HomeMy WebLinkAboutSDP201700071 Application Minor Amendment 2017-12-04 Community Development Department
flit :, Albemarle Couci ., 401loPmffir/tee 43�tl2Charlott5S 2e Fax (434)92 X525 VA
* 1 Planning Application
PARCEL I OWNER INFORMATION
TMP 07800-00-00-031I0Owner(s): MARTHA JEFFERSON HOSPITAL
Application# SDP2O1700071
PROPERTY INFORMATION
Legal Description J ACREAGE 8 OUTPATIENT/SURGERY CR
Magisterial Dist,?Rivanna Land Use Primary Office
Current AFD Not in A/F District• Current Zoning Primary Planned Development Mixed Commercial
APPLICATION INFORMATION
Street Address 595 MARTHA JEFFERSON DR CHARLOTTESVILLE,22911 Entered By
Application Type Site Development Plans ' Jennifer Smith +!
(1274/2017
Project MJH OUTPATIE T CARE FACILITY- MINOR
Received Date 11/28/17 Received Date Final Submittal Date 12/04/17 Total Fees 538
Closing File Date Submittal Date Final Total Paid 538
Revision Number
Comments
Legal Ad
'SUB APPLICATION(s)
Type Sub Appltcatio Comment
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APPLICANT /CONTACT INFORMATION
ContactType Name
Address CttyState I Zip Phone PhoneC.etl
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?rm�ry Contin JORDON CONSULTING ENGINEERS, P.C. 2540 PROFESSIONAL RD. 'RICHMOND.VA 23235 8042727009
Signature of Contractor or Authorized Agent Date
Application for
Major or Minor Site Plan Amendments
Existing Site Plan Name&Number: MJH Outpatient Care Facility
Tax map and parcel(s): 07800-00-00-03110 Zoning: PD-MC
Contact (who should we contact about this project):Jordon Consulting Engineers, P.C.
street Address 2540 Professional Rd
City Richmond State VA Zip Code 23235
Phone Number 804-272-7009
Email peter.matysiak@jorce.com
Owner of Record MARTHA JEFFERSON HOSPITAL
Street Address 500 Martha Jefferson Drive
City Charlottesville State VA Zip Code 22911
Phone Number 434-654-7038
Email mrspatz@sentara.com
Applicant MARTHA JEFFERSON HOSPITAL
Street Address 500 Martha Jefferson Drive
City Charlottesville State VA Zip Code 22911
Phone Number 434-654-7038
Email mrspatz@sentara.com
FEES
❑ Major Amendment la Minor Amendment(alterations to parking,circulation,building
_$1613 size,location)=$538
16 folded copies of plan are required 8 folded copies of plan are required
Notices required by Section 32.4.2.1(f)
Preparing and mailing or delivering up to fifty(50)notices=$215.00 plus the actual cost of first class postage.
Preparing and mailing or delivering,per notice more than fifty(50)=$1.08 plus the actual cost of first class postage.
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 using less than 2,000 gallons/day(average) U Tier 3 Groundwater Review=$548
If NO and the new plans show a use using greater than 2,000 gallons/day(average) U Tier 4 Groundwater Review=$1,183
If YES and the use goes from using less than to more than 2,000 gallons/day(average) ❑ Tier 4 minus Tier 3=$635
If YES and the use does not change from using less than to more than 2,000 gallons/day(average)
❑ No fee
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax:(434)972-4126
REVISED 11/02/2015 Page 1 of 2
Comments/Attachments:
This minor amendment plan consists of:
-addition of concrete pad with retaining wall for installation of oxygen tank for existing building
-removal of two parking spaces to compensate for addition of concrete pad to meet bmp requirements(net area of added
imperviousness is less then net area of created green space-no additional bmp required)
Parking requirements:
existing building net area-73,390 s.f.
367 spaces required
424 spaces existing (per SDP200900089)
2 spaces removed
422 spaces provided
Owner/Applicant Must Read and Sign
❑ Major Amendment
This major amendment as submitted contains all of the information required by Section 32.5(Initial Site Plan)and Section 32.6(Final
Site 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 32.4.3.1
as the case may be.
® Minor Amendment
This minor amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance.
I hereby certify that the information provided on this application and accompanying information is accurate,true,and correct to the best
of my knowledge. By signing this application I am consenting to written comments,letters and or notifications regarding this application
being provided to me or my designated contact via fax and or email. This consent does not preclude such written communication from
also being sent via first class m.'1.
/./ J L //—Li= ( 7
Signat e o it vyner,Co I ract Purchaser, •7' Date
i/ -ii iv 37 isy 7a3 e--
Print Name / Dame phone number of Signatory
FOR OFFICE USE ONLY( SDP 1 9- '1
�}, \wl �] Ifs n .5_071_
t
Fee Amount S e Date Pak . Z$•I iy who?IOtatt
n M Receipt#i 1 I( S 0 Ck#1 I 33 3' B
J14 11119
REVISED 11/02/2015 Page 2 of 2
Application for
Major or Minor Site Plan Amendments 41v;.
