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ATL201700010 Application 2017-12-29
ATL to (-- --1 0 Application for T • T tv%;%;Cbniury i uurist Lodging ourist Lodging fee = $108 Tourist Lodging Regulations Checklist. ertirication a im ice vi owner-,, _ tf n�amnr ie rliffi rent frc)m capplicaut �ll A Tourist Lodging is a use within a residential zoning district composed of transient lodging provided within a single family dwelling having not more than five (5) guest rooms, located where the single family dwelling is actually used as such and the guest rooms are secondary to the single-family use, whether or not the guest rooms are used in conjunction with other portions of the dwelling. Project Name: /✓ 4 /6w; Parcel ID Number: /%7/Ty '(,.� [�(, —/j'� Zoning: Physical Street Address: �° �, ���� , ,��;;; � �' ,.�/�n1,i� ��� ; i, i ®,;- ; Ile .J o ! Contact (who shouldwe contact about this project) )Avl.1,6 ev%L i�lGh1L%L/ /a G�QGJA I'ea Street Address Ja`, L /;;1,.0 ,D/L / ye_'_ City C�41iZL D TTLf 57V/ c. 4,57 / State Y //2(r/jyi,q Zip Code OZ2 911 Phone Number C/i3`/i aoa - %�3� Email Owner of Record Gl %g �n/c� MlCi`iEL GG �6�i �f/ 2vt Street Address 6(;' Z G(>D 9,z IV& City (' ,4/L kpITTCc�// Z_ L r State Y /%L�.cl is� Zip Code 9� / r / Phone Number (, /3 y) c2i 7/ 31 Email Applicant /��,� �i,lcr /� l ��,�s9-f Street Address ��� L GAD �i2lye''%/ City 66x t--Or Z;rSV1 t_GG% State Zip Code-cZ2 9/l Phone Number��Do?� Owner/Applicant Must Read and Sign I hereby certify that the information provided on this application and accompanying information is accurate. true and c rrect to the best of my knowledge and belief. igna of Owner, Agent 1,��is Print Name Date Daytime phone number of Signatory County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 REVISED 11/02/2015Page 1 of TOURIST LODGING REGULATIONS CHECKLIST (ZONING ORDINANCE SECTIONS 5.1.17 & 31.5) Each tourist lodging shall be subject to the following: KETCH REQUIREMENTS A sketch plan of site must be provided with requested items shown: ❑ Show the location of the dwell' unit used for the Tourist Lodging in relation to the property lines. ❑ Show the location of p 'ng spaces to be used for the dwelling and the Tourist Lodging. ❑ Show the locati of the access (ex. The driveway) to be used for the Tourist Lodging. ❑ Show the cation, height, and lumens of any existing or proposed lighting to be used for the Tourist Lodging. the location of any signs to be used for the Tourist Lodging. a floor plan of the single family dwelling proposed for the Tourist Lodging. 0 Residency. The single family dwelling unit used for the tourist lodging will be occupied by a resident of that same dwelling. ❑ Number guest rooms. The Tourist Lodging may have up to five (5) guest rooms within the single family dwelling. How many guest rooms will the Tourist Lodging have? ❑ I X12 ❑3 El or 05 ld �Parking. In addition to the parking required for a single family dwelling, the number of off-street parking spaces required by section 4.12.6 shall be provided. (SEE SKETCH REQUIREMENTS) # of single family dwellings on the parcel / X 2 = o? # of guest rooms on the parcel X I = tal number of parking spaces required for this Tourist Lodging Building code, fire and health approvals. Before the zoning administrator approves a zoning clearance for a tourist lodging use under section 31.5, the owner of the parcel shall obtain approvals of the use from the building official, the fire official and the Virginia Department of Health. J P Attach Building Official approval of the use n Attach Fire Official approval of the use ' a,, .