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<<
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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