Residential Building Permit Handout.pdf
Transcript of Residential Building Permit Handout.pdf
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126
January 12, 2009; Revised – 10/30/14, 11/1/15, 02/24/17, 3/27/2017
1
RESIDENTIAL BUILDING PERMIT APPLICATION
PACKET/INFORMATION
Residential Building Permit Applicant:
The information attached has been developed to assist you with applying for a Residential
Building Permit. Enclosed you will find:
1. Building Permit Online Services Information
2. Building Permit Application;
3. Process Information;
4. Inspection Guidelines;
5. Minimum Standards for Drawings;
6. Residential Swimming Pool Permit Checklist;
7. Building Permit Fee Schedule
8. Addressing Notice
9. Private Groundwater Well Testing Information
10. Notice to Homebuilders of Single-Family Attached Homes – Effective 1-1-2017
11. Virginia Stormwater Management Documents and examples (VSMP, ESCP, SWMP,
SWPPP, PPP, Critical Resources Plan).
Please review the information and complete the attached application. The completed Residential
Building Permit Application may be mailed to the address on above letterhead; and/or delivered
to the Community Development office at 401 McIntire Road – 1st floor, North Wing.
Upon receiving completed application, an Intake Specialist will be assigned to your application
for review and processing. You will be contacted by an Intake Specialist who will discuss
provisions for payment of fees and clarification of any information that has been provided.
We do hope that our customers find this packet of information useful when applying for a
residential building permit. Comments and suggestions may be submitted in writing or by
calling our department at 434-296-5832.
Sincerely,
Community Development Staff
Issued October 17, 2016
TO: ALL Community Development Building Permit Customers
DID YOU KNOW?
The Community Development Department now offers online services and email
notifications for many of your Building Permit needs.
� Need to know your Building Permit Number before the permit is issued? (email address
required)
o If contact email addresses have been provided, once your Building Application has been
entered into County View (Albemarle County's development tracking system), Primary Contact
or General Contractor will be notified via email to advise that your permit is being processed
and to provide the Building Permit Number.
� Need to know the status of your Building Permit?
o Using the Building Permit Number – you can access County View Web’s Building Application -
Inspection and Reviews Page to track the building permit through the Review Process. You will
know immediately which review types are pending and which have been approved or denied.
You can access building permits on County View Web at: http://countyviewweb.albemarle.org.
� Need to know if your Building Permit has been issued? (email address required)
o If contact email addresses have been provided, once your Building Permit has been issued, the
Primary Contact and/or General Contractor will be notified via email that the permit is ready for
pick-up or mailing. You can also find the status of your building permit on County View Web.
� Need to know the results of your inspection?
o Inspection results are typically entered in County View the afternoon of the inspection. Using
your Building Permit Number - you can access the Building Application - Inspection and
Reviews Page in County View Web the following day to find out if your inspection was
approved or denied.
� Need a Certificate of Occupancy? (email address required)
o If contact email addresses have been provided, once your building permit has been completed
and a Certificate of Occupancy (CO) issued, the CO will be emailed to the Primary Contact. You
may also get copies of your CO online through County View Web – Building Application Permit
Documents Page.
� Questions about how to use County View Web?
o If you have questions about how to use County View Web, or are curious about other
information that may be available, please visit County View Web’s FAQ and Tutorials page at:
http://www.albemarle.org/department.asp?department=cdd&relpage=2769;
or send an email with your questions to [email protected].
PARCEL/OWNER INFORMATION STREET ADDRESS
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902-4596
Voice: (434) 296-5832 Fax: (434) 972-4126
TMP ______________________________
Current
Owner(s) ______________________________
House # Street Name Apt / Suite
BUILDING WORK INFORMATION
Work Class:
Addition
Alteration
New
Demolition
Remodel
Other
Frame Type:
Concrete
Masonry
Steel
Other
Wood
Vinyl
Water Supply Type:
Artesian Well
None
Central Well
Private
Public
Sewage Disposal
Type:
None
Private
Public
Footing / Foundation
Type:
Basement
Crawl Space
Other
None
Slab
Jurisdictional Area Other Foot /
Found Desc.:
Work Valuation Power Company
Work
Description
Directions
Use Group
Construction Type
# of Stories
1st Floor
2nd Floor
3rd Floor
Finished Basement
Other Habitable
Total Habitable Sq. Footage
Porches
Decks
Garage
Swimming Pool
Unfinished Basement
Other Unfinished
Total Unfinished Sq. Footage
Total Building Sq. Footage
Square Footages:
Front
Left Side
Back
Right Side
Zoning Pre-Construction?
