HomeMy WebLinkAboutSDP200800187 Application 2008-12-29County of Al "emarle Community Development Department
401 Mcl Road Charlottesville, VA 22902 -4596
V< 434) 296 -5832 Fax : (434) 972 -4126PlanningApplication1 -
PARCEL / OWNER INFORMATION
TMP 07800- OO- 00 -020M0 Owner(s): MJH FOUNDATION
Application # SDP200800187
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: Todd Shifflett on 12/29/2008
Application Type [Site Development Plans
Project: Martha Jefferson Hospital - Minor 6,424.00
Received Date 12/29/2008 Received Date Final Total Fees $ 95.00
Submittal Date 01/12/2009 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 01/12/2009
APPLICANT / CONTACT INFORMATION
Primary Contact
Name DAN KNAPP c/o GRAEF, ANHALT, SCHLOEMER AND ASSOCIATES Phone # (414) 259 -1500
Street Address 125 SOUTH 84TH STREET, SUITE 401 Fax # 414) 259 -0037
City / State MILWAUKEE, WI Zip Code 53214 -1470
E-mail dan.knapp @gasai.com Cellular # ( )
Owner /Applicant
Name MJH FOUNDATION Phone # (434) 971 -5255
Street Address 459 LOCUST AVE Fax # 414) 259 -0037
City / State CHARLOTTESVILLE VA Zip Code 22902-
E -mail barbara.elias @mjh.org Cellular # ( )
r Applicant
Name DAN KNAPP C/O GRAEF, ANHALT, SCHLOEMER AND ASSOCIATES Phone # (414) 259 -1500 L 1
Street Address 125 SOUTH 84TH STREET, SUITE 401 Fax # 414) 259 -0037
MILWAUKEE, / State WI zip code 53214 -1470
E -mail dan.knapp @gasai.com Cellular # ( )
Signature of Contractor or Authorized Agent Date
Application for .,i.or & Minor Site Plat. 4endments
and All Reinstatements of Denied or Deferred Site Plans K;,
Nlajor amendment (Subject to Planning Commission Resins') — S270 finer Amendment (alterations to parking. circulation,
folded copies afp/an are required building size, location) _ $95
8 fbl(/ed capies of \ketch plan are required
Reinstate Plan Review After 10 da Denial = $200 Reinstate Plane After Site Review Denial or Suspension — $;65
Reinstate flan Deferred b5 Applica m
To a spccrlIC date - `n35
Indchnitel`- 575
fielded copies offlan are rehired
Ground Assessment tflcquu / ell nun rcai( %uliul.W(' 11/(117.1 (nl s( ern rcl /e irhlJ( u )
11 as a Groundwater Assessment conducted for the existing site plan?
1 ES
NO
If NO and the new plans show a use Tess than 2.000 gallons per day Tier 3 Groundwater Review = $4(10
If NO and the new plans show a use greater than 2,1100 gallons per dal Fier 4 Groundwater Review = $1,000
If l'I;S and the use goes from less than to more than 2,0110 gallons per day Tier 4 —'Fier 3 = $400
If YES and the use does not change from less than to more than 2.000 gallons per dad' No fee
Relief from conditions of approval from Planning Commission or landscape waiver b agent = $180
l stcnsion of approval prior to expiration of an appros ed plan 545
Rehearing of Site Development Plan by the Planning Commission or Board of Supervisors = 5190
ppca1 of Site Dev elopment Plan to the Board of Supers isor•s = 5240
Project Name: Martha Jefferson Hospital
Tax map and parcel: 78 -20M 11lagisterial District: Rivanna Zoning: PD -MC
Physical Street Address (if assigned).
Location of property (landmarks, intersections. or other): Peter Jefferson Place, South of State Farm Boulevard, West of US 250
ontact Person (Who should we call sate concerning this proicei ?) Dan Knapp c/o Graef, Anhalt, Schloemer and Associates
Address 125 South 84111 Street, Suite 401 City Milwaukee State WI Zip 53214 -1470
Daytime Phone ( 414 259 -1500 fax t ( 414 ) 259 -0037 mail dan.knapp(agasai com
Ow ncr of Record Martha Jefferson Hospital
Address 459 Locust Avenue City Charlottesville State VA _Zip 22902
l)avtnnc Phone ( 4341 971 -5255 Fax ;: ( 434) 295-9224 I. -mail barbara.elias @mjh.org
Npplicamt (Who n the Contact person representing:'): Dan Knapp c/o Graef, Anhalt, Schloemer and Associates
Address 125 South 84th Street, Suite 401 it Milwaukee State WI Zip 53214 -1470
Daytime Phone ( 414 1 259 -1500 fax tt ( 414) 259 -0037 G -mail dan.knapp @gasai.com
FOR OFFICE ISL ()NIA 51)1' //
l ec mum S t(,,j G t. who' II f k ' it/ . •'` N(Lc r (i l . J I V.1J
County of Albemarle Department of Community Development
401 Mclntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
7 Pagc I ()I 7
Intended use or justificatik r. quest:
New hospital with attached physician office building to replace the existing Martha Jefferson Hospital.
Also see attached letter from Dan Knapp dated December 19, 2008.
Owner /Applicant Must Read and Sign
This site plan as submitted contains all attic information required by Section 32.5 (Preliminary Plan) or Section 32.6 (Final
Plan) of the Albemarle County Zoning Ordinance. 1 understand that plans which lack information required by said sections
shall he 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 hest of my knowledge, I have complied with Section 32.4.3.1 and obtained tentative approvals
for all applicable conditions from the appropriate agencies.
ignaturc of Mites, Contract Purchaser, Agent Datc
77% 2 /3 t(
Print Name Daytime ,hone number of Signatory
11-19107 Page 2 of