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CLE201800145 Approval - County 2018-07-24
r--� 00 • � N 7. f�' 0 H U z 0 9 r 71 W A w W a U County of Albemarle i BUJLDING PERM,iT- Pace 7 TMP I 076M1-00-00-00200 Curre.nI 0r;nerisl� Acres 47.68 Primar, planned Development Shopping Zoning_ _ Building Permit FI B2018-01468—T Sub .Application TypeTent Street :Address: 120 WEGMANS t11,'AY CHARLOTTESVILLE VA, 22902 Community Development Department 401 McIntire Road Charlottesville. VA22FQ-4598 Voice : f434) 295-5832 Fax : (434) 9?2-4125 LLG Major Subdiv, Entered By: 3ennifer Smith on 0611312018 Associated Building Permit .fork Class Frarrxe Type "later Supply Type ( Servrage Disposal Type Fourdatior Tie Other N/A N/A N/A N/A Work valuation Jurisdictional Area Other Foot ;' Found. Desc.. $ 3,000.00 Water & sewer .. Work TEMPORARY (40' X 60') TENT FOR A CLEARANCE SALES EVENT Description: Directions 120/ 130 WEGMANS WAY Legal 08/21/2003 52,600,00 FOR 2 TRACTS TM 76M1-2A & 213 Description; t Use Group Construction Type Square Footeges: of Stories Porches Unfinished Basement 1st Floor Decks Other Unfinished 2400 end Floor Garage Total UnfWshedSq. C� Footage Swimming Pool 3rd Floor Finished Basement Other Habitable Total Habitable Sq. Footage L Total Building Sq. Footage -� Set Backs. Zoning Pre -Construction? i' Land Use? Front Back Fire Alarms Required? i' Bldg Pre -Construction? Left Side Right Side Fire Sprinkler NAAPA. Code,tYear F____1 Dwelling Units Accessory Structures � hlobile'•,Prefab, Homes � Mobile Offices ',Prefab. Units Carports B Bedrooms Baths Paint Spray Booths Garages kitchens Swimming Pools',Hot e Other TENT Ele.ators,Escalator`,Lifts Tubs",Spas (Res. Only) ,PPLICATIGN CONTACTINFORMATION Contact Type Name Address Cibj :State ! ZiPC od 'Work Phone Cell 5th street station ventures Ilc i 5 WEST BROAD STREET STE r.................................. �- - - samefowneragent _ ,.... ........_ . e................._.............. evan kn.o: 2 t s r Y 1a0, 13G 4V �EGMnN_E'tbY _fn._:;.�-vim<; )_s0?s ,- Countv of Albemarle r BUIMIN`G PERK?.;; T - Page 2 Community DcvelopmentDepartment 4;i1 h4clntire Road Charlottesville. `u'A229024696 Voice: 0134i 29&-5832 Fax : (4341 9?2-4926 TMPI 076M1-00-00-00200 I Current ISTHSTREET STATIONVENTURESLLC Oxnerls; � ' �.cres 47.68 Primary planned Development Shopping MajorZoning Subdie. INMRMATION Building permit =1 B2018-01468-T Entered By. Jennifer Smith on 06113j12018 Sub Application Type Tent Associated Building �� Permit Street .Address; 120 WEGMANS WAY CHARLOTTES}iILLE VA, 22902 Contractor Separate permits may be required for Electrical, Plumbing, Heating, Ventilating and Air Conditioning. This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether- specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local laN, regulating construction or the nArfnrmanrA of rnnchri irhinn By signing this building permit, the owner and;'or their agent hereby grant employees of the Albemarle County Community Development Real Estate Departments the right to enter and inspect the subject property Monday through Friday between the hours of 9:00 a.m. and 5:00 P.m., holidays excepted. If you are not the owner of record, please check which applies: I certify that I am the agent for 5TH STREET STATION VENTURES LLC ❑ the Owner, and am authorized to submit this application on behalf of the Owner- under the agency granted to me. I am neither the Owner nor the Owwner's agent. I certify that wwritten notice of this application, by providing a copy of this application, will be mailed to the owner at the following address ❑ 5 WEST BROAD STREET STE B FAIRBURNGA 30213 within 10 days of today's date as required by Virginia Code § 15.2-2204(H). I understand that,. if I do not provide the notice to the Owner as provided herein, the building permit application and every other subsequent approval, permit or certificate related thereto could be determined to be void. •v'r.L`.