HomeMy WebLinkAboutSUB201600245 Checklist 2017-02-16 Sliee '414111,
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,) APPLICATION FOR ROAD PLAN APPROVAL 4, :
Is this an amendment to an approved plan? YesNo J 1Y
Is this a revision or resubmission for review? Yes ' No, i
a County File Number: Sap-2 0 l20 0 0 3 2— (to be provided by County for new applications)
V 8 Copies of theP1ai.1.t9_he_slil>lnitterJ.a7d.distrib#rtPd by the County_as=follows: ____— 1
2 Copies to County Engineering
1,1 I Copy to Albemarle Fire and Rescue
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1 Copy to Planning for Street Trees and other landscaping review E
2 Copies to Albemarle County Service Authority V
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2 Copies to Virginia Department of Transportation
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Have you submitted plans separately to any agencies listed above? Yes T No
List Agencies:
it Project Name T/✓t ,A4/LL eh- CA/00'6, A/ / 4"NTA.v//e:4�
g Tax map and parcels 72 3 Z.-
Zoning ie A
Physical Street Address (if assigned): `o Q'r? .>�Mal– /t91LLat /OOid
CfXtYZLair ATV)L Lk/ I/eQ 221a
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Applicant 7//6 m/ttex. .s'WCci 'A , G :'gl�Ji,Lt�
Street Address /O 49 ri' S/ ,7?e/-2 /L t-
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Owner of Record ,j;JO t AS 0GA/'`2-
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' Street Address
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City State Zip Code
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is Contact (who should we contact about this project):Milll/Oipri piioivivi,Jc 6 atiUr,t.L c- 1.
Street Address 9' / 7//yt cu c c 6 / 57-6 zc e li
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£' County of Albemarleil
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art, Department of Community Development ,
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 1'`r
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Page 3 COUNTY OF A! BEMARLE
APPLICATION FOR ROAD PLAN APPROVAL
FEES
ROAD PLANS FOR PROPOSED SUBDIVISION
*If public and private streets are proposed,pay the higher of the two fees(private street)
8 copies of the road plan are required for all submittals
Public Street Fees Private Street Fees
❑ For each review of a submitted plan,including re- ❑ Authorization of one or more private streets within
views of revisions after plan approval=$269 a subdivision filed separately from a subdivision appli-
cation=$720
For each review of a submitted plan, including re-
views of revisions after plan approval =$430
VARIATIONS OR EXCEPTIONS
BEFORE APPROVAL OF A PRELIMINARY PLAT
❑ Variation to or exception from street interconnection requirements=$581
❑ Variation to or exception from one or more street standards =$581
❑ Variation to or exception from curb and/or gutter requirements=$581
AFTER PRELIMINARY PLAT APPROVAL AND
BEFORE FINAL SUBDIVISION PLAT APPROVAL
❑ Variation to or exception from any requirement of Chapter 14 for which a variation to or exception from is au-
thorized after approval of a preliminary plat and before approval of a final plat =$892.00. Attach written justifica-
tion
AFTER FINAL PLAT APPROVAL
❑ Variation to or exception from any requirement of Chapter 14 for which a variation to or exception from is au-
thorized after approval of a final plat=$892.00. Attach written justification
SURETY/BONDING
If required to construct a street,the subdivider shall pay to the county a fee equal to the cost of the inspection of the con-
struction of any such street. These fees shall be paid prior to completion of all necessary inspections and shall be deemed a
part of the cost of construction of the street for purposes of section 14-435(B).
The bond process and forms can be found at the document center under bonds. After a plan is approved,a bond estimate
request firm must be submitted to the Community Development office with the required fee. The owner signatures will be
verified for each parcel affected,and estimates will be prepared by the engineering reviewer. A bond amount will be pro-
vided to the owner. Bond agreements will be prepared by the county,and when properly completed by the owner,will be
reviewed and signed by the County Attorney and County Engineer. Please allow a few weeks for this process.
Stre iii01
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a 3 APP .CATION FOR R D FLAB APPROVAL wit
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Owner/Applicant Must Read and Sign
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The foregoing information is complete and correct to the best of my knowledge. I have read and understand the
.provisions_of_Chapter_1-4 Subdivision-of-Land of-the Albemarle County Code, and-the-Design Manual, and ani-
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consenting to all correspondence from Albemarle County be in any of the following forms in writing; by first
4, class mail, by personal delivery, by fax or, by email.
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Signature of Owner, Contract Purchas , At
Date
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Print Name Daytime phone number of Signatory
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FOR OFFICE USE ONL ' SU13#
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