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HomeMy WebLinkAboutSDP201000029 Application 2010-04-06 ' • Community Development Department i!f( '4 County c Albemarle JlcIntire Road Charlottesville,VA 22902-4596 id `""'fVoice: (434)296-5832 Fax:(434)972-4126 " Planning Application 1 PARCEL/`OWNER INFORMATION TMP ` 032A9402-00-001A0 ` Owner(s): 'MARTHA 3EFFERSON HOSPITAL Application# 6P2O1000029 . PROPERTY-INFORMATION Legal Description ACREAGE TRACT 2 Magisterial Dist. Rivanna Land Use Primary Office Current AFD Not in A/F District Current Zoning Primary Highway Commercial APPLICA'ION INFORMATION House # Street Name Apt/Suite City State Zip Street Address 3263 PROFFIT RD CHARLOTTESVILLE 22911- Entered By: Todd Shiflett on 04/06/2010 Application Type Site Development Plans Project: Martha Jefferson Health Services Outpatient Care Center- Final 7,294.00 Received Date 04/05/2010 Received Date Final Total Fees $410.00 Submittal Date 04/12/2010 Submittal Date Final Total Paid $410.00 Closing File Date Revision Number Comments: I Legal Ad MEM°, ATION(s) Type Sub Application Date Comments: !Final — Non-residential —Administrative 04/12/2010 1 APPLICA,`* /CONTACT INFORMATION Primary Contact Name RACHEL McKINNEY Phone # (804) 782-1903 ,:et Address 801 E. MAIN ST.,SUITE 1000 Fax # (804) 782-2142 city/ State RICHMOND,VA Zip Code 23219-0000 E-mail rmckinney @rkk.com Cellular # ( ) - Owner/Applicant Name MARTHA JEFFERSON HOSPITAL Phone # ( ) - St,eet Address 459 LOCUST AVENUE Fax # ( ) - r-ty/ State CHARLOTTESVILLE VA Zip Code 22902- E-mail Cellular# ( ) - Applicant Name SENTARA HEALTH CARE Phone # ( ) - Street Address 11803 JEFFERSON AVENUE Fax # ( ) - City/ State NEWPORT NEWS,VA Zip Code 23606-0000 E-mail Icwgabori @sentara.com Cellular# ( ) - Signature of Contractor or Authorized Agent Date 7 0 D' • $ f e ■ *SSWs Application for Site Development Plans and Site Plan Waiver ` SITE DEVELOPMENT PLANS '?SITE PLAN WAIVER ❑ Preliminary Site Development Plan(Subject to Planning Commission Review) ❑ Site Plan Waiver (Ordinance Section Number) =$270 ❑ Residential=$1,190 plus$13/dwelling unit 8 folded copies of sketch plan are required ❑ Non-residential=$1,580 plus S13/1,000 sq.ft.of dev. 17 folded copies of plan are required )8(Final Site Development Plan(Administrative Review) _❑, Residential=$410 331 Non-residential=$410 8 folded copies of plan are required for first submission OR ❑ Final Site Development Plan(Subject to Planning Commission Review) ❑ Prior to preliminary approval=$1,130 17 folded copies of plan are required ❑ After preliminary approval=$790 8 folded copies of plan are required for first submission Two(2)mylars and two(2)paper copies of plan are required for signing of final plan GROUNDWATER ASSESSMENT (Required for all non-residential site plans not serviced by public water) +A If the plans show a use less than 2,000 gallons per day ❑ Tier 3 Groundwater Review=$400 If the plans show a use greater than 2,000 gallons per day ❑ Tier 4 Groundwater Review-$1,000 Project Name:X.P.KM A ,V5KEl.5n11 i^l1._M -k SE1-.4 1C E 1]t i P sVALATT CA( C1_3`t 1 F'n- cv (-,c2A , Tax map and parcel: O? -CI Z.--DC:6-OC)1)i14agisterial District: Zoning: RC' Physical Street Address(if assigned): 3211) ('(►4: 11✓f.\-V (1-.PK., LI1Aa lsi1c en\(I]--1.-E_ ,.l A 2.2y C] Location of property(landmarks,intersections,or other): `' Pry 1 ■ r C A'i'E t E.A`3`'r i s-te_ 721 _ ■a_. r . 