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SDP200900031 Application 2009-04-17
4 uxA ilo County of A Community Development Departmentemarle401Mc,,, re Road Charlottesville, VA 22902 -4596 Voice : (434) 296 -5832 Fax : (434) 972 -4126 tA4 Planning Application 1 PARCEL / OWNER INFORMATION TMP 061WO- 02- 00 -OO1AO Owner(s): JMC ENTERPRISE LLC Application #i SDP200900031 PROPERTY INFORMATION Legal Description ACREAGE PARCEL El Magisterial Dist. Rio Land Use Primary Office Current AFD Not in A/F District Current Zoning Primary Commercial APPLICATION INFORMATION House #Street Name Apt / Suite City State Zip Street Address Entered By: Lisa Jordan on 04/17/2009 Application Type Site Development Plans Project: Collins Medical Center - Prelim 6,601.00 Received Date 04/17/2009 Received Date Final Total Fees $ 1,631.00 Submittal Date 04/27/2009 Submittal Date Final Total Paid $ 1,631.00 Closing File Date Revision Number Comments: Legal Ad SUB APPLICATION(s) Type Sub Application Date Comments: Preliminary — Non - residential 04/17/2009 APPLICANT / CONTACT INFORMATION Primary Contact Name Ray Burkholder ( Balzer & Associates)Phone # (540) 248 -3220 Street Address 1561 Commerce Road Fax # 540) 248 -3221 City / State Verona VA Zip Code 24482-0000 E -mail rburkholder @balzer.com Cellular # ( ) Owner /Applicant Name JMC ENTERPRISE LLC Phone # (540) 949 -5333 Street Address 1571 DUKE RD Fax # 540) 949 -0955 City / State WAYNESBORO VA Zip Code 22980- E -mail Cellular # ( ) Applicant Name JMC Enterprise, LLC - Robert Jonas Collins Phone # (540) 949 -5333 Street Address 1571 Duke Road Fax # 540) 649 -0955 City / State WAYNESBORO VA Zip Code 22980 -0000 j E -mail Cellular # ( ) Signature of Contractor or Authorized Agent Date kpplication for v2 Site Development Plans and Site Plan Waiver SITE DEVELOPMENT PLANS SITE PLAN WAIVER CS 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 14 Non - residential = $1,580 plus $13 /1,000 sq. ft. of dev. 17 folded copies ofplan are required Final Site Development Plan (Administrative Review) Residential = $410 Non - residential = $410 8 folded copies ofplan are required for first submission OR Final Site Development Plan (Subject to Planning Commission Review) Prior to preliminary approval = $1,130 17 folded copies ofplan are required After preliminary approval = $790 8 folded copies ofplan are required for first submission Two (2) inylars and two (2) paper copies ofplan are required for signing of final plan GROUNDWATER ASSESSMENT Required fbr all non - residential site plans not serviced by public Crater) 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: - - --E'1c'h:.--- .r- /T-tn -t Tax map and parcel: I W -' 2 - e - \ A Magisterial District: R . v Zoning: C Physical Street Address (if assigned): Location of property (landmarks, intersections, or other): _ _ L T("t H 4-- C"› Al--P _ _3i Contact Person (Who should we call /write concerning this project ?): Act J Z tlC-0 c- c tZ - i )AC-Z CtCsc Address 1 S ( --- e>rr E tlL Cit y V p E i -c-vJ^State pZi Z'4 9 L'. 2-V Daytime Phone (s'1,+ -) L4e 32-20 Fax # (S L4 P, " 32...2_1 _ E -mail 2-.1n sir I.c -l g e bo. t Ze r- • G C- Owner of Record SA.