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HomeMy WebLinkAboutCLE201600242 Application 2016-10-31Application for Zoning Clearance��°� CLE # OFFICE LY PLEASE REVIEW ALL 3 SHEETS Check # Date: Receipt #VA IV Staff: PARCEL INFORMATION ' Tax Map and Parcel: 06100-00-00-12300 Existing Zoning Planned Development Shopping Center Parcel Owner: Rio Associates Limited Partnership LP c/o Dumbarton Properties LLC Parcel Address: 455 Albemarle Square City Charlottesville State VA Zip 22901 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Paula Hubert Address: 21 South Evergreen Avenue, Suite 200 City Arlington Heights State IL Zip 60005 Office Phone: (224) 310-5072 Cell # Fax # 847-788-9536 E-mail phubert@greenbergfarrow.com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name X New business Business Name/Type: Texas Roadhouse Previous Business on this site Bank 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: Full Service Sit -Down restaurant, 40 employePs per shift, 281 Seat.-, and 0 parking spaces *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 to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature —:� /`e Printed LL Lj1 -A APPY,WAL INFORMATION [ pproved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow 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 Date ( o r, AJI Zoning Official Date 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: Is/ Is us n LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. N YY ;j�11/ 1 there be food preparation? If so, give applicant a Health Department form. Zoning review can no egin u itf r eive approval from Health Dept. FAX DATE l'4' Circle the one that applies Is parcel on private well o �"7=;1orm. If private well, provide Hea Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that app ' s Is parcel on septic or ublic sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # ;N 1 there be any new construction or renovations? If so, obtain roper Permit mit Per#jqqt Zoning to complete the following: Reviewer to complete the following: Square footage of Use: 7,420 SF J' N &d,714,214MIrPermitted as: Under Section: Supplementary regulations section: Parking formula: 5 �) /It,0 Required spaces:r Y/N Items to be verified in the field: Inspector : Date: i Vio ns: If If so, ist: Pro ��C))•• If kf • If so, ist. e"Opriance: Y/N f so, List: r SP's: Y/0 If so, ist: i Clearances: SDP's Revised I I/1/2015 Page 3 of 3 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner. I certify that notice of the application, SDP201600020 [County application name and number] was provided to Rio Associates Limited Partnership LP c/o Dumbarton Properties LLC the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 06100-00-00-12300 manner identified below: by delivering a copy of the application in the QHand delivering 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 entity] on Date Mailing a copy of the application to James N. Plotkin [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 entity] on 10/19/16 Date to the following address: 10213 West Broad Street, Glen Allen, VA 23060 [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. S'dnature of Applica t L-6 [f vI�� Print Applicant Name I C) Z) Date Greenberghrrow Letter of Transmittal October 19, 2016 To Rebecca Ragsdale Project Senior Planner Albemarle County Project # Dept. of Community Development From 401 McIntire Road Charlottesville, VA 22902 Tel 434.296.5832 x 3226 21 South Evergreen Avenue Suite 200 Arlington Heights, IL 60005 t: 847 788 9200 Texas Roadhouse Albemarle Square Charlottesville, VA 20140710.0 Brandon Goldberg We are sending you the following enclosures via Air Express - Priority for your approval: Copies Date Description ATLANTA LOS ANGELES NEW JERSEY CHICAGO NEW YORK DALLAS B05TON COLUMBUS WISCONSIN BENTONVILLE PHILADELPHIA FRESNO MEMPHIS SHANGHAI MEXICO CITY One (1) 10/19/16 Application for Zoning Clearance; as prepared by GreenbergFarrow One (1) 10/19/16 Parcel Map with Site Address; as prepared by GIS-Web ....._ One (1) 10/19/16 Floor Plan Exhibit; as prepared by GreenbergFarrow ....... One (1) 10/19/16 $54 Application Fee, GreenbergFarrow Check Number 1964 Message Rebecca, Enclosed, for your review and approval, please find the above listed items relative to the Zoning Clearance for the proposed Texas Roadhouse project at 455 Albemarle Square (inside the Albemarle Shopping Center). Should you have any questions or need additional information, please don't hesitate to contact Paula Hubert via phone, 224- 310-5072, or email, phubert greenbergfarrow.com. Thank You, Brandon Goldberg If enclosures are not as noted, please contact sender Copies Paula Hubert, GreenbergFarrow