Fire Alarms Required?
Fire Sprinkler NAPA Code Year?
Setbacks:
Inspection Line: (434) 972-4179 Building Application
Land Use?
Bldg Pre-Construction?
PROPOSED USE INFORMATION
Dwelling Units
Carports
Garages
Other
Accessory Structures
Bedrooms
Mobile / Prefab. Homes
Baths
Kitchens
Elevators/Escalators/Lifts
Mobile Offices/Prefab. Units
Paint Spray Booths
Swimming Pools/Hot
Tubs/Spas (Res. Only)
APPLICATION CONTACT INFORMATION
Primary Contact
Cellular #
Phone #
SUB-CONTRACTOR INFORMATION
Business Name: License Types: State License # Locality License #
City / State
Street Name
Name
Fax #
Zip Code
E-mail Cellular #
Phone #
City / State
Street Name
Name
Fax #
Zip Code
Owner / Applicant
E-mail Cellular #
Phone #
City / State
Street Name
Name
Fax #
Zip Code
Mechanics Lien
E-mail Cellular #
Phone #
City / State
Street Name
Name
Fax #
Zip Code
General Contractor
Separate permits may be required for Electrical, Plumbing, Heating, Ventilating, and Air Conditioning.
This permits becomes null and void if work or construction authorized is not commenced within 6 months, or if
construction or work is suspended or abandoned for a period of 6 months at any time after work is commenced.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provi-
sions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or
local law regulating construction or the performance of construction.
By signing this building permit, the owner and/or their agent hereby grant employees of the Albemarle County
Community Development & Real Estate Departments the right to enter and inspect the subject property Monday
through Friday between the hours of 8:00 a.m. and 5:00 p.m., holidays excepted.
If you are not the owner of record, please check which applies:
I certify that I am the agent for ________________________________________________________ ,
The Owner, and am authorized to submit this application on behalf of the Owner under the agency
I am neither the Owner nor the Owner’s agent. I certify that written notice of this application, by pro-
viding a copy of this application, will be mailed to the Owner at the following address:
Within 10 days of today’s date as required by Virginia Code §15.2-2204(H). I understand that, if I do
not provide the notice to the Owner as provided herein, the building permit application and every other
subsequent approval, permit or certificate related thereto could be determined to be void.
__________________________________________________________________________________
Signature of Owner, Contractor, or Authorized Agent Date
Signature of Owner, Contractor, or Authorized Agent Date
ELECTRONIC RECORDS STATEMENT: Albemarle County is creating and using electronic records
and electronic signatures as allowed by the Uniform Electronic Transactions Act (Virginia Code §
59.1-479 et. Seq.). As an applicant to the Building Permit process, you may consent to receive, or have
online access to, electronic records and receive and create records having electronic signatures related
to Building Permits, Correspondence, Inspection Tickets and Certificates of Occupancy (the Building
Permit transactions).
Initials of Owner, Contractor or Authorized Agent Date
Your agreement to conduct Building Permit transactions by electronic means does not prevent you
from refusing to conduct other transactions by electronic means.
PRINT OWNER NAME
PRINT ADDRESS CITY/STATE ZIP CODE
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126 Inspections Hot Line (434) 972-4179
Dear Applicant:
Thank you for applying for a Building Permit with the Department of Community Development. We hope you find this handout beneficial as you go through the application and building processes.
Once your application is complete, it will be processed and reviewed as quickly as possible. A typical application requires seven to
ten (7 – 10) business days to review, but may vary depending on staff workload and the complexity of your application.
Your application will be considered complete and ready for the review process once we have the following:
1. A complete and accurate Building Permit Application form, to include all applicable State and County Contractor
License Information (i.e. Contractor License Numbers, Locality Business License information, for all General and
Sub-Contractors),
2. Payment of applicable Building Permit Fees (cash or check - expected day of the initial application request),
3. Required documentation, which may include the following:
a. Two (2) copies of your plans (See Minimum Standards for Drawings handout enclosed)
b. Two (2) copies of your RECORDED PLAT for all new and exterior additions/renovations. You will need to show the location of project on the plat and distance to property lines.
c. Virginia Stormwater Management Program (VSMP) documentation; Erosion & Sediment Control Agreement or
Plan, SEE LINK on last page), Critical Resources Map, Stormwater Pollution Prevention Plan (SWPPP, SEE LINK
on last page)
d. Groundwater / Well documentation via the Thomas Jefferson Health Department
e. Commercial Permits – two (2) copies of the approved, signed site plan.
