HomeMy WebLinkAboutCLE200500109 Action Letter 2017-08-01'A
Application for Zoning Clearance:
OFFICE USE NLY
CLE # t_J
❑ Zoning Clearance = $35 Check # Date:
PLEASE REVIEW ALL 4 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel1 _ 0 74/" — aO D 5"5t4 O Existing Zoning ?GA�nl�1�O ��511s4 L �g'JIEL
Parcel Owner: W E e.tJ CsA-�/T
61
Parcel Address:_
----------------- Sinclude suite or floor) 3 L> 1>Ir
APPLICANT INFORMATION
Who should we cail/write concerning this project?
Address: _ City
Office Phone: (� ��Cell #
PROJECT INFOI
Business NamelType:
Previous Business on i
Proposed use: _ c
Zgtate a Zip 'U?eA
State
Fax #4 E-mail
Zip
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CIMSTMAS TREE SALES (Sheet 1)
*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 Printed i u L ()r
APPROVAL INFORMATION
�Ppproved as proposed ( Approved with diti�aCiGfl� Diw�QE ROY
r..,�rent Test Dahl Naeedeil
Building Official Date a f
zoning Official Date C-(Jz-7
Other Official
Date
.................................................... --------------------------------------------- = ----------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/28/05 Page 2 of 4
Intake to complete the following:
Applicant to complete the following:
Y/N
Do you have one of the following?
T ap and Parcel Number and or;
Ad s of use (include unit or floor if appropriate;
Y N
o you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
(j W &-/ d,J
The total square footage of the use and/or;
The square footage of each room or area of use;
Use of each room or area
If using less than the entire structure, note the location within the
structure,
Tech to complete the
Y
If
Variance:
Y/N
If so, List: So
Y/N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Rcport (CER) packet.
Y/N
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
Y/N
Is parcel on private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
Y/N
Is on public water and 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 #
Y/N
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
List: 0a"
Yf/ N
so, List: .2 22Z
•
3/28/05 Page 3 of 4
Reviewer to complate [he following:
Squaw footage of lase; Sm
; r -- / N
Petntik trtd ors_
Under Section: ZIh23 . i {2)
Supplementary regulations section:
Nrkingfumuln-
kequkmxi swes: 4r�� r
Y1
ltern� o be vcrifiod in ihc fielei:
Inspector Name & Date:
Notes
IF2—
3/28105 Page 4 of 4
Zoning Clearance
Applicant MUST HAVE the following information to apply for a Zoning Clearance:
OCCUPANCY
1) Tax Map and Parcel or Address with unit number or floor if appropriate.
2) A Floor Plan - either a sketch or an architectural drawing
a) If using less than the entire structure, note the location within the structure;
b) Note the total square footage of the use;
c) Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
Conditions of Approval
FIREWORKS:
1. No person shall sell, offer for sale, store, display or discharge any fireworks in any filling station or on any premises where gasoline
or other inflammable liquids are stored or dispensed. (Code 1967 10-13.) County Code Section 6-200 and 6-300 and must be a
minimum of 100 ft from any gas pumps/propane distribution tank.
2. The site shall be cleaned and restored to its original condition on or before July l lth. This shall include removal of all structures,
signs, debris, and the like.
3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subject
to Zoning Administrator's approval.
4. Building permits shall be obtained for all proposed structures and/or lighting.
5. Sign permits shall be obtained for all proposed signage.
CHRISTMAS TREES:
1. The outside storage of combustible material or flammable materials shall be located so as not to constitute a hazard and shall not be
less than 15 feet from any building on the site. Any open burning must comply with the Virginia Statewide Fire Prevention Code and
the Albemarle County Code.
2. The site shall be cleaned and restored to its original condition on or before January 2. This shall include the removal of all
structures, signs, debris, and the like.
3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subject
to Zoning Administrator's approval.
4. Building permits shall be obtained for all proposed structures and/or lighting.
5. Sign permits shall be obtained for all nronosed siana¢e.
3/28/05 Page 1 of 4