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HomeMy WebLinkAboutSDP200900071 Application 2009-09-04Community Development DepartmentCountyclIbemarle4c :McIntire Road Charlottesville, VA 22902 -4596 Voice : (434) 296 -5832 Fax : (434) 972 -4126 7 F Planning Application 1 PARCEL / OWNER INFORMATION TMP 061W0 -03 -00 -02600 Owner(s): ELDERCARE GARDENS CHARLOTTESVILLE CHOICE HEALTH MGMT SERVICES A R x - R.E. LLC Application # CID P200900071. PROPERTY INFORMATION Legal Description ACREAGE TRINITY MISSION HEALTH & REHAB Magisterial Dist. Jack Jouett Land Use Primary Residential -- Group quarters (incl. fraternities, sororities) Current AFD Not in A/F District Current Zoning Primary Commercial APPLICATION INFORMATION House #Street Name Apt / Suite City State Zip Street Address 1150 NORTHWEST DR CHARLOTTESVILLE 22901- Entered By: Todd Shifflett on 09/04/2009 Application Type Site Development Plans Project: Trinity Mission (Shed Relocation) - Minor 6,908.00 Received Date 09/03/2009 Received Date Final Total Fees $ 95.00 Submittal Date 09/14/2009 Submittal Date Final Total Paid $ 95.00 Closing File Date Revision Number Comments: Legal Ad SUB APPLICATION(s) Type Sub Application Date Comments: Minor Amendment 09/14/2009 APPLICANT / CONTACT INFORMATION Primary Contact Name LARRY GAY Phone # F (434) 962 -1586 Street Address 1150 NOTHWEST DRIVE Fax # 434) 975 -0248 City / State CHARLOTTESVILLE, VA Zip Code 22901 -0000 E -mail Cellular # ( ) Owner /Applicant Name ELDERCARE GARDENS CHARLOTTESVILLE CHOICE HEALTH MGMT SERVICES A R I -Phone # (901) 937 -7994 Street Address 475 JACK KRAMER DRIVE Fax # City / State MEMPHIS TN Zip Code 38117- E -mail Cellular # ( ) Applicant Name TRINITY MISSION HEALTH & REHAB Phone # (434) 973 -7933 Street Address 1150 NORTHWEST DRIVE Fax # 434) 975 -0248 City / State CHARLOTTESVILLE, VA Zip Code 22901 -0000 E -mail Cellular # ( ) Signature of Contractor or Authorized Agent Date Application for Major & Minor Site Plan Amendments A m and All Reinstatements of Denied or Deferred Site Plans y, Major Amendment (Subject to Planning Commission Review) = $270 inor Amendment (alterations to parking, circulation, 17 folded copies ofplan are required building size, location) = $95 8 folded copies ofsketch plan are required Reinstate Plan Review After 10 day Denial = $200 Reinstate Plan After Site Review Denial or Suspension = $65 Reinstate Plan Deferred by Applicant To a specific date = $35 Indefinitely = $75 17 folded copies ofplan are required Groundwater Assessment (Required for all non- residential site plans not serviced by public water) Was a Groundwater Assessment conducted for the existing site plan? YES NO If NO and the new plans show a use less than 2,000 gallons per day Tier 3 Groundwater Review = $400 If NO and the new plans show a use greater than 2,000 gallons per day Tier 4 Groundwater Review = $1,000 If YES and the use goes from less than to more than 2,000 gallons per day Tier 4 – Tier 3 = $400 If YES and the use does not change from less than to more than 2,000 gallons per day No fee Relief from conditions of approval from Planning Commission or landscape waiver by agent = $180 Extension of approval prior to expiration of an approved plan = $45 Rehearing of Site Development Plan by the Planning Commission or Board of Supervisors = $190 Appeal of Site Development Plan to the Board of Supervisors = $240 Project Name:r() (C,S Af G re rn O 4 I 4- Q c G 41-- , 0 \ C€100-A4 e)a Tax map and parcel:Magisterial District:Zoning: Physical Street Address (if assigned): 1150 004-, u...) es.-r Ct t i v 0 - Location of property (landmarks, intersections, or other): C 0/%4 M 0 it W cc, 1 * ‘" 1 N o ('f-L w es Contact Person (Who should we call /write concerning this project ?): 1...__0, (' c l j a Address 5 0 t,..) of 4 W 5,-Y- a/ t C- City C .'1 1 Otte s,/ l /estate d , Zip ,Q ago)Y Daytime Phone ('3 9(pa" 15 $ L Fax # (y341 975 - O . ' 4 v E -mail Owner of Record a r, l/ C/1 4 ; 4 - 3 -0 !.- Address e-27,23 S u tr,.+l re' O /4...S d e t v t City r,,State e : – / — /t ) Zip 3k 13 V Daytime Phone c 01) 937 - 79 9 Fax # L E -mail Applicant (Who is the Contact person representing ?): -- Tr 1 A t '' "S S 1 0/1 I-4 4 ,14-1., 4- '2 L c 1 ) Address i l SO No RA-. to 2S-1- 1 t/ t City c 16,l eS di / k State Vt.. Zip c2a 90 ( Daytime Phone iy.34 9y3 — 7933 Fax # 9 97S - '?9s( E -mail FOR OFFICE USE ONLY SDP # Fee Amount $ e Date Paid `../ a By who? ! `; .'t t -}, VLc.- ` / Receipt # 463 t) Cldt (1- e? By: V T5 County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 11//19/07 Page 1 oft Intended use or justification for remit*: f-orc,a et_ a f c 3 /111 ©9 0 e qrJce Inv ; l i rt t s O el S - t a-} t d-1 f t M 4,11,./1_& i n t e. c.4--oft L 1 1 ; k I - rt ) v ea S jar ,- 5/ ti pica) S 11 A k is M4 /..M4/14...w ok. e.. 4- L ellow r'la..t# eA ; ".A . 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. 9 /3) O ignatur- : Ow r, Contr fPurchaser, Agent Date 411 G.el3V- 94,2 — I SFr6 Print Name Daytime phone number of Signatory 11//19/07 Page 2 oft