Please note that if you do not provide all required documentation for this application within six (6) months of your initial application
date, your application will become VOID. Should you wish to continue with your project at a later date; you will be required to
initiate a new application, complete with documentation and fees.
Once your application has been reviewed and approved; you will be issued a Building Permit. Your Building Permit and associated
stamped plans must be onsite throughout the building process and available for public inspection.
For those projects that have a Virginia Stormwater Management Program (VSMP) requirement, the building permit and
Stormwater Pollution Prevention Plan (SWPPP with inspection documents) must be posted in a prominent place on the
construction site. This can be in a central location on-site if more than one lot is under construction, or on the lot. All VSMP
documents must be accessible by the county engineering inspector at all times. It is a permit violation not to have the SWPPP
information posted.
You are now ready to begin work on your building project.
To keep your Building Permit active throughout the building process, YOU MUST COMMENCE WORK WITHIN SIX MONTHS
OF THE ISSUANCE DATE, AND YOU MUST REQUEST AT LEAST ONE (1) INSPECTION WITHIN A SIX-MONTH TIME
PERIOD until the project is complete. If you are not ready for a specific inspection type, you may keep your permit active by
providing other evidence that work is being performed.
You will be issued a CERTIFICATE OF OCCUPANCY, prior to occupancy, once this department has received all (if applicable)
Health Department Operations Permits; and your project has received APPROVAL ON ALL REQUIRED INSPECTIONS. An
APPROVED FINAL INSPECTION may serve as your CERTIFICATE OF OCCUPANCY for internal alterations to existing
buildings or structures.
If you have questions at any time throughout the application or building process, please feel free to contact us at the address or
numbers above. You may track the status of your application/building permit and inspections via the web at
http://countyviewweb.albemarle.org.
January 12, 2009; Revised – 10/30/14, 5/4/15, 3/27/2017
6
INSPECTIONS GUIDELINES Inspections are a vital part of the building process to ensure that your building project meets State and County Codes. These
Codes/Inspections are intended to protect the safety and welfare of our citizens.
To keep your Building Permit active throughout the building process, you must request at least one (1) inspection within a six-month
time period until the project is complete. If you are not ready for a specific inspection type, you may keep your permit active by
providing "other evidence" that work is being performed. "Other evidence" must be in writing to this office, in the form of a simple
progress report/memo stating what progress has been made during the past six (6) months. To ensure your report/memo is processed
correctly; please include the Building Permit Number and Owner Name & Address.
The complexity of your building project will dictate your required inspections. Simple projects (i.e. Small Sheds) may require only Zoning
Inspections to ensure buildings are not placed in easements, or that they meet property setback guidelines. More complex projects may
require numerous types of inspections. If you have questions about required inspections, please contact this office during normal business
hours (8:00 a.m.-5:00 p.m., Monday—Friday).
Code Inspections may be requested via the Inspection Hotline at (434) 972-4179, or by contacting this office. You may place an
Inspection Request at any time, but the request must be received before 4:00 p.m. during business hours (Monday — Friday) to be
placed on the next business day's Inspection Schedule. Requests received after 4:00 p.m. will be scheduled for the second business day.
Due to workload; requests for specific inspection times cannot be honored. If you require an approximate time for your scheduled
inspection, you will need to contact your inspector between 8:00-8:30 a.m. the day of your inspection.
If you have specific Code questions during your project, you may request to speak to an Inspector during their in-office times of 8:00-8:30
a.m. and 3:00-4:00 p.m., Monday—Friday. You may also request to speak to the Plans Reviewer during the business hours of 8:00 a.m.-3:00
p.m., Monday-Friday.
A Preliminary Zoning (PZ) Inspection may be required for some projects prior to the issuance of the building permit to verify property line
setbacks and easements. Please mark the property lines, and stake-out the four corners of the structure. Please ask your Intake Support
Specialist at the time of application if a PZ is required.
Typical Required Code Inspections:
1. Footing Excavation Inspection prior to the placement of concrete; and Preliminary Zoning Inspection, if not already performed.
2. Foundation waterproofing and drain tile inspection prior to backfill.
3. Rough-in Inspections for Electrical, Mechanical and Plumbing installations prior to a Framing Inspection. Or, IF all Rough-in
installations are ready, they can be scheduled with the Framing Inspection.
4. Framing Inspection (after Rough-ins have been approved or with Rough-ins).
5. Insulation Inspection prior to the installation of gypsum board. (Note: The R values for Albemarle County are as follows; R15 for
exterior walls, R19 for floors and R38 for roofs and ceilings.)
