HomeMy WebLinkAboutSDP200800053 Application 2008-03-24Corr ity Development Department, Zoning &County of Aiemarle Current Development Division
401 McIntire Road Charlottesville, VA 22902 -4596
Planning Application 1 Voice : (434) 296 -5832 Fax : (434) 972 -4126
tARCEL OWNER INFORMATIO
TMP 05900-00- 00 -023B0 Owner(s): UNIVERSITY OF VIRGINIA HEALTH SERVICES FOUNDATI
Application # SDP200800053
Legal Description (ACREAGE
Magisterial Dist. JSamuel Miller
PT L -B
Land Use PrimarylForest
Current AFD INot in A/F District Current Zoning PnmarylCommercial _
House # Street Name Apt / Suite C State Zip
Street Address 2955 - IVY RD - CHARLOTTESVI I21903-
Entered By: Lisa Jordan on 0312412008
Application Type ISite Development Plans
Project: UVA Lon T Acu Care Hosp - Prel 5, 773.00
Received Date 03/2412008 Received Date Final Total Fees $ 2,
Submittal Date 03 Submittal Date Final Total Paid [$4,362.95
Closing File Date Revision Number
Comments: Also see Tax Map 59 Parcel 2381
Legal Ad
ICATI
Type Sub Application Date Comments:
Preliminary - Non - residential 03/24/2008 C
ORMATIO
Primary Contact
Name Timmon Group Phone # (434) 295 -5624 1
Street Address 919 2nd Street SE
City / State
E -mail
Charl VA
Owner /Applicant
Name UNIVERSITY OF VIRGINIA HEALTH SERVICES FOUNDATION
Street Address 500 RAY C HUNT DR
City / State CHARLOTTESVILLE V
E -mail
Applicant
Name UVA Facilities & Capital D
Street Address PO BOX 800799
City / State CHarlottesville VA
E -mail
Signature of Contractor or Authorized Agent Date
Fax # (434) 295 -8317
Zip Code 22902 -0000
Cellular #
Phone #
Fax #
Zip Code 22903 -2981
Cellular #
Phone # (434) 924 -9321
Fax # (434) 924 -9967
Zip Code 22908 -2981
Cellular # ( ) -
Application for
Site Development Plans and Site Plan Waiver 4D
SITE DEVELOPMENT PLANS SITE PLAN WAIVER
r Prelimloary 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
91 Non - residential = S1,580 plus $13/1,000 sq. ft. of dev.
I 7folded copies ofplan are required
Final Site Development Plan (Administrative Review)
Residential. $410
Non - residential = $410
8 folded copies ofp/an are requiredforJirst 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 copies ofplan are required forJirst submission
Dw m tars and two 1 er cop ofplan are requiredfor sign of nal 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 $400
If the plans show a use greater than 2,000 gallons per day Tier 4 Groundwater Review = $1,000
Project Name: UVP !_ Alb raPA ACUTE C HOS P I TA t-
Tax map and parcel: I OSQ MA. 2- Teo 4 2_ 1 Magisterial District: SAM• M I L GERzoning: C-
Physical Street Address (if assigned): 2476<' IVY ROA A
Location of property (landmarks, intersections, or other): LOCATED WEST O F A K lie 1 M & N DA1 y4 t
NaRTH SIDE of IVY ROAD.
Contact Person (Who should we call/write concerning this project ?): T M M ON S G ROMP
Address - 1 19 2 ^ srRter % . C. City CHAP L4 ; t/il t f State _ zip 22-902
Daytime Phone HN 2 5 Fax # 3q ) 2Qs - -9317 E -mail
OwnerofRecord TM 01'1 PAR 2360 UNIVERS OF V19611N A 14 ALT14 SFRVIC.E5
Address RAY G Itowr" OR VC City CHARy i- 7 : 5vudState Vii zip Zz9c3 2981
Daytime Phone l_)Fax # !_)E-mail
Applicant (Who is the Contact person representing ?): () VA FA G I L t T / E S AN CAPITAL L7E VE LO P M E OT
Address P • 130 K 800 794 city cMA Q Lo7TgS y it t (state y i zip 2 X
Daytime Phone &Y 924 9 3 2 i Fax # (!t3) 92 9967 E-mail
FOR OFFICE USE ONLY,", SDP #
Fee Amount S 2 ' ' r D?e Paid3 ' & ' By who? qV4i.. . .1311 ' 0") Ic 1 9ocxipt 5 , cki Z 'C 11 By:
rY d;tJi `
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 9724126
11//19/07 Pale yof2'
t o-P 3
Application for
Site `e Development Plans and Site Plan Waiver
SITE 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 = $1,580 plus $13/1,000 sq. ft. of dev.
77folded copies ofp/an are required
Final Site Development Plan (Administrative Review)
Residential =$410
Non- residential = $410
8 folded copies ofplan are requiredfor 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 copies ofplan are required for first submission
Two 2 m /ars and two 2 paper copies ofp1an are re uired or signing offinal 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 = $400
If the plans show a use greater than 2,000 gallons per day Tier 4 Groundwater Review = $1,000
Project Name:
Tax map and parcel:
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 # (_) E -mail
Owner of Record ?`M 0 PAR 391Kl TL, y rAMtLV ffoLQiA4 $ Ll.0
Address PQ 6 o x 24 City ! VV State VA Zip Z 2 Q S"
Daytime Phone ( ) Fax # (_._.) E -mail
Applicant (Who is the Contact person representing ?):
Address City State Zip
Daytime Phone C__)Fax # )E -mail
FOR OFFICE USE ONLY SDP #
Fee Amount $ Date Paid By who? Receipt # Ck# By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
11//19/07 Pag
ZJ 3
Magisterial District:Zoning:
Type of Development
Residential
Type of unit(s):
of building(s):
Sq. ft. of building(s):
of units per building:
Total # of units:
Resulting density:
Acreage of site:
Acreage in open space:
Acreage in roads:
Non - residential
Commercial
Industrial
Quasi- Public
Sq. ft. of building(s): &0 Z Z
Acreage of site: PAP Z3 3 .SO k. PAL Z3 61 S:
Acreage in open space: /j A
Acreage in roads:NP
Average gallons of water used per day:
Average gallons of water used per day:
Intended use or justification for request:
C- V"%T9VC. 09 is TARE C 3) STORY t_aN&
TERM ACUTE C-AiU=' FAdtc -ITY AND A55oc%ATEp
IN F"fz Ns TR yGTV'RE -
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, Contract Purchaser, Agent
Print Name
c
Date
Daytime phone number of Signatory
11//19/07 Page
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