HomeMy WebLinkAboutARB202000014 Application 2020-01-22Application for
Initial Site Plan or Final Site Plan or Site Plan Exception
Project Name: Ul_(W41S Sod O0 L 0� G is LOT -rF,3\1 1 LLE
Tax map and parcel(s): 15' b b & 1 b— 11 Zoning: R I , fiwVA., .56h 0,d Ua il C5 N 018 -11)
Contact (who should we contact about this project) SH 1 MP EN 61 NUR
Street Address 9 12 F, 4116 H 51 RFC T
City G _H A?1 L O T T E SV I L U State V \ Zip Code 2 20102 -
Phone Number 43 Lt - 221 — 5 NO Email J lei,67 I N P 5N I M P— P4 U 1 W i5R c bca. G bM
Owner of Record KUEK/N TS 5 6-H u U L b f GH R R" iTF SV l I• L E I N ,.
Street Address 3 0 q _5 yI V 7 900
City ( 1ARL0TTf5V 1 LLF/ State VA Zip Code 22103
Phone Number
Applicant 5ftH'6 A5 GDN 18 bi
Street Address
City State Zip
Phone Number email
of
❑ 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
d Commercial
❑ Industrial
❑ Quasi -Public
Sq. ft. of building(s): 31,900
Acreage of site: 161. 11
Acreage in open space: I a. 41
Acreage in roads:
Average gallons of water used per day:
FOR OFFICE USE ONLY SDP #
Fee Amount $ Date Paid By who? Receipt # Ck# By:
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
REVISED 4/05/2019 Page 1 of 2
Intended use or justification for request:
Comments/Attachments:
PAMNfa REQUEST
FEES
SITE DEVELOPMENT PLAN
SITE PLAN EXCEPTION
Initial Site Plan
Final Site Plan
Exception to drawing of site
plan under section 32.3.5 a
Approved
No
Preapplication plan
Preapplication plan
❑ $1,613
❑ $1,613
❑ $752 plus $16/dwelling
Ef $1,290 plus $16/dwelling
unit and/or $0.016 per
unit and/or $0.016 per
+Fire Rescue Fee of $100
+ Fire Rescue Fee of
square foot of
square foot of
$100
nonresidential structure
nonresidential structure
$ 1 1 + Fire
+ Fire
Rescue Fee of $100
Rescue Fee of $100
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 parldng structure.
❑ The final site plan has a parldng
❑ Included are architectural elevations, drawings,
structure.
photographs or other visual materials showing any
❑ Included are revised architectural elevations,
parldng 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
This application may require additional review by the Fire 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.
Notices required by Section 32.4.2.1 (f)
Initial notice fee to be provided in conjunction with an application, for preparing and mailing notices and piiblished notice = $435.00
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 of the Code as the case may be. 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 class mail.
( ZZ 4=) 1120 f 2&
Signature of Owner, jtAtract Purchase Agent Date
Print Name
V6
Daytime phone number of Signatory
Site Plan Application REVISED 4/05/2019 Page 2 of 2