City of Charlotte Land Development Services FY 12 Urban Design Review Application This application must be included with all submittals and resubmittals. Applies to all projects located within Uptown Mixed Use Development (UMUD), Mixed Used Development District (MUDD), Pedestrian (PED) Overlays, Transit Station (TS) Overlays, and Transit Oriented District (TOD) Overlays. Please put an “X” in the box for the appropriate zoning for this submittal. A. Plan Submittal: Paper EPlan (Check all that Apply) See Minimum Submittal Requirements on Page 3 Initial Submittal Footing & Foundation Only Shell Only All Requested Additional Information Re-Submittal (Complete Sections A & B; Complete sections C & D ONLY if information has changed from last submittal) Changes to Previously Approved Plans. Changes include____________________________________ _____________________________________________________________________________________ Includes: Sealed Civil Drawings/Site Plans (12 Copies) includes Grading and/or Detention Plans, Landscape Plans and Building Elevations Notarized Financial Responsibility Form Sealed Design Calculations (2 Sets) SWIM Buffer Compliance Plans (2 Sets) Watershed Protection Compliance Plans (2 Sets) Additional information requested for State transmittal: Sealed Civil Drawings for NCDOT Driveway Permit (5 Sets) Landscape Drawings for NCDOT Right-of-way Plantings Permit (2 Sets) Signed NCDOT Driveway Permit Applications (5) B. General Information: Date: Project Name: Scope of work (required):_____________________________________________________________________ Project Address: (If address is unknown, then state “block #____”) Tax Parcel ID #: Site Use: Zoning: Rezoning Petition Number: Open Space (sq. ft.): Solid Waste: Acreage (Total Site): Denuded Area (Acres): Existing Impervious Area (sq.ft.): Existing Trees (per Tree Ordinance): New Imp. Area (per Tree Ordinance) (sq.ft): New Trees (per Tree Ordinance): Public New Impervious Area (sq. ft) (per Storm Water Detention Regulations): Private Other __________________ Multi Family Type (please circle): Apartment Condominium Townhomes Number of Hotel Rooms:_____________________________________________________________________ Please complete the following. If not applicable, please mark N/A. # Residential Units: # Parking Spaces: Office Space (sq. ft.): Retail Space (sq. ft.): # Hotel Rooms:_________________________________ O&D Zone: To be completed by City of Charlotte Staff 7/11/2011 Page 1 of 4 C. Project/Property Owner Contact Information: This party will be on record as the party to accept any Notices of Violation or related documents for any nonpayment. Payment methods are cash, credit card, check (payable to the “City of Charlotte”), or an established Mecklenburg County account. Project/Property Owner: Organization/Professional Name: Tax Identification Number: ___________________________________________________________________ Owner Address: (Street Address) Telephone: (City, State) (Zip Code) Fax: (Area Code) (Area Code) Email Address: If this submittal requires subdivision approval, signature of the owner is mandatory. If applicant signature is not property owner of record, documentation must be attached to application for an authorized agent signature. Signature:_________________________________________________________________________________ D. Design Professional Contact Information: Contact Name:_____________________________________________________________________________ Organization Name Address: (Street Address) Telephone: (City, State) (Zip Code) Fax: (Area Code) (Area Code) Contact Email Address:______________________________________________________________________ If the design professional listed above is not the licensed professional for this project, please provide: Licensed Professional’s name: _________________________________________________________________ North Carolina license number: ________________________________________________________________ E. Mecklenburg County Submittal Has this project been submitted to Mecklenburg County Building Standards? Yes No If yes, please provide the Mecklenburg County tracking number:_____________________________ 7/11/2011 Page 2 of 4 NOTE: Minimum Submittal Requirements Plans may be submitted electronically. Information for submitting an EPLAN review can be found at http://landpermits.charmeck.org Completed Urban Design Review Application form required with each submittal, resubmittals, and additional information requests. Projects with incomplete applications will not pass the gateway review, thereby