Existing Site Plan Name&Number: MJH Outpatient Care Facility
Tax map and parcel(s): 07800-00-00-031I0 Zoning: PD-MC
Contact (who should we contact about this project):Jordon Consulting Engineers, P.C.
Street Address 2540 Professional Rd
City Richmond State VA Zip Code 23235
Phone Number 804-272-7009
Email peter.matysiak@jorce.com
Owner of Record MARTHA JEFFERSON HOSPITAL
Street Address 500 Martha Jefferson Drive
City Charlottesville State VA Zip Code 22911
Phone Number 434-654-7038
Email mrspatz@sentara.com
Applicant MARTHA JEFFERSON HOSPITAL
Street Address 500 Martha Jefferson Drive
City Charlottesville State VA Zip Code 22911
Phone Number 434-654-7038
Email mrspatz@sentara.com
FEES
U Major Amendment m Minor Amendment(alterations to parking,circulation,building
=$1613 size,location)=$538
16 folded copies of plan are required 8 folded copies of are required
Notices required by Section 32.4.2.1(f)
Preparing and mailing or delivering up to fifty(50)notices=$215.00 plus the actual cost of first class postage.
Preparing and mailing or delivering,per notice more than fifty(50)=$1.08 plus the actual cost of first class postage.
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced by public water)
Was a Groundwater Assessment conducted for the existing site plan?
U YES
❑ NO
If NO and the new plans show a use using less than 2,000 gallons/day(average) ❑ Tier 3 Groundwater Review=$548
If NO and the new plans show a use using greater than 2,000 gallons/day(average) ❑ Tier 4 Groundwater Review=$1,183
If YES and the use goes from using less than to more than 2,000 gallons/day(average) ❑ Tier 4 minus Tier 3=$635
If YES and the use does not change from using less than to more than 2,000 gallons/day(average)
No fee
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice:(434)296-5832 Fax:(434)972-4126
REVISED 11/02/2015 Page 1 of 2
‘4410 '4S
Comments/Attachments:
This minor amendment plan consists of:
-addition of concrete pad with retaining wall for installation of oxygen tank for existing building
-removal of two parking spaces to compensate for addition of concrete pad to meet bmp requirements(net area of added
imperviousness is less then net area of created green space-no additional bmp required)
Parking requirements:
existing building net area-73,390 s.f.
367 spaces required
424 spaces existing(per SDP200900089)
2 spaces removed
422 spaces provided
Owner/Applicant Must Read and Sign
❑ Major Amendment
This major amendment as submitted contains all of the information required by Section 32.5(Initial Site Plan)and Section 32.6(Final
Site 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 32.4.3.1
as the case may be.
® Minor Amendment
This minor amendment as submitted contains all of the information required by Section 32.5(Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance.
I hereby certify that the information provided on this application and accompanying information is accurate,true,and correct to the best
of my knowledge. By signing this application I am consenting to written comments,letters and or notifications regarding this application
being provided to me or my designated contact via fax and or email. This consent does not preclude such written communication from
also being sent via firs lass il.
Signature o-•wn r, .ntract Purch er, nt Date
%fir--S3/-2i 5�
Print Name / Daytime phone number of Signatory
FOR OFFICE USE ONLY SDP#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
REVISED 11/02/2015 Page 2 of 2
Comments/Attachments:
This minor amendment plan consists of:
-addition of concrete pad with retaining wall for installation of oxygen tank for existing building
-removal of two parking spaces to compensate for addition of concrete pad to meet bmp requirements (net area of added
imperviousness is less then net area of created green space-no additional bmp required)
Parking requirements:
existing building net area-73,390 s.f.
367 spaces required
424 spaces existing (per SDP200900089)
2 spaces removed
422 spaces provided
Owner/Applicant Must Read and Sign
❑ Major Amendment
This major amendment as submitted contains all of the information required by Section 32.5(Initial Site Plan)and Section 32.6(Final
Site 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 32.4.3.1
as the case may be.
® Minor Amendment
This minor amendment as submitted contains all of the information required by Section 32.5(Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance.
I hereby certify that the information provided on this application and accompanying information is accurate,true,and correct to the best
of my knowledge. By signing this application I am consenting to written comments,letters and or notifications regarding this application
being provided to me or my designated contact via fax and or email. This consent does not preclude such written communication from
also being sent via first class m.1.
//e .aAli.Pr am -
Signat e o i weer,Co act Purchaser, • Date
�� ,, 37 /sY ?'3 e--
Print Name 71 Dame phone number of Signatory
FOR OFFICE USE ONLY ` SDP/0701 9- —�1 7 f P,/�
Fee Amount S'5 %t�lW\Date Paid I.11Y1-137 who?1oela n Receipt#( S0 Ck#\ ,33 B ,' 1 a V 1 v,
CM4,111h
9
REVISED 11/02/2015 Page 2 of 2