1... L. ►b' 1�-� _ ►.i , _ SOW k.skis`IL ft _ CA (..?4,C V-r cc' P■C .I b Contact Person(Who should we call/write concerning this project?): , _p � ►N, 4 L_,, 1�_ • Address PlLm1 F . 1�A11`( g�.e St.:wc I ity�Z1.k ___ �_ State 'U\ Zip 212 Daytime Phone(jg1}' g'lQC13 Fax#- r( '*FS2 • 4114�. E-mail i IC'- r��, 1 Owner of Record �(�14JA �1F'crF��C7K W \CM Address 459 t C C k )\''`(F_Al City rAN 10E (tu State NA Zip 21 c Daytime Phone(q,., ) 4p,2- '7C Fax#( %) 9NZ,--101 Lp E-mail r `!�C .. - oci§'N.,c ca Applicant(Who is the Contact person representing?): �i_)•(1 M.P. Rr.At�.t CJQ-Z_ Address %1 3E1-VEIN.- MA I\ J L LCity P_L. ■ 1 tate •(A Zips) Daytime Phone( ) Fax#( ) E-mail p 3`t�@ 5e[A,CC.....CCSc' FOR OFFICE USE ONLY a SDP# Fee Amount$/I/ Date Paid I /Q By who fl Receipt# 7/4 C1442/0?Y6,713, e- E County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 11//19/07 Page 1 oft Type of Development ❑Residential 'Non-residential Type of unit(s): Commercial ❑ Industrial #of building(s): 0 Quasi-Public Sq.ft.of building(s): Sq.ft.of building(s): Li` , � 5� #of units per building: Acreage of site: LI . I _ Total#of units: Acreage in open space: .?f AL. Resulting density: Acreage in roads: Acreage of site: Average gallons of water used per day: _21::).4.0c ,0 G $ Acreage in open space: Acreage in roads: Average gallons of water used per day: Intended use or justification for request: `t4�►� PI�Q 1F e- c_r: 1•V\t S i'N rc' `cW' AIWN r ' A AP L2 2. - t )can N.2 m e c‘c A N— P K Y -cc- AM e u4C-% 2- s1.E NkC A. r -Vte F et %S. Arc P QL.F_� SiA'fF f�ist'i— Ld.4c1 (Pl c c' '-.c \ k 1,4.S M-41I ? n.cmP%N . APPt-.(- ∎,LX K AC._ 4NONE F_C_IT A4.F e-\F Qta``5L- K2 1`. b.-i &C- t-MT'ti l c\CI 1%-k? iNkn..1E CT t S LcC XTE F iv.r-m_ STE . 2_9 L'S _ V Non • L.i t.d• ' t►� Owner/Applicant Must Read and Sign This site plan as submitted contains all of the information required by Section 32.5(Preliminary Plan)or Section 32.6(Final 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 32.4.3.3 as the case may be. For Final Plans Only:To the best of my knowledge,I have complied with Section 32.4.3.1 and obtained tentative approvals for all a s. : • 1 - ••nditions from the appropriate agencies. •tgna A .-r• Owne •. •act Purchaser,Agent Date "e/7 //3y-65y_ 73©6 P •t Name Daytime phone number of Signatory 11//19/07 Page 2 of 2 RK ( LETTER OF 801 East Main Street TRANSMITTAL Suite 1000 Richmond,VA 23219 Phone 804.782.1903 Fax 804.782.2142 Sheet: 1 of 1 Total Pages: Date: 4/5/10 To: Albemarle County Job No.: 809-030-01 Department of Community Development Zoning & Current Development Project: Martha Jefferson Health Services 401 McIntire Road OCC @Proffit Road Charlottesville, VA 22902 Attention: Gerald Gatobu sDPaocq - 3/-( We are sending you: VIA: In-House Circulation ®Plans ❑Specifications ❑Samples ❑US Mail ®Messenger( ) ❑Shop Drawings ❑Prints ❑ ❑Overnight ❑Copy of Letter ❑Change order ❑FAX COPIES DWG NO. DESCRIPTION 4 Sets Martha Jefferson Health Services Outpatient Care Center @ Proffit Road-Signature Set Site Plan 1 Application for Site Development Plans-Final Site Development Plan 1 $410 Filing Fee These are transmitted as checked below: ®For approval ❑Approved ❑Please acknowledge receipt of this material ❑For your use ❑Approved as noted ❑Acknowledgment of receipt not required ❑As requested ❑Disapproved ❑ For review and comment Remarks: Copy: Rummel,Klepper&Kahl,LLP Signature: Rachael T.McKinney,P.E. If enclosures are not as noted,kindly notify us at once.