HomeMy WebLinkAboutSDP201800034 Application 2018-05-07sa
Application for
Initial Site Plan or Final Site Plan or Site Plan Exception
Project Name: 1 V�TM (,t YUc
Tax map and parcel(s): — 3� Zoning: eUMIQ (() COYiiA �iii
Contact (who should we contact about this project)
Street Address A? (-)1 F i� G � .vl
City ( 5VA A I ( &)4LU , State Zip Code I-Zs'I Q 2-
Phone Number II 3�J !95-3 Lo (( Le Email � P
Owner of Record Y'12A-14A"A od kJAA 1 It (Ly DI lAld
Street Address (` DO R0 _
City NOL A ( (Atl At1A 4 State Zip Code ZZ'f d 3
Phone Number
Applicant
Street Address
City l SOU t OftQi I- kk State Zip Code 229 C) 7-
Phone Number N 3q) o7'cj 3 — 101,5 Email
OI
❑ Residential
Type of unit(s):
# of building(s):
Sq. ft. of building(s):
# of units per building:
Total # of units:
Resulting density:
Acreage of site:
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
❑ Non-residential
li4 Commercial
❑ Industrial
❑ Quasi -Public
Sq. ft. of building(s): 3, � /
Acreage of site:
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
FOR OFFICE USE ONLY h SDP # ('
Fee Amount $_UL6 sDate Paid ✓ ` IUBy who? Receipt # k# +li By'
Ca"niw of Alham Qvin
------✓ -----------'---
Department of Community Development.
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
(0)
REVISED 11 /02/2015 Page 1 of 2
Lwn
Comments/Attachments:
FEES
SITE DEVELOPMENT PLAN
SITE PLAN EXCEPTION
Initial Site Plan
Final Site Plan
Exception to drawing of site
tan under section 32.3.5(a
Approved
No
Preapplication plan
Preapplication plan
,[]l $1,613
❑ $1,613
❑ $752 plus $16/dwelling
❑ $1,290 plus $16/dwelling
unit and/or $0.016 per
unit and/or $0.016 per
J�
square foot of
square foot of
nonresidential structure
nonresidential structure
16 folded copies of the plan
# of copies required for submittal will be noted with
8 folded copies of the plan
plus an additional 6 copies if within an Entrance Corridor
your initial approval letter. Copies of the plan should
be folded and in blue or black ink. Also provide 1
reduced copy of the plan no larger than 11 by 17 in.
❑ The initial site plan has a parking structure.
❑ The final site plan has a parking
❑ Included are architectural elevations, drawings,
structure.
photographs or other visual materials showing any
❑ Included are revised architectural elevations,
parking structure proposed on the site and surrounding
drawings, photographs or other visual
structures and land uses.
materials submitted with the initial site plan.
The elevations shall be part of the approved
final site plan.
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced by public water)
❑ If the plans show a use using less than 2,000 gallons/day (average) Tier 3 Groundwater Review = $548
❑ If the plans show a use using greater than 2,000 gallons/day (average) Tier 4 Groundwater Review = $1,183
❑ Special Exception = $457
Notices required by Section 32.4.2.1 (f)
Preparing and mailing or delivering up to fifty (50) notices = $215.00 plus the actual cost of first class postage.
Preparing and mailing or delivering, per notice more than fifty (50) = $1.08 plus the actual cost of first class postage.
Owner/Applicant Must Read and Sign
This site plan as submitted contains all of the information required by Section 32.5 (Initial Site Plan) or Section 32.6 (Final Site Plan) of
Chapter 18 of the Code of the County of Albemarle. I understand that plans which lack information required by said sections shall be
deemed incomplete and shall be denied by the agent within ten (10) days of submittal as provided in Section 32.4.2.1 or Section 32.4.3.1
of Chapter 18 oft ode s the case may be. By signing this application I am consenting to written comments, letters and or notifications
regarding =nica
lication eing provided to me or my designated contact via fax and or email. This consent does not preclude such
written co ' also being sent via first class mail.
For Final IrlaKsOnly: o the best of my knowledge, I have complied with Section 32.4.3.1 a of Chapter 18 of the Code.
Signature of Owner, urchase , Age Date
<ti i r>� _4
_ _Z 5140
Print Name
Daytime phone number of Signatory
REVISED 11/02/2015 Page 2 of 2