HomeMy WebLinkAboutCLE201600283 Application 2017-01-23Application for Zon'ing Clearance_®A7
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PLEASE REVIEW ALL 3 SHEETS
OFFICE U
Check # (o Date: C(_)
Receipt # Staff: A
PARCEL INFORMATION
Tax Map and Parcel: 03200-00-00-019GO Existing Zoning PDIP
Parcel Owner: UVA Foundation
Parcel Address: 1000 Research Park Blvd. / 3)_0 City Charlottesville State VA Zip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Jim Wilson
Address: PO Box 400218 City Charlottesville State VA Zip 22903
Office Phone: (434) 982-4842 Cell # Fax # 434-982-4852 E-mail jmw6@virginia.edu
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: DSA, Inc.
Previous Business on this site Incadence
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:
*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. av ead the conditions of approval, and I understand]] them, and that I will abide by them.
Signature Printed tY1. L' j lti ' t I -S d o
APPR6VA 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
Zoning Official Date
Other Official Date
County of Albemarle Department of community uevetopment
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:
Y,V N
s use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet. twgD`�^'i'�
Y 9 UC1 -u (0nn eIq °
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�blic-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 o ubl�c sewer
Will you /I" be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
�Y 11 N
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use: 36' �,
Y N
r
rmitted as: 6'
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
YY/N l
Items to be verified in the field:
Viola 'ons:
Y /
^ffers:
VS0,Ifdst:List:
Variance:
Y/N
If so, List:
's:
Y/N
so, List:
S
Clearances:
SDP's
Revised 11/1/2015 Page 3 of 3
D
December 16, 2016
Community Development Department
Division of Zoning and Current Development
401 McIntire Road
Charlottesville, VA 22902
To the County Engineer:
We are a federal IT contracting firm that provides software development services for our government
customer in Charlottesville, VA. We have eight employees in our Charlottesville, VA office.
We have addressed the performance standards of Zoning Ordinance Section 18-4.14:
Noise: Our operation will not create sound or impact noise levels in excess of the values specified in
Section 4.14.1.Our professional services occur during normal business hours and work during these
hours is performed electronically on computers. Telephones are our major sources of noise.
Vibration: We perform software development and operate no equipment in our office.
Glare: Our operation is completely contained within the building. The interior lighting associated with
this operation does not produce glare that is visible beyond the lot line.
Air Pollution: There will be no emission of smoke, odor or gaseous pollutants.
Water Pollution: No liquid wastes will be generated by this operation. Our operation does not represent
a hazard to water quality.
Radioactivity: Our operation does not require handling of radioactive materials. There will be no
radioactive emissions.
Electrical Interference: Our operation does not require any equipment that would generate electrical
disturbances.
Please feel free to contact me with any further questions you may have at 703/261-6019 or by e-mail at
Julie.matthews@dsainc.com.
Sincerely,
9 ll. t" I. _ "Ct_�
4 r
Julie G. Matthews
Director, Corporate Communications
10300 Eaton Place, Suite 500 • Fairfax, VA 22030 ® (703) 591-3704 • (703) 591-8418 fax • www.dsainc.com
DSA, Inc.
1000 Research Park Blvd.
Suite #320
Charlottesville, VA 22911