HomeMy WebLinkAboutCLE201700157 Application 2017-07-24Application for Zoning Clearance
C_
CLE # )XI — 06 l 5 7
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # ono v L 4 Date: 2h— UI7
Receipt # /1 D L O $ Staff: I tee f3
PARCEL INFORMATION
Tax Map and Parcel: -r L� Existing Zoning �/
Parcel Owner: MDH-Monticello, LLC
Parcel Address: 2097 Inn Dr City Charlottesville State VA Zip 22911
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Michael Hammond
Address :2097 Inn Dr City Charlottesville State VA Zip 22911
Office Phone: 4( 34) 977-3300 Cell # Fax # E-mail gm.va382@choicehotels.com
APPLICANT INFORMATION
Check any that apply: X Change of ownership Change of use Change of name New business
Business Name/Type: MDH-Monticello, LLC dba Comfort Inn Monticello
Previous Business on this site Regent Hospitality, LLC dba Comfort Inn Monticello
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:
Hetal!edging; 25 spy; le, ees; 3 shifts day
per
*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 acc at the best of my owledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature PrintedNancy Kane- Managment Agent MHR, Inc.
APPROVAL MFO161ATION
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 6/ Date�/�`) i
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:
Y
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
Y /�
If so, give applicant a Certified
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 P)6q c er?
If private well, provide Heal apartment form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on ep or public sewer?
Y/N
Will you be putting up 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 Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following- jq�
Square footage of Use:
1 N
Permitted as:�f v/
Under Section: Zy.'2
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
Y/O
If so, List:
Prof s:
Y/
If so, List:
Varia e:
Y / W
If so, List:
Is:
/ N
If so, List:
Clearances:
SDP's
Revised 11/1/2015 Page 3 of 3
COMMONWEALTH OF VIRGINIA
VIRGINIA DEPARTMENT OF HEALTH
In accordance with the regulations of the Board of Health of the
Commonwealth of Virginia this certifies that
MDH-Monticello, LLC
is hereby granted a permiHicense by the Albemarle County Health Department to operate a
Hotel
Trading as:
COMFORT INN MONTICELLO
Located at.
20971nn Drive
Charlottesville, VA, 22911
Mailing Address:
20971nn Drive,
Charlottesville, VA, 22911
Conditions of Permit (if applicable);
Date of Expiration
June 30, 2018
Eric S yers, REHS '
)nmerAl Health Supervisor
THIS PERMIT IS NOT TRANSFERABLE FROM ONE INDMDUAL OR LOCATION TO ANOTHER
Now owners are required to make written application for a permit
Please Direct Questions or Concerns to the
Albemarle County Health Department
Environmental Health Services
PO BOX 7546
Charlottesville VA 22906
(434) 972-6219