delaying the review process. All plans must be folded to 8 ½” x 11” with title block visible. No hard cover binders. Correct number of plans with the associated documents (i.e., Financial Responsibility Form, driveway permits, calculations, etc.). NCDOT driveway permit applications must have original signatures on each copy. City staff will contact the professional when plans are ready for NCDOT review. The owner/professional must transmit plans and applications to the State for approval with the State’s application fee. The City of Charlotte will not accept checks payable to NCDOT. NCDOT driveway reviews will take from 4-6 weeks to 6 months depending upon location and complexity of site. Download NCDOT driveway permit application at http://www.doh.dot.state.nc.us/forms/files/TEB65-04.doc All fees will need to be submitted with the initial submittal. Occasionally, additional fees may need to be assessed at the time of plan approval. The owner and design professional will receive notification via phone and email advising of the outstanding fees due upon the pickup of approved plans. Please note, all fees should be made payable to the City of Charlotte. Once plans are approved and if such plans have additional assessed fees, such plans will need to be paid in full by 30 days after plan approval or 30 days from contact by city staff that the approval package is available for pick-up. After 30 days, the account will be sent to the City of Charlotte’s collection department. If payment is not received for services rendered, any or all information provided on this application (including tax identification number) will be used for collection purposes. When hardcopies of plans are submitted, upon approval of plans, City Engineering will request that the applicant submit an electronic copy of the approved plan set (signed/sealed by professional) in Adobe PDF format to the e-mail address ldplans@charlottenc.gov. Once the PDF files are received, city staff will electronically stamp the files and attach them permanently to the associated permit record in Accela. This process enhancement will allow LD to maintain a digital archive of approved plans for easy access for research and retrieval. 7/11/2011 Page 3 of 4 City of Charlotte Engineering & Property Management FY12 Land Development User Fees Urban Design Plan Review FEE PAYMENT All fees will need to be paid at the time of the initial submittal of plans to the City of Charlotte’s Land Development Office. Occasionally, additional fees may need to be assessed at the time of plan approval. The owner and design professional will receive notification via phone and email advising of the outstanding fees due upon pickup of approved plans. Please note, all fees should be made payable to the City of Charlotte. Urban Design Plan Review & Inspection: Fee applies to Uptown Mixed Use Development (UMUD), Mixed Used Development District (MUDD); and includes Pedestrian (PED) Overlay, Transit Station (TS) Overlays, and Transit Oriented District (TOD) Overlays (see Commercial Plan Review & Inspection Fee). Urban Design Plan Review & Inspection: $6,620 = $3,295 (Engineering) + $1,975 (CDOT w/o Driveway Permit) + $1,350 (Planning) OR $6,820 =$3,295 (Engineering) + $2,175 (CDOT w/ Driveway Permit) + $1,350 (Planning) OR Revision to Approved Plan If yes, fee is $1,020 Grading: Grading more than an acre: Yes No If yes, add $4,190: * Required, only, when 1 acre or more is disturbed. Exact number of denuded acres: _______@$150 per acre denuded. Total due: Detention: Detention, required: Yes No ________________________ ________________________ ________________________ ________________________ __________________ If yes, add $2,240: Exact number of denuded acres: ______@$100 per acre denuded. Total due: __________________ ________________ Subdivision Plan Review: Fee applies to Subdivision review required for approval of new public or private street(s): Yes No. If yes, please check and include the applicable Planning review fee noted below: Residential (single family) subdivision Yes No If yes, add $1,225: _________ Multi-family (apartment/townhome/condo) Yes No If yes, add $1,675: ________ Mixed development (residential/non-residential) Yes No If yes, add $1,225: _________ TOTAL DUE AT PLAN SUBMISSION ________________________ If plans are not picked-up and any remaining balance is not paid by 30 days after contact by the City of Charlotte staff for pick-up of the initial submittal of redlines or plan approval, the account will be sent to the City of Charlotte’s collection department. 7/11/2011 Page 4 of 4