HomeMy WebLinkAboutSDP201900066 Application 2019-11-05Application for
Initial Site Plan or Final Site Plan or Site Plan Exception
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
Project Name: __________________________________________________________________________________________________________
Tax map and parcel(s): _________________________________________________ Zoning: _________________________________________
Contact (who should we contact about this project)
Street Address
City State Zip Code
Phone Number Email
Owner of Record
Street Address
City State Zip Code
Phone Number Email
Applicant
Street Address
City State Zip Code
Phone Number Email
Type of Development
❑ 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
❑ Commercial
❑ Industrial
❑ Quasi-Public
Sq. ft. of building(s): ___________________________
Acreage of site: __________________________
Acreage in open space: ___________________________
Acreage in roads: ___________________________
Average gallons of water used per day: ______________
FOR OFFICE USE ONLY SDP # _____________________
Fee Amount $___________ Date Paid __________By who? ________________________ Receipt # ____________Ck#___________ By: ___________
Site Plan Application REVISED 4/05/2019 Page 2 of 2
Intended use or justification for request:
Comments/Attachments:
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
Preapplication plan
No
Preapplication plan
❑ $1,613
+ Fire Rescue Fee of $100
❑ $1,613
+ Fire Rescue Fee of
$100
❑ $752 plus $16/dwelling
unit and/or $0.016 per
square foot of
nonresidential structure
$_______________ + Fire
Rescue Fee of $100
❑ $1,290 plus $16/dwelling
unit and/or $0.016 per
square foot of
nonresidential structure
$_______________+ Fire
Rescue Fee of $100
16 folded copies of the plan
plus an additional 6 copies if within an Entrance Corridor
# of copies required for submittal will be noted with
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.
8 folded copies of the plan
❑ The initial site plan has a parking structure.
❑ Included are architectural elevations, drawings,
photographs or other visual materials showing any
parking structure proposed on the site and surrounding
structures and land uses.
❑ The final site plan has a parking
structure.
❑ Included are revised architectural elevations,
drawings, photographs or other visual
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 published 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 Secti on 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 conse nt does not preclude such
written communication from also being sent via first class mail.
For Final Plans Only: To the best of my knowledge, I have complied with Section 32.4.3.1 (a) of Chapter 18 of the Code.
________________________________________________ _____________________________________
Signature of Owner, Contract Purchaser, Agent Date
________________________________________________ _____________________________________
Print Name Daytime phone number of Signatory