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SDP200900034 Application 2009-05-01
1 F Community Development Department i1' County of A.,,.. emarle 401 Mc,vere Road Charlottesville, VA 22902 -4596 Voice : (434) 296 -5832 Fax : (434) 972 -4126 tk1 'i-4770-'' Planning Application 1 PARCEL / OWNER INFORMATION TMP 03200-00- 00 -006A0 Owner(s): 'UNIVERSITY OF VIRGINIA FOUNDATION Application # SDP200900035 PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. Rio Land Use Primary Industrial Current AFD Not in A/F District Current Zoning Primary Planned Development Industrial Park APPLICATION INFORMATION House #Street Name Apt / Suite City State Zip Street Address 4419 DICKERSON RD CHARLOTTESVILLE 22911 - Entered By: Lisa Jordan on 05/01/2009 Application Type Site Development Plans Project: UVA Research Park -Town Center - Buildings 3 & 4 - Minor 6,625.00 Received Date 05/01/2009 Received Date Final Total Fees $ 95.00 Submittal Date 05/11/2009 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 05/01/2009 APPLICANT / CONTACT INFORMATION Primary Contact Name John Meaney- Siteworks Studio Phone # (434) 923 -8100 Street Address 826 C Hinton Ave Fax # City / State Charlottesville VA Zip Code 22902 -0000 E -mail meaney©siteworks-studio.com Cellular # ( ) Owner /Applicant Name UNIVERSITY OF VIRGINIA FOUNDATION Phone # (434) 982 -5304 Street Address P 0 BOX 400218 Fax # 434) 982 -4852 City / State CHARLOTTESVILLE VA Zip Code 22904- E -mail stm7v @virginia.edu Cellular # ( ) Applicant 1 Name University of Virginia Foundation- Todd Marshall Phone # (434) 982 -5304 j Street Address PO BOX 400218 Fax # 434) 982 -4852 City / State Charlottesville VA Zip Code 22904 -4218 E -mail stm7v @virginia.edu Cellular # ( ) Signature of Contractor or Authorized Agent Date Application for N aj or & Minor Site Plan ATnendments r e o = and All Reinstatements of Denied or Deferred Site Plans ky Major 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 of sketch 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 17folded 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 = 51,000 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: it V 1 Re5eafat 1 Own Cen teA n F c.P 15 viV ater c f Tax map and parcel:5 Dp Magisterial District:V& v. A Zoning: FID - .1.1 Physical Street Address (if assigned): L Location of property ( landmarks, intersections, or other): J ecZ4 1 v 5e-Ch t n S 1 ll Ae i 12-- 1(v-,aorag e Contact Person (Who should we call /write conceming this project ?): Oh() 1eai tp 6 fe (A , 2k s Address C (() C i 1l 4¼ f City ca a I t `' S t Late Vfr Zip 02 Ted Daytime Phone #!(f f " i a d" /oax # ( j E -mail mora e 51 f oak Owner of Record U(GV' /'S d-v Vt gT a Address q4"6 l Q UX 1 City C' Fil 1 /14 State Y't Zip Z i 2!Q p p J Daytime Phone 912 536'1 Fax 8 Lid5a. E -' F--001\11_61.%,6 ail S,T(Y1 V 1/i(gsii, Q /, l/ / Applicant (Who is the Contact person representing ?): `! 