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HomeMy WebLinkAboutWPO201400072 Application 2014-02-25 Building Application PARCEL/OWNER INFORMATION STREET ADDRESS TMP 01800-00-00-055A2 Acresii.s.$ House ■ Street Name MEM 1626 RICHMOND RD Current FLYNN, CORVEN D &KATIE H • Owner(s), City/State ICHAR.LOTTESVILLE VA Zip 122905 ,, Zoning Highway Commercial I v I Major Subdiv. Acreage — , .• -Total Fees 1968.81 Total Payments 1968.81 >>Update Application Property Information<< . „ . , i Parcel in Entrance Corridor Overlay? , GoTo Property Information TMP status? ArrivE APPLICATION INFORMATION Entered By/Date Judy Martin v 1225/2O14 ' Address: 1626 RICHMOND RD CHARLOTTESVILLE,22911 Building Permit El Work ValuatioP' 1E3201400382NC New commercial building 71-776i3:70= Application Number SubType Work Valuati A B201101311SC Service Change $ 3,500.00 8201400382NC i New commercial building $ 700,000. B201401340S Sign 1_1 $ 6,000.00 B2014,0134IS Sign $ 6,000,00 --' B2014013425 Sign 6 6,000.00 p.7ri14n1 141t1 Mho r . it 6.nnn.nri Commercial?:/; Resklential?r 1 Existing Bldg Appl # - . ... Comments 5/12/15 - SUB CONTRACTOR FOR MECH - MAILED PERMIT - MKC ... , 6/2/15 - SUB CONTRACTOR FOR PLUMBING - NO PHONE NUMBER ON PERMIT - MAILED TO SUB - MKC 7/1/15 - MAILED TO PARHAM CONSTRUCTION - MKC - Special Conditions? ', Last Amendment Date 110/02/2015 - )k VESS EXCAVATING CALLED AND WILL RUNNING 60 STORM DRAIN AND FINISHING SITE WORK - RLD NAME: ROBERT L. VESS, RLD #10104, EXPIRATION DATE 7/21/16 - GLENN 979-5800 CELL* 531-8805 .. APPLICATION CONTACT INFORMATION Entered Sy/Date Judy Martin 1:11 2/25/2014 Contact Type Owner/Applicant E] Name Street Address [ID 0 BOX 5849 FLYNN, CORVEN D &KATIE H ANN HAMILTON CIO B&H ARCH. , City 'CHARLOTTESVILLE VA Phone #1( ) - W H BASS INC State 1--- zip Code 1'22905- Fax# 1--- CHICK-FIL-A INC. Work/Cell#I E-mail 1— NO CONTRACTOR SELECTED L.. 0000736 BUILDING APPLICATION STATUS INFORMATION Entered By/Date Judy Martin . 2/25/2014 NOTE: Do not edit existing status, add a new change of status and date. . Status I DateStatus Under Review 2/25/2014 Issued 4/28/2015 ur At.0 Community Development Department t , County of Albemarle 401 McIntire Road Charlottesville,VA 22902-4596 m Voice: (434)296-5832 Fax: (434)972-4126 BUILDING APPLICATION PARCEL/OWNER INFORMATION TMP 07800-00-00-055A2 Current FLYNN, CORVEN D&KATIE H Owner(s) Acres 1.84 Primary Zoning Highway Commercial Major Subdiv.Acreage APPLICATION INFORMATION Building Permit# B2014-00382-NC Entered By:Judy Martin on 02/25/2014 Sub Application Type New commercial building Associated Building Permit Street Address 1626 RICHMOND RD CHARLOTTESVILLE, 22911 Directions 1626 RICHMOND ROAD-CHICK-FIL-A RESTAURANT SUB-CONTRACTOR INFORMATION Page: 1 County of Albemarle Printed On: 10/2/2015 8:22:57 AM Entered By/Date Judy Martin 10/02/2015 Company Name VESS EXCAVATING LTD. Phone # (434) 979-8800 Fax # Address 2330 commonwealth dr., ste 300 CHARLOTTESVILLE VA, 229011664 ELECTRICAL? MECHANICAL? PLUMBING? N/A N/A �/,�O�tjher �( 610 I %)Vick 'DM-A\ od Page 3 County of Albemarle Printed On: 10/2/2015 8:22:57 AM APPLICATION INFORMATION Building Permit# B2014-00382-NC Entered By/Date Judy Martin 2/25/2014 2:39 Sub Application Type New commercial building Associated Building Permit Street Address 1626 RICHMOND RD CHARLOTTESVILLE, 22911 APPLICATION CONTACT INFORMATION General Contractor Name W H BASS INC Phone # (678) 987-5700 Street Address 11300 JOHNS CREEK PARKWAY SUITE 100 Cell # Fax # City/State DULUTH Zip Code 30097- E-mail New Owner/Applicant Name CHICK-FIL-A INC. Phone # • Street Address Cell # Fax# City/State Zip Code E-mail Owner/Applicant Name FLYNN, CORVEN D & KATIE H Phone # Street Address P 0 BOX 5849 Cell # Fax # City/State CHARLOTTESVILLE VA Zip Code 22905- E-mail Primary Contact Name ANN HAMILTON C/O B&H ARCH. Phone #(615) 467-2903 