HomeMy WebLinkAboutSDP202300002 Application 2023-01-03Application for
Initial Site Plan or Final Site Plan or Site Plan Exception :l _
Project Name: 5EMt�4o (' N61(;HI-S
Tax ma and arcel s : hA 4 S 1 R V' G /4 C, — *j kur oy �p c
p p O T Zoning: I
Contact (who should we contact about this A
project) TwS41 ra S � r f' '" S
ct
Street Address �) Z �' "t r2J - Iy
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City ��+lo-> k J ViJLP State V `, II Zip Code 221 o f
Phone Number 3 f 'yy-1 ' S/(/O Email rik's d-t h /fj S Nxe ^ eYLR 1 P.lti+li'i t
Owner of Record =A Q A LA, G C 1
Street Address
�w+r..rv. ✓�.
City state zip cnae
Phone Number Email
Applicant wV%ar o Recoro1
Street Address
CityState Zip Code
Phone Number Email
Residential
Type of unit(s):
# of building(s):
Sq. ft. of building(s):
# of units per building:
Total # of units:
Resulting density:
Acreage of site:
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
bd Non-residential
I/Commercial
❑ Industrial
❑ Quasi -Public
Sq. ft. of building(s):�Ly'I
Acreage of site: 1 )
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
FOR OFFICE USE ONLY
SDP #
Fee Amount S Date Paid
By who?
Receipt #
Ck# By:
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
REVISED 8/1512022 1 of
Intended use or justification for reauest:
Scsse.,n, L.t-se_s dagt:p./+e
Pit l " O SA rv, ia.-, a .) 1Ve rO u 1d j
SiX se O-e bLr (ol,'ti .3
FEES
SITE DEVELOPMENT PLAN
SITE PLAN
EXCEPTION
Technology Surcharge 4% of each transaction
Initial Site Plan
Final Site Plan
Exception to drawing
of site plan under
section 32.3.5(a)
Approved
No
Preapplication plan
Prea lication Ian
❑
❑ $861.12 Fee $828+Technology Surcharge
,_,//
Ill $1,476.80 Fee $1,420+Technology
Surcharge
❑ $1 846
$1,846
$33.12
$58.80
Fcc$1,775+
Fee S1,775+
Plus
Plus
Technology
Technology
# of dwellings_ X$16=$_X.04=
# of dwellings_ X$16=$_X.04=
Surcharge$71.00
Surcharge $7 1.00
S
s
+Fire Rescue
+Fire Rescue
Plus
Nonresidential square fee[ X .016 =
Plus
Nonresidential square feet 4%2r q�X 0.016 =
Fee of $100
Fee of $100
$ X.04=
$ LAD!, I x.04= 4
0, Let
TOTAL $
TOTAL $ 211 (0217- r 7-3
+Fire Rescue Fee of $100
+Fire Rescue Fee of $100
A completed application and all ,supplemental documents should be submitted via the Community Development Aonlr fin- if paper is the only option, then
one copy of a completed application and all supplemental documents may be provided.
❑ Site plan has a parking structure. Included are revised architectural elevations, drawings, photographs or other visual materials submitted with the initial
site plan. The elevations shall be p2rt of the approved final site plan.
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
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced bP public water)
❑ If the plans show a use using less than 2,000 gallons/day (average) Tier 3 Groundwater Review = $627.12
Fee $603 +Technology Surcharge $24.12
❑ If the plans show a use using greater than 2,000 gallons/day (average) Tier 4 Groundwater Review = $1,354.08
Fee $1302+Technology Surcharge S52.08
❑ Special Exception = $523.12 Fee $503 +Technology Surcharge
This application may require additional review by the Fire Marshal. Fees in addition to those shown on this application may be
required by the Fire Prevention Code Fee Schedule. A copy of the schedule is available from the Fire Marshal.
Owner/Applicant Must Read and Sign
This site plan as submitted contains all of the information required by Section 32.5 (Initial Site Plan) or Section 32.6 (Final Site Plan) of
Chapter 18 of the Code of the County of Albemarle. 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
of Chapter 18 of the Code as the case may be. 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.
For Final Plans Only: To the best of my knowledge I have complied with Section 32.4.3.1(2) of Chapter 18 of the Code
Signature of 04kner, Contract Purchaser, Agent
leellb .\}r1G�-I Siv7rn-D LnR.
Print Name
10-t23 - 2o2Z
Date
Li- 3 t* - 22-7 - S f'+b
Daytime phone number of Signatory
Site Plan Application REVISED 8/15/2022 Page 2 of 2