HomeMy WebLinkAboutSDP200900039 Application 2009-05-11Community Development DepartmentCountyofA. emarle 401 Mc «;e Road Charlottesville, VA 22902 -4596
Voice : (434) 296 -5832 Fax : (434) 972 -4126
Planning Application 1
PARCEL / OWNER INFORMATION
TMP 07800 00 - 00 - 020M0 Owner(s): ' MJH FOUNDATION
Application # SDP200900039
PROPERTY INFORMATION
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 Development Mixed Commercial
APPLICATION INFORMATION
House #Street Name Apt / Suite City State Zip
Street Address
Entered By: Lisa Jordan on 05/11/2009
Application Type [Site Development Plans
Project: Martha Jefferson Hospital (Road Design) -Major 6,644.00
Received Date 05/11/2009 Received Date Final Total Fees $ 270.00
Submittal Date 05/11/2009 Submittal Date Final Total Paid $ 270.00
Closing File Date Revision Number
Comments:
Legal Ad r
SUB APPLICATION(s)
Type Sub Application Date Comments:
Major Amendment 05/11/2009
APPLICANT / CONTACT INFORMATION
Primary Contact
Name Rummel, Klepper & Kahl, LLP Phone # (804) 782 -1903
Street Address 801 E Main Street Suite 1000 Fax # 804) 782 -2142
City / State Richmond VA Zip Code 23219 -0000
E -mail rmckinney @rkk.com 1 Cellular # ( )
Owner /Applicant
Name MJH FOUNDATION Phone # (434) 982 -7303
Street Address 459 LOCUST AVE Fax # 434) 982 -7324
City / State CHARLOTTESVILLE VA Zip Code 22902-
E -mail ronald.cottrell @mjh.org 1 Cellular # ( )
Signature of Contractor or Authorized Agent Date
7
Application for N..„ jor & Minor Site Plan A iendments m '2
1Y:
and All Reinstatements of Denied or Deferred Site Plans Wort
Amendment (Subject to Planning Commission Review) = $270 Minor 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
A If NO and the new plans show a use greater than 2 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 0 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: E - 1F F ' iii -P_ \t
Tax map and parcel: (r=} K(=j( Th -Cc--- IC':) "CALC Ma District: krqi\ly'Ck\ Zoning: (i\ j\KL
Physical Street Address (if assigned): 6 }k Li ,, , )i; \ \- e_ i \ -- _ h,N.c, 1\..rA . .7).,q
Location of property (landmarks, intersections, or other): 1 0A \ C \ f' 1- --(_. t\ _i Ot_\ e _0,
ecfe (>\F P KL__ A , ANPft.,._,,,;vK,\ r L__A Z>` -4C t , . r' `_ 1 GV- J \ _K .\ \Cli
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Contact Person (Who should we call /write concerning this project ?): (L ii- ,_±..\i\ES- Li lI j A-_0
Address i \ t .. N._1\\)--4, cJ r .`:_,l_l 1 V` IC°.)Cf )City (\ \( J1._>_IN State l Zip 4::S4,1
Daytime Phone () t1 C ): Fax # ( M) 1 F_, — 4 \t-\ / E -mail c r(N(.. y ,,(,i c'' C_y\s\ . t_L_.:,(`t-`1
Owner of Record I1.;; 1-.
jk e t _L \C `' r 0-j\-: r
Address L. j `L ,,City Ll I,,4_Crcaf_ i \\-_1_ -, State A Zip /2C -1:_
Daytime Phone ( 4 CI - ')l 9 :"SC.-6 Fax # (H Cl {-')/... 1;16 1 -\ E -mail CtD( \L:\L_ . (5 :.V5 el\ 1( \:CA
Applicant (Who is the Contact person representing ?):
Address City State Zip
Daytime Phone ( Fax # ( E -mail
FOR OFFICE USE ONLY SDP #
r, 1
Fee Amount $ X, t Date Paid 5 /1 e ,t By who? I. , . ; i if Receipt # Ck# ° ,By:
County of Albemarle Department of Community Development
j
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
1 I/ 19/07 Page 1 01'2
Intended use or justification r request:
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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.
Si nature of Owner, ontra urchase(Agent Date
W MGA/ / q/1,65 'i`)
Print Name Daytime phone number of Signatory
11//19/07 Page 2 of 2