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HomeMy WebLinkAboutCLE201800073 Application 2018-03-29Application for Zoning Clearance°F� CLE # 20� 000 '/� � }"ry �rRc�N�P OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS //6/% 3 Ca Date: 3 ' a(o / d Z7Check# Receipt # % � J Staff: . , f j-� Z/ �� PARCEL INFORMATION Tax Map and Parcel: 076M1-00-00-00200 Existing ZoningPlanned Development Shoppirn Parcel Owner: 5th Street Station Ventures LLC Iy LIa Sin}p 4 NX welcl7unt kNOk SQUoc)yoL„ OJT Parcel Address L' City Faifbrtrt'R State -GA VA Zip 3GLH3 (include suite or floor) 'Z2. 1 �-- PRIMARY CONTACT Who should we call/write concerning this project? Visespong Punyanitya Address : 2800 Magnolia Drive City Charlottesville State VA Zip 22901 Office Phone: 4( 34) 296 3830 Cell # 434 825 6656 Fax # E-mail punyanitya@gmail.com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name X New business Business Name/Type: Agile Hospitality LLC Trading as CHIMM restaurant Previous Business on this site None 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: The business is a full service restaurant Number of employees•= 18 Number of Shift = 2 Parking is shared parking in the Wegmans 5thStreet Shopping Center Vehicle = 5-7 *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 to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature �Q�7y� ��w�L�Gji�- Printed Visespong Punyanitya AP OVAL INFORMATION [LI Approved as proposed [ ] Approved with conditions [ ] Denied [ ] > ackflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117. [ o physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. [ ] This site complies with the site plan as of this date. Notes: Building Official Date P I Zoning Official Date Other Official Ab ( k� ('� � W A 19V( 0 J (, ` Date %j i -7 %_uuiuy of H,uemarie uepartment of t_,ommunity Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised 11/02/2015 Page 2 of 3 Application for Zoning Clearance CLE # 20/ Q 6OZ 0- OFFICE USE QqNLY PLEASE REVIEW ALL 3 SHEETS Check # //4// SCv Date:3 •oZ(o $ Receipt # J Ad Staff:`�yQ`" PARCEL INFORMATION Tax Map and Parcel: 076M1-00-00-00200 Existing ZoningPianned Development Shopplo. Parcel Owner: 5th Street Station Ventures LLC 3i.i iWtichan {; Parcel Address: "6'8t 8rved�tteottitoU9t�}ty FaMborR State -GA ✓A (include suite or floor) t"hy rlo} fclyt� Zip ae243 2�goZ, PRIMARY CONTACT Who should we cali/wriie concerning this project? Visespong Punyanitya Address: 2800 Magnolia Drive City Charlottesville State VA Zip 22901 Office Phone: L43J 296 3830 Cell # 434 825 6656 Fax # Email punyanitya@gmail.com APPLICANT INFORMATION Check any that a I : Change of ownership Change of use Change of name X New business Business Namerrype: Agile Hospitality LLC Trading as CHIMM restaurant Previous Business on this site None 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: I hereby oertlty that I Own or have the owners permission to use the space Indicated on this application. 1 also certify that the information provided is true and accurate to the best of my knowledg . I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed VISeSPong Pun ani a APPROVAL INFORMATION [ J Approved as proposed [ J Approved with conditions [ j Denied [ ] 4ackflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x 117. [ tXNo physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. [ J This site complies with the site plan as of this date. Notes: Building Official Date Zoning Official Other Offlelal Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice. (434) 296-5832 Fax: (434) 972-4126 Revised 11/02/2013 Page 2 of 3 Intake to complete the following: IYu s m LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified YJN 11 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 Reviewer to complete the following: Square footage of Use: 23W N ermitted as: Pa%i n q ?&�CMIAM(At Under Section: Lg-. -L• Supplementary regulations section: — 2Z.. 7.1 (b)(ly Circle the one that applies Parking formula: Is parcel on private well r�publicwate (tS}aUfQ 13 1a0b F} 1 ptdSS �� 00� of Poi If private well, provide Hea form. Zoning review can not begin until we receive approval from Health Required spaces: 3 Dept. FAX DATE Y N Circle the one that ap Ite o be verified in the field: Is parcel on septic o&ublic sewer Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit# WAI le $2p(�w�e Pefmi-• Inspector: Date: ..i+ N Notes: Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # O-Lo)7—UO1—A(— Zoning to complete the followinLy: Vio �ions: YQN) If so, ist: offers: N o, List: 2,ao9-1 �Lyo6 - q Variance: Y / N If so, List: 2b16-Z SPA Y UN If so, List: Clearances: SDP's sot2- Revised 11/1 /20 15 Page 3 of CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner. I certify that notice of the application, [County application name and number] was provided to 5th Street Station Ventures LLC [name(s) of the record owners of the parcel] and Parcel Number 076M1-00-00-00200 manner identified below: 0 Hand delivering a copy of the application to the owner of record of Tax Map by delivering a copy of the application in the [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date a] Mailing a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date to the following address: 5 West Broad Street STE B , Fairburn GA, 30213 [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. Signature of Applicant Visespong Punyanitya Print Applicant Name Date COMMONWEALTH of VI RGtNIA In Cooperation with the Tho»has .lffersoih Health Disth•io State Department of Health 1138 Rose Hill Drive Phone (434) 972-6219 R 0. Box 7546 Fax (434) 972-4310 Charlottesville, Virginia 22906 November 21, 2017 City of Charlottesville Neighborhood Planning and Community Development P.O. Box 911 Charlottesville, VA 22902 POW c�JWA ALBEMARLE • CHARLOTI ESVILLE FLUVANNA COUNTY (PALMYRA) GREENE COUNTY (STANARDSVILLE) LOUISA COUNTY (LOUISA) NELSON COUNT"Y (LOVINGTON) Re: Plan review APPROVAL for proposed facility, "Sen Restaurant" to be located at365 Merchant Square, Suite 400 ., in Charlottesville, Virginia 22902 To whom it may concern: The plans for the building and operational plans of the above foodservice facility have been reviewed and approved for construction. Completed construction work is subject final inspection and approval by this department. The operator will need to call me to schedule a progress visit once the plumbing is roughed in and then to schedule an inspection once all the food is in place prior to opening at which point their annual permit to operate will be issued. If you have any questions pertaining to this matter please call me or Eric Myers, Supervisor at (434) 972-6219. Sincerely, �Ivl2,, / e. ArcAat C. �Fftptivee J:liinl►etb �rrl►er 1'i►mpb4•11. 11FU i 1s11 1'onvnitr►ul. F nod linvirun111e11lnl llenitl1 Prngran► C6omi><v de`fertion llenlih t/islriel 1 1:3i1 114P.w• hill Drive 1'.11. 11nx 75�i1i /'lu►rloll� tiville. ♦'ir�ini�► 22906 141401le: •13-1-!)72-1i256 hiix: 43A-972-6221 FLOOR FLAN LEGEND - E's lmoo v.- t, NCN W31t Area nil ti scora FLOOR FLAN NOTES I. fFmeeG o�u we Ic IPa race of fiik^, UrYJ. 7. MiIMcrY �ilw-nsdxlbitlA nn Sh�Nl Mq. 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