HomeMy WebLinkAboutCLE201700185 Application 2017-08-25Application for Zoplig Clearance
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PLEASE REVIEW ALL 3 SHEETS k
StAft:
PARCEL MOR
'fax Map and Parctf,
Panel Owner-
ftreel Address:. �i �
(Itteelaft mite or
Existing Zoning PC,
citYEL
1LAUtAK, �Itk, state
A-11(,aft-
PRIMARY CONTACT
whos;h"Id we oaflVwrite ��neernfng thu project? T —1h, a
Addros - U4 State
Cily f M�Uwr,
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0frice Phone.
APPLICANT INFORMATION
Clwk a ay that Change of ownership chanze of use Chao
1K, NM bttsia
ltusiat$s Namr/Tyln: t
Previous business Lin tb4 sit" k;w d ,I ' L
Describe the propossed busiat" inriuding Use. Mukuh-C-c of employtts, nuqibcr o shift -It. availnbIr parijo, of
vchichus, and any additional infarmalion that yoo ron provNuwe$,11"t er
"I" N
.Tt6s lCariatt
-C wit,
Mly he
fit ewqw. will bc ruquirre, isaoprovvj�
t hereby certify tbjL I wn or have the ownees pernimon to L-w spxt indicated oo Lhis wlicaiw, 116utvli5� thall c infMMU600 provided
is Irw and aLwrult to the INM4 of is tQ%!fkdP I have x-sd tht conditions of apMvaL acd i P'nd0;9AwJ thCH3, OA4 013E t will abide by the&,
Signalure ,,t1Jtqkt Al-tilki ttL— Primed
APPROVAL mrGWI ATION
XAppfuvod as proposcd i AppNvcz with cortii;-,ors
f BAokf)QPm-VcMi0n device ary-41cr current tr4t dal-- needed (& this tits: C-OnUwl ACSA, 977-451 I'
w —x t t 7,
f j No phy-tica9 size iiispwlioft has betn done rnr this c1carance, ThemroTc, it is rc(a drtemir,Mt;,, 'I'vomplialICL oilh the exssting,
site Plan.
( I Th4 silt ck%nPHr1 IMth the site plan as of this date.
Nrslrr.,
Building Official�,
7kning Off-pcw Date
Other OfficW
..... .. ......... Date
County of Albewrtt Mpartment or Community I)eVelopment
40UNIVIViTe ROAd VA 21002 Voic*,- (4-U� 296,5832 Fax: (434) 9*12-4126
t Rcyi$ Cd 11,02/2015 Ruge 2 of'!
Intake to complete the fo-ljowing- t Reviewer to eu-mplete the
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ISu5CinU,ff1orPDlPzoni,r4,? ST%Uvc 'OOLW of' usc:
Engineer' Report (CER) parka. Y ; N
Y N�:
Wilkere be food prepOvation? Under Sectim-
11"SO, give OppliUmt a Hculth rTpgrttnent ro=.
Zoning rctiew can not begin until we teccivc aPPrQVa; f-Orn Health Supplementary Mguttrtio
OqX. FAX VATE I nS section:
Orele tk one that awic.%
—Is Parml on private welt r-,b-t,kwattr!
Ifpriv3tc well H �ment —
Wrn.
zAning, review can not 64n viltil we furervv approval rVuh fica'Ith
DCPL FAX DATE
Cirek. the om that applies --
Is Pared on septic is 3rlic scrwrr ?-
J'artin't rormula-
Requimi
Y 14---
Items to bevvrif' )cd in the fwd:
*A, � N
Will you 4- Putting up 4 ncNv sign of any kind? lf:w, amain Ot VM 1
Sign Perrait.
Permit 9 Inspector
N Notes:
Will Own: be any now conumcik"I rcroovatioels?
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Revised I 1/ 112015 Page 3 o(3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
T"Ffor" "' ac"'"Pany z"'119 afflica'-ftons (Home Occupation, 271012hrg C1e42rdn4f.T, zOnigg
AdmillistMfor Determinations or,4ppeal
owner., S4)7 Permits, Building Permits; !,rare applicafian is not the
I ccrti*, thm notice ortile application, Albemade Countv
[county applicati0n� rvamt and nurnberji
was pro vided tat
owner ofrecord 0f,[,Lx map
Ina of tile record owncrs of the pwicej)
.uW Parcel Numhcr --076M 1-0 - 0-00200 by dclivving a copy of the applicatian in tile
ZTidenzifted )Clow:
Hand dclive;ing a copy of the application, to
—Name of the rmord owner 'If —ffiervcol§ suer
risa
persm; if the owner of record is an entity, idmtif� tN: recipient of thc record and tht rrvipicni-s
title M ofrilm for that entity]
Maiiiag a copy of Ipplicationtit —_
Name of The record owner if the tOrd L)wncr is � a person -
if thv owl--- of mccord is art entity, identify LhE recipient of the record and the rccipivtj's title or
uJTtcc for that cittity]
on to *,he ful lowi ag a"ress.
Mite
notice mailed to the oN),,ntr at the !asr ktiown addrms of the ovt1c, —ou
the curre-11 Mal C�tatc lax assessinent books or current rMlIcS.'att. [!, msrnent reczrds satisfies
this requiretnen1j,
tiammyowmal
County of Albemarle
BUiLDiNG PERMfT - Page 1
TMP 076M1-00-00-00200 I Current 5.
