Loading...
HomeMy WebLinkAboutWPO201700043 Preconstruction Form WPO VSMP 2017-08-21 'v I Request for Pre-construction Meeting and Grading Permit #5,T" t from Albemarle County A ,, Approved Plan Number: WPO- -a0 17 00093 Approved Plan Name: Surt5A ©vu'look "Tovoiboot; (Plans must be approved prior to a pre-construction meeting.) Bond approved date: 8 a-) -17 (Bonds must be approved and posted prior to a pre-construction meeting or permit.) Responsible Land Disturber: Print Name: Pau I K0 pec, �.State Certification Number: {3©8 Address OS- City 5 City CL I0 ftS V.1k State VA Zip 2c?0/ Daytime Phone(13$ •D 7 ' ??I I E-mail k'opt-1 @ N U I NJ-C ,(004.7 11 Primary Contractor: Print Name RIC-) t S' Address )& S-- , I City C kJ ,0 II( State VA i Zip ,a.)-?0/ Daytime Phone MI6 3fl - I7 I E-mail M / AlVkI/VC , (®l"� P P� Permit Issuance and First Year Maintenance Fees: (Request must include payment) Total acres proposed to be disturbed is contained on the approved plan and application: VSMP: Acres to be disturbed • Feeue at Grading Permit Less than 1 &$63.80 1 and less than 5 $594.00 5 and less than 10 $748.00 10 and less than 50 $990.00 50 and less than 100 $1,342.00 100 and more $2,112.00 For plans exempt from VSMP,VESCP fees were paid with the application. 7/1/14,Revised: 8/29/14 Page 1 of 3 • THE FRQNT OF THIS CHECK CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT. RYAN HOMES FIELD ACCOMIT beitotaAMO!,Htico(inlyc44,,Ntiiita mommEt, \\, „ `,;r "ett 136'407 \‘'\\ 'Ik4-127 , IlEARTIANDOC4MA NY0131401PRrOuer 'Y‘ ( 2 -VENOR# ;;; &HECK PAY /:z .***** *441.so o8/iV,J,7 138407 „ F*AcTLY: %"'; ;% _; • „" SIXTY,,TBREE DOLT-ARS AND 8 0 CENTS PAY TO THE ORDER OF: VOID AFTER 90 DAYS NVR,INC. CHE VAUD 0 • , ,000.00 COUNTY OF ALBEMARLE 4101/41, - AU !CNA TE 11L 3 6 4 0 70 1:0 L 2 7E384 32 9 SOS 9 2 30o County of Albemarle 084311 Department of Community Development j(y/ Date PH: (434)296-5832 -4 4 11,11 fr RECEIVED FROlyi: ') AMOUNT: /1'it/ b ' • j „ . . 30. 6386 ;.;/ fi/ri 307 308 510 check 1,1 For: cash I/AO '4 y/1 credit eard 1 , By RECEIVED pm47. 0 Ec voAEmUL6 3 20: 042 Person(s)to attend the Pre-construction Meeting: Names(type or print) Firm Contact Number or email lt�lprySo ion f700-?LS LW/ 026'© z/ros- fie-tt 1.1 a, tlo077S 1 2-3 7 ,Poo 3 The second part of the application fee is required to be paid with this request. This fee amount is; FOR OFFICE USE ONLY Permit Issued Date By who? RECEIVED AUG 2 3 2017 CCMNIUNITY DEVELOPMENT 7/1/14,Revised: 8/29/14 Page 2 of 3