HomeMy WebLinkAboutWPO201900004 Preconstruction Form 2020-01-21 I,
• Request for Pre-construction Meeting and Grading Permit
from Albemarle County - .iif
Approved Plan Number: W PO- 201900004
Approved Plan Name: Brookhill - Block 8A Senior Living Facility
(Plans must be approved prior to a pre-construction meeting.)
Bond issued date: 1/10/2020 Bond Number: 107194232
(Bonds must be approved and posted prior to a pre-construction meeting or permit.)
Responsible Land Disturber:
/ Print Name: Elek Kondakor (�(�etd
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State Certification Number: RLD02383
Daytime Phone i 804) 499-3032 E-mail kristin@kondakor.com
Primary Contractor:
Print NameBrinkmann Constructors - Anthony Herzog
Address 16650 Chesterfield Grove Road, Suite 100
City Chesterfield state MO zip 63005
Daytime Phone(314) 409-9619 E-mail aherzog@brinkmannconstructors.com
Permit Issuance and First Year Maintenance Fees: (Request must include payment)
Total acres proposed to be disturbed is contained on the approved plan and application:
VSMP:
Acres to be disturbed Fee Due at Grading Permit
Less than 1 $63.80
1 and less than 5 $594.00
5 and less than 10 $748.00
10 and less than 50 $990.00
50 and less than 100 $1,342.00
100 and more $2,112.00
For plans exempt from VSMP,VESCP fees were paid with the application.
/ /o Wo�
7/1/14,Revised: 7/10/14 Page 1 of3
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Person(s)to attend the Pre-construction Meeting:
Names(type or print) Firm Contact Number or email
Mike Flsherry Brinkmann Constructors (636) 386-9446
Steven Crouch ECS - Mid Atlantic (434) 872-3522
Joe Siano Kondakor (804) 912-4497
The second part of the application fee is required to be paid with this request. This fee amount is;
FOR OFFICE USE ONLY Permit Issued Date
By who?
Brinimann
CONSTRUCTORS
Mike Elsberry
Project Superintendent
T 636.537.9700 c 636.386.9446
melsberry@brinkmannconstructors.cam
16650 Chesterfield Grove Rd I Suite 100 I Chesterfield,MO 63005
__� STEVEN CROUCH,C.P.G.
Field Services Manager
D:434.872.3522
C:434.872.3522
Steven.Crouch@ecslimited.com
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Your Site In Motion ECS MID-ATLANTIC LLC
Joe Siano 804.499.3032(Office)
804.499.3033(Fax) Geotechnical • Construction Materials Environmental • Facilities
Project Manager Suite 102,Charlottesville,VA 22911 2 of 3
804.912.4497(Mobile) 4004 Hunterstand CoU 434.973.3232
jsiano@kondakor.com ecslimited.com