The URL can be used to link to this page

Home My WebLink AboutSDP200800016 Application Final Site Plan and Comps. 2008-01-28C iunity Development Department, Zoning &County of ,:ibemarle Current Development Division 401 McIntire Road Charlottesville, VA 22902 -4596 Planning Application 1 Voice : (434) 296 -5832 Fax : (434) 972 -4126 INFINER TMP . 07800- 00- 00 -020MO Owner(s): M3H FOUNDATION Application # SDP200800016 ROPERTY INFORMATIO Legal Description JACREAGE it PETER JEFFERSON PLACE Magisterial Dist. lRivanna Land Use PrimarylOpen Current AFD INot in A/ F District I Current Zoning Primary I Planned Development Mixed Commercial APPLICATI • • House # Street Name Apt / Suite City State Zip Street Address Entered By: Lisa Jordan on 0112912008 Application Type Site Development Plans Project: Martha Jefferson Hospital - Final 5,615.00 Received Date 01/28/2008 Received Date Final Total Fees F Submittal Date 01/28/2008 Submittal Date Final Total Paid Closing File Date Revision Number Comments: Legal Ad SUB • Type Sub Application Date Comments: Final - Non - residential - Administrative 01/29/2008 CONTACTAPPLICANT / • • Primary Contact Name Dan Knapp Phone # (414) 259 -1500 Street Address 125 South 84th Street, Suite 401 Fax # (414) 259 -0037 City / State Milwaukee WI zip code 53214 -1470 E -mail dan,knapp @gasai.com Cellular # jOwner Applicant Name MJH FOUNDATION Phone # (434) 971 -5255 Street Address 459 LOCUST AVE Fax # (434) 295 -9224 City / State CHARLOTTESVILLE VA Zip Code 22902- E -mail barbara.elias @mjh.org Cellular # Applicant Name Graef, Anhalt, Schloemer & Associates Phone # (414) 259 -1500 Street Address 125 South 84th Street, Suite 401 Fax # (414) 259 -0037 City / State E -mail Milwaukee WI dan,knapp @gasai.com zip code 53214 -1470 — Cellular # Signature of Contractor or Authorized Agent Date 1 ApplicationforSiteDevelopmentPlansandSite Plan Waiver SITE DEVELOPMENT PLANS SITE PLAN WAIVER Pi ehminarN Site Development Plan (Subject to Planning Commission Review)Site Plan Waiver Fax # (414 ) 259 -0037 E -mail dan.knapp@gasai -com Ordinance Section Number) = $270 Residential = S1,190 plus $13 /dwelling unit 8 folded copies of sketch plan are required Non - residential= $1,580 plus $13/1,000 sq. ft. of dev. I 7 folded copies ofplan are required City Charlottesville State VA Final Site Development Plan (Administrative Review) Datitimc Phone t 434) 971 -5255 Residential = $.310 Non - residential = $410 Graef Anhalt_Schloemer and Associates 8 folded copies ofplan are required for first submission ddic„ 125 South 84th Str Suite 401 OR Zip 53214 -1470 Final Site Development Plan (Subject to Planning Commission Review) Fax # (414 ) 259 - 0037 E -mail dan.knap Prior to preliminary approval = $1,130 17folded copies ofplaty are required After preliminary approval = $790 R folded copies ofplan are required forfirst submission Two (2) rni and tiro 2 paper copies ofp1an are re uired or signing offinalplan GROUNDWATER ASSESSMENT Reywredfor all non - residential site plans not serviced w public water) 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: Martha Jefferson Hospital Tax map and parcel: 78 -20M Physical Street Address (if assigned): Magisterial District: Rivanna Zoning: PD -MC Location of property (landmarks, intersections, or other): Peter Jefferson Place South of State Farm Boulevard West of US 250 Contact Person (Vho should we call write concerning this project ?): Dan Knapp Address 125 South 84th Street, Suite 401 City Milwaukee State WI Zip 5321 -1470 Dap time Plione (41 - 4) 259 -1 Fax # (414 ) 259 -0037 E -mail dan.knapp@gasai -com Owner of Record Martha Jefferson Hospital Address 459 Locust Ave _City Charlottesville State VA Zip 22902 _ Datitimc Phone t 434) 971 -5255 Fa\ # ( 434) 295 - 9224 E -mail barb Applicant 1%b'ho is dic Contact pTson representing °)Graef Anhalt_Schloemer and Associates ddic„ 125 South 84th Str Suite 401 Ct Milwau State WI Zip 53214 -1470 Dayume Phonc ( 414 ) 259 -1500 Fax # (414 ) 259 - 0037 E -mail dan.knap FOR OFFICE I SF ON'I.N SDP # Y Zs ' /} f 1L _ /31734 By r Fee Anuumt b c t)elr f'aui Sv Who' )T Kccc:}t Tis Ck# B' County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: V l 434) 972 -4126 1! , N.07 PaYc I ot'2 f"7 l L T C1 7 Type of Development Residential X Non- residential 0 Hospital Tvpe Of MAW: - - - - -- -- - — - - - --Commercial Industrial 4 ofbuilding(s):Quasi Public Sq. ft. of building(s): _Sq. ft. of building(s): 510,000 4 of units per buildmo:Acreage of site: 72,592 Total # of units:Acreage in open space: 26.0 Resulting density:Acreage in roads: 5.68 Acreage of site:Average gallons of water used per day: 86,740 Acreage in open space: _ Acreage in roads: Average gallons of water used per day: Intended use or justification for request: New hospital with attached physician office building to replace the existing Martha Jefferson Hospital. Owner /Applicant Must Read and Sign fins 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 appllitions from the appropriate agencies. nature of Owner lact Purchaser, Agent Date q3! Pi int Name Daytime phone number of Signatory i L! i 9,0 Pagx 2 ,f 2