343 Street Address 750 OLD H8ICKORY BLVD., STE. 250 Cell # Fax # City/State BRENTWOOD Zip Code 37064-0000 E-mail Separate permits may be required for Electrical, Plumbing, Heating, Ventilating and Air Conditioning. This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. By signing this building permit, the owner and/or their agent hereby grant employees of the Albemarle County Community Development & Real Estate Departments the right to enter and inspect the subject property Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., holidays excepted. If you are not the owner of record, please check which applies: I certify that I am the agent for FLYNN, CORVEN D & KATIE H , the Owner, and am authorized to submit this application on behalf of the Owner under the agency granted to me. I am neither the Owner nor the Owner's agent. I certify that written notice of this application, by providing a copy of this application, will be mailed to the Owner at the following address P 0 BOX 5849 CHARLOTTESVILLE VA 22905- within 10 days of today's date as required by Virginia Code § 15.2-2204(H). I understand that, if I do not provide the notice to the Owner as provided herein, the building permit application and every other subsequent approval, permit or certificate related thereto could be determined to be void. Signature of Owner,Contractor or Authorized Agent Date Signature of Building official or Authorized Representative Date Page: 4 County of Albemarle Printed On: 10/2/2015 8:22:57 AM ELECTRONIC RECORDS STATEMENT: Albemarle County is creating and using electronic records and electronic signatures as allowed by the Uniform Electronic Transactions Act (Virginia Code § 59.1-479 et seq.). As an applicant to the Building Permit process, you may consent to receive, or have online access to, electronic records and receive and create records having electronic signatures related to Building Permits, Correspondence, Inspection Tickets and Certificates of Occupancy (the Building Permit transactions). Initials of Owner,Contractor or Authorized Agent Date Your agreement to conduct Building Permit transactions by electronic means does not prevent you from refusing to conduct other transactions by electronic means. Page: 5 County of Albemarle Printed On: 10/2/2015 8:22:57 AM Albemarle Co ty Community Development Department 40Intire Road Charlottesville,VA 22902-4596 Planning Application Voice:(434)296-5832 Fax:(434)972-4126 'PARCEL/ OWNER INFORMATION TMPI 07800-00-00-055A2 I Owner(s): FLYNN, CORVEN D & KATIE H Application # WP0201400072 PROPERTY INFORMATION Legal Description ACREAGE EXPRESSO PANCAKE HOUSE Magisterial Dist. Rivanna Land Use Primary Commercial Current AFD Not in A/F District Current Zoning Primary Highway Commercial APPLICATION INFORMATION Street Address 1626 RICHMOND RD CHARLOTTESVILLE, 22911 Entered By Todd Shifflett Application Type Water Protection Ordinances 08/19/2014 Project (Chick-fil-A/ Pantops Received Date 08/18/14 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Type f Sub Applicati I Comment Erosion and Sediment Control Plan Stormwater Management/SMP Plan 'APPLICANT/ CONTACT INFORMATION ContaotType I Name I Address l CityState _I Zip Phone PhoneCell owner/4010o F_LYNN,CORVEN D 6.KATIE H . f P 0 BOX 5849; .. :: I CHARLQTTESVILL 122905 4349843928 Primary Contact GREGORY DODD - HORTON & DODD, P. 300 GEORGE WASHINGTON H CHESAPEAKE,VA 23323 7574874535 Signature of Contractor or Authorized Agent Date '10110' '4111111f c AI j Virginia Stormwater Management Program (VSMP) Application for Albemarle County Itit Project Name: Chick-fil-A Store#03187 at 1626 Richmond Road (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No IX Is this a revision or resubmission for review? Yes M No ❑ County File Number: (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. Ig A. Signature of the Property Owner for each parcel: (Required with every submission or revision, NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits will be complied with,and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. 