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HomeMy WebLinkAboutWPO201700013 Application 2017-03-16 Communi Develpment Albemarle Courk." 4011_ ire Road Charlottesvil e,VA Qe902-4596 Vote:(434)296-5832 Fax:(434)972-4126 Planning Application PARCEL I OWNER INFORMATION IMP 07800-00-00-012A0 Owner(s): MONTESSORI COMMUNITY SCHOOL OF CHARLOTTESVILLE Application# WPO2O1700013 PROPERTY INFORMATION Legal Description (ACREAGE MONTESSORI SCHOOL Magisterial Dist.JRivanna * Land Use Primary Semi-public Current AFD Not in A/F District IN Current Zoning Primary Commercial Office -7 I APPLICATION INFORMATION Street Address 424 PINNACLE PL CHARLOTTESVILLE,22911 Entered By Jennifer Smith Application Type Water Protection Ordinances 2132017 Project Mountaintop Montessori Community School Received Date 02/10/17 Received Date Final Submittal Date Total Fees 200 Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Stormwater Management/BMP Plan 02/10/17 'Erosion arsisediinentControl Plan 02/10/17 APPLICANT /CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell O*ner/'Appi r* 116NI SORT COMMUNITY SCHOOL OF 440 PINNACLE PL CHARLOTTESVILL 22911 ;;;:T;;;;;;;;CO3t3d ROBERT MENASCO 210 CARLTON RD CHARLOTTESVILL 22902 4342936171 Signature of Contractor or Authorized Agent Date *41101 ALp Virginia Stormwater Management Program (VSMP) 81-±70.41,c Application for Albemarle County Project Name: Mountaintop Montessori Community School (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ® No ❑ Is this a revision or resubmission for review? Yes ❑ No 1X County File Number: (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. EX A. Signature of the Property Owner for each parcel: (Required with every submission or revision, NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits will be complied with,and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. TMP 78-12A The Montessori Community School of Charlottesville/ ?-- Tax Map&Parcel Print Name of Property Owner Signature of Owner ate Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Sean D . Carr Address 440 Pinnacle P1 City Charlottesville State VA Zip 22911 DaytimePhone(434) 979-8886 E-mail bharris@mountaintopmontessori . org 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 Nave X B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than 100 $6,100 $3,050 $450 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150(per request) Mitigation Plan;$150 ❑ C. Registration Statement on the official DEQ form. O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. L E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Robert Menasco Address 210 Carlton Rd City Charlottesville State VA Zip 22902 Daytime Phone(434) 293-6171 E-mail robert@martinhorn . com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY �7 I WPO# (2I r 2 Fee Amount D C0Date Paid9//DJ17 By who?hAiri 4)(61 1� 'Receipt#i 6 Ck#�J By: \ 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2