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Home My WebLink AboutSUB201300031 Application 2013-03-05 n ur Albemarle Comity Community Development Department 40clntire Road Charlottesville,VA 229024596 u Planning Application Voice:(434)296-5832 Fax:(434)972-4126 'PARCEL/ OWNER INFORMATION TMPI 09100-00-00-01200 Owner(s): Application # SUB201300031 ALBEMARLE HEALTH CARE CENTER LLC PROPERTY INFORMATION Legal Description ACREAGE PARCEL A Magisterial Dist. Scottsville Land Use Primary Residential --Single-family (incl. modular homes) Current AFD Not in A/F District Current Zoning Primary Planned Development Mixed Commercial APPLICATION INFORMATION Street Address 91 GALAXIE FARM LN CHARLOTTESVILLE, 22902 Entered By Jennifer Durrer Application Type Subdivision Plat 03/05/2013 Project (ALBEMARLE HEALTH &REHABILITATION CENTER- BLA Received Date 03/01/13 Received Date Final Submittal Date 03/04/13 Total Fees 200 Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments Legal Ad SUB APPLICATION(s) //�� SUlh � �i �P Comment b i r w Boundary Line Adjustment 03/04113 Ww W,.....:., ...WW....,...w...ww....wW-.www r,..,.....yw.......,,.w::,.w,.w..r,W.� W.......,.,.,...ww�,:,.w.,.....,+,.w,r.,.w�.....wW .... .;,:,,w,.....w.,.�.::. .....ww...:,: ,..W.,.,.W,,w......,.w.:. .....».... .,,,.,.,,i 'APPLICANT/ CONTACT INFORMATION ContactType Name f Address I CityState I Zip Phone ; PhoneCell s: 240.,..18CARE CENTER LLC '2E17 PENN FOROPrwimnaer ry/AConH t ant..»...aJ US.TNN SR M HP EA H»»..::....»-.......:»..........:... �20 ..»:. MAIN STREET,SUITE CHARLOTTESVILL 22902 4342078086 Date Signature of Contractor or Authorized Agent Apation for Review of .. 3' Boundary Line Adjustment, Easement Plat & Special Lots . `lAr„ Boundary Line Adjustment=$200 ❑ Easement plat(s)without a deed=$490 ry Adjustment 0 Special Lot=$88 (3 copies of plat) ❑ Easement plat(s)with a deed=$760 (3 copies of plat) ❑ Easement plat(s)required with a site plan=$200 ❑ Easement plat(s)amending a previously approved easement plat(s)=$200 (3 copies of plat) Project Name: ,Qk(seinede ileaf-t"h + &AP 1ttuba,7 Cenk' Tax map and parcel: j Al 61 I ?vtCeI1 410414 1Z Magisterial District: 569bVttIIe Zoning: .P'IVIG Physical Street Address(if assigned): Location of property(landmarks,intersections,or other): Contact Person(Who should we call/write concerning this project?): J Vrht'N 5ht rvip, ?E.- c.Yti:,ip E✓,'neeii'vtM, ?C. Address 70i f1'� (1'✓1 � So(/ � City C`I(,tYID 'r'5�►lie- State Vl3 Zip J72102 Daytime Phone Y) ;O7-010,n Fax#( ) E-mail 7-v6Rne,5t''►.-0I19-- IY1eeY,✓,y.Com Owner of Record H'I etrYktite 4Ie64,14-h 11Cave- t LLG. Address 20117 -Alai f 6t- ?AWL City 120A/+4014e. State VA- Zip r o/g Daytime Phone( ) Fax#( ) E-mail Applicant(Who is the Contact person representing?): 5.4 r►Q, as u v e..v nF eceDdd_ Address City State Zip Daytime Phone( ) Fax#( ) E-mail Owner/Applicant Must Read and Sign The plat application process includes providing all the information required in Chapter 14 Subdivision of Land of the Albemarl- s'''se y Code. The foreg•'t'''infoi, ation is complete and correct to the best of my knowledge. I have read and understand the provisi. I Char rr r 14 Subdivision of Land of the Albemarle County Code. OW 4iit 1 Signature s. Owner, Contract Purchase , Agent Date Q t.) vS Y\ C-- \41 (R`�-Z01 -86 g Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY SUB#Go Fee Amount$ 2CC Date Paid�.H o By who? 1P a T ii ik:.!t t# (16246 Ck# 1 5 • By: e County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 8/16/11 Page 1 of 1 Easement Plat s " ett Checklist rrrict^ Section 14-208.2 The following sections shall apply to each boundary line adjustment,when applicable: A.General: Sections 14-100 through 14-108. B.Administration and procedure: Sections 14-200 through 14-204, 14-212.4, 14-226 and14-229. C.Plat requirements and documents to be submitted: Sections 14-300, 14-301, 14-302(A)(1),(2),(3),(4),(5),(6),(11)and(15), 14- 302(B)(1),(2),(4),(5),(6),(7), (9)and(10), 14-303(A),(B),(C),(E),(F),(H),(I),(L),(0)and(P), 14-312 and 14-314. D.Onsite improvements and design: Sections 14-433 and 14-438. SEE BELOW FOR PLAT SPECIFICS Plat Requirements per Subdivision Ordinance Sections 14-208.2(c): An Easement plat shall contain the following information: Subdivision Ordinance Section 14-302A 1. Name of subdivision.The title under which the subdivision is proposed to be recorded.The title shall not duplicate or be a homonym of an existing or reserved subdivision name within the county, the City of Charlottesville, /or the Town of Scottsville, except if the subdivision is an extension of an existing subdivision. Ld 2. Vicinity map.A map at a scale of one(1) inch equal to two thousand(2,000)feet showing the property and its relationship with adjoining land and streets, its relationship with landmarks in the area and,if the subdivision is a phased subdivision, all other phases of the subdivision for which a final plat has been approved, in detail adequate to �escribe the location of the property without field review. G(31. Existing or platted streets.The location,width and names of all existing or platted streets and all other rights-of- ay. 4. Private easements.The location and dimensions of all existing and proposed private easements. Existing sements shall be labeled with the deed book and page number and the name of the owner of record. Public easements.The location and dimensions of all existing and proposed public easements outside of a street right-of-way. Existing easements shall be labeled with the deed book and page number and the name of the public caner of record. Proposed easements shall be labeled as"dedicated to public use." lar 6.Alleys and shared driveways.The location and dimensions of all easements for alleys and shared driveways. O11. Instrument creating property proposed for subdivision.The deed book and page number