^ zcS r',gE.^:' Ds*_ ELECTRONIC RECORDS STATEh1 Albemarle County is creating and using electronic records and electronic signatures as allowed by the Uniform Electronic Transactions Act (Virginia Code § 59.1-479 et seq.). As an applicant to the Building Permit process, you may consent to receive, or have online access to, electronic records and receive and create records having electronic signatures related to Building Permits, Correspondence, Inspection Tickets and Certificates of Occupancy (the Buildinq Please initial here if you AGREE to receive and/or use electronic records and electronic signatures for Building Permit transactions. A_.._ s?,y_ Your agreement to conduct Building Permit transactions by electronic means does not prevent you from refusing to conduct other transactions by electronic means. APPROVED by the Albemarle County Community Development Department Application for Zo *ng Clearance A` CLE # � �, r PLEASE REVIEW ALL 3 SHEETS OFFICE USE W Check # C (rl'� Date: Receipt # Staff: PARCEL INFORMATION FU33� Tax Map and Parcel: ��. l 2- Existing Zoning y,, Parcel Owner: ' i i t S) Am o� �(?'s 1- i LiY'�� �'LC } � h Parcel Address: 11 y f �' '+\ate � j� �ity ` kl � � l State A Zip (include suite or floor) PRIMARY CONTACT Who should we call/write concerningthis project? Address : 20/130 IN U-i d'�w"S T\iY Cityct�A'`� --y J l G State VA, zip L 0 Office Phone: Ar- l E� Cell # Fax # E-mail APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name/Type: �ti ly ratiC�.Z� S �)—i d2 Lc� f Previous Business on this site 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: s�s,�i�. i i✓t.�"S; -i- 'r--C6? l'��> -,;)mt1� ' fix, up (021 *Phis 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 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 be my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed * 'iA APPROVAL INFORMATION [ V?I(pproved as proposed [ } Approved with conditions [ ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xi 17. [ } No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. ite [ } This complies with t site plan as of this date. Notes k, 5 VIA 1A Building Official Date Zoning Official Date �tt/ 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 11/02/2015 Page 2 of 3 Rebecca Ragsdale From: Manager4604 <Manager4604@dcsg.com> Sent: Wednesday, June 14, 2017 3:35 PM To: AAStore4604; Rebecca Ragsdale Subject: DSG & F&S Site Map Good Afternoon Rebecca: This is our proposed spot on the map below. Sorry about that. Thanks, Evan The information contained in this message and any attachments (collectively, the "Transmission") from Dick's Sporting Goods, Inc. or one of its subsidiaries contains confidential infonnation and is intended solely for the named recipient(s). If you are not a named recipient, you are prohibited from copying, distributing or using this Transmission. Please contact the sender immediately by returning the e-mail and deleting the original Transmission. 1 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) ifthe application is not the owner. I certify that notice of the application, [County application name and number] was provided to 5 � j ► t- - I 1 9 5 VD1 UPA5 -S L &e owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number ;C.+: by delivering a copy of the application in the manner identified below: Sul-�a✓�I-- © Hand delivering a copy of the application to iD12 QZAi~ `E': ` P1j t:. [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]. Signatidfe e�f Applickmt Print Applicant Name' Date lanIff 1/0-7 FIRE PREVENTION PERMIT APPLICATION - TENT Applicant/Responsible Party (Billing Contact) Applicant Name & Email: 1)iGi--S S fc L,3i ;-C. r1c c7 , _ A ' , c-t,, Contact Name&Email: VkkrCZLY&NEt,C-SG.cf, 02 ��c,, �fEcy .acs6- Mailing Address: o-o C r 30 WEGGVIA-;,t ; �•/ City, State, Zip: Goa u Cv, c - V a 22 5r c % _ Telephone: (Day) `fay- 6'?