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: '.