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CLE202200152 Approval - County 2022-12-05Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount: $ 61.36 Application fee: $59 + Technology Surcharge: $2.36 Receipt #: Clearance Number: CLE2022-152 Date Paid:11/29/2022 By: I. LEE Check #: By: D.S. Applicant - Fill out the entire page below and return to: Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902 Albemarle County Community OutWiepment 401 Mclntlre Rd, Nonni Wing Chadotte vole, VA 22902 W,ono 43 .298.5832 Name: Doyoung Moon E-Mail Address: bulpankoreanbbq@gmail.com Mailing Address: 2075 Bond St. #180, Charlottesville, VA 22901 Phone #: 703 336 3918 Tax Map and Parcel number and/or Address of the Business: 61W-03--19A3 2075 Bond St. #180, Charlottesville, VA 22901 Zoning: Staff will fill out If unknown NMD O'Connor Property Management 240 Parcel Owner: OCT STONEFIELD PROPERTY OWNER LLC owner's Address: Palm way, suite 200 Palm Beach, Ho 33480 212-546-0899 Check any that apply: X❑ New Business ❑ Change of Use ❑ Change of Ownership ❑ Change of Name Business Name: MOONGANE, INC Bulpan Korean BBQ Description of Business: Describe the business including use, number of employees, number of shifts, availability of parking, and any additional into. Korean Restaurant, # of employees : full time 5, Server 15, # of shift: 2, Shopping center parking Previous Business on Site: None Champion Grill - CLE2019-272 Floor Plan: Please attach either an architectural drawing or a sketch of the proposed business indicating the location of uses, the uses of rooms, the total square footage of the use, and any additional information. ASIS Total Square Footage Used for the Business: 4,336 Is the Parcel Zoned LI, HI, or PDIP? Yes ® No If yes, fill out a Certified Engineers Report (CERI Will there be food preparation? ® Yes No if yes, provide Virginia Department of Health approval Is the Parcel on public water or private well? ® Public Private If on private well, provide Virginia Department of Health approval Is the Parcel on public sewer or septic? © public Septic If on septic, provide Virginia Department of Health approval Will you be putting up any new signage? ❑ Yes ® No If yes, obtain appropriate sign permit and list permit # below Will there be new construction or renovations? ❑ Yes ® No If yes, obtain appropriate building permit and list permit if below Please list any applicable Building Permit #s: Type something... B2022 3773 Zonin Clearance is required first before a buildingpermit for interior u rn b new tenant. Zoning Clearance review cannot begin until the application above is complete and all applicable forms and fees are submitted. 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 �2= e&4 Printed DOyoung Moon Date oyal da Albemarle County Zoning Clearance Application Community Rut, Development Clu MGntire Rd, P 22 Wing Charlotteaela, VA 229o2 Phone 4U.296.5832 Applicant - If you are not the land owner, please fill out the entire page below confirming that you have either informed or are going to inform the owner of your zoning clearance application. CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER certify that I will provide (or have provided) notice of this clearance application, Moongane Inc CLE2022-152 clearance number provided by Staff or business name to OCT STONEFIELD PROPERTY OWNER LLC the owner Name of landowner on record of Tax Map and Parcel Number 61W-03--19A3 by either delivering a TMP number of property copy of the application to them in person or by sending them a copy of the application by mail. (Please check one of the following below) ❑x Hand delivering a copy of the application to the owner identified above on Date ❑ Mailing a copy of the application to the owner identified above on Date to the following address: (Written notice to the owner and last known address on our record books will satisfy this requirement. Please see staff for help determining this information if needed) Signature of Applicant Applicant Name Printed Date Moon l//-7 a/)�'3ZZ 3 For Albemarle County Staff Review Only Proposed Use: I Restaurant Permitted: VYes ❑ No Permitted by Section: I Per NMD COD Supplementary Regulations: Applicable special Use Permit (SP): SP2016-26 LZC2022-5 Applicable Rezonings (ZMA): ZMA2013-9, 2011-7, 2011-4, etc. Applicable Site Plans (SDP): SDP2021 -89 Parking: If there is an approved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some parking requirements are determined by a ZMA or by an approved Code of Development. Parking Formula: 4.5/1000gla Defined by: I Site Plan ❑Zoning Ordinance ❑ CoD [-]Existing Total Square Footage of the Use: 4,336sgft Required number of parking spaces: 20 spaces required (1,375 provided per SDP2021-89) Associated Clearances: CLE2022-85, 2022-60, 2022-43, 2022-11, etc. Variances: N/A Violations: N/A Is a site inspection necessary?: ❑ Yes SeNo Site Inspection on (date): To Confirm: Notes: VDH Approval Attached Conditions of Approval: Additional conditions of approval apply to Fireworks and Christmas Trees Approval Information 'r Approved as proposed I I Approved with conditions ❑ Denied ❑ Backf low prevention device and/or current test data needed for this site. Contact ACSA, 434.977.4511 ext. 117 ❑ 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. Conditions: Additional Notes: I ANY changes to the interior requires a building permit. Building Official No Objection Date 12/05/2022 r, 12/05/2022 Zoning Official Date Other Official Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax 434.972.4126 4 COr11A10NWEALTH OF VIRGINIA VIRGINIA DEPARTi11ENT OF HEALTH Blue Ridge Health District In accordance with the regulations of the Board of Health of the Commonwealth of Virginia this certifies that MOONGANE, INC is hereby granted a permMicense by the Albemarle County Health Department to operate a Full Service Restaurant Trading as. BULPAN KOREAN BBQ Located at 2075 Bond Street, Suite 180, Charlottesville, VA, 22901 Mailing Address: 73 Court Place, Charlottesville, VA, 22901 Conditions of Permit (8 applicable); Maximum Seating Capacity: 100 Date of Expiration December 31, 2023 Monica Garcia Environmental Health Specialist Sr. THIS PERMIT IS NOT TRANSFERABLE FROM ONE INDIVIDUAL OR LOCATION TO ANOTHER New owners are required to make written application for a permit. Please Direct Questions or Concems to the Albemarle County Health Department Environmental Health Services 1138 Rose Hill Drive I Charlottesville I VA 122903 434.972.6219 ... '. ser+e e.ueq� nnee�w eNP�IR, w wee.wuxuoo pgwvo� itl amyg wl - t a & (n •....•.. .as _-_ ,. od "eievi!4e�V 'evlvleeevy Rv�oo� u4of Ilacyood 1 suave .r..00 P /` v a1Y11�allo.d g1111aey6 8 d r � coo �` Jco(A t2v W r N W a !s8 F IME � W N �I� oZ = � W C VZy•C g=� O •� Z z H d ccw pcc Q • W m IL e LU 0CH Z aNm O cezo W N a a W = n sr ;2 6g8 8 69 figNigl g a EE e@ @ 11111 Mom 9:.... 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