\.i 4 5 A— %> c—s 4_ .r...t — Address City -State Zip Daytime Phone ( Fax # ( -_ -- - )E -mail Applicant (Who is the Contact person representing''): 3 NA_ G_E L L C 6 E 2 — r J S C c enlS Address l C V yam 12 City l.JANi..Lr ‘,3c>0-. -0 State V/\s Zip 22 t 8C) Daytime Phone K-4 1 5 3 _ _ Fax # (SAO )E-mail `'k —o °j5 FOR OFFICE USE ONLY SDP # Fee Amount 5 . '- fl - -- Date Paid '+ 1 % f ' ° By who.' c_ 1 is Receipt N !'`,ktr / i l k,' ei By: County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 1 1 19/07 Page 1 of 2 Type of Development Residential Non - residential Type of unit(s):IN commercial Industrial of building(s):1:11 Quasi - Public Sq. ft. of building(s):Sq. ft. of building(s): 3, n 3 of units per building:Acreage of site:0 Acreage in open space: 0 U ( Total # of units: Resulting density:Acreage in roads:0, 1 ck Acreage of site:Average gallons of water used per day: 9 S 2-- Acreage in open space: Acreage in roads: Average gallons of water used per day: Intended use or justification for request: 5EE P32_0 c DEsc 2A ?"1" ( NI. o,1 12_0_ trwtt.c.1.4,c2- 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 Date 1 540) 248 - 3 2z o Print Name Daytime phone number of Signatory 11/119/07 Page 2 of 2 Albemarle Community Development Department r'n County Albemarle McIntire Road Charlottesville, VA 22902 4596 Voice : (434) 296 -5832 Fax : (434) 972 -4126 Planning Application 1 PARCEL / OWNER INFORMATION TMP 061W0- 02- 0B -001A0 Owner(s): JMC ENTERPRISE LLC Application # SDP200900031 PROPERTY INFORMATION Legal Description ACREAGE PARCEL El Magisterial Dist. Rio Land Use Primary Office Current AFD Not in A/F District Current Zoning Primary Commercial APPLICATION INFORMATION House #Street Name Apt / Suite City State Zip Street Address Entered By: Lisa Jordan on 04/17/2009 Application Type Site Development Plans Project: Collins Medical Center - Prelim 6,601.00 Received Date 04/17/2009 Received Date Final Total Fees L$ 1,696.00 Submittal Date 04/27/2009 Submittal Date Final Total Paid $ 1,696.00 Closing File Date Revision Number Comments: Reinstatement Fee Paid 7/2/09 Legal Ad Request for preliminary site plan approval to allow the construction of a 3,903 square foot dental officeonTaxMap61W, Section 2, Block B, and Parcel 1A. The site is 0.549 acres in size and is zoned Commercial (C1), Airport Impact Area (AIA) and Entrance Corridor (EC). The subject property is located in the Rio Magisterial District on Westfield Road [State Route #1452], about 300 feet from the intersection of Westfield Road [State Route #1452] and Seminole Trail [State Route #29]. The Comprehensive Plan designates this property as Community Service in Urban Area 2. SUB APPLICATION(S) Type Sub Application Date Comments: Preliminary - Non - residential 04/17/2009 APPLICANT / CONTACT INFORMATION Primary Contact Name Ray Burkholder ( Balzer & Associates)Phone # [(540) 248 -3220 Street Address 1561 Commerce Road Fax # .(540) 248 -3221 City / State Verona VA Zip Code 24482 -0000 E -mail rburkholder ©balzer.com Cellular # ( ) Owner /Applicant Name JMC ENTERPRISE LLC Phone # (540) 949 -5333 Street Address 1571 DUKE RD Fax # 540) 949 -0955 City / State WAYNESBORO VA Zip Code 22980- E -mail 1 l Cellular # ) Applicant Name JMC Enterprise, LLC - Robert Jonas Collins Phone # (540) 949 -5333 Street Address 1571 Duke Road Fax # 540) 649 -0955 City / State WAYNESBORO VA Zip Code 22980 -0000 E -mail Cellular # ( ) Signature of Contractor or Authorized Agent Date