HomeMy WebLinkAboutCLE201800169 Approval - County 2018-07-13Application for Zonro C earanc
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CLE #
OFFICE US
PLEASE REVIEW ALL 3 SHEETS Check # NLY Date:
Receipt # Staff•
PARCEL INFORMATION
Tax Map and Parcel: G'�s��� �u�'�� ®(� Existing Zoning (— 6C)VVv""fV-6
Parcel Owner:_ MIL 63',
Parcel Address: 5y J,�iNC�,0- t2aiL CitC �1 5�'rLLri State 14 Zip Ir�7
/
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? f1Gj11/L Z��JOD41-
Address: Sf'I S(M INC�c 4, 1t�Yat1� city C4�1(LL�jIGSVX/-w State Ii Zip 2-e
Office Phone: (�� ! S S' ��3 Cell # q3q 70-1 7y Fax # E-mail ,1c v?��!(�G/YlcrrcvtS �c �1gtL �e
APPLICANT INFORM ION
Check any that apply: Change of ownership Change of use Change of name New business
^n
Business Name/Type: / V 0 •-T itit- `' A4a-J ok s 141,14 5(4L4 S
Previous Business on this site
Describe the proposed business including use, number of employees, number of shifts vailable parking spaces, mber of
vehicles, and any additional information hat y c""a��n' provide: %a � t.4.S e4,atA4SAr �
b �.11u ,'i t S t3/LS 4.%? hull_g
U s, �
*This Clearance will only be valid on the parcel for hich it is approved. If you hange, rote sify or move t e use to a new location, a new Zoning
Clearance will be required.
1 hereby certify that I o y
ave the ow is permission to use the space indicated on this application. I also certify that the information provided
is true and accurate to' eof my o ledge1 have read the conditions of approval, and 1 understand the nd that I will abide by them.
Signature /��Printed zii, VIL
APPROVAL INF RMATION
Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-451 1, x117.
[ ] No 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 1
Zoning Official Alen/ ---- Date [ i) Z 0 1
T
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised I1/1/2015 Page 2 of
Zoning Clearance Checklist
Applicant MUST HAVE the following information to apply for a Zoning Clearance:
1) Tax Map and Parcel or Address, Building Name, Suite/Unit/Floor numbers, if applicable.
2) A Floor Plan - either a sketch or an architectural drawing
a) If using less than the entire structure, note the location within the structure;
b) Note the total square footage of the use;
c) Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
FEES
Zoning Clearance = $54
Temporary Fundraising Activity = No fee
Conditions of Approval
FIREWORKS:
1. No person shall sell, offer for sale, store, display or discharge any fireworks in any filling station or on any premises where gasoline
or other inflammable liquids are stored or dispensed. (Code 1967 10-13.) County Code Section 6-200 and 6-300 and must be a
minimum of 100 ft from any gas pumps/propane distribution tank.
2. The site shall be cleaned and restored to its original condition on or before July 1 lth. This shall include removal of all structures,
signs, debris, and the like.
3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subjecl
to Zoning Administrator's approval.
4. Building permits shall be obtained for all proposed structures and/or lighting.
5. Sign permits shall be obtained for all proposed signage.
6. The sale of fireworks requires a special permit from Fire/Rescue department.
CHRISTMAS TREES:
1. The outside storage of combustible material or flammable materials shall be located so as not to constitute a hazard and shall not be
less than 15 feet from any building on the site. Any open burning must comply with the Virginia Statewide Fire Prevention Code and
the Albemarle County Code.
2. The site shall be cleaned and restored to its original condition on or before January 2. This shall include the removal of all structures,
signs, debris, and the like.
3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subject
to Zoning Administrator's approval.
4. Building permits shall be obtained for all proposed structures and/or lighting.
5. Sign permits shall be obtained for all proposed signage.
OTHER REVIEWS:
1. Is the property on public or private water/sewer?
Private requires Health Department, Public requires ACSA review (2 to 5 days)
2. Will you be operating a bakery?
USDA review is required (approx. 2 weeks but as long as 6 weeks)
3. If you are serving prepackaged baked goods but not making them on the Premises, only Health Department will review. (2 to 5 days)
4. If you will be operating any business that is in an industrially zoned district or of an, industrial nature you will need to provide a
Letter of Performance Standards or Certified Engineer's Report (a staff member will provide,an information packet addressing this
requirement) (5 to 10 days as soon as the Letter or Report is received by this Department)
5. If there has been no site inspection within the last three (3) months for the parcel/site, then one will be conducted to verify that the
project is in compliance with an approved site plan (if applicable).
Revised 11/l/2015 Page I of 3
Intake to complete the following:
Y /F) Is us Ll, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y / N//'
Wil1�tl�ere 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 o ublic water9
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
Is parcel on septic or ore
ublic sewer.
Y / N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y /
Wil re be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Reviewer to complete the following:
Square footage of Use:
Y/N vei-N- Sates
Permitted as:
Under Section: Z �• 2 - Z
Supplementary regulations section:
Parkin gfor� C 1: 1 /
Required spaces:
Y/N
Items to be verified in the field:
Inspector : Date:
Notes: t
TO 4
Violations:
Y/,N
If sst:
Prof
Y/N
If so, 1st:
Var' ce:
Y/ N
If so, ist:
SP's:
Y/N
If so, List:
Clearances:` L E ZO' f too v
SDP's i/ A
re01
Revised 11/]/2015 Page 3 of 3
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,
was provided to
[County application name and number]
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
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
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:
[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
Print Applicant Name
Date
MVDB 19 07/01/2015
same wnxte o.alw suroV
ZONING COMPLIANCE CERTIFICATION
Purpose: Use this form to certify that proper zoning is in effect for your business location and the dealer license for which
you are applying. Section 46.2-1510 of the Code of states in part, "No license shall be issued to any motor vehicle dealer unless
he has an established place of business, owned or leased by him where a substantial portion of the sales activity of the
business is routinely conducted and which: (1) Satisfies all local zoning regulations."
Instructions: Applicants complete the business information section and check each dealer license type for which your are
applying. Request the Zoning Official to complete and sign the zoning compliance certification . The zoning certification must
be completed and signed within the 30 days before dealership opening. Submit this form to MVDB.
BUSINESS INFORMATION
Full Name Last First Middle Suffix (Jr., Sr.,1)
Business Street Address
City or County
Primary Contact Telephone Number Date of Application (mm/dd/yyyy)
Dealer License Type and Zoning Compliance (check all that apply)
Instructions for Zoning Officials: The section below is to be completed and signed by the Zoning Official verifying the applicant
has complied with all zoning requirements from the City or County in which the dealership is located and properly zoned for the sale
and display of all applicable dealer license types checked below.
❑ Automobile/Truck
❑ Motorcycle
❑ Recreational Vehicle
❑ Trailer
Zoning Official Signature
Zoning Official Signature
Zoning Official Signature
Special Conditions/Comments (To be completed by Zoning Officialifapplicable)
Zoning Official Certification
I certify that the above named business is in compliance with the zoning ordinance of this locality for each use for which the
i applicant is applying (checked above and signed by me). _
Zoning Official Name (print) Zoning Official Name (title)
Zoning Official Name (signature) Date (mrWddlyyyy)