HomeMy WebLinkAboutARB202300004 Application 2023-01-06Application for
Initial Site Plan or Final Site Plan or Site Plan Exception l
Project Name: SEP^ti-so LE 1i67I HT-S
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Tax map and parcel(s): Tw% 5 [Z G Zoning: k4G �ro �'w Oy t..Owsw-+1�7.c1
Contact (who should we contact about this project) �3t.S4tt4
q I Z C. 419 t, S4e-&E-
StreetAddres�s I' � r ' /p p
City �. kO`. IoTk 3�/ILP Sttaate�L V A -(" I Zip Code fZV?C?
Phone Number I ¢ ' ZZ� ` / �70 Email J (MS d It., �f+ Sh,vyb ^ QK:I tv+Qep {fi` t Co VA
Owner of Record T{t P I wy es wx 2w4 S U. G
Street Address M0>6sc1 5-6— +
city S�r��+r..v� ✓ti State
V PC Zip Codey2li'a
Phone Number Email
Applicant See a� /')weer o -i- R ,e C-0,01
Street Address
City
Phone Number
Residential
Type of unit(s):
# of building(s):
Sq. ft. of building(s):
# of units per building:
Total # of units:
Resulting density:
Acreage orsite:
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
bd Non-residential
I/Commercial
❑ Industrial
❑ Quasi -Public �f Q
Sq. ft. of building(s):
Acreage of site: 1J
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
FOR OFFICE USE ONLY
SDP #
Fee Amount $ 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) 972-4126
REVISED 8/15/2022 1 of
Intended use or iuscification for reauest:
1 StVEd\�-S dm�te p sel-F,S'�fwr�a,
-srw— .'CP� t
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
PreappliCiltion plan
❑
❑ $861.12 Fee $828+ Technology Surcharge
0/$1,476.80 Fee $1,420+
Technology Surcharge
❑ $1,846
$1,846
$33.12
$58.80
Fee$1,775 -
Fee $1,775+
Plus
Plus
Technology
Technology
#o(dwellings _X$16=$_X.04=
#of dwellings _XS16=$_X.04=
Surchargc$?1.00
Surcharge 371.00
$
S
+Fire Rescue
+Fire Rescue
Plus
Nonresidential square feet X.016=
Plus p �/
Nonresidential square feet �%Zf ITtL/X 0.016=
Fee of $100
Fee of $100
$ x.04=
s f oip l X.04= L{0',LQ
TOTAL $
TOTAL $ 'b1(,Zy- p 7-3
+Fire Rescue Fee of $100
+Fire Rescue Fee of $100
A completed application and all suppleinental documents slmuld be submitted via the Conuuunitr DerelopmeurAoplr (nr pace. 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 he part of the approved final site plan.
Notices required by Section 32.4.2.1 (1)
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 by 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 + TechnologySurcharge $52.08
❑ 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(a) of Chapter 18 of the Code
S' �ature of 00ner, Contract Purchaser, Agent f-
(lPLly , +rtc_yla4 A , Siv nt0 LnR.
Print Name
to v3 • 2o2Z
Date
Li - 3 q- - 22-7 - S t +b
Daytime phone number of Signatory
Site Plan Application REVISED 8/15/2022 Page 2 of 2