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HomeMy WebLinkAboutCLE201600228 Application 2016-10-10Application for Zoning Clearance A CLE # OFFICE USE ONLY �� PLEASE REVIEW ALL 3 SHEETS Check # Date: Receipt # Staff: PARCEL INFORMATION — Tax Map and Pared: -DI L Exbdug Zoning_ Pared Owner- R N &. �I tt W , Cq art r ,6zo Vdin i River I. Parcel Address: xLtl:m1Q 106 .,_,._ Cityal91 laheloye Statey Zip zzqi (include suite or floor) PRIMARY CONTACT �+ 1 11 Who should we cdUwrite�`concerning this project? _ rg1 Y' C4PTe r CLp fjGJ(%kd hkA tS TN C Address. _ 3 2-4; . W M01 041 R iyw L N Oze f City 6 eta P 1A Ll1 A _ state V k Zip Z Z i � Office Phone:( _973-leg Cell# Fax# E-mail 7fr6 - 3-5) 0757 APPLICANT INFO ON Check any that apply. Cbsu a of11ownership Cbauge of use Change of name New business Business Nametrype: Qgfjdir US CanoCy-hi 1% -- Previous Business on this site T-P,21A ��� �✓DlU7 ` S LL(3 25 WdA�tier L N #zei Describe the proposed business including use, number of employees, number of shifts, available parldn spaces, n b it of vehicles, and any additional information that you can provide: ( r s_[1�!c,s��tcitS *ThislC_l_earance will only be valid on the pw=l for which it is approved. If you change, intensify or move the use to a new location, a now Zoning Clearance will be required. I hereby certify that I own or ban the owner's permission to use the space indicated on this application. I also certify that the infionnation provided is true and accurate to the best of my knowledge, I have read the conditions of appmval, and I understand thM and that I will abide by them. r Signature PrintedAs%'1Lf2.114_n'am14n,- . APPROVAL INFORMATION JK Approved as proposed [ ] Approved with conditions [ ] Denied [ ] BacUow prevention device and/or current test data needed for this site. Contact ACSA, 9774511, 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 sift plan as of this date. Notes: Building Official IL Date [ q L#( {� Zoning Official Date,z�2d/� - Other Official Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 Revised 11/1/2015 Page 2 of 3 Intake to complete the following: YI�D Is use in LI, IH or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y / l�'_ will 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 applie �� Is parcel on private well r public w er? If private well, provide H�ent form. Zoning review can not begin until we receive approval fmm Health Dept. FAX DATE Circle the one that ap Is parcel on septic o(public sews . Y/N Will you be putting up anew sign of any kind? Sign permit. Permit # If so, obtain proper Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Zonium to complete the following: Reviewer to complete the following: Square footage of Use: v 5-12v 6)fN Permitted as. b CT+ <-6_ Under Section: ' 2 •� Supplementary regulations section: Parking formula: Required spaces: YIN Items to he verified in the field: Inspector - Date: Notes: Violations: If If so, Proffers: Y f If BONA: Variance: Yl If so, ist: SP's• YI If so, rat: Clew rances: SDP's Revised 11/1/2015 Page 3 bf 3 CERTIFICATION THAT NOTICE OF THIS APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form noel accompany wav app&wUm xwne Qacupatton, Zoning awranw, Zoning Adntimmrator Deterrmbradons orAppeals, Sign Perms, Building Parma*) fAcapplication is not the owner. i certify that notice of the application, [County application name and number) was provided to `� i he CG !`+e 1r the owner of record of Tax Map [name(s) of the retard owners of the parcel] and Parcel Number by delivering a copy ofthe application in the manner identified below; ✓ Hand delivering a copy of the application to 1`TGalew0&�few, elo sovk 14vty% -T,.G [Nam of the record owner ifthe 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 Gi -V - 1016 Date _ Failing 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 wdtyj an 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 mil estate tax assessment books or current real estate tax assessment records satisfies this requirement]- (' „ �f=- - Signature of Applimt Print Applicant Name t-v-za1,6 Date Mparttnent of CUfwnunit► Deselopill ell t - — 401 McIntirr Road. , 'Urth «in2 [�► 4 ('harluttee,� illy, V irt�ini;r 229tQ-4:96 •,` `► 1'hriur (434i 21h--"32 - I'at (434) 972-4120 4, CER TIF ICA TE OF 0CCUPAVCY This is to certify treat the interior finish for office space, as further described below, has been inspected and found to be in compliance with the 2012 edition of the Virginia Uniform Statewide Building Code. Construction Information :Building Permit # B201601621AC �T pe of Construction V-B `Sprinkler System bone Required !Special Conditions or g Modifications_ !Use Group B Qccuppngy Information Floor Level 0.00 Basement Pr22e—qy Information Total persons 20 Parcel ID 11078B0010010S00 Owner ; RIVER'S EDGE III LLC Subdivision River's Edge III Condos Property Address 110S 320 WINDING RIVER LN CHAR LOTTESVILLE 2291.1- Property Name ;River's Edge Occupant Regatta Travel Solutions Magisterial District 'P.ivanna Zoninq Designation aC1 Commercial , Date: September 27, 2016 Building Official Zoning Administrator: '.