HomeMy WebLinkAboutSDP201900007 Application 2019-02-11 Application for
Major or Minor Site Plan Amendments -s
Existing Site Plan Name&Number: 'FabOd y Siwo I S Pft
Tax map and parcel(s): 71o/14J- 1 5 Zoning: P a,pi ni em-(t 1
Contact (who should we contact about this project): S'Coitf a11: S - all -s' /�h'i�►e i'z
Street Address Zo i C 7 Cdrre S � gpfrt i f K ✓
City Cti-IJ esvl/ll✓ State V/1 Zip Code 25.0
2
Phone Number/1 434 213-�
Email S�TI {dips-eis 1heerthy- cen't
Owner of Record Pe4kod Sco 1
Street Address 123 2 3-hi e y t619 o
City e I QV l 1) 1 eS 1 I l/C State VA Zip Code 2 7-10 2
Phone Number
Email
Applicant Co 11�)Is e/e 0-1'‘y
Street Address `✓l
City State Zip Code
Phone Number
Email
FEES
❑ Major Amendment Zoning Fee =$1613 Ul Minor Amendment(alterations to parking,circulation,building
❑ Major Amendment Fire Rescue Fee =$100 size,location)=$538
This application may require additional review by the Fire
16 folded copies of plan are required Marshal. Fees in addition to those shown on this application may
be required by the Fire Prevention Code Fee Schedule. A copy of
the schedule is available from the Fire Marshal.
8 folded copies of plan are required
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.
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax:(434)972-4126
REVISED 4/23/2018 Page 1 of 2
GROUNDWATER ASSES! JT
(Required for all non-residential site plans not serviced by public water)
Was a Groundwater Assessment conducted for the existing site plan?
❑ YES
❑ NO
If NO and the new plans show a use using less than 2,000 gallons/day(average) U Tier 3 Groundwater Review=$548
If NO and the new plans show a use using greater than 2,000 gallons/day(average) ❑ Tier 4 Groundwater Review=$1,183
If YES and the use goes from using less than to more than 2,000 gallons/day(average) ❑ Tier 4 minus Tier 3=$635
If YES and the use does not change from using less than to more than 2,000 gallons/day(average)
❑ No fee
Comments/Attachments:
Owner/Applicant Must Read and Sign
❑ Major Amendment
This major amendment as submitted contains all of the information required by Section 32.5(Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance. I understand that plans which lack information required by said sections shall be
deemed incomplete and shall be denied by the agent within ten(10)days of submittal as provided in Section 32.4.2.1 or Section 32.4.3.1
as the case may be.
ao Minor Amendment
This minor amendment as submitted contains all of the information required by Section 32.5(Initial Site Plan) and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance.
I hereby certify that the information provided on this application and accompanying information is accurate,true,and correct to the best
of my knowledge. By signing this application I am consenting to written comments,letters and or notifications regarding this application
being provided to me or my designated contact via fax and or email. This consent does not preclude such written communication from
also being sent via first ass mail.
Signature of Owner,Contract Purchaser,Agent Date
,Scoff ( 1( c 444--713-3-1/1
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY ) SDP#.2o/ J/C�lj 2
Fee Amount$.\`;?K Date Paid er0k By who?7e//ti j I.,.L •A-1,5 iReceip/I Ck#�C �/ By:
fa. �vI/
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Major or Minor Site Plan Amendments REVISED 4/23/2018 Page 2 of 2