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HomeMy WebLinkAboutCLE201600083 Application 2016-10-07Application for Zoning Clearance CLE # Z-0) F i a7lN OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Cheek # �i (�7- hate: Receipt # Staff: PARCEL INFORMATION f _ ��l Tax Map and Parcel: - ! Existing Zoning�7D •lll4G_ Parcel Owner: `✓q�r STAT ay 1%F-�J7*ozg�s tk G r �Y S&M. qoe, Parcel Address: tit,p.GHQN7 W�tl,. _ City GH��y- /fu,r=State .1%i ZillZgOZ (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? D" -fl)Q �,fz Address : 5 ra City rAt9A a" State 6699=(2/A Zip 30213 Office Phone: (T70} / 9Z -$30o Cell # 4'o1/ 2Y5'-`ffalPax #7%-6fZ-it3aZlE mail PAN t�S�Co4L�l fr # APPLICANT INFORMATION Check any that apply: Change of ownership Cbainge of use Change of name New business Business Name/Type: C` 50 & = /0+ u Svz SHoP Previous Business on this site /YIO T Describe the proposed business including use, number of emiployeo, number of shifts, available parking spaces, number of vehicles, and any additional. Information that you can provide: _ r S 1. &n4 fe dedov N11 Of 5,.8s *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] own or have the owner's permission to use the space indicated on this application. I alsocertify that the information provided is true and aocurate ro best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed APPROVAL IN RMATION Approved as proposed [ 7 Approved with conditions [ ] Denied Rackflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xi 17. [ j 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 '44 f Zoning Official Date / R Other Official / Date zz County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434)296-5832 Fax: (434) 972-41.26 Revised 11 / 1 /2Q 1 S rage 2 of 3 Intake to complete the following: Y / ltl Is use in LII, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. & N Will there be food preparation? If so, give applicant a Health Department form. Zoning review can not begin un it we receive approval from Health Dept. FAX DATE Ag2o�1� Circle the one that applies Is parcel on private well c w ? If private well, provide Hea a artm t form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applie Is parcel on septic or pu ' sew Y / N Will you be putting up a new sign of any kind? Sign permit. Permit # If so, obtain proper � / N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # zoVb — 6-W Ac. Zoning to complete the followine: Reviewer to complete the following: Square footage of Use: 61N Permitted as: Under Section: ; . Z Supplementary regulations section: Parking formula: J J ei Required spaces: Y/N Items to be verified in the field: Inspector : Date: Notes: Violations: Y/ If sI st: offers: 5 /N If so, List: 2 00�-- 9 Varia e: Y/ If so, st: SP's: Yl�j If A, -List: Clearances: SDP's Revised 1 I/1/2015 Page 3 bf 3 Page 1 of 4 Subj: Permit #B2016-638AC JMS Charlottesville, VA Date: 6/6/2016 3:35:22 P.M. Eastern Daylight Time From: sunita.patel(cDabri-ds.com To: Imartin4(Malbemarle.org CC: SBucknerincAgol.com, ashley0-imsofcentralva.com, paul.girardeau(&abri-ds.com Judy, Please see below for our Health approval. Let me know if this is all you need for Zoning to do a site visit. Scott, Building is waiting on the contractor information, please send him in to finish up. Men -377mo Sunita Patel Abri Design Studio Inc. Sunita. patel(?a,abri-ds. com httT)://abri.intuitwebsites.com P.O. Box 669504 Marietta Georgia 30066 Cell: 678-521-6620 Office: 678-401-5259 Fax: 678-623-3182 From: Myers, Eric (VDH)[mailto:Eric. Myers@vdh.virginia.gov] Sent: Thursday, May 26, 2016 4:59 PM To: Sunita Patel <sunita.patel@abri-ds.com> Cc: Campbell, Elizabeth (VDH) <ElizabethA.Campbell@vdh.virginia.gov>; Myers, Eric (VDH) <Eric.Myers@vdh.virginia.gov> Subject: RE: plan review approval letter from Virginia Department of Health / Charlottesville, VA Ms. Patel, This email is to provide official documentation that the plans and information submitted to the Thomas Jefferson Health District (Virginia Department of Health) meet substantial compliance with the Virginia Food Regulations and as such are approved. Please contact Archer Campbell, REHS, District Technical Consultant or myself regarding any questions during the construction phase of this project. Thank you for your cooperation. If you could please forward this email to the owner of record, we would appreciate it. Also, thank you for letting us know you received this communication. My contact information is below. Sincerely, Thursday, June 9, 2016 AOL: SBucknerInc Page 2 of 4 Eric S. Myers, REHS, Environmental Health Supervisor Thomas Jefferson Health District Virginia Department of Health (434) 972-6276 From: Sunita Patel [mailto:sunita.patei@abri-ds.coml Sent: Wednesday, May 25, 2016 3:05 PM To: Myers, Eric (VDH) Cc: 'Paul Girardeau' Subject: RE: plan review letter from Virginia Department of Health / Charlottesville, VA Eric, How is our review coming along? When can we expect to hear something? Sunita Patel Abri Design Studio Inc. Sunita. atel abri-ds.com http://abri.intuitwebsites.com P.O. Box 669504 Marietta Georgia 30066 Cell: 678-521-6620 Office: 678-401-5259 Fax: 678-623-3182 From: Sunita Patel [mailto:sunita.patel@abri-ds.com] Sent: Friday, May 13, 2016 9:36 PM To:'Eric Myers (VDH)' <Eric.Myers@vdh.virginia.gov> Cc: 'Paul Girardeau' < aul. irardeau abri-ds.com> Subject: RE: plan review letter from Virginia Department of Health / Charlottesville, VA Eric, Per your comments I am attaching our response letter and all revised sheets for revision 1. Please let me know if you need anything else as the franchisee is anxious to get his permit. LJa DE,51C n 5Ti_00 Sunita Patel Thursday, June 9, 2016 AOL: SBucknerinc Page 3 of 4 Abri Design Studio Inc. sunita. patelAabri-ds. corn htt ://abri.intuitwebsites.com P.O. Box 669504 Marietta Georgia 30066 Cell: 678-521-6620 Office: 678 -401- 5 2 59 Pax: 678-623-3182 From: saiivingston@comcast.net[maiitosalivingston@comcast.net] Sent: Friday, April 22, 2016 9:20 AM To: Eric Myers (VDH) <Eric.Myers @vdh.Arginia.gov> Cc: Patel, Sunita <sunita.patel@abri-ds.com> Subject: Re: plan review letter from Virginia Department of Health / Charlottesville, VA Mr. Myers, Thank you, we will get back to you. Stuart Livingston, Architect From: "Eric Myers (VDH)" <Eric.Myers(&vdh.virginia.gov> To: sbucknerincl§aol.com Cc: salivingstonAcomcast. net Sent: Thursday, April 21, 2016 4:27:52 PM Subject: plan review letter from Virginia Department of Health / Charlottesville, VA Dear Sirs, Please see the attached plan review letter and information. I look forward to hearing back from you at your earliest convenience. Sincerely, Eric S. Myers, REHS, Environmental Health Supervisor Virginia Department of Health (434) 972-6276 This email has been checked for viruses by Avast antivirus software. J -1. L ! www.avast.com Thursday, June 9, 2016 AOL. SBucknerInc e, Page 4 of 4 This email has been checked for viruses by Avast antivirus software. EV jr1 f www.avast.com This email has been checked for viruses by Avast antivirus software. � tvnst! www.avast.com Thursday, June 9, 2016 AOL: SBucknerInc