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Home My WebLink AboutSDP200700157 Application 2007-12-17F County of Alberni le Community ment Department, Zoning & Q 44 Current Development Division 401 McIntire Road Charlottesville, VA 22902 -4596 Planning Application 1 Voice : (434) 296 -5832 Fax : (434) 972 -4126 PARCEL/ OWNER INFORMATION TMP 05900-00- 00 -023B0 Owner(s): UNIVERSITY OF VIRGINIA HEALTH SERVICES FOUNDATION Application # SDP200700157 PROPERTY INFORMATION Legal Description ACREAGE PT L -B Magisterial Dist. Samuel Miller Land Use Primary Forest Current AFD Not in A/F District Current Zoning Primary Commercial APPLICATION INFORMATION House #Street Name Apt / Suite City State Zip Street Address 2955 IVY RD CHARLOTTESVILLE 22903 - Entered By: Lisa Jordan on 12/17/2007 Application Type Site Development Plans 1 Project: LUVA Long term Acute Care Hospital - Prel 1 5,512.00 Received Date 12/17/2007 Received Date Final Total Fees $ 2,362.95 Submittal Date 12/17/2007 Submittal Date Final Total Paid $ 2,362.95 Closing File Date Revision Number Comments: Also see Tax Map 59, parcel 23B1 Legal Ad SUB APPLICATION(s) Type Sub Application Date Comments: Preliminary — Non - residential 12/17/2007 APPLICANT / CONTACT INFORMATION Primary Contact Name Timmons Group Phone # (434) 295 -5624 Street Address 919 2nd Street SE Fax # 434) 295 -8317 City / State Charlottesville VA Zip Code 22902 -0000 E -mail amy.george @timmons.com Cellular # ( ) Owner /Applicant Name UNIVERSITY OF VIRGINIA HEALTH SERVICES FOUNDATION Phone # ( ) Street Address 500 RAY C HUNT DR Fax # City / State CHARLOTTESVILLE VA Zip Code 22903-2981 E -mail Cellular # ( ) Applicant Name UVA Health Services Foundation /Gary Lowe Phone # (434) 924 -9321 Street Address PO Box 800799 Fax # 434) 924 -9967 City / State Charlottesville VA Zip Code 22908-0000 E -mail gel3w @virginia.edu Cellular # ( ) Signature of Contractor or Authorized Agent Date u ligliApplication a tion for lhort Site Development Plans Site Plan Waiver SITE DEVELOPMENT PLANS SITE PLAN WAIVER IZ Preliminary Site Development Plan (Suhject to Planning Commission Review)Ej Site Plan Waiver Ordinance Section Number) = S270 E] Residential = $1, 190 plus $13/dwelling unit folded copies of sketch plait are required 151. Non-residential = $1,580 plus $13/1,000 sq. ft. of dev. 17folded copies ofplan are required O Final Site Development Plan (Administrative Review) 0 Residential = $410 O Non-residential = $410 8 folded copies ofplan are required for first submission OR O Final Site Development Plan (Suhject to Planning Commission Review) O Prior to preliminary approval = $1,130 17folded copies ofplan are required O After preliminary approval = $790 8 folded copies of plan are required for first submission Two (2) inylars and two (2) paper copies of plan are required for signing offinal plan GROUNDWATER ASSESSMENT Required for all non-residential site plans not serviced by public water) If the plans show a use less than 2,000 gallons per day 0 Tier 3 Groundwater Review = $400 If the plans show a use greater than 2,000 gallons per day 0 Tier 4 Groundwater Review = $1,000 Project Name: i1/4) V A 1 & Tifl.VA YAC..-c.)'"V E C. ,A.cLE B 05, t , L..... Tax map and parcel: TA .5 0 AZ. 2-3P) , 23:Fal.Magisterial District: -Stil O. 6A4c4.- CR Zoning: C — Physical Street Address (if assigned): Location of property (landmarks, intersections, or other): 1.-0-C "ZE-O WC; 4 I 0 D_____ Contact Person (Who should we call/write concerning this project?): T i VNA' k"."‘ t4) t 5 6- (1-0--: o I Address D14) A . 4 51% 5. City (..., N) \ L '' —State V A Zip ).