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Home My WebLink AboutCLE201600076 Application 2016-09-22Application for Zoning Clearance CLE # OFFICE U LY r PLEASE REVIEW ALL 3 SHEETS Check # Date: Receipt # Staff: PARCEL INFORMATION Fi.AQodi povozzrfMIF•.l. Tax Map and Parcel: M, a2m 1 - 00--J0„_0Q2.BQ Existing Znning_S}4erf')KJ 1�.1 GTaft Parcel Owner:y -1 f�F—F—T gsiwn o t "y 1-kAf'F—S L—u i i� r6ffAA r 1`A4AVE� 120Ci � �. Parcel Address: fy �lgti�i-��Ufatc V�`r1� �' Zip (include suite or floor) PRIMARY CONTACT Who should we callNritecc�-oyncerning this project? _G�VF 3'J Address :1 l W0 {tI to XIQ City C44Ae im- ate -VA- ZipAiA Office Phone: ✓ '" 3 Fell J43+) 0ZS-5rf)Fax # E-mail APPLICANT INFORMATION Check any that apply: Change ofif,ownership Change of use Change of name New business Business Nante/Type: T{ M2FK\ vOCP J:�A 4r-)LAGE Previous Business on this site_ & 0 Q F Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of vehicles, and any I_l additional information that you can provide: 21 i 5F- r:::U1.L 5eRV I e5z 'This Clearance will only he 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 he 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 ace4yre to the hest of my I wled I ha • read the cgWitions of approval. and I understand them, and that I will abide by them.1 Signature Printed Kelp ®i ra ffi-e" APPROV L INFORMATION Approved as proposed [ ] Approved with conditions [ J Denied [ J Backtlow prevention device and/or current test data needed for this site. Contact ACSA, 977-45I 1, xl l7. f ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. [ J This site complies with the site plan as of this date. Notes: Building Official Date `S f c G Zoning Official Date , �ly u Other Official _— / � Date !!2Z Z L24_ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised I 1 /] /2015 Page 2 of 3 W-� Intake to complete the following: Y t Is uLI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified N ill 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 Circle the one that applies Is parcel on private well ublic wa ter? If private well, provide Hea7fii Department form. "Zoning review can not begin until we receive approval from Health Dept. FAX DATE 9 Circle the one that appliess,. Is parcel on septic or ublt c sewer; , t YfN you be putting up a new sign of any (Lind? Sign permit. Permit # Ifso, obtain proper I V N WiII there be any new construction a renovations? If so, ob tt it Permit #ta r per - Zoning to complete the followintl: .Reviewer to complete the following: Square footage of Use: N er _ mitted as: A N1 Under Section: Supplementary regulations section: Parking formula: y� Required spaces: z� YIN Items to be verified in the field: Inspector; Notes: Date: Violations: Y/W, If so, ist: Proffers: !N f so, List: LOD(— Vuria ee: YI ! Ifso, ist: Clearances: SP's: vId ifso,List: SDP's Revised 1111,12015 Page 3 of 3 f%_3C)MM®NWEALTII of VIRGINIA In Cooperation with the Thomas Jefferson Health District State Department of HeaRh 1138 Rose Hill Drive Phone (434) 972-6219 P. 0. Box 7546 Fax (434) 972-4310 Charlottesville, Virginia 22906 4/13/16 Lynne Roberts, Adam Gregory and Steve Guif&e Timberwood Tap House INC 3352 Turnberry Cir Charlottesville, VA 22911 ALBEMARLE - CHARLOTTESVILLE FLUVANNA COUNTY (PALMYRA) GREENE COUNTY (STANARDSVILLE) LOUISA COUNTY(LOUisA) NELSON COUNTY (LOVINGSTON) RE: Plans approved Timberwood Tap House P Street Station Building 1200 Charlottesville VA 22902 Dear Timberwood Tap House INC Based on the information provided in your plan review submission packet, your plans are approved with the following additions 1- The Virginia Food regulations require a designated Person -In -Charge (PIC) who can demonstrate food safety knowledge and who can monitor food -service employee/procedures to prevent critical type violations (poor hand washing, improper food temperatures, inadequate cleaning and sanitizing, etc.). The PIC is also responsible for training employees in company health policies such as reporting certain diseases to management. The PIC or their designee is required to be present at all times during hours of operation. Therefore, it is strongly recommended that a PIC will have or obtain a food manager's certification from an accredited agency. 2. Hand sink signage is required at all hand -washing sinks. 3. Please be advise that the following special processes require a variance a, Smoking food as a method of food preservation rather than as a method of flavor enhancement. b. Curing foods c. Using food additives or adding components such as vinegar i. As a method of food preservation rather than a method of flavor enhancement, or ii. To render a food so that it is not potentially hazardous. d. Packaging food using a reduce oxygen packaging. e. Operating a molluscan shellfish life support system display tank used to store and display shellfish that are offered for human consumption. f. Custom processing animals that are for personal use as food and not for sale or service in a food establishment g. Sprouting seeds or beans h. Preparing food by another method that is determined by the regulatory authority to require a variance. 4. Please ensure all product are purchased from an approved source i.e. wild mushroom and meats It is important that anE deviations from our submitted and approved glans be Lirst reported to this department for ap provaL Failure to do so may result in a dela of the facility's opening. In additional a satis acto pre -operational inspection is required bV this department before issuance of a food operating ermit. Please noti this office to schedule this inspection at least 48 hours prior to our planned o en ing date. A copy of the Virginia Food Regulations which govern food service facilities in the Commonwealth can be found at the following website: htt ://www.vdh.vir inia. ov/EnvironmentalHealth/Food/Re ulations or a copy can be purchased from this department for a fee of $6.00. Please call me to schedule an inspection once the item noted above is corrected. If you have any questions pertaining to this matter or wish to schedule an inspection, please call me at (434) 972-4311 Sincerelyy, Jason Fulton, Environmental Health Specialist, Senior. Pc: Eric S. Myers, REHS EH Supervisor Thomas Jeffers Health District f' I 14 I I I L_ ❑� ®G�70 a 1-3 �] TIMBERWOOD TAP HOUSE Building 1200 sm S} $ FiRh Street Station, Charlottesville, VA o A y 9 I ' z I � I � LRRR { € ! h a F4 5 i H g e L ill' OF TIMBERWOOD TAP HOUSE £s s $ Building 1200 Fifth Street Station, Charlottesville, VA m z = �JA � � R