HomeMy WebLinkAboutSP202200021 Application Special Use Permit 2022-07-18Application for
Special Use Permit
County of Albemarle
Community Development Department
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Special Use Permit Application Revised 7/1/2021 Page 1 of 5
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?) ________________________________________________________
PROPOSAL/REQUEST: _______________________________________________________________________________________
ZONING ORDINANCE SECTION(S): ___________________________________________________________________________
EXISTING COMP PLAN LAND USE/DENSITY: _________________________________________________________________
LOCATION/ADDRESS OF PROPERTY FOR SPECIAL USE PERMIT:
____________________________________________________________________________________________________________
TAX MAP PARCEL(s): _______________________________________________________________________________________
ZONING DISTRICT: _________________________________________________________________________________________
# OF ACRES TO BE COVERED BY SPECIAL USE PERMIT (if a portion, it must be delineated on a plat): _______________
Is this an amendment to an existing Special Use Permit? If Yes provide that SP Number. SP-____________
Are you submitting a preliminary site plan with this application?
YES NO
YES NO
Contact Person (Who should we call/write concerning this project?): __________________________________________________________________
Address ________________________________________________ City _________________________ State ___________ Zip __________
Daytime Phone (____) ___________________ Fax # (____) ___________________ E-mail ________________________________________
Owner of Record ___________________________________________________________________________________________________________
Address ________________________________________________ City _________________________ State ___________ Zip __________
Daytime Phone (____) ___________________ Fax # (____) ___________________ E-mail ________________________________________
Applicant (Who is the Contact person representing?): _______________________________________________________________________________
Address ________________________________________________ City _________________________ State ___________ Zip __________
Daytime Phone (____) ___________________ Fax # (____) ___________________ E-mail ________________________________________
Does the owner of this property own (or have any ownership interest in) any abutting property? If yes, please list those tax map and parcel numbers:
FOR OFFICE USE ONLY SP # ______________________________________SIGN #______________________________________________
Fee Amount $___________ Date Paid __________By who? ______________________________ Receipt # _____________Ck#_____________ By:______________
ZONING ORDINANCE SECTION_________________________________________________________________________________________________________
Concurrent review of Site Development Plan? YES____ NO _____
Special Use Permit Application Revised 7/1/2021 Page 2 of 5
REQUIRED ATTACHMENTS & OTHER INFORMATION TO BE PROVIDED for THE APPLICATION TO BE
OFFICIALLY SUBMITTED & DEEMED COMPLETE
Application Signature Page
One (1) completed & signed copy of the Checklist for a Special Use Permit.
One (1) copy of the Pre-application Comment Form received from county staff
One (1) copy of any special studies or documentation as specified in the Pre-application Comment Form,
Seventeen (17) folded copies of a Conceptual Plan.
Seventeen (17) copies of a written narrative
The narrative must be 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)
CONSISTENCY WITH COMPREHENSIVE PLAN
plan for the applicable development area;
IMPACTS ON PUBLIC FACILITIES & PUBLIC INFRASTRUCTURE
IMPACTS ON ENVIRONMENTAL FEATURES
es.
One (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 Page 3 of 5
APPLICATION SIGNATURE PAGE
If the person signing the application is someone other than the owner of record, then a signed copy of the
CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE
LANDOWNER form must be provided in addition to the signing the application below. (page 5)
Owner/Applicant Must Read and Sign
By signing this application, I hereby certify that I own the subject property, or have the legal power to act on behalf of
the owner of the subject parcel(s) listed in County Records. I also 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 mail.
______________________________________________ _____________________________________
Signature of Owner / Agent / Contract Purchaser Date
_____________________________________________ _____________________________________
Print Name Daytime phone number of Signatory
Special Use Permit Application Revised 7/1/2021 Page 4 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
Surcharge
TOTAL
New Special Use Permit $2,366 $94.64 $2,460.64
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 $1,183 $47.32 $1,230.32
Home Occupation Class B $1,183 $47.32 $1,230.32
To amend existing special use permit $1,183 $47.32 $1,230.32
To extend existing special use permit $1,183 $47.32 $1,230.32
by the VDOT or without existing and adequate parking
$580 $23.20 $603.20
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 by the Board of Supervisors
$1,823 $72.92 $1,895.93
ADDITIONAL FEES
Initial notice fee provided in conjunction with an application, for
preparing and mailing notices and published notice
$448 NONE $448.00
ALL SPECIAL USE PERMITS - FIRE RESCUE REVIEW FEE $50 NONE $50
Signs under section 4.15.5 and 4.15.5A (filed for review by the Board
of Zoning Appeals under the BZA Submittal Schedule)
$592 $23.68 $615.68
Other FEES that may apply:
Fees for re-advertisement and notification of public hearing
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
Published notice (published twice in the newspaper for each public hearing)
Actual cost based on a cost quote from
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)
$1,230.32
$1,183 + $47.32 Technology surcharge
Resubmittal fees for original Special Use Permit fee of $1,183
First resubmission FREE
Each additional resubmission (TO BE PAID WHEN THE RESUBMISSION IS MADE TO
INTAKE STAFF)
$615.68
$592 + $23.68 Technology surcharge
The full list of fees can be found in Section 35 of the Albemarle County Zoning Ordinance.
Special Use Permit Application Revised 7/1/2021 Page 5 of 5
The full list of fees can be found in Section 35 of the Albemarle County Zoning Ordinance.
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany this zoning application if the application is not signed by the owner of the property.
I certify that notice of the application for, ________________________________________________________
[Name of the application type & if known the assigned application #]
was provided to ____________________________________________________________________________
[Name(s) of the record owners of the parcel]
the owner of record of Tax 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 _______________________________________________
[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 recipient's title or office
for that entity]
on________________________
Date
_____ Mailing a copy of the application to _______________________________________________________
[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 recipient's title or office
for that entity]
on________________________ to the following address __________________________________________
Date
__________________________________________
[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 requirement].
___________________________________________
Signature of Applicant
___________________________________________
Print Applicant Name
___________________________________________
Date