-0 - i E e :�- (Cell) Date of Event: Coz42 1 f9 Time of Event: M - Sk-- Date Requested for Fire Marshal Inspection: (0 120 Time Requested: 2 P— Address of Event: �Aill�- 5 4(3 • L'c Name of Facility: i�iric_S Sa c u`l�b G�n�.0 � FIE-L- q- S"'y4AA Event Coordinator (Fill in N/A" if not applicable) Business Name: Contact Name: Telephone: (Day) Tent Company�7 Business Name: /� 2 7 / Contact Name: Telephone: (Day) Date & Time Tent Is To Be Erected: Caterer (Fill in "N/A"if not applicable) Contact Name: Telephone: (Day) Time Caterer Will Be Ready for Floor Layout Inspection: (Cell) (Cell) (Cell) See reverse (page 2) for Conditions & Acknowledgements (Page 1 of 2) OFFICE USE: Few. -Check:' Credit Card: Cash: Receipt �Ce�rzif iractE of fflame Re Date Manufactured AZTEC TENTS 12/23/2013 2665 COLUMBIA ST TORRANCE, CA 90503 (800) 228-3687 > This is to certify that the materials described below have been flame retardant ?= treated (or are inherently flame retardant). hs A-1 EVENT RENTALS LLC >= 26529 Ruether Ave Santa Clarita, CA 91350 Certification is hereby made that the articles described below hereof are made from a flame-retardant fabric or material registered and approved by the California State Fire Marshal for such use. The fabric has been tested and passes NFPA 701 Large Scale. See chart to right for trade name of flame -resistant fabric or material used and additionally referenced on the label of the fabric panel. PAGE: 1 INV NUMBER: 0201828 P.O. NUMBER: CUSTOMER NO: A1RE THE FLAME. RETARDANT PROCESS USED WILL NOT BE REMOVED BY WASHING David Bradley General Manager- Mannfactnring Name of Applicator or Production Superintendent Tide of Applicator or Production Superintendent ITEMS MANUFACTURED TYPE PRODUCED 40x40 2pc Jumbotrac Top UW S 2 Blockout White- w/ 8 Ratchet Tensioners 40x20 Mid Jumbotrac Top UW S 5 Blockout White- w/ 2 Ratchet Tensioners 11mm Keder Leader Set (1L/1R) S 1 JT Keder Feeder (2pc Set) S 1 Installation Rollers w/ Wheels JT Ratchet Tensioner-1" S 25 IT Eye Bolt & Dowel Nut Hanger S 10 Consists of: 1/4-20 x 1" Eye Bolt, Washer, Nut, and Dowel Nut Maximum Hanging load 5# TEMPORARY TENTS & MEMBRANE STRUCTURES CODE COMPLIANCE GUIDELINES FIRE RESCUE PERMIT PROCESS 1. Permits are required pursuant to the Virginia Statewide Fire Prevention Code 2. Submit complete tent permit application including site plan of the event, layout of the interior of the tent, and flame resistant certification via e-mail (rmorris2 Walbemarle.orq), or standard US Mail, to our office. Fees are based on the following: a. $100 if complete application is received 30+days prior to event b. $150 if complete application is received 15-29 days prior to event c. $200 if complete application is received 8-15 days prior to event d. $300 if complete application is received less than 7 days prior to event 3. When selecting your requested date of inspection, we suggest a representative from the tent company to be on site for the inspection/permit. 