hereby certify that the foregoing writing is a true and correct copy of a Resolution
duly adopted by the Board of Supervisors of Albemarle County, Virginia, by a vote of five to zero, as recorded
below, at a meeting held on May 4.2016.
&Le
Mr. Dill
Y
Ms. Mallek
Y
Ms. McKeel
Y_
Ms. Palmer
Y
Mr. Randolph
Y
Mr. Sheffield
Absent,
Nay
SP-2016-06 Generations Montessori School Special Use Permit Conditions
1. Use of site shall be in general accord with the concept plan "Generations Montessori School in Broadus
Memorial Baptist Church" signed and dated by Rita Pace, 04/11/2016, as determined by the Director
of Planning and the Zoning Administrator. To be in general accord with this plan, development and
use of the site shall reflect the general size, arrangement and location of the existing church facility
and outdoor play areas. Minor modifications to the plan which do not conflict with the elements above
may be made to ensure compliance with the Zoning Ordinance;
2. Enrollment shall not exceed fifty (50) students; and
3. The hours of operation for the school shall not begin earlier than 7:30 a.m. and shall not end later than
5:30 p.m., each day. Monday through Friday, except that occasional school -related events may occur
after 5:30 p.m.