-Cl A tt rl. Vir •• n ....t...o..t ..f I7ealt1... ..rAYAl of the -use — APPROVAL INFORMATION [ AApproved as proposed [ ] Approved with conditions [ ] Denied Conditions 1 S 'Ckr �a ,f fir` 01.�r'Vl� Zoning Official v E"A' f .( Date FOR OFFICE USE ONLY Fee Amount $-Ci-1) Date Paid ATL # 4 (A4- - who? Ii I I p L6w (r.I Receipt VC A By: Accessory Tourist Lodging REVISED 11/02/2015 Page 2 of2 Building Sketch Borrower/Clem Judy Mcliale ftPeltY Address 565 1-2g2 Dr Cily Charlottesville Gourdy Albemarle Slate VA Zp Code 22911 Lender rldsafe First Floor O 19ff ? 12.0' o I I Deck 35.0' 1 Breakfast m 12.0' Master Bedroom living Room lQChen Office Laundry Bath _ m Ball, Foyer Dining Dining Room 35.0' o! m Parch Second Floor 21.a 0 N Be1h 8.0' gin N 0 m Bedroom 0 12-0' Basement 22.0' 12.0' Deck I- o Family Re Room 26.0' Garage Bedroom 2.0 Bath W et Bar 23.0' _ Mud Roan Storage wine Cellar Workshop 23.0' Front N 12-(r N 12.0• AREA CALCULATIONS SUMMARY Cade D--4Aion K*t Sim Net Totats GLAl First Floor 1962.0 1962.0 GLA2 Second Floor 644.0 644A BSlas' Basement 1962.0 1962.0 P/P Porch 132.0 Deck 277.2 Deck 198.0 607.2 GAR Garage 506.0 506.0 Net LfVABLE Area (Rounded) 2606 12.0' LIVING AREA BREAKDOWN Braskmm, Subtotars First Floor 6.0 z 12.0 72,0 13.0 z 47.0 611.0 11.0 : 14.0 154.0 2.0 z 35.0 70.0 21A z 59.0 1239.0 14.0 z 23.0 322.0 Second Floor 16.0 z 17.0 272.0 9.0 z 12.0 108.0 12.0 z 22.0 264.0 Garage -506.0 9 Items (Rounded) 2606 Form SKT.BIdSkI - •WinTOTAL' appraisal software by a la mode, inc.-1-8QaALAMODE Page Numbers Health Department ��-03�223 lderdificafion Number Schematic drawing of sewage disposal and/or water supply system and topographic features. Show the iw bves of the bu" sae, sketch d prop" showing arp topographic teaft=whkh rwy mpacs on the degy. d are cod oe sr. ags ewasa►srsWk ivaAirp erWxV arWor proposed s iacoj es and sewage dfspcsar systems am well warren 2W fees. The sdtemmc dramV of the Nei sae or area andror sewage disposal syshem shaft strew senor Ines, pre anted unit, pump station. conveyance system. and subaufara soil absaifion system, reserve area, sic. Wet a nOi bk dintirq Nester sopwy is 10 be pemtaed- snow al smrcm d poWjoa within 2W feet. ❑ The information required above has been drawn on the ariached copy of :he sketch submitted with the applicaton. Property Comer Dcnthle Flagged Sto P, Piner/Black ' 1�a1O lr tr_ r 10'+ t t t t t h r r ro D 0 t l I t 0 CL Y J 1 f I 0 1 t J Install t r l 49 � Z= 5 Unes 1W Long c bi 36- Deep 11' Centers on Contour "go Al P If 3' Wide Trenches4? 