4. Acceptable methods of payment are cash, check and credit card (online only). III. OTHER LOCAL GOVERNMENT PERMITS Please be aware you may also need to contact the following department regarding your tent/membrane structure. • If your tent/membrane structure is for a public event, you may need a Zoning Permit • If your tent/membrane structure exceeds 900 square feet or over 50 occupants, you need a Building Permit. Contact: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, Virginia 22902-4596 Voice: 434.296.5832 Web: www.abemade.org/communitvdevelopment IV. SITE PLAN 8 LAYOUT REQUIREMENTS All plans shall use an acceptable scale such as 1:10 (1 inch equals 10 feet). • Site Plan - Site/Location plan shall clearly show the following on each drawing: o Location name and address where tent is to be erected. o Date(s) of event. c Size of tent (length in feet by width in feet). If multiple tents are used, all tents must be shown, including the firebreak distance between tents. o Membrane structures having an area of 15,000 square feet (1394 m2) or more shall be located not less than 50 feet (15 240 mm) from any other tent or structure as measured from the sidewall of the tent or membrane structure unless joined together by a corridor. o Number of guests, wait staff, and any other persons (e.g., DJ). • Layout Plan - Tent plan shall clearly show the following on each drawing: c Scaled layout of tables & seats, with proper size of tables and seats shown around the tables. Allow 19' radius from the perimeter edge of the tables for seats, 36" clearance between the fabric sides of the tent and all contents within the tent, and a minimum of 12" between chair - backs placed back-to-back. If standing only (no seats), then state such on the plan. If a dance floor, stage, or platform is used show these items on the plan. a o �a,•�+Qa� m p � n �' a v � e F..{AmHL# �= W a LLIZ p w m ^e+ f 5 '�' ev t ? w '' a � W O H i a�iR t h v,a v w v r - w p � N a o , 41' _ I Shelter Structure 20m x 20m x 4m 4 \ 3 Q ti I I 2 3 ?pppp sppp 5�d� „0��� Sppp ' ��p0 1 Upright 2 Gable 3 Eave 4 Roof W1(O (12OXI'Q) ;] Rtl�O mN t2o 20 1D0 gq N #fit �S H &R L T E R TENT NANUF C A-1 EVEN-C1 RWAYNE .44CORU` CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODNYYY) 05/08/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certilficate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER C,fflACT Bolton & Company 3475 E. Foothill Blvd., Suite 100 Pasadena, CA 91107 PHONE FAX wc, No, E,d): (626) 799-7000 (Arc, No):(626) 441-3233 M4g'LEss, propcasualty@boltonco.com INSURERS AFFORDING COVERAGE NAIC S INSURER A:HiSCOX Insurance Company INSURED INSURER a -State National Ins Co Inc INSURER C: 2417 Events, Inc. 26529 Ruether Avenue Santa Clarita, CA 91350 . INSURER 0: 6dSURER E INSURER F : COVFROGES CFRTIFICATF NI 11MRpR• RGVICIAAI All IMQKo- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S TYPE OF INSURANCE ,ADDL SUBR POLICY NUMBER 1 POLICY EFF POLICCY EXPLTR rnM LIMITS A X COMMERCIAL GENERALLIABUJW CLAIMS -MADE [X] OCCUR USUEN273903818 01/01/2018 01/01/2019 EACH OCCURRENCE S 1,000,000 PORMMACaETORoNTEDn ce, f $ 300,000 GEN'L MED EXP LMy oneperson) S 10,000 PERSONAL & ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY � JECT 1 LOC OTHER: GENERAL AGGREGATE S 2,000,100 I PRODUCTS -COMP/OP AGO S 2,000,000 S A AUTOMOBILE X LIABILITY ANY AUTO CH AUTOS ONLY AUppTNNOppSyWU�LNNED AUTOS ONLY AitTOS ONLOY I IUSUAE27390818 01/01/2018 01/01/2019OWN CO eBINdED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per person)$ BODILY INJURY Per accident S PerOapcErlRdent AMAGE $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE USUEN273903818 01/01/2018 01/01/2019 EACH OCCURRENCE S 1,000,000 AGGREGATE $ 1,000,000 X I DED RETENTIONS 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y N ANY PROPRIETOR/PARTNER/SMCLMVE OFFIC-rEMBER EXCLUDED? (Mandatory in NH) Iryyes, describe under DESCRIPTI F PERATIONS below N rA HSW273604918 01/0112018 01/01/2019 X PER OTH- ER E. L EACH ACCIDENT 1,000,000 $ E.L.DISEASE-EA EMPLOYEES 1,000,000 EASE - POLICY LIMIT S 1,000 000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Dick's Sporting Goods 345 Court Street Coraopolis, PA 15108 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE ACORD 25 (2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD