HomeMy WebLinkAboutCLE201800037 Application 2018-02-16Application for Zoning Clearance
CLE? # M AR
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OFFICE USE ON Y
PLEASE REVIEW ALL 3 SIIFETS . ( heel: t# CHOW— Date:
Receipt # staff: (,(
PARCEL INFORMATION Fynn
Tax ltap and Parcel: OB'I M0 17 i L1.9 Existing Zoning__..
Farces owner:_ l!IMO 6' ,QS2 .._C. '—.._ 'QN,...
Parcel Address:629 Berkmar Circle Unit A City Charlottesville State VA zip 22901
(include suite or floor)
PRIMARY C'0NTAC`I'
Who should we call/Ni-rite concerning this project? Kevin A Hale
Address :11001 Houser Drive Ste 1 city Fredericksburg _e state VA (ip 22408
Office Phone. (540 ) 735-1865 c'elI ; 540 379 4962 Fax #i 540 891 5548 F:-mail khale@msbs.net
APPLICANT IN ORMATION
i Check any that apply: Change of ownership Change of use Citanbc of name
Business Nantei`fi r,pe: Mid South Building Supply, Inc Kitchen Cabinet Showroom
Previous Business on this site Charlottesville Bike Shop
.Ncti v business
Describe the proposed business including; use, number of etnpfoyees, number of shifts. available parking; spaces, number of
vehicles, and any additional information that you can provide: _
Cabinet and top displays for customers to cheese for ordering 2 employees, Iyi-F 7am to 4:30 pen 16 parking spaces.
2 ,vehicles on site. No warehousing or storage of product, iust displays
*"Phis Clearance will only be tand on the parcel lbr tvluclr it is approved. lfvott change. ilrtensity ;_lr move the use to it Hell- lncatinn, a trcke Lolling
t Icarance will he regwred.
( here1w ccilify that I own or have firemvner,; permission to ttse the space indicated on this application. l also certify that the information provided
is true and accurate w the best oftnv knomdedge. t ha %c rc fd the c+mtdijions of approval, and ( tmderstand fhcnr. and that 1 will abide lov tltcm.
Si. -nature Printed
A P R01'�L YINFORMATION
(` A proved as proposed [ ] Approved with conditions } Dellied
1 ackilou prevention device and or current test data needed lfor thus site. ('ontact A('4A. 9"7-451 1, xI I7.
uf No phvstc.al site inspection has heen done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
Thki site complies with the site plan as of this date.
Not
Building Official uvt __. _ ____._ Date
Zoning Official Date 2 / I
Other Official Date
County of Albemarle Department of t`orttrnunity Development
401 Mclntire Road Charlottesville, ESA 22902 Voice: (434) 296-5832 Fat: (4-14) 9724126
Rev iced 1 1,0 2 ov 2 all' i
Intake to complete the following:
t � in t.i, iii ot• PDtP ovine',
f:nginecr's Report (CER) packet.
If so,,iv.e applicant a Certified
Y
W i ire be rood preparation"
Ifsc�. L!iv+e applicant a I Icalth Deparlment forms.
Zoning review can not begin until we receive approval from lfcalth
Dept. FAX DA'rE
Circle the one that applies
Is parcel oil private well a puhtie vvat 3
lfprivat4 well. provide Ilea ,trtntent fitrnv.
Zoning review can not begin urvtil we receive approval firot?r I lealth
Dept. FAX DAI' __.
Circle the one that alv
is parcel oil septic r put)Iic sevv-er''
1 Reviewer to complete the following:
i
Stluarc footage of base:
Y \
F / 1 +
tnittcd as: Sq�<s C bU1j ,f1t1 R1G{'It/ih I �, t 1W�Vt�itlnC'
t�
Under Scctioi
Supplementary regulations section: �
- — _ 2�1,Z• 1 (4"
Parking formulai
re va I1 I()0 teFgt
Required spaces: I�
Y I N
Item. be verified in the field:
Y
\Vill Vail be putting till a new stt',tl of any kind? If
sit, obtain proper �
Sire pCrnat.
Permit #-__-_'JV avl d Y'P�rU I6
m
t fY t"� Inspector : --- ...__ Date;
7
y \
Notes:
jWill there be any ncvv construction or renovations:'
iI Ifso. obtain the proper Permit.
Permit $t
vvwld { tvtte o cep(rc,�-e,
-
fm-It
Zoning; to complete the following;
1 ro • ns:
Prof �s: _
v
Ifs •. .ist: __
]f.�
liso,
lfso. tst:
Clearances T
•
SDP's
CL�tc708-Z1�
Revised I I I'2tfl> Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This f(lrm must (rcconrpaap ;;oni11g ujlplieah()lts (!/(Inge OrruPaticlrr, Zoit ng Clearance, Zoraurh
ihninistrator Ueterniilr((tions or Appeals, Sign Permits, Buil(ling Permits) if the application is not the
oxInet.
1 certifY that notice of the application, Mid South Building Supply, Inc
[County application name and numherl
teas provided to Tony Wilson _ ille owner of record of -Tax tap
jnaane(s) of the record owners M the IMr ij
and Parcel Number —�-�Q�p f .A by deli:<crin a copy r�f�i}te {tpplicatiUn in the
_--���� _.. .Zee.._
n7aianer identified below:
I land delivering a copy of the application to Tony Nilson
[N ataac of file record owner if the record owner is a
Person, if the oNs'ner of record is an entity-, identify the recipient of the record and tine recipient's
title or office to-,- that entity]
oar 2i5i2018
Date
Mailing a copy of the application to
(Name of the record owner i f tlac record owner is a person':
if the owner of record is an entity, identify doe recipient of tlae record and the recipient's title or
office for that entity)
011 to the following address:
Date
(address: written notice mailed to the owner at the last known address of the ounca as shca«n cna
the current real estate tax assessment hooks or ctu-rcnt rcai estate tax assessment records satisfies
this requirement (.
Signature. ol'Apphcant -
Kevin A Hale
Print Applicant Name
2i512018
Date
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—157,." 75V' X 116;a' 7Y''
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All dimensions _size designations This is an original design and must Designed: 7/5/2016
given are subject to verification on not be released or copied unless Printed: 2/7/2018
job site and adjustment to fit job applicable fee has been paid or job
conditions. order placed
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APALOOSE ENTERTAINMENT CENTER All Drawing #: 1 No Scale.
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