6. Final Inspections for Electrical, Mechanical, Plumbing, Zoning, Building and Engineering.
7. Depending on your project; other inspections may be required (e.g. Inside Gas Line, Outside Gas Line, Underground Tank, Above
Ground Tank, Water Line, Underground Tank, etc.) prior to your Final Building Inspection.
VSMP Inspections;
Virginia Stormwater Management Program (VSMP) inspections will occur at the start of your project and randomly at any other time.
These inspections will be to ensure that all erosion and sediment control measures and any stormwater management measures are in
place and functioning correctly. Additionally, measures from the stormwater pollution prevention plan will be checked, as well as
inspections which should be occurring on-site by the designated operator and the designated responsible land disturber. All inspection
documentation must be available and posted prominently on-site for the benefit of the VSMP inspector and the public. Please be aware
that the operator must be performing inspections of the site at the intervals specified in the state general construction permit.
Occupying a new building:
Prior to occupancy of any new building, permission must be obtained from the Building Official in the form of a Certificate of
Occupancy, or a Temporary Certificate of Occupancy.
To obtain a Certificate of Occupancy all Final Inspections must be completed and approved. If you are on a private water/septic system,
you must also provide this office with an Approved Operations Permit from the Thomas Jefferson Health Department (434) 972-6259.
Certificates of Occupancy are normally issued after 3:00 p.m. the day following your Final Inspections and receipt of all required
Operations Permits.
Temporary Certificates of Occupancy are granted under certain circumstances, and can only be granted at the discretion of the
Building Official.
January 12, 2009; Revised — 10/30/14, 5/4/15, 3/27/17
� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � ��
� � � � � � � � � � � � � ! " � � # � $ ! % � # & � % $ � � � � � ' # � � � � � ( � ! � � � ! $ � $ ' ) % � � � $ � � * � � " * + # � � � $ ,- , . $ # � % � � � ( � * " # ) $ # & / � ) � � % � # � � � ( � ! � � � ! $ � $ ' ) % � ,0 , 1 � " $ % � # � 2 ) % 3 4 ( � � $ # + � � # � � � � � � " $ % � # � 5 � % ) ) � ( # � 6 � � � 5 � � � � # & � # $ � ( % $ � ( # � 6 � � � 5 ' # � !) � � % � # � � % $ � # 7 � � ,8 , 1 ) � � ! 2 ) % 3 9 % � � + � � 5 � # ! � � � ) � � ! 5 � � � � $ � ) � � ! 5 � � � , 5 % � % ' ' ) # � � , : % * � ) ! � � + � % $ # � ) " $ � $ # + � � # � � ,; , 1 ) � � ! 1 ! % + # & 2 ) % 3 4 ( � � � # 7 � % $ � ' % � # & � � � ) � � ! < � # � � � , . � ) " $ � * � % + � # 7 � � % $ ' � � � ) � � % � # � � , . �" � # & � ) � � ! � ! " � � � � 5 � ( � � ( � ' $ ! % � # & � + " � � * � � � ( � < � * � # � � % � � ( � � # + � � � � ( � # � ' � � � # � ,= 4 � ! " � � " ! % ) ' ) % ! � > # � � � � ) " + * � ! � # ) ) % � � " + � � ( % � 4 � " � ( � ! ? � ) ) � � 2 # � @ 0 # � * � # & " � � $ =A , B � � � 1 ! % + # & 2 ) % 3 4 ( � � � # 7 � 5 � ' % % $ � ' % � # & � � ! % � � � ! � , . � " � # & ! � � � � ! " � � � � � ( � � ( � ' $ ! % � # & � + " � �* � � � ( � < � * � # � � % � � ( � � # + � � � � ( � # � ' � � � # � ,C , � D ' # � % ) E % ) ) 4 � � � # � 3 . $ # � % � � � ( � � # 7 � % $ � ' % � # & � � � � " $ � , 1 � ! % D � % ) ) � ' � # & � & ! � % � � ! � ( % ; � � � �' ) � % � � � ( � � ( � % $ � ! � # 7 � � ,F , G ) � > % � # � H 9 " # ) $ # & I � # & ( � J G ) � > % � # � � � ! $ # + � � # � � � � $ � + � � � ! % � � * " # ) $ # & ( � # & ( � ,K , 1 � ! % D % $ $ # � # � % ) # � � ! + % � # � % $ � ! L " � � � # � � ' ) � % � � � � � % � � M � # � ( I " � 6 � � � ' 5 ; 8 ; N 0 O C N A K 8 0 � P � , 8 0 ; - ,Q R S T U V T W X T Y Z T W [ T \ S R ] ^ S W _ T ` R a X b a ] Z \ ] ^ c Y T X d ] S X T e a T [ S [ W S W ^ ` S ] d T \ a X ] ^ c R a X b a [ ] ^ T [ [ f R a X [ R gR Y T X W S ] R ^ h i R ^ \ W ` j k X ] \ W ` g X R d l U m m W n d n j o U p m Y n d n q n r R s T t T X u ` R a X s W ] S S ] d T v W ^ b T X T \ a v T \ b `W Y Y Z ` ] ^ c g R X ` R a X b a ] Z \ ] ^ c Y T X d ] S b T S s T T ^ S f T f R a X [ R g w U m m W n d x y z U m m Y n d n R X b T S s T T ^ z U m m Y n d xo U m m Y n d n