Owner(s) E
Acres 47.68 Primary Planned Development Shopping
Zoning
Building Permit =I B2017-00616-AC
Community Development Department
401 McIntire Road Charlottesville, VA22902-4596
Voice: (434) 296-5832 Fax : (434) 972-4126
STATION VENTURES LLC
t•tajor Subdiv, Acreage
Entered By: Judy Martin on 03/1312017
Sub Application Tye Associated Building
PP P Addition/alteration to commercial building Permit
Street Address: 435 MERCHANT WALK SQ CHARLOTTESVILLE, 22902
BtJILDING WORK INFORMATION
lo*iork Class I Frame Type I Water Supply Type Seyvage Disposal Type I Foundation Type
Alteration Masonry :Public Public N/A
... ......... ................... .................................................... _ ......... _ ......u_...........
Steel
'A'ork Valuation Jurisdictional Area Other Foot / Found. Desc,:
1 $ 72,000.00 Water & Sewer
'Mork TENANT UPFIT TO INCLUDE INTERIOR PARTITION WALLS, FINISHED, ELECTRICAL, PLUMBING AND
Description: I MECHANICAL WORK. NO EXTERIOR WORK OR STRUCTURAL WORK IS ANTICIPATED. (SALLY BEAUTY)
Directions 1 5TH STREET STATION - 315 MERCHANT WALK SQUARE -SUITE 600 (SALLEY BEAUTY)
Legal JACREAGE
Description,
Use Group M Construction Type II-B
Square Footages:
# of Stories 1 Porches Unfinished Basement
1st Floor 1600 Decks Other Unfinished
2nd Floor Garage Total UrifinishedFootaue 0
3rd Floor Swimming Pool
Finished Basement
Other Habitable
Total Habitable Sq. Footage 1600 Total Building Sq. Footage 1600
Set Backs; Zoning Pre -Construction? (` Land Use? i'
Front
Back Fire Alarms Required? (' Bldg Pre -Construction?
Left Side Right Side Fire Sprinkler NAPA, Code,Vear
PROPOSED tISE INFORMATION
Dwelling Units Accessory Structures htobile'%Prefab, Homes Mobile Offices',,Prefab, Units
Carports � Bedrooms � Baths e paint Spray Booths B
Garages Kitchens Swimming Pools%Hot
Tubs\,Spas (Res, Only)
Other WHITE BOX/INTERIOR R F17 Elevator5%Esealator0,1-ifts
I
Contact Type
Narne
Address
City i State
Zip Cod
Work Phone Cell
r pkca :t
5th street station ventures Ilc
5 WEST BROAD STREET STE
farm 9a
F mar c-te
tim Williams
...........
5901 PEA.CHTREE UNA1OODY
et1ar1a
°J-4
v.28
� x7fl;I 394-1525
.. ......... ...;...
rar,, 'crtr,ct r
.._........ .. .. ..
;bailey construction us
..... ..
12725 PIORRIS ROAD, STE
.. .........
a1pr-amtte
..
_ ..................... _ ..........................
)}' ' County of Albemarle
1'� C
BUILDING PERMIT - Page 2
primary Planned Development Shopping
Zoning
Community Development Department
401 McIntire Road Charlottesville, VA 229D2-4596
Voice: (434) 296-5832 Fax: (4341972-4126
Major Acreage
Subdiv,
Sub Application Type; Addition/alteration to commercial building Associated Perdmrnt�
Street A.ddress:I435 MERCHANT WALK SQ CHARLOTTESVILLE, 22902
License
L. A. LACY, INC.
.__.. _ ........., . _......... _ .._ .....,
SENTRY ELECTRIC CO, INC.
............................
CLYDE E. SMITH, INC.
.........................................................................................................................................................
ETEC FIRE PROTECTION LLC
Separate permits may be required for Electrical, Plumbing, Heating, Ventilating and Air Conditioning.
This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work
is suspended or abandoned for a period of 6 months at any time after work is commenced.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws
and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any other- state or local law regulating construction or the
ncrfnrmanra of rnnctriirtinn
By signing this building permit, the owner and/or their agent hereby grant employees of the Albemarle County Community
Development Real Estate Departments the right to enter and inspect the subject property Monday through Friday between the
hours of 8:00 a.m. and 5:00 p.m., holidays excepted.
If you are not the owner of record, please check which applies:
I certify that I am the agent for 5TH STREET STATION VENTURES LLC
❑ , the Owner, and am authorized to submit this application on behalf of the Owner under the agency granted to me.
I am neither the Owner nor the Owner's agent. I certify that written notice of this application, by providing a copy of this
application, will be mailed to the Owner at the following address
5 WEST BROAD STREET STE B FAIRBURN GA 3D213
El within 10 days of today's date as required by Virginia Code § 15.2-2204(H). I understand that, if I do not provide the
notice to the Owner as provided herein, the building permit application and every other subsequent approval, permit or
certificate related thereto could be determined to be void.
Sgn,atVre of ✓irrer, Contractor or A,ulh,oriz A, ert Date
Sgrat�,re of Ecslz:r,,j offic ai or Aulhoraed Rtepr sertative Date
ELECTRONIC RECORDS STATEMENT: Albemarle County is creating and using electronic records and electronic signatures as
allowed by the Uniform Electronic Transactions Act (Virginia Code § 59.1-479 et seq.). As an applicant to the Building Permit
process, you may consent to receive, or have online access to, electronic records and receive and create records having
electronic signatures related to Buildinq Permits, Correspondence, Inspection Tickets and Certificates of Occupancy (the Building
Please initial here if you AGREEto receive and/or use electronic records and electronic signatures for Building Permit
transactions.
Ir.dWs of -Owner, Contractor or AulftDrizcd ATem
Your agreement to conduct Building Permit transactions by electronic means does not preventyou from refusing to conduct other
transactions by electronic means.