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Home My WebLink AboutSP202200002 Application 2022-01-18Application for Special Use Permit 0 IMPORTANT: Your application will be considered INCOMPLETE until all of the required attachments listed on page 2 have been submitted with the appropriate signature on page 3. Also, please see the list on page 4 for the appropriate fee(s) related to your application. PROJECT NAME: (how should we refer to this application?) CROSSROADS TAVERN & INN AT PIPPIN HILL PROPOSALIREQUEST: To expand the existing Tavern use on Parcel 87-313 and extend the special use to Parcel 87-4. ZONING ORDINANCE SECTION(S): Sec. 10.2.2 - 27 By special use permit. EXISTING COMP PLAN LAND USE/DENSITY: RURAL AREAS LOCATION/ADDRESS OF PROPERTY FOR SPECIAL USE PERMIT: 5010 PLANK ROAD, NORTH GARDEN, VIRGINIA 22959 TAX MAP PARCEL(s): 87-3B, 87-4 ZONING DISTRICT: SAMUEL MILLER # OF ACRES TO BE COVERED BY SPECIAL USE PERMIT if a portion, it must be delineated on a lat : 6-77 Is this an amendment to an existing Special Use Permit? If Yes provide that SP Number. SP- J ❑ YES ❑ NO Are you submitting a preliminary site plan with this application? ❑ YES ® NO Contact Person (Who should we call/write concerning this projecr?): 'PGoly► !for 4r Y�i\tl/Sr Address 5022_ FlAhk Tzo� city Noli'A eptyr-�-_StateV_zip 12 Daytime Phone �" "I. b NO?; Fax # ( ) Owner of Record 7otvv-et I. , or 7/tyiet M S♦tr Address 5010 ftmje, FootA City Uor�h %A�eLw state VA zip 22 Daytime Planet" V 1 • �j I} _ Fax # (_) E-mail i Kf% kee per(& ofoSSroad S i nN ." Applicant (Who is the Contact person representing?): jiG01/l For �l�O�t�Yli1A/+� �i Address sce'lI' f IA•ti-- �'O/ A City Nor4i �0ot� state VA zip._!,24!1 Daytime Phone 'M 2 0 2 1� 0 63 Fax # ( ) Does the owner of this property own (or have any ownership interest in) any ablating property? If yes, please list those tax map and parcel numbers: fs(t) , FOR OFFICE USE ONLY SP # Fee Amount $ Date Paid By wpm? ZONING ORDINANCE SECTION ------ Concurrent review of Site Development Plan? YES_ NO County of Albemarle Community Development Department 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 Special Use Permit Application Revised 7/12021 Page 1 of 5 & OTBER INFORMATION TO BE PROVIDED for TBF, APPLICATION TO BE OFFICIALLY SUBMITTED & DEEMED COMPLETE W Application Signature PaEe UOne (1) completed. & signed U4 Seventeen 17)folded copies of a Conceptual Plan. SevetLJ nteen (17) copies of a written narrative The narrative must he laid out to identify each of the bulleted TITLES as follows: PROJECT PROPOSAL The project proposal, including • its public need or benefit; • how the special use will not be a substantial detriment to adjacent lots, • how the character of the zoning district will not be changed by the proposed special use, and • how the special use will be in harmony with the following; o the purpose and intent of the Zoning Ordinance, o the uses permitted by right in the zoning district, o the regulations provided in Section 5 of the Zoning Ordinance as applicable, and o the public health, safety and general welfare. (be as descriptive as possible, including details such as but not limited to the number of persons involved in the use, operating hours, and any unique features of the use) The proposed project's consistency with the comprehensive plan, including the land use plan and the master plan for the applicable development area; • IMPACTS ON PUBLIC FACILITIES & PUBLIC INFRASTRUCTURE The proposed project's impacts on public facilities and public infrastructure. • IMPACTS ON ENVIRONMENTAL FEATURES The proposed project's impacts on environmental features. done (1) copy of the most recent recorded plat, that shows the Deed Book/Page Number, of the parcel(s) composing the proposed project, or a boundary survey if a portion of one or more parcels compose the proposed project, both of which shall include a metes and bounds description of the boundaries. Taxes, charges, fees, liens owed to the County of Albemarle As the owner/agent I certify that any delinquent real estate taxes, nuisance charges, stormwater management utility fees, and any other charges that constitute a lien on the subject property, which are owed to the County of Albemarle and have been properly assessed against the subject property, have been paid. Special Use Permit Application Revised 7/1/2021 Pagc 2 of 5 If the person signing t "CERTIFICATION LANDOWNER" fon By signing this al the owner of the application and s application, I am i or my designated sent via first class ire of Owner I r-:k:)erx1A Print Name APPLICATION SIGNATURE PAGE e application is someone other than the owner of record, then a signed copy of the HAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE must be provided in addition to the signing the