HomeMy WebLinkAboutCLE201600222 Application 2016-10-12Application for Zoning Clearance
CLE # D, .�
OFFICE USE O.nY
PLEASE REVIEW ALL 3 SHEETS Check # oi4 Date: 2.7 1
Receipt # Irk Staff:
PARCEL INFORMATION
Tax Map and Parcel: 03200-00-00-041 D1 Existing Zoning Planned Dev. Shopping Center
Parcel Owner.- Timberwood Commons LC
Parcel Address: 3428 Timberwood Blvd (top fl, N Bldg) City Charlottesville State VA Zip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Jono Sarver
Address • 400 Locust Ave. Ste. 3 Cif, Charlottesville State Virginia Zip 22902
Office Phone: ( 434 } 977.6400 Cell # 434.962.7906 Fax # E-mail Jono@tbmcom.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: Spectrum Physical Therapy
Previous Business on this site none, new construction
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide:
Physical therapy office, 5 employees, 1 shift{s) (9:Ooam - 7: pm am - pm I u, parking
spaces total, 5 vehicles.
*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 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 accurate o e st of my Iledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed Jonathan R. Sarver
APPROVAL INFORMATION
Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Back low 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.
[ ] This site complies with the site plan as of this date.
Notes:
Building Official JU Date i_l :�A i d
Zoning Official Date f' "; w
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:
YIN
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y/N
Will 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 or public water?
If private well, provide 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 septic or public sewer?
YIN
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
D9 / N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # 3-od —19
oning to complete the following:
Viola ons:
Yl
If soy""
o, Est;
Vari ce:
Y /(2)4
If so, List:
Clearances:
Reviewer to complete the following:
Square footage of Use: 2-7 0
YY N
ermitted as: --,A", i sAl
Under Section: Z ' [
Supplementary regulations section:
Parking formula:
�s?
Required spaces:
YI
Items to be verified in the field:
Inspector : Date:
Notes:
Y%/ N
If so, List:
Zrvra4 b 2' �`
SP's:
Y I
If so, List:
SDP's
57 De o/ Z
Revised 11/1/2015 Page 3 of 3
]TES:
J.L DIMENSIONS TO EXTERIOR WALLS ARE FROM
DEFACE OF EInERIOR2.5 FRAYING,
ILL DIMENSIONS To PARTITIONS ARE TO FADE OF
S.
iLL PARTITIONS AREEs1 FRAYING AT 19.. TO
BITT REQDIRED SY TENANT.
OLINGNEIGRTS DETERMINED BY LANOLOROF
ANT.
Aug 10, 2016 PSnnit Set
Spectrum Physical Therapy Building Management Company Floor Plan
4W LomW Ave charlottesville. VA 22902 434-M--BW }„ s 1,-0„ -
Timberwood Boulevard and Route 29 Stoneking/ von Storch Architects
P.O. Box 1332 Chadotbeavilia, VA 229M (M West Main 2290M Al
Albemarle County, Virginia Office-434-2954204 Miter56Oneldng:434.981.4382mda@s-vaoom