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Home My WebLink AboutSDP200900012 Application 2009-02-26A'" County Community Development Departmenti ` CUfl V f , G111ai"il2 401 Mcl tire Road Charlottesville, VA 22902 -4596 Voice : (434) 296 -5832 Fax : (434) 972 -4126 Planning Application 1 PARCEL / OWNER INFORMATION TMP 061wO -03- O0-02600 Owner(s): ELDERCARE GARDENS CHARLOTTESVILLE CHOICE HEALTH MGMT SERVICES A R X - R.E. LLC Application # SDP200900012 PROPERTY INFORMATION Legal Description ACREAGE TRINITY MISSION HEALTH & REHAB Magisterial Dist. Jack Jouett Land Use Primary Residential -- Group quarters (incl. fraternities, sororities) Current AFD Not in A/F District Current Zoning Primary Commercial APPLICATION INFORMATION House #Street Name Apt / Suite City State Zip Street Address 1150 NORTHWEST DR CHARLOTTESVILLE 22901 - Entered By: Lisa Jordan on 02/26/2009 Application Type Site Development Plans Project: Trinity Mission of Charlottesville (Storage Sheds) -Minor J 6,512.00 Received Date 02/26/2009 Received Date Final Total Fees $ 95.00 Submittal Date 03/09/2009 Submittal Date Final Total Paid L$ 95.00 Closing File Date Revision Number Comments: Legal Ad SUB APPLICATION(s) Type Sub Application Date Comments: Minor Amendment 02/26/2009 APPLICANT / CONTACT INFORMATION Primary Contact 1 Name Larry Gay Phone # (434) 962 -1586 Street Address 1150 Northwest Drive Fax # City / State Charlottesville VA Zip Code 22901 -0000 E -mail Cellular # ( ) Owner /Applicant Name ELDERCARE GARDENS CHARLOTTESVILLE CHOICE HEALTH MGMT SERVICES A R I -Phone # ( ) Street Address 475 JACK KRAMER DRIVE Fax # City / State MEMPHIS TN Zip Code 38117- E -mail Cellular # ( ) Applicant Name Larry Gay Phone # (434) 962 -1586 l Street Address 1150 Northwest Drive Fax # City / State Charlottesville VA Zip Code 22901 -0000 E -mail Cellular # ( ) Signature of Contractor or Authorized Agent Date Application for 1Vraj or & Minor Site Plan Amendments y and All Reinstatements of Denied or Deferred Site Plans Major Amendment (Subject to Planning Commission Review) = $270 7inor Amendment (alterations to parking, circulation, 1 7folded 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 da 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 = $240 Project Name:S Tax map and parcel:Magisterial District:Zoning: Physical Street Address (if assigned): 1 ,5"I)•.) r ; J C. h G ` ) 1 0 1 - + t . ) ; Location of property (landmarks, intersections, or other): C Y' " t.v e S 1 t dr e Contact Person (Who should we call /write concerning this project ?):G1 (f C'o Address '\5 WeSfi vt City 4 /) SV; State_ G. Zip 9O/ Daytime Phone ( kiyt Q (, A— 15 Fax # ( E -mail Owner of Record r .. i r Co 0 c, / o Y S V c - Address 11 50 e City 1.1 k( o }C SV t it ( State V Zip oto7 / o Daytime Phone (y3`4) q 73- 7 913 Fax # 0'(3` 3 -6 X15$ _ E -mail Applicant (Who is the Contact person representing ?): Address 1 ) 5D 0 o e (\-L t.) t City c, / o -- s t State VG ,Zip o9 9 0/ Daytime Phone (y3yj 96 a - / s ?j h Fax # ( E -mail FOR OFFICE USE ONLY SDP # Fee Amount $ / ) , Date Paid C' .+ By who?Receipt # 1 : t ' ` f ck# 5 6 By , .1 j 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 request: Pr-c- re5e1 - We. t' Ifni il, MiSS;0" o J C1.c Io+t 4ve A S -}Dint On 5i 4c-. Chu e....); e ,an± 1 .4 r l.,Je O 4„ s„.. Chu P 1 t -I GSr el 5 reg i1 4 Ft.Ji /c- L.pc. re4A- - S'i'c - stie 5. this of s.. r e 1 o; • c S u, S lo 0.4',r 5;-}c- f-c) Q - c C c, / . P e 9 u ; r t frt.. r_4" h 1 o-r, Nt sire f.S . t ,J' f c g r e s -f t-\,c_Cool-4 ct pe t o c , 3 S? X go S e 2. s i0 i c.1,.4 s J o C 4 1-..31-, Vt) s r R oat, r s I c to 1 Ja cc ( 1 i c c.c., o / 4.,. ° J c.,.. w , AL Av. C. r CU >S S ,)r9 -vLA Act" cl o.1 1-11e I S; -I.c- cIc, ns 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 ..nditions from the appropriate agencies. c> ign. re of wne ontract Purchaser, Agent Date L 4 r/y3 y- ?C..? -/s .kG Print Name Daytime phone number of Signatory FEB 2 6 2009 1 I//19/07 Page 2 oft Application for J i Site Development Plans and Site Plan Waiver SITE DEVELOPMENT PLANS SITE PLAN WAIVER 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 Non - residential = $1,580 plus $13 /1,000 sq. ft. of dev. 17folded 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 requiredfor first submission Two (2) molars and two (2) paper copies ofplan are required for signing offinal plan GROUNDWATER ASSESSMENT Requiredfor all non - residential site plans not serviced by public water) 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: c 5 .— ± -0 / 4 V._ 3 I'Vt C' Tax map and parcel:Magisterial District:Zoning: Physical Street Address (if assigned): 1 ISO 1 or -1.1-‘ e S ^i i . L Location of property (landmarks, intersections, or other): e t7 , o n W e c.. 1 1-k. a-- d / 4.1,-, w C S - Contact Person (Who should we call /write concerning this project ?): I---.. A /Li Address 1150 uC>r +1,-. t.. ,e,>ri t City L,4.1 le, ii 1 !c State vC, . Zip c2a qU ) Daytime Phone 9(„a- is g ( Fax # ( nn iE -mail I I Owner of Record IA ' S $) D v C a ,, / o l .r r- V,! G M Address 11 So 11)0 L) (5 - NP/i ./ t City e i,oi /off rs v, ik State (1G . Zip 09,29 v J Daytime Phone'jy) 97 79 33 Fax # 0.3t) F73 - (,95S E -mail Applicant (Who is the Contact person representing ?): L--.G ! Address )) 5U A__.)CS /-4 w f /City el,,,, /0 lies vt) c State 1/u . Zip c2,-)9O )1 Daytime Phone q4d - is Fs-4 Fax # ( E -mail FOR OFFICE USE ONLY SDP # Fee Amount $Date Paid By who?Receipt #Ck#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 of 2 Type of Development Residential on- residential Type of unit(s):Commercial Industrial of building(s):Quasi Public 4/3 / S CC) Sq. ft. of building(s):Sq. ft. of building(s):o of units per building:Acreage of site:41 65 Total # of units:Acreage in open space: Resulting density:Acreage in roads: Acreage of site:Average gallons of water used per day: Acreage in open space: Acreage in roads: Average gallons of water used per day: Intended use or justification for request: c r y C S C S 4 c/ 4 L 4 i Pr,-\ -- CO (Ps Y11 Lir_L.)/ e7 tJ, 1'1 vs 2 es Ck/L 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. 41 4ch9 gna.• e o •wn /Contract Purchaser, Agent Date 4 . Print Name I Daytime phone number of Signatory I 11//19/07 Page 2 of 2