111 V t T' d J t Ir P t R t Gt 1 Th dd f art a-1 Address y 1 i Lb art-City State Zip Daytime Phone ( tie& # ( E -mail FOR OFFICE USE ONLY SDP # Fee Amount 5 c ' c ' Date Paid Ct `I -01 B who? t VA V \ 9ByV l % I Receip # 7 y 7 ek# L / _ 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 Page 1 of2 Intended use or justification for"Thquest: 1 Nil r It 60(1" I A t! Jai 1L .. 1 I /. Illi vie A,t. r DA) MS - 1 ul t•i!.... 1 ( ct' C L /. ! C I0 0 /J f if LL/L t1 i it/L'AL4 i J it L'.i ...'a 11 4 L, riIGI T MI a . WIIII 1.iL'TNI IVIRSIIIMINF:: Ersierminn il I• ill / w V U 11 .ALI iKr••4 At /AA IremP i. 9 L I1 .•ice. . J(/.11P L /.t(/.'d rJ_ ILI 1 d J r 5' 1114 Jr /AA tRIERM PAMP1 a/,1.I e/),A r7 1 , ul ave,. / For Lf./LLill!. /1 _I/L72 L IP Cou n ' Cn 3 u G a e 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 tenta 1 provals for all aprabk conditions - om the appropriate agencies. 4' &ed 0 Signature Owner, Contract Purchaser, Agent Date f' 44-stiax..0 cf34 • ' z s3o Print Name Daytime phone number of Signatory 1 I//19/07 Page 2 of2 Community Development DepartmentCountyofA. emarle 401 Mc. lie Road Charlottesville, VA 22902 -4596I4Voice . (434) 296 -5832 Fax : (434) 972 -4126 t Planning Application 1 PARCEL / OWNER INFORMATION TMP 032A0- 02- 00 -001A0 Owner(s): MARTHA JEFFERSON HOSPITAL Application # SDP200900034 PROPERTY INFORMATION Legal Description ACREAGE TRACT 2 Magisterial Dist. Rivanna Land Use Primary Office Current AFD Not in A/F District Current Zoning Primary Highway Commercial APPLICATION INFORMATION House #Street Name Apt / Suite City State Zip Street Address 3263 PROFFIT RD CHARLOTTESVILLE 22911 - Entered By: Lisa Jordan on 04/27/2009 Application Type Site Development Plans Project: Martha Jefferson Outpatient Care Center (Proffitt)- Major 6,620.00 Received Date 04/27/2009 Received Date Final Total Fees $ 270.00 Submittal Date 04/27/2009 Submittal Date Final Total Paid $ 270.00 Closing File Date Revision Number Comments: Legal Ad SUB.APPLICATION(s) Type Sub Application Date Comments: Major Amendment 04/27/2009 APPLICANT / CONTACT INFORMATION j Primary Contact Name Rummel, Klepper & Kahl, LLP - Rachel MCKinney Phone # (804) 782 - 1903 Street Address 801 E Main Street Fax # 804) 782 -2142 City / State Richmond VA Zip Code 23219-0000 E -mail rmckinney @rkk.com Cellular # ( ) L Owner /Applicant Name MARTHA JEFFERSON HOSPITAL Phone # (434) 982 -7038 Street Address 459 LOCUST AVENUE Fax # 434) 982 -7016 City / State CHARLOTTESVILLE VA Zip Code 22902- E -mail michael.spatz.mjh.org Cellular # ( ) Applicant Name Sentara Health Care Phone # ( ) Street Address 11803 Jefferson Ave Fax # City / State Newport News VA Zip Code 23606 -0000 E -mail cwgabori @sentara.com Cellular # ( ) Signature of Contractor or Authorized Agent Date ii Application for M or & Minor Site Plan AendmentsPPJ 4 and All Reinstatements of Denied or Deferred Site Plans a; Major 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 of sketch 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 (Requiredfor all non - residential site plans not serviced by public water) Was a Groundwater Assessment conducted for the existing site plan? YES NO is(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 00 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: 1 ) &1( , -.1t-\A , \e 1F7t'iy, A, t 1Lt1 -c1-. to 0-,.