HomeMy WebLinkAboutCLE200500116 Action Letter 2017-08-01Building Permit
2004-2443AC sir
Application for Zoning Clearance
OFFICE U�
CLE #
oning Clearance = $35 Check # Date: _
PLE REVIEW ALL 4 SHEETS Receipt # —fift Staff.
PARCEL INFORMATION
Tax Map and Parcel: Tax Map 32 Parcel 0 6 A Existing Zoning P D I P
Parcel Owner: University of Virginia Foundation
Parcel Address: 16 7 0 Discovery Drive City C h a r l o t t e s v 1 l �Qte VA Zip 2291
............... _ include suite ortloor Suite 230, 2nd Floor
( _...-- )--------------------------------------------------------------------------------------
APPLICANT INFORMATION
Who should we call/write concerning this project?
Fred Missel
Address: P.O. Box 400218 (ma 111ng) City CharIottesv1l§t&e VA Zip?2904-4218
Office Phone: 34) 243-2586 Cell# 531-1„ 30 Fax# 982-4852 E-mail fam5c@v i rg i n i a. edu
PROJECT INFORMATION
BusinessName/Type: UVA School of Medicine CCenter for Research and Contraceptive
Previous Business on this site: Vacant and Reproductive Health--CRCRH Lab)
Proposed use: Lab/Of f ice Space
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS 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 best of my ledge. I hav onditions of approval, and I understand them, and that I will abide by them.
Signature Printed if 6.S7a fi4£2
PROVAL INFORMATION /4'
pproved as proposed {} Approved with conditio��
11
A i
Building Official Date S ��
Zoning Official Date
Other Official Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
3/28/05 Page 2 of 4
to complete the following:
Applicant to complete the following:
9D N
o you have one of the following?
Tax Map and Parcel Number and or;
Address of use {include unit or floor if appropriate;
2/ N
you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
The total square footage of the use and/or; 5 , 5 7 6 r s f
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.
Zoning Tech to cmRI
AV
/ \J0
variance:
YIN
If so, List:
the fol
YI
LI, HI or PDIP zoning? If so, give applicant a Certified
's Report (CER) packet.
Y
Wx a 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 o'-eion
Is p 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
EY),
N
public water and sewer?
Y N
Wil be putting up a new sign of any kind? If so, obtain
proper Sign permit.
permit #
Y// N
ifl there be any new construction or renovations?
If so, obtain the proper Permit.
Pe 't# 2004-2443AC
Y N
Is for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
YIN
If so, List:
Y
List:
3/28/05 Page 3 of
Reviewer to eootplc a rho irpilvW F: /
Squarr ro.0mge of Use-, I `✓ 710
erit F�SGe�r Gy+o[�GJet "��1 J�^h� f Ll•..r�
ermined as:
%
Under Section:
Supplementary regulations section:
Parking formula: i zp . je- Zaa sFI k3ef' Sr 576 X ' 00= 2215
Required spaces: 22 GC
Y
Ite be verified in the field: �l � �►^� v" "v`�� � � � a �
tnspecrar Name & Date.
Notes
3/28/05 Page 4 of 4