HomeMy WebLinkAboutSDP200900063 Application 2009-08-11Community Development Department
Count c -,Albemarle McIntire Road Charlottesville, VA 22902 -4596
Voice : (434) 296 -5832 Fax • (434) 972 -4126
Planning Application 1
PARCEL / OWNER INFORMATION
TMP 05900- 00- OO -023B0 Owner(s): UNIVERSITY OF VIRGINIA HEALTH SERVICES FOUNDATION
Application # SDP200900063
PROPERTY INFORMATION
Legal Description ACREAGE PT L -B
Magisterial Dist. Samuel Miller Land Use Primary Commercial
Current AFD Not in A/F District Current Zoning Primary Commercial
APPLICATION INFORMATION
House #Street Name Apt / Suite City State Zip
Street Address 2955 IIVY RD CHARLOTTESVILLE 122903-
Entered By: Todd Shifflett on 08/11/2009
Application Type Site Development Plans
Project: Long Hospital fPro 7.J Lon Term Acute Careare Hos ital -Minor 6,797.00
Received Date 08/06/2009 Received Date Final Total Fees $ 95.00
Submittal Date 08/10/2009 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 08/10/2009
APPLICANT / CONTACT INFORMATION
Primary Contact
Name [FRANK POLK / TIMMONS GROUP Phone # ( )
I
Street Address 919 2ND ST. S.E.Fax #
City / State Zip Code
E-mail Cellular # )
Owner /Applicant
Name UNIVERSITY OF VIRGINIA HEALTH SERVICES FOUNDATION Phone # I (434) 924 -9321
Street Address 500 RAY C HUNT DR Fax #
Zip CodeCity / CHARLOTTESVILLE VA - - - - --
1 Cellular # (
2 j03- -2981
Signature of Contractor or Authorized Agent Date
Application for Major & Minor Site Pla, Amendments r_
and All Reinstatements of Denied or Deferred Site Plans
Major Amendment (Subject to Planning Commission Review) = $270 Minor Amendment (alterations to parking, circulation,
17 folded copies of plan 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 (Required fbr all non - residential site plans not serviced by public water)
Was a Groundwater Assessment conducted for the existing site plan?
YES
NO jr
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 = $240
Project Name: Lai* 7e - ifei LrT-'' 4 - 6® / "4Z'"
23 8 2 Sl'"
Tax map and parcel:ID Magisterial District: lif / Zoning:
Physical Street Address (if assigned): IVC_ ff
Location of property (landmarks. intersections, or other): SR 2-5 4 l / y z/ 4
milg4)/ eA c/ U/
Contact Person (Who should we calliwrite concerning this project ?): _ / 4A/k.
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Address 9/9 Z ST St City ( rid 411-L -4 7'eidia'A /
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State fit Zip 2 Z.
Daytime Phone 311 7? Fax #, _ Z?) O3/ 7 E -mail AM/A ,PL ! r' 114
N Y /4OwnerofRecord t/ 5 1--lG/2/4 7c, 61 fiC /L1 S1 Gtt/r-
Address B 1 ' S r--.e._a/0 VA Zip 22922(p
Daytime Phone (?$"f Z 732/ Fax # ( E-mail
5 4Applicant (Who is the Contact person representing ?):J f D74 /P__,f—e--e--05(42
Address City State Zip
Daytime Phone ( Fax # ( E -mail
FOR OFFICE USE ONLY SDP #r'f`>
Fee Amount $ qs Date Pain '$,''1 / By who? % /7 P / i 5 f # ? C /- Ck # ' - C / -` Bv: J NA!
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
I li/19 Page 1 oft
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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 maybe.
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 fromappropriate agencies.
7 51/47*
Signature of Owner, Contract Purchase(,Date
Print Name Daytime phone number of Signatory
1 1 , 19/0 Page 2 of