78-55 A-2 Corven D. Fl nn --�' '�'1D Tax Map&Parcel Print Name of Property Owner Signat rte: •wner Date 78-55 A-2 Katie H. Flynn (L1/2/�<— Tax Map&Parcel Print Name of Property Owner .gnature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Corven D. & Katie H. Flynn Address P.O. Box 5849 City Charlottesville State VA zip 22905 Daytime Phone(434)984-3928 E-mail corven(p7akarionrealty.com 7/1/14,Revised:7/10/14 Page 1 of 2 Xi B. All Fees [Code section 17-208] NOTE: Fees previously paid to DEQ. Fee form and copy of check For new or modified plans;Total acres proposed to be disturbed 1.96 stub attached. Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 I and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 IN C. Registration Statement on the official DEQ form. NOTE: previously submitted directly to DEQ.Copy attached. Ac D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. kfl E. Stormwater Management Plan satisfying the requirements of code section 17-403. Xl F. Pollution Prevention Plan satisfying the requirements of code section 17-404. Xi G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. N/A ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. N/A ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. N/A❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Horton & Dodd, P.C., attn: J. Gregory Dodd Address 300 George Washington Hwy. City Chesapeake State VA Zip 23323 Daytime Phone(757)487-4535 E-mail gdodd(aa..hdpc.net *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14 Page 2 of 2 NNIO tlt''�l gF• Virginia Stormwater Management Program (VSMP) ��►`'ry� Application for Albemarle County % !` Project Name: Chick-fil-A Store #03187 at 1626 Richmond Road (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No LX Is this a revision or resubmission for review? Yes XI No ❑ County File Number: (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. Egl A. Signature of the Property Owner for each parcel: (Required with every submission or revision, NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits will be complied with,and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. 78-55 A-2 Corven D. Fl nn � . - g` tS /`-ai < Tax Map&Parcel Print Name of Property Owner Signature o Owner l ate 78-55 A-2 Katie H. Flynn CYar 21. `� �/3/ap, Tax Map&Parcel Print Name of Property Owner Signature of Owned Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Corven D. & Katie H. Flynn Address P.O. Box 5849 City Charlottesville State VA Zip 22905 Daytime Phone(434)984-3928 E-mail corven c(r�akarionrealty.com 7/1/14,Revised:7/10/14 Page 1 oft Xi B. All Fees [Code section 17-208] NOTE: Fees previously paid to DEQ. Fee form and copy of check For new or modified plans;Total acres proposed to be disturbed 1.96 stub attached. Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 IN C. Registration Statement on the official DEQ form. NOTE: previously submitted directly to DEQ.Copy attached. 141 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. X E. Stormwater Management Plan satisfying the requirements of code section 17-403. Xi F. Pollution Prevention Plan satisfying the requirements of code section 17-404. XI G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. N/A ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. N/A ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. N/A❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Horton & Dodd, P.C., attn: J. Gregory Dodd Address 300 George Washington Hwy. City Chesapeake State VA Zip 23323 Daytime Phone(757)487-4535 E-mail gdodd(p hdpc.net *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By 7/1/14,Revised:7/10/14 Page 2 of 2