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