HomeMy WebLinkAboutSDP202100088 Application 2021-11-16 Community Development De3artment
1•<<I4j''''1;\ Albemarle Couni
401 fv1( i Roaci Chan iatiesvOle.VA22902-4596
IøjHki Vi.„,...,.(434)296-5832 Fax•(434)972-4126
Planning Application
PARCEL I OWNER INFORMATION I
IMP 09900-00-00-005A0 Owner(s): NORTH GARDEN FIRE COMPANY INC
Application# SDP202100088
PROPERTY INFORMATION
Legal Description ACREAGE NORTH GARDEN POST OFFICE
Magisterial Dist. Samuel Miller ,.., Land Use Primary Public
Current A.FD Not in A/F District -- Current Zoning Primary Village Residential ,..
!APPLICATION INFORMATION 1
Street Address ;4917 PLANK RD NORTH GARDEN, 22959 Entered By
- ,
Jennifer Smith ,..-
'13Plication Type Site Development Plans ,
1-W1612021
.,....-
Project NORTH GARDEN FIRE DEPARTMENT SDP1998-88 - MAJOR
Received Date 111/16/21 F.ecei,•ed Date Final : 1 Submittal Date 11/22/21 i Total Fees I 19461
Closing File Date I . Submittal Date Final 1 Total Paid I 19461
Revision Number
Comments r
Legal Ad
FSUB APPLICATION(s)
Type I Sub Appticatioj Comment
I[Major Amendment : 11/22/21
1APPLICANT / CONTACT INFORMATION i
ContactType 1 Name 1 Address C ity State I Zip I Phone PhoneCell
tcpi,zz.rt NORTH GARDEN FIRE COMP-Ili INC ;P 0 BOX 33 NORTH GARDEN 22959 4349711593
. . . -
DUSTIN GREENE, PE 999 SECOND STREET SE CHARLOTTESVILL 22902 4343281069
. . . ... ... .
1
Signature of Contractor or Authorized Agent Date
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�OF A
Application for pJ� �► ;
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Major or Minor Site Plan Amendments
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Existing Site Plan Name&Number: North Garden Fire Department SDP199800088
Tax map and parcel(s): 99-5A, 99-5D Zoning: Village Residential
Contact(who should we contact about this project): Dustin Greene, PE
Street Address 999 Second Street SE
City Charlottesville State VA Zip Code 22902
Phone Number (434) 328-1069
Email dgreene@roudabush.com
Owner of Record North Garden Fire Company, Inc.
Street Address 4907,4917 Plank Road
City North Garden Stare VA 22959
'Lip Code
Phone Number (434)971-1583
Email john.norinegmail.com
Applicant Same as owner
Street Address
City State Zip Code
Phone Number
Email
FEES
® Major Amendment Zoning Fee=$1846 ❑ Minor Amendment(alterations to parking,circulation,building
Application$1775*Technology Surcharge$71.00 size,location)=$615.68
Application$592+Technology Surcharge 523.68
❑ Major Amendment Fire Rescue Fee=$100 This application may require additional review by the Fire
Marshal. Fees in addition to those shown on this application may
16 folded copies of plan are required 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
Technology Surcharge 4°Ao additional fee on each(does not apply to required notices fees)
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=
$448.00
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice:(434)296-5832 Fax: (434)972-4126
Major or Minor Site Plan Amendments REVIShD 71V2021(Fee Update)Page 1 of 2
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced fiv public water)
Was a Groundwater Assessment conducted for the existing site plan?
❑ YES
0 NO
If NO and the new plans show a use using less than 2,000 gallons/day(average) U Tier 3 Groundwater Review=S627.12
Fee$603+Technology Surcharge$24.12
If NO and the new plans show a use using greater than 2,000 gallons/day(average) ❑ Tier 4 Groundwater Review=$1,354.08
Fee$1302+Technology Surcharge$52.08
If YES and the use goes from using less than to more than 2,000 gallons/day(average) ❑ Tier 4 minus Tier 3=S726.96
Fee$699+Technology Surcharge$27.96
If YES and the use does not change from using less than to more than 2,000 gallons/day ❑ No fee
(average)
Comments/Attachments:
Owner/Applicant Must Read and Sign
0 Major Amendment
This major amendment as submitted contains all of the information required by Section 32.5(Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance. I understand that plans which lack information required by said sections shall be
deemed incomplete and shall be denied by the agent within ten(10)days of submittal as provided in Section 32.4.2.1 or Section 32.4.3.1
as the case may be.
❑ Minor Amendment
This minor amendment as submitted contains all of the information required by Section 32.5(Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance.
I hereby certify that the information provided on this application and accompanying information is accurate,true,and correct to the best
of my knowledge. By signing this application,I am consenting to written comments,letters and or notifications regarding this application
being provided to me or my designated contact via fax and or email. This consent does not preclude such written communication from
also being sent via first class 1.
/!—/— Z29 Z/
Signature of gn ,Contract Purchaser,Agent Date
�� Mee- 4-3 4- r? 9 9 �s
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SDP# &(:2\
Fee Amount$qI lX Date Paid t` � By who? Ut 1 1 ( W 1 �Q- # 6MOIU N I Aii3it;
(� 've( I ct)t �l�p
Major or Minor Site Plan Amendments REVISED 7/12021(Fcc Update)Page 2 of 2