of the instrument —/whereby the property was created, as recorded in the office of the clerk of the circuit court of the county. IN 15.Identification of all owners and certain interest holders.The names and addresses of each owner of record and holders of any easements affecting the property. Subdivision Ordinance Section 14-302B 1. General information.The date of drawing, including the date of the last revision, the number of sheets, the north point, and the scale. If true north is used, the method of determination shall be shown. la P2, Name of plat preparer.The name of the person who prepared the plat. LL -'44 Places of burial.The location of any grave,object or structure marking a place of burial located on the property. LY 5. Zoning classification.The zoning classification of the property, including all applicable zoning overlay districts, coffers, special use permits and variances. LAY 6. Tax map and parcel number.The county tax map and parcel number of the property. Reservoir watershed; agricultural-forestal district. A notation as to whether the land is within an Albemarle bounty and/or City of Charlottesville water supply watershed or an agricultural-forestal district. 9.Flood plain.The location of any part of the property within the flood hazard overlay district, as set forth in section 0.3 of the zoning ordinance. 10. Stream buffers.The location of stream buffers required by section 17-317 of the water protection ordinance, with the following note: "The stream buffer(s) shown hereon shall be managed in accordance with the Albemarle County Water Protection Ordinance." County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 5/1/06 Page 1 of 2 Subdivision Ordinance Section 14-303 A. Statement of consent to divis' A statement that: "The division of the lal,,vescribed herein is with the free consent and in accordance with tit-Me-sire of the undersigned owners,proprietors and trustees.Any reference to future potential development is to be deemed as theoretical only.All statements affixed to this plat are true and correct to the �, /best of my knowledge." W�,�p. Section name or number.The name or number of the section if the property is a part of a larger piece of land. W�C. Boundary lines.The exterior boundary lines of the property with bearings in degrees, minutes and seconds. Curvilinear data shall include radius,central angle, arc length, and tangent distance. All dimensions shall conform to /the standards set forth in this chapter. CS' E.Dimension standards and information on all lots,streets, alleys,easements,and shared driveways.All linear, angular, and curvilinear dimensions of lots, streets, alleys,public easements and private easements and shared driveways shall conform to the requirements set forth in 18 VAC 10-10-370(C), a copy of which shall be on file in the department of engineering and public works. Curvilinear data shall include radius, central angle,arc length, and tangent distances and may be shown either directly on the corresponding boundary or surveyed line or in table form. Easements shown for private streets, alleys and shared driveways shall be labeled as"private street easement", "alley easement"or"shared driveway easement."The easement holder(s) shall be identified on the plat. If shared driveways are shown, a note shall be added to the plat stating that maintenance shall be by the owners of the lots affected by the ared driveway easement, not by the Virginia Department of Transportation or the county. F. Identification of sections,blocks and lots. Sections(phases) shall be identified by numbers; blocks shall be �/1dentified by letters; lots shall be identified by numbers, assigned in numerical order. L� H. Monuments.The location and material of all permanent reference monuments. Monuments found or installed prior to plat recordation may be referred to if they are permanent and undisturbed. If any monument required by this chapter will be installed after recordation of the final plat,the certification of the professional engineer or land /surveyor shall so note. LY I. Bearing and distance ties.A definite bearing and distance tie between not less than two(2)permanent monuments on the exterior boundary of the property and further tie to existing street intersection where possible and reasonably /convenient. C`! L. Public utility,drainage and sight distance easements.The location and dimensions of each public utility, drainage and sight distance easement outside of a street right-of-way; for each existing easement, include a note tang the deed book and page number. O. Signature panels. Signature panels for each owner and for the agent or his designee. The signature panel for the owner shall be located immediately below the statement required by paragraph(A). P. Notary panels.Notary panels for the notary to acknowledge the signature of the owner. The following sections are also required per Subdivision Ordinance Sections 14-208.2(c) 14-312 Location of existing buildings. The subdivider shall submit with the final plat a survey showing the location of all existing buildings on the land to be subdivided within fifty(50)feet of a proposed lot line or a proposed street. 14-314 Identification of all interests of the county in property. The subdivider shall submit,prior to or with the final plat, a plan which shows all rights-of-way, easements or other interests of the county or any authority within the subdivision that would be terminated and extinguished by recordation of the final plat, as provided in section 14-433. Read and Sign In representing th- . I e •nced firm submitting this plat for final approval, I hereby state that, to the best of my knowledge, the to ed ► at c.ntains all information required by this checklist. l 13 Signature of Age Date (/b (_/;) 2f-7 576q phone Daytime Da number of Signatory Print Name y p g y 5/1/06 Page 2 of 2