application below. (page 5) Owner/Applicant Must Read and Sign oo, I hereby certify that I own the subject property, or have the legal power to act on behalf of parcels) listed in County Records. I she certify that the information provided on this inying information is accurate, true, and correct to the best of my knowledge. By signing this rig to written comments, letters and or notifications regarding this application being provided to me via fax and or email. This consent does not preclude such written communication from also being 17 202? J Contract Purchaser Date ,VQ„14L,c,,; (Li?q) z�z 8063 Daytime phone number of Signatory Special Use Permit Application Revised 7i12021 Page 3 of 5 Required FEES to be paid once the application is deemed complete: What type of Special Use Permit are you applying for? Staff will contact you regarding the fee once the application is deemed complete FEE Technology Surchame TOTAL IS2,460.64 New Special Use Pennit $2,366 $94.64 ❑ Additional lots under section 10.5.2.1 $1,183 $47.32 $1,230.32 ❑ Public utilities $1,183 $47.32 $1,230.32 ❑ Child day center $1,193 $47.32 $1,230.32 ❑ Home Occupation Class B $1,183 $47.32 $1,230.32 ❑ To amend existing ial use permit $1 193 $47.32 S1,23032 ❑ To extend existing special use permit $1,183 $47.32 $1,23032 ❑ Farmer's markets without an existing commercial entrance approved by the VDOT or without existing and adequate parking $580 $23.20 S603.20 ❑ Farmer's markets with an existing commercial entrance approved by the VDOT and with existing and adequate parking $130 $5.20 $135.20 ❑ Reapplication that is substantially the same as the withdrawn application, when authorized b the Board of Supervisors SI,823 $72.92 $1,895.93 ADDITIONAL>EES Er Initial notice fee provided in conjunction with an application, for preparing and mailing notices and published notice $448 NONE S448.00 ALL SPECIAL USE PERMITS - FIRE RESCUE REVIEW FEE $50 NONE $50 777777 Signs under section 4.15.5 and 4.15,5A (filed for review by the Board of Zoning Appeals under the Vadmrce Sc Ie $592 $23.68 $615.68 Other FEES that may apply: Fees for re -advertisement and notification of public hearine after advertisement of a public hearine and a deferral is made at the aonlicant's request ➢ Preparing and mailing or delivering up to fifty(50) notices $237 + actual cost of first-class postage ➢ Preparing and mailing or delivering each notice after fifty (50) $1.19 for each additional notice +actual cost of first-class postage Actual cost based on a cost quote from ➢ Published notice (published twice in the newspaper for each public hearing) the publisher (averages between $150 and $250) ➢ Application for uses under sections 5.1.47 or 5.2A NO FEE ➢ Special Exception —provide written justification with application $523. 12 $503 + $20.12 Technology surcharge Resubmittal fees for original Special Use Permit fee of $2,366 ➢ First resubmission FREE ➢ Each additional resubmission (To BE PAID WHEN THE RESUBMISSION IS MADE TO INTAKE STAFF) $1,23032 $1183+$47.32 Technology surchame sc Resabmitlal fees for original Special Use Permit fee of $1,183 ➢ First resubmission FREE ➢ Each additional resubmission (To BE PAID WREN THE RESUBMISSION IS MADE TO INTAKE STAFF) $615.68 1 $592 + $23.68 Technology surcharge Special Use Permit Application Revised 7/1/2021 Page 4 of 5 The full list of This form must I certify that notice was provided to the owner of record can be found in Section 35 of the Albemarle Countv Zoning: Ordinance. CERTIFICATION THAT NOTICE OF THE MON HAS BEEN PROVIDED TO THE LANDOWNER parry this toning application if the application is not signed by tire owner of the propertP. he application for- *f,,Cf ^( V419, flirVA t t' --- [Name of the application type & if kno-wit the assigned application #] '.fa�wl�t �. •Wt,.( 3wvle,' M • &kwh % e5,tr,4 of- f Name(s) of the record owners ofthe parce Map and Parcel Number by delivering a copy of the application in the manner identified below: Hand delivery of a copy of the application to T~ex! [Name of the record owner if the record owner is a person: if the owner of record is an entity. identify the recipient of the record and the ; ecipicnt's title or office for that entity] on Date-�p�Ot�V;� pt'i0r9.G1'1n2°W_l_� �-4��GGN �y� V Mailing a copy of the application tb [Name of the record owner if the :ncoi i owner is a person. if the owner of record is a•: ent;,y, identify the recipient of the record and the recipient's title or office for that entity] un ] 17 -;, - to the a:€.;rc', 2'1 _t' p_►xI L-�-�t� "� -- Date DD t rwyY1 V [Address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this re .rement]. "A.1.. Signature of Applicant r1 J qk)le91, - c1�t�ecvS Print Applicant Name Date J Zriit.k2<rtl 1 ( _ 2a22 Special Use Permit Application Reve" T 1;210 1 Page 5 of 5