HomeMy WebLinkAboutCLE201800166 Approval - County 2018-07-13Application for Zoning Clearance
CLE # ►R- a
OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS
Check # Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 06100-01-00-01300 Existing Zoning C-1 Commercial
Parcel Owner:Anvince Land Trust
Parcel Address: 2111 Berkmar Dr. City Charlottesville State VA Zip 22901
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Sue A. Albrecht
Address : 80 Roslyn Forest Lane City Charlottesville State VA Zip 22901
Office Phone: 4( 34) 531-2435 Cell # 434-531-2435 Fax # 434-973-0732 E-mail sue@designenvirons.com
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name X New business
Business Name/Type: J Team Auto Repair & Exhaust, LLC
Previous Business on this site Allied Auto
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, 1 shift, 6 spaces, no company trucks, 1 repair bay, M-F 8:00-5:00.
*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 hereb that or hav o er's ermission to us a space indicated on this application. I also certify that the information provided
ISa and cura o e rea conditions of approval, and I understand them, and that I will abide by them.
ignatur Printed Sue A. Albrecht
APPROVAL INFORMATION
P4AApproved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, 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
Zoning Official / / Date 1 -2,
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
Revised 11/02/2015 Page 2 of 3
Intake to complete the following:
Y /(N
Is use fn LI, 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
Reviewer to complete the following:
Square footage of Use:
Permitted as:
Under Section: 2 �-
Supplementary regulations section:
Circle the one that applies - Parking formula: j o�K + S A5c
Is parcel on private well or public water? Itc C tor~�
If private well, provide Heallh-Hepartment form. to, /
Zoning review can not begin until we receive approval from Health Required spaces:
Dept. FAX DATE
Y/N
Circle the one that applies Items to be verified in the field:
Is parcel on septic or Rublic sewer?
,Y 'i/ N
`Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit # �60 (� t
Y /%N %
Will- there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zoning to complete the following:
Inspector • Date:
Notes:
Violations:
Y/N
If sadist:
Proffers:
Y/
If so, ist:
Variance:
Y/N
If so�st:
SP's
Y/
If so, ist:
Clearances: / Op i�
SDP's QG)OC-)
Same v
Revised 11/1/2015 Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Rome 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, Zoning Clearance
[County application name and number]
was provided to Anvince Land Trust
[name(s) of the record owners of the parcel]
and Parcel Number 06100-01-00-01300
manner identified below:
the owner of record of Tax Map
by delivering a copy of the application in the
Hand delivering a copy of the application to Anvince Land Trust
[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
Q 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 Applicrn
Sue A. Albrecht
Print Applicant Name
Date
Coniimni4, Development Departiral �
4,D1 Nlclntire Road Charlottesville. V,422902-��546 A
I . . - - . ,"'A'- ',I�R-5832 Fax : (434) 972-4125
County Of Albemarle
Department Of Community Development 4 63 &2
PH: (434) 296-5832
RECEIVED F C)
AMOUN
307
For: 324 510
F77-1--, ola-ow
Comments
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ISUB APPLICATION
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Comment
APPLICANT CONTACT INFORMATION
ContwtType
I - Name I Address Zi Phone PhoneCell
ANVINCE LAND TRUST2 SUE A. ALBRECHT 60 ROSLYN FOREST LANE CHARLOTTESIVILL 22901
SUE A ALBRECHT 80 ROSUM FOREST LANE CHARLOTTiSSJLL' "2'2'901 .' 4345.-312435 434531243
I
Signature of Contractor or Authorized Agent Date