4 a , a All Drainf'iekt Components to ! be Located S'* [Torn Property Lhte Q' AZ and 10'+Setback from house foundai' n r on walkout basement; and 20'+ Im. :use / foundation with no -walkout Permit Not Drawn to Scale Septic Permit Only Nie hbor's Drive This sewage disposal system and/or water supply is to be constructed as specified by this permit This savage dispcsal system andfor well construction permit is null and void if (a) conditions are changed from those shown on the application IbF conditions are changed from those shown on the construction permit. No part of any installation shall be covered or used until Inspected, cortectiorts made If necessary, and approved, by the local health daparhrnM w unless expressly suMorized bythe beat health depl. Any part of arty irmUllaftn which has been covered prior to appravat shall be uncover d, if necessary, upon the direction of the Department. This Construction Date: U`lLdl 0o-3 Issued by: — � � Permit Valid until vitanrrtertW Health spedalist Date: Reviewed by: 10/29/200 Environmental Health supervisor Li — i' Is win La r-i � m LLI J ti q nov� Zzmm ¢ ¢ e,u7 -J 1 LO Lgv.I t~t¢J• � � zmmm �awoa o�dJ J� 22 �W4J� VJ h +MW Ha; LLJ W �-.. UJymUqH�-W �+ z O cn jT Coo -it ui LLO(nF-q USE" o t--o ca�cly- wJ OD: •Cn {yZ� W i->tn Lz a Dou'�Z Z' c _{ ~ r atu Wes; YOB Lt�C,1 a1Qia� C', E -, t*I aQOQ~m LL. QC3Q �CU�ozu U-0 -JUJI Q¢J o m ® UO�rBm Wh ! vi-im NeaU li I-ap O¢Zd (a . Z L s.� ►N-e �m?! �L►!e� �QQ mZQ v1� = It — nQ �Ai�C�G7 QpZia ISp� tL s tniitsggtt/�.�z� ►.�Q�y cri�tq-W Qi Z^F o a�aA D:Q q QUO jc6Lu�m �-+ f'o QLLW ll7 Q t]� J� Cc!F olucno u�--c�owovsocvl�we Hlyf� m a.I ' L. _t a Lzi ci p Iyj L7�a Z (nLi1 co N vi C3 asJtt�nnLL 6l`` Q U) �a a2i W^i►y ®�m b� 1. �LEI E527 f1mo� oti PL bra 3�oa•oo, iLL Q Y V mco -�-, 113 it-m °' - 4 m Lb N�3 NN t ^ Q u w � r, i a-i in LO w LU o cD p z x x ►�,? -� W Z ! ¢ Y tV gl inner ¢� ; Z i d©cm m-icr! Lun .'.tom@ ob ` PCa �g Nge. 2 0 =0 H LL z � J C. O r 7Q" Y Q"4D :D N`P r F- Q m W 31: � o In Q�.z~ . O J H CCQLLu 3•_Q zt�i�ar�r - W a cw �E826�e i=-OYCL 1 ca f-4lu u- Q \\Y ;roz I.- H C3 U cri W,.-WLiu.t W�hl.l 1\ a cJi c 1�V NN(-m Contractor. y pF A(,eF J � 0 COUNTY OF ALBEMARLE DEPARTMENT OF INSPECTIONS 296-5832 Date: A —%—tNldg. Permit No. 'I,— \,'D Permit No.: Time: _ Type of Inspection: proved ❑ Rejected COMMENTS: �006-T Inspector By: 1111 IIP 71F� ii: 111 1 i oach Road, Suite F Charlottesville, VA 22902-6489 Joice: 434-296-5833 FAX: 434-972-4123 "P n%vw ACFireReSCUe.Org Fire Prevention Application Inspection Assigned To MADDOX, Shawn on 12/18/2017 Fee $0.00 Relnspection Date: Start Date: 12/18/2017 9:37:51AM Finish Date: 12/18/2017 10:14:31AM Business Name: Edwards, Wayne Occupancy ID: 22590 Address: 565 Lego DR Station No.: East Rivanna City/State/Zip: Charlottesville, VA 22911 Phone: (434)202-7131 Violations Date Found Date Cleared LOCAL No Findings 12/18/2017 Standard: Comments: Requestor: Wayne Edwards 565 Lego Drive Charlottesville, VA 22911 (434)202-7131 wbedwards@hotmaii.com Thank you for your attention to safety and good luck! SNM STATEMENT OF RESPONSIBILITY I hereby acknowledge that the information contained herein, and declare that it be true and correct to the best of my knowledge and belief. Further, I am the ownerloperator, or a duly authorized agent, acting on behalf of the owner, for all activities at the above mentioned property or location. As such, I hereby agree to comply fully with all the requirements in the Albemarle County Fire Prevention Code governing the operation I wish to conduct. If there has been any false statement or misrepresentation as to the material fact in this application, data, or plans on which the permit or approval was based, the Fire Marshall may revoke this permit. Page:1