HomeMy WebLinkAboutSDP200700001 Application 2007-01-08h,< / Corr ity Development Department, Zoning &County of A— emarle Current Development Division
401 McIntire Road Charlottesville, VA 22902 -4596
Planning Application 1 Voice : (434) 296 -5832 Fax : (434) 972 -4126
TMP 07800- 00- 00 -020MO Owner(s): MJH FOUNDATION
ADDlication # SOP200700001
Legal Description ACREAGE 11 PETER JEFFERSON PLACE
Magisterial Dist. Rivanna Land Use Primary Open
Current AFD Not in A/F District Current Zoning Primary Planned Developmen Mix Commercial
APPLICATION • •
House # Street Name Apt / Suite City State Zip
Street Address
r
Entered By: Stephanie Mallory on 0110812007
Application Type Site Development Plans
Project: Martha Jeffe Hospital - Pr 13,802.00
Received Date 01/05/2007 Received Date Final Total Fees $ 10,823.00
Submittal Date 01/08/2007 Submittal Date Final Total Paid $ 10,
Closing File Date Revision Number
Commen
I
Legal Ad j
SUB •
Type Sub Application Date Comments
lPr - Non - residential 01/05/2007J
CONTACTAPPLICANT • •
Primary Contact
Name Stephen Steen Phone # (414) 290 -3791
Street Address 111 West Wisconsin Ave. Fax # (414) 272 -2001
Sli lwalkee WI ZiD Code 53203 -0000City/ State _
E - mail tee n @kahlersiater.com Cellular #
Owner /Applicant 1
Name MJH FOUNDATION Phone # (434) 295 -7275 i
Street Address 459 LOCUST AVE Fax # (434) 295 -9224_
City / State CHARLOTTESVILLE VA Zip Code 22902-
E -mail barbara.elias @mjh.org Cellular #
J
Signature of Contractor or Authorized Agent Date
Application for f, r
Site Development Plans and Site Plan Waiver
SITE DEVELOPMENT PLANS SITE PLAN WAIVER
Preliminary Site Development Plan PlanningSubjectto Commission Review)Site Plan Waiver
Residential = $1,190 plus $13 /dwelling unit
Ordinance Section Number) = $270
8 folded copies of sketch plan are requiredQNon - residential = $1,580 plus $13/1,000 sq. (t. of dev.
17felded copies ofplan are required
Final Site Development Plan (Administrative Review)
Residential= $410
Non - residential = $410
8 folded copes ofplan are required for first submission
OR
Final Site Development Plan (Subject to Planning Commission Review)
Prior to preliminary approval = $1,130
17folded copies ofplan are required
After preliminary approval = $790
8 folded copes ofplan are required for first submission
Two 2 m ylars and two (2 ) ppaper copies ofp1an are re uired nr si nip o pal plan
For all Preliminary Site Plans, Final Site Plans prior to preliminary approval, and Site Plan Waivers
Tier 3 Groundwater Review= $400 plus $25 per dwelling unit
Required for aU plans showing a use that uses less than 2,000 gallons of water per day average)
Tier 4 Groundwater Review = $1,000
Re uired nr all laps shoroin a use that uses realer than ? 000 allons o water er da avera e
Project Name: Pl1aF "A- cJ hl lkj - -EI L
Tax map and parcel: - 7$ -- 2,0 M Magisterial District: RIYANNa Zoning:
Physical Street Address (if assigned):
Location of property (landmarks, intersections, or other): tL j}e
Contact Person (Who should we call/write concerning this project ?): 'E 1S F4e—N L. ^ rGF-1J , 41A,
Address 11 { l4eSS r L (S1= fJ-,IN &%JE . City State W I Zip S 32-0
Daytime Phone IjC { % Z10 - 3"791 _ Fax # y !y) 2 - 2CC)l E -mail _ S3s+ -eerier W-L i e t 5 L jPC: ccwm
OwnerofRecord_ HAfiz-r R rJEFFFRSON ge)SPIr^L
Address yr59 - j,pCJ -Y • City (:RARLOTTL$YILLE State Y Zip 22goZ
Daytime Phone 34) Z95 - 7275 _Fax>#( 295 -012 -Z E -mail 6Ar- 6aro,,f1i0.S0
Applicant (Who is the Contact person representing'):
Address . _Ill WEST WlseokSlta 4 . Ctty_MILW 53203A _' State WI Zip ---
Daytime Phone k ( l t {) 29O - 191 Fax # ( 1{) 272 - 200! E-mail SS- 4 ( t 2r 3I4 f-e t',CaVYr
FOR OFFICE USE ONLY SDP #
Fee Amount S Date Paid By who" Receipt # Ck3t -- — - By'_ -- - _ - - --
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
51 '06 Page 1 of 2
Type of Development
Residential ® Non- residential
Z ( Fie!FPITAL_
Type of unit(s): Commercial
Industrial
of building(s): Quasi - Public
Sq. ft. of building(s — 11 I >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
Acreage of site:72. 12
Acreage in open space: 27 .3
Acreage in roads: 4o. "
Average gallons of water used per day: (01,6cO
Intended use or justification for request:
New NoSpITat_ To {EPLR _e I -qE aclSr -tr. MARrttR 1EFrQ Sa. PrrAL
Owner /Applicant Must Read and Sign
This 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 applicable -conditions from the appropriate agencies.
Signature of Owner, o act Purchaser, Agent
lcl u /,4 ._J. I 'c j l r- //
Print Name
tr=cem 29 2txCCv
Date
Daytime phone number of Signatory
5/1/06 Page 2 o1'2