HomeMy WebLinkAboutCLE201800019 Application 2018-01-23Application for Zoning Clearance
CLE # Z0IS' - I ' j
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
- -# (fed t + Date: 1117/ I'S
Receipt# TV&737(iaRlS,)sjStaff: JE
PARCEL INFORMATION
Tax Map and Parcel: 0 700— 0 0 - U 0 ' 40 KQ Existing Zoning Lite Industrial
Parcel Owner: �A S et V. t� t n t a,
Parcel Address: 1740 Broadway St. City Charlottesville State VA Zip 2290
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Ashleigh Peregoy/Nick Peregoy
Address: 687 Poplar Spring Road city Scottsville State VA Zip 2459
Office Phone: ( ) 987-0646Cell# SAME Fax# E-mail info@hypefiremarketi D9
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name/Type: Monticello Air, LLC
Previous Business on this site Unknown/Old warehouse
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: 2 employees. Will use space for meeting clients and
headquarters for business.
*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 accur t to the bes of my owledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed Nicholas Peregoy
APPROVAL INFORMATION
i oved as proposed I Approved with conditions ] Denied
[ flovv prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117.
71c
ihysical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
I I This site complies with the site plan as of this date.
Notes:
Building Official Date
Zoning Official Date 3
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Orr
Revised 11/02/2015 Page 2 of 3
Intake to complete the following:
Y OLI,
nIs HI or PDIP zoning? 'If so, give applicant a Certified
Engineer's Report (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
Circle the one that applies
Is parcel on private well or public water?
If private well, provide 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 septic or public sewer?
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit # MhAo i P Of% S-CV to "1 VC ? p f` It
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Way\a 1e%Y\t\U gfRi t PCIYrJ
Zonina to com lete the following:
Reviewer to complete the following:
Square footage of Use:
13S
Y/N r�
ermittedas: i(1kal1(n1 0if)(J&
Under Section: 'Lb. 2. (A)
Supplementary regulations section:
Parking formula:
1%PrripLye +1/966W Offn -46 PY611c, min a cus�d,
Required spaces: ' t
Y / N)"�
Ite o be verified in the field:
Inspector : Date:
Notes:
Vio ns:
Y
Ifs st:
Pro s:
if N
Ifs ist:
Va e:
Y/N
Ifs Est:
SP's:
Y/N
If so, List:
100
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Clearances:
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SDP's
2ai6- 163. t10 , 57—
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Revised 11/1/2015 Page 3 of 3
Page 1 of 1
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file:///C:AJsers/ewhite/Desktop/Monticello%20Air%20FIoor%20PIan.png 1 /18/2018
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Exhibit A Mark Tenant Space on drawing,
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