(v__ .._ C.). Is.,-;te )`C C \i c LAk c, C'- Tax map and parcel: n\ C) - (-')% - ( r" C)J\,(\Q Magisterial District: NA { 2-_ , (\ Zoning: k[ Physical Street Address (if assigned): ( ()J •t P.c_,I \C\ , C_ANO -\\ _t:__,\ \`C ;'S \ .3,- -Z I\ X 11 C / Location of property (landmarks, intersections, or other): trv)r_ ' \EC_\ 1 4-12..41.1W L a_2 \ L- C 1K-%S.G1 - --t:_ i (1\ \L- i\l Pi emu\Ki\ c LA 6c f N r 4 A r i- '3 NA e. (I L_`: i s _ LLA t N c A 1 i P ),/ 1 Contact Person (Who should we call /write concerning this project ?): N '01\Li -L4 , µ4 lti4`' ai , LS V NAN__ , 4 -4—.Y' 0 \NC- -3A i._ W.` ar t LRZ-- -4 r Address bC\ L. r\1, y'o= t.' \ , "k'.1ii' icozcity t N State P\ Zip - C- 1 Daytime Phone ( I ' L \Fax # (Y -Cj-V 11'' ,t__:. 4_1 .. E -mail 1' Ml:.. .c c\Ct: -`.I @ (' o . C C W1 Owner of Record GtibT d ,0 - . C } \c_f ,i\ \ 1 \.— Address 1 -{ -' -i I-s -.C j \ 1 City C3c ( ._i - - \ ire.:A \\___\ _. State NO\ Zip Ja Daytime Phone ( \ 177. 1 . 7...__ - 1 Fax # ( ' L1 `("7 1 OU ( r - s E -mail t N,`L r-, .r T- -G'- ;`c \,_ . C f ( - Applicant (Who is the Contact person representing ?): _`J NQ)-j\ }Yr r '\\ _3 \, (' Ai- Address 11 bC)') , \C S 1Lp, AN('_.;*.jc. City ( ( = `(- C — JN`c= y25,:yState N A Zip / —2Z)ILC ILL, Daytime Phone ( Fax # ( E f ,..L. (, A ` - '' 1- t' i (_ , L. t1 FOR OFFICE USE ONLY SDP # Fee Amount $r /(.), Date Paid `i °(-1 By who? Receipt # '7 S" 7 `l Ck# t 5,3C0:: By: y 4.1-cap. 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 of 2 Intended use or justification fc equest: c YVtit -ctNA , 1i f=l. o,f_: ti 1 t A(:S `tC.)CCtcmA & J zi z C v c A c A r Sr , u 1a!°LC t`\C`.J• t i .T tC tt1.- _`_\1.` i iv.\ I.. rAf. ic E. i u`C1 G c i r', 1C t C_! _\ t : tv A I`C C_`r J rKr A\ \ca Li_ j\l r \1,ti AKi A C L NCN i C t 0 1` t C J\ 1 c L,, NF . i tt-J\NL ( rte:N(` C NkF 1Et= C t- J\V c t at A .1 J rr r C 1`K t 1" r \f l C,\ r . (e- C'N _ `F ('°.A ( L. \\ yi' rJc t 2_ y -1 N `,N\ r k PK\C>c\ VCt t 15' -1 L l Y c 1\ N NUN i l=C( C t r'I CSC i \ 1 Ctti`. `t. Alm- is,.N e F , i 1a. C t 1\.r'\\ckL. u 1a u CF, rr e1, N'!k n _ cc r e- AF l a\-_=: - C i . A .hi'e s t \-C Nk\I y_y=si 1 AC t 1`\e-fS \C i . (..`Lyt_y I+1S1S;;yC' ( l tZ iTii C ATO _ G \(J or Pt l - \ tT (tiv . \ \ N ' yii f h r\LL i j . Q rC s_ - ` tf,`C _t._ tv \ Acs t . Z_f . S t \ x_v - ?.C*. r i C _ tt t.-;Sr L JSe \c>!y rv(t . g}a iCc t StC t \ _ 1;`it'_fti`c_ =` roc__ t.v f_t ai l I' l' o AG, Owner /Applicant Must Read and Sign ice+ t' 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 'Date I Print Name Daytime phone number of Signatory 11//19/07 Page 2 of 2