- ..0 O2 Daytime Phone M 1,95- 561'4 Fax # ( It3 q) .2 .) F3 i7 E-mail e.) w vA y„,. d.,,, a cc." 5 cs Owner of Record 5CA \- ""' s .1 t aAfAct-To c-LL ---- t, F0,-4- 0 te4:rt ots-i.t. x Address 5 att-i C,.. R. I) (2.-City e..,State VA`Zip 9-.1!)02.... Daytime Phone ( Fax # ( E-mail Applicant (Who is the Contact person representing?): Q:V44 k.-k %ALT ‘- 5 0.- k co-5 ce)..„ a Address 2 O• G 0 X t5' 007 D !)City C 13 k ,-i-e,State \J Zip Daytime Phone ( n2 Li.- , 3 1... ( Fax # ( .;4 ).- ,24 - ,9 . 7 E-mail 9-e-,3 (6, \,,I a c-t w FOR OFFICE USE ONLY SDP # Ai Fee Aniotinte Paid ll DECO By who? (A VI 4katk Receipt # 6C70 CIO 676°By: 16140 )34atinly of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972 111/19/07 Page4.111 1 erg 3 ter Application for Site Development Plans and Site Plan Waiverr STTE DEVELOPMENT PLANS SITE PLAN WAIVER Preliminary Site Development Plan (Subject to Planning Commission Review)Site Plan Waiver Ordinance Section Number) _ $270 Residential =$1,190 plus $13 /dwelling unit 8 folded copies of sketch plan are required Non- residential = 51,580 plus 513/1,000 sq. ft. of dev. 7folded copies ofplan are required Final Site Development Plan (Administrative Review) Residential = $410 Non - residential = $410 8 folded copies oJ'plan are requiredforfirst submission OR Final Site Development Plan (Subject to Planning Commission Review) Prior to preliminary approval = $1,130 17 folded copies of plan are required After preliminary approval = 5790 8 folded copies ofplan are required forfirst submission Two (2) mylars and two (2) paper copies of plan are requiredfor signing offrnal plan GROUNDWATER ASSESSMENT Requiredfor all non- residential site plans not serviced by public water) If the plans show a use less than 2,000 gallons per day Tier 3 Groundwater Review = 5400 If the plans show a use greater than 2,000 gallons per day Tier 4 Groundwater Review = 51,000 Project Name: Tax map and parcel:Magisterial District:Zoning: Physical Street Address (if assigned): Location of property (landmarks, intersections, or other): Contact Person (Who should we call /write concerning this project ?): Address City State Zip Daytime Phone ( Fax 4 ( E -mail Owner of Record 3 tie . ' 3aZA- Y 4aT. t., 14 0it.(r i L# Address e- i 3£.:4 Lk 7 Cit N•' f State t Zip Daytime Phone () _Fax 4 ( E -mail Applicant (Who is the Contact person representing ?): Address City State Zip Daytime Phone ( Fax 4 ( E -mail FOR OFFICE USE ONLY SDP it Fee Amount 5 Date Paid By who?Receipt ti Clot 13y: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 111 /19 /07 Page f2 Type of Development Residential Non- residential Type of unit(s):Commercial i industrial of building(s):Quasi - Public Sq. ft. of building(s):Sq. ft. of building(s):2 2 - 7 of units per building:Acreage of site:1.., 1 °= 3. _5 (C (73 t Total # of units:Acreage in. open space: _ Resulting density:Acreage in roads:IQ A Acreage of site:Average gallons of water used per day: Acreage in open space: Acreage in roads: Average gallons of water used per day: Intended use or justification for request: C - 044 f• A C‘A.ft. - - 4VO41 tt.s - fi` -%AC 4 R t-1 k. 1 t ® i o Tae t , > E9 Faa>` R.sc 0 Pea-Are o "B4 The UN..,e ck f' V ua(,- ki Pat,A 4.. S C3 i l J (. - Ca e.. s Ail-. - ° c.„.. 1-6 r D t gL v c. t t 1 t_ (1" N . "t''4 L k.. 4 I cr.1 4 <3 O4 EA),; 5:c 4l ca c- cej -Cc") 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, 1 have complied with Section 32.4.3.1 and obtained tentative approvals for all applicable conditions from the appropriate agencies. 471411ej l Signature oTOwner Contract Purchaser, Agent DategOwner,egMekc3. De '"nnotnn Glutf G icnvE C cEL Print Name Daytime phone number of Signatory 111119fOE? Page