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Home My WebLink AboutCLE201600248 Application 2016-11-02Application for Zoning Clearance OFFICE LY PLEASE REVIEW ALL 3 SHEETS Check # Date: - Receipt # Staff: PARCEL INFO Map N� %%��// Lj Mal-0 �I Tax and Par e]� e Existing Zoning 1 I� Aaak�de, &a Parcel Owner: Parcel Address: 2216 Ivy Road, Suite 209 City Charlottesville State VA Zip 22903 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? High Peak Sportswear, Inc. Attn: Allison Wade or Ralph Smith Address ; 2323 Memorial Avenue Suite 17 City Lynchburg State VA Zip 24501 Office Phone: 4( 34) 846-5223 Cell # Fax # (434) 847-0922 E-mail allisonw@hipeak.com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name/Type: High Peak Sportswear, Inc. / Custom Apparel Sales and Retail Sales Previous Business on this site 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: Custom Apparel Sales, 2 Employees, The parking lot is open with off street parking and is owned by the leasing management company. *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 o r have the owner's permission to use the space indicated on this application. I also certify that the information provided is true and accurate th est of my owled have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed Ralph Smith APPROVAL INFORMATION Approved 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 it b 6 e, 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 tile following. Y 10 Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /(D Will there be food r-uparaTion? if so, give'applicaqt a H.'c',0h ',E)epartment. form, Zoning review can not begin -unid ive receive approval from Health Dept, FAX DA"Tf, Circle ilic one that applie.s Is parcel on private well or pii>wilc, �w�Av If privatc W01" prnv;d: flu Ith Dem ent form, Zonjug rf,,-vit>vv can riot begin ld m� receive approval from Health Circle the rune that applies Is parcel on sepfic or to sln se er YIN Will you be putinup a new sign of any. kind" If so, obtain proper Sign permit. Permit # Y / N Will there be any new construction or renovations? if so, obtain the proper Perinit. Permit # eW.ttttita to COM Y 1p) If soYist: M Vp riance; 0 / N If so, List: ................ . .. . ... ..... . . . ... . .... . Rvvlewcr to coniplete the following: Square footage of Use: 1 asci, TT --T-- &I N Permitted as: A 1- Um,v,:r Sccuon; li�,l. i ,� Supplenient,uv regulations section: Parking fornwix required spaces: . . . . . . . . ...... . . . ...... ............. Items to be verified in the field: Inspector . Notes: Proffers, Y / r) if so.' st: 9t S. / N If so, List: SOP's . . .. ....... --------- — Revised I I /1 /2015 Page 3 of 3 CERTIF,tCATION'-t",HA�,t-'NOTICE OF THE APPLICATION RAS -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, [Courity application name and nujr was provided to I �Q—S+ LLC. the owner of record of Tax Map fname(s—)of thin record recc—ido—,.-ners of th-- parcel] and Parcel Number manner identified below: by delivering a copy of the application in the Hand 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 VMailing a copy of the application to Toujr1s'lj E(-64, L-t-c '�p Er'l k- Gv,Arc,,-L Proper-4c [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) I0j,_—k1j7j C/,( on to the following address: ,z--QD IS _ZQk R0Qj Lfl4f— CkQLr) -3 )address; written Mr4ce mailed to the owner at the last known address of the owner as shown on the current Fai es{ate tax wissessment books or cu.renl rea. estate tax assessr.ient records saikfif-s this requirement]. Sign& St 'ure V, Applicant -P,rinit An. z ant Name, , I o 1-7 C\j CD co CD CD cc a ca cc Z w LLI LL 0 z Cf) C/) uj U F- 3: LLI a: 0 il a: z :) 1-- 0 0 zLLJ 0 F- 0 X 0 F- F- Cl- Z Albemarle County Service Auth6rity_ Lisa Davis High Peak Sportswear 2216 Ivy Rd. STE # 209 Charlottesville, VA 22903 Dear ACSA Customer: 168 Spot)ap Road C l-,anottesville, VA 2291 1 lel (434) y//-451 1 fax 43419/9-0698 www.serviceauffiority.orq Thursday, September 01, 2016 Re: High Peak Sportswear 2216 Ivy Rd Ste 209 Charlottesville, VA The Virginia Department of Health Waterworks Regulations, as well as Section 8-08.6 of the ACSA Rules and Regulations, require that all backflow prevention assemblies, whether installed on a domestic, irrigation, or fire suppression system, be tested annually by a certified backflow prevention assembly tester. This letter serves as a REMINDER that a report on the testing of your assembly, or of at least one of your multiple assemblies, is due by the end of this month. The assembly is listed at the bottom of the letter, with an indication of whether it protects your domestic, irrigation, or fire system. If you have an irrigation system, the backflow assembly needs to be tested at seasonal start-up, regardless of whether you plan to irrigate this year. A list of state -certified backflow prevention assembly testers can be found on the ACSA website at www.serviceauthority.org/backflow.htmI If you have any further questions, please contact me at 434-977-4511, ext. 117. Thank you. Sincerely, dc -A--- Patrick Newton Regulatory Compliance Specialist 3350247 975XL Dom. - utility closet in Suite 210 RPZ 0.75