HomeMy WebLinkAboutARB202300027 Application 2023-03-07Application for
Initial Site Plan or Final Site Plan or Site Plan Exception
Project Name: KQ( 'NIC� t�pa� skyoAc fl"'04l
Tax map and parcel(s): TM Rti 1 gYa3 I) (3 v Zoning: RA \i
Contact (who should we contact about this project) LA a,rk(_T G1 �' V ! (
Street Address ,�, ) ) o Y�+� -S - N F_ `u' & Z-�o J p
city C-- P\yA CS�g1\C`7I2 State V(4\ I Zip Code
Z2.1�%21
Phone Number Email �'S� hV14�t@�Ct a,
IJ
d �.
Owner of Recor10 �<g5w1'a [�t �o�io �ornoy'}t( �
Street Address �� C� IJ X 2:
City kC <ye 1 C p 7 q State V Zip Code
Phone Number 4i " `1 S - i) - Email �Y9 \ C6' VV+�yInS� 5�^1 lC'. SC.�OoI OYq
Applicant as N,3�,u J
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 of site:
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
of Develo
Code
Non-residential
3d Commercial
❑ Industrial
❑ Quasi -Public
Sq. ft. of building(s): Z- , 1 b0
Acreage of site: 2`, I i 6z /'-
Acreage in open space: I� At
Acreage in roads: / 6 A( -
Average gallons of water used per day: r\0 t.-IN
FOR OFFICE USE ONLY SDP #
Fee Amount $ Date Paid By who? Receipt p CAA 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 iustifi11�catiun for ne uest. pp \\ 11
C_O�S}v�[_71&' 6 ^'1C`J Zy1(,O �q. `• 5�'or�gc rJlilll °l +>� �'�'�Cp��.i
ST-0rOT Spo,CC- 7,21s� i r\ �Vr' 4' 4'1- . ®)a bath bkA'I ,1
Comments/Attachments:
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
Preapplication plan
❑ $1 846
❑ $1,846
$861.12 Fee $828 + Technology Surcharge
❑ $1,476.80 Fee $1,420+Technology Surcharge
$33.12
$58.80
Fee $1,775+
Fee $1,775+
Plus
0
Plus
Technology
Technology
Surcharge$71.00
p of dwellings XS16=$ X.04=
0 of dwellings_ X$16=$ X.04=
Surcharge$71.00
$0_
S
+ Fire Rescue
+ Fire Rescue
Plus
Plus
Fee of $100
Fee of $100
Nonresidential square feet 21 0 X.016 =
Nonresidential square feet X 0.016 =
s 34r5L XJJ.04=
$ X.04=
TOTAL $ 1 0 2 50
TOTAL $
+ Fire Rescue Fee of $100
1 + Fire Rescue Fee of $100
A completed application and all supplemental documents should be submitted via the Communin, Development Apply for pa-,e. if paper is the only option, then
one copy of a completed application and all supplemental documents my 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 part 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
N o -n �I1 "I- GROUNDWATER GROUNDWATER ASSESSMENT
(Required for all non-residential site not serviced by water)
OV'" C4 �I e»mv.d plans public
❑ 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+Technolo vSurchar e$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. 1 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.
Signature of Owner, CefintracCPurcilaser, Agent
C a,vk 6 l� V;VV4.
Print Name
03 - �)
Date
Daytime phone number of Signatory
Site Plan Application REVISED 8/15/2022 Page 2 of 2
RECEIVED
MAR 0 6 2623
COMMUNITY
DEVELOPMENT