HomeMy WebLinkAboutSP201500017 Application 2015-03-09 Community Development Department
t Albemarle County 401 IV +ire Road Charlottesville.VA 22902-4596
:(434)296-5832 Fax:(434)972-4126
14 Planning Application Now,
PARCEL OWNER INFORMATION
TMPI 02100-00-00-010A1 Owner(s): CROWN COMMUNICATION INC PMB 353
Application# 5P201500017
PROPERTY INFORMATION
Legal Description I ACREACE TOWER 816385 5249 PINEY MOUNTAIN RD
Magisterial Dist,LWhite Hall 7 Land Use Primary Unassigned
Current AFD Not in A/F DistrictEr Current Zoning Primary Rurat Areas
APPLICATION INFORMATION
Street Address 5249 PINEY MTN RD CHARLOTTESVILLE, 22911 Entered By
FE
Application Type [Special Use Permit
rv9a015
Project 'Piney Mountain Tier III- PWSF
Received Date 03/06/15 Received Date Final Submittal Date 03/16/15 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments ARS OK
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SUB APPLICATION(s)
Type Sub Appiicatio Comment
Personal Wireless Facility SP 03/16/15 1 •
APPLICANT CONTACT INFORMATION
ContactType 1 Name Address CityState I Zip Phone PhoneCell
o./Appti.ftt CROWN COMMUNICATION INC PMB 353 4017 WASHINGTON ROAD MCMURRAY PA 15317-
«Tim sly r.tact KELLY BROWN '3735 FRANKLIN RD SW ROANOKE VA 24104 6027402933
Signature of Contractor or Authorized Agent Date
FOR OFFICE USE ONLY Application#Ni.+' SIGN#(if a.
Fee Amount$ Date Paid By who? Receipt# Ck# by:
ZONING ORDINANCE SECTION
Application for If
Personal Wireless Service Facility
rTA'
IMPORTANT: Your application is considered INCOMPLETE until all of the information on the Required Application Content Checklist
on pages 2 thru 4 has been submitted and the appropriate fee has been submitted. (See page 10 for the appropriate fee(s)related to your
application). Staff will assist you with these items.
PROJECT NAME: (how should we refer to this application?): Piney Mountain
PROPOSAL: Tier I ❑ Tier II ❑ Tier III ❑ Building Permit after Tier II or Tier III approval ❑
EXISTING COMP PLAN LAND USE/DENSITY: Existing Cell Site
LOCATION/ADDRESS OF PROPERTY FOR SPECIAL USE PERMIT:
5249 Piney Mtn Rd. Ruckersville, VA 22911
TAX MAP PARCEL(s): 02100-00-00-010A1
ZONING DISTRICT:
MAGISTERIAL DISTRICT:
#OF ACRES TO BE COVERED BY SPECIAL USE PERMIT(if a portion it must be delineated on a plat):
Is this an amendment to an existing Special Use Permit?If Yes provide that SP Number. ❑ YES ® NO
Are you submitting a request to modify or waive certain requirements with this application? ❑ YES ®NO
Applicant(Who should we call/write concerning this project?): Kelly Brown
Address 3735 Franklin Rd SW City Roanoke State VA Zip 24104
Daytime Phone( 602) 740-2933 Fax#( ) E-mail kelly.brown @greenlanddev.com
The applicant is a representative of: USCOC of Virginia RSA#3
Owner of Record Crown Communication Inc
Address 4017 Washington Rd. City McMurray State PA Zip 15317
Daytime Phone( ) Fax#( ) E-mail
Contractor(Building Permits and Tier I only) Summit Tower Construction
Address PO Box 547 City Greenville State VA Lip 24440
Daytime Phone(54C) 490-1939 Fax#( ) E-mail homer.fulton @summit-tower.com
Does the owner of this property own(or have any ownership interest in)any abutting property? If yes,please list those tax map and parcel numbers:
FOR OFFICE USE ONLY History:
❑ Special Use Permits:
❑ Variances:
Tier I =Building Permit Tier II=Site Plan Tier III=Special Use Permit
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 11/13/2014 Page 1 of 10