January 12, 2009; Revised – 10/30/14, 5/4/15, 3/27/17
RESIDENTIAL SWIMMING POOL PERMIT CHECKLIST
When applying for a permit for a Swimming Pool, please have the following items:
TWO COPIES OF YOUR RECORDED PLAT INDICATING:
PROPOSED LOCATION OF THE SWIMMING POOL
DISTANCES TO ALL PROPERTY LINES WITHIN 100 FEET
You may obtain a copy of your recorded plat at the Albemarle County Clerk’s Office – 2nd Floor, 501 E.
Jefferson Court Square, Charlottesville, Virginia - business hours are 8:00a.m. - 4:30p.m., Monday
through Friday – Phone 434-972-4083.
You must also show the location of the following (if applicable) on the copies of your recorded plat. If
you do not know the location of the following items, you may obtain this information from the Thomas
Jefferson Area Health Department at 1138 Rose Hill Drive, Charlottesville, Virginia – business hours are
8:00a.m. - 4:30p.m, Monday through Friday – Phone 434-972-6219.
LOCATION OF WELL CAP LOCATION OF EXISTING SEPTIC FIELD
LOCATION OF RESERVE FIELD AREA
THOMAS JEFFERSON AREA HEALTH DEPARTMENT APPROVAL OF POOL LOCATION Once you have applied for your pool permit with the Department of Community Development, it will be
your responsibility to take the permit information and accompanying copy of recorded plat to the Thomas
Jefferson Area Health Department for review. Once the Thomas Jefferson Area Health Department has
approved the location of the pool, return to Community Development Department for issuance of the
permit (barring any other problems). The purpose of this requirement is to ensure that compliance with
Section 4.1 of Albemarle County’s Zoning Ordinance is maintained, and that the addition of a pool
does not remove the only available reserve septic disposal field area.
NOTE: A Preliminary Zoning Inspection is required prior to your permit being issued. Once the
area has been marked (staked), it is the responsibility of the CUSTOMER AND/OR
CONTRACTOR to schedule this inspection by contacting the Community Development
Department at 434-296-5832.
January 12, 2009; Revised – 10/30/14, 5/4/15, 3/27/17
RESIDENTIAL SWIMMING POOL PERMIT CHECKLIST (CONT’D)
For your information, following is a list of Safety Enclosure requirements based on the 2012 International
Swimming Pool and Spa Code (ISPSC).
ISPSC requires that all residential swimming pools, over 24” deep, whether in-ground or above ground, be
enclosed with a fence or an approved power safety cover complying with ASTM F1346.
Fence Details:
• At least 48” tall
• No more than a 2” gap under the fence
• Openings shall be small enough that a 4” sphere will not pass through
• No ornamental indentations that can be used as a ladder
• Maximum mesh size for chain link fences is 1-1/4”
• Maximum mesh size for diagonal lattice fences is 1-3/4”
• If the fence is made of horizontal and vertical members, and the distance between the tops of the
horizontal members is less than 45”, the horizontal members shall be installed on the swimming
pool side of the vertical members and the vertical members shall be no more than 1-3/4” apart
Gate Details:
• Same requirements as for fences (see above)
• Must swing outward, away from the pool
• Self-closing and self-latching
• If the latch is less than 54” above the bottom of the gate, the latch shall be mounted on the
swimming pool side of the gate and shall be at least 3” from the top of the gate, and there shall not
be any openings larger than 1/2” within 18” of the latch
There are special alarm requirements if there is a door from the house that leads directly into the
pool enclosure.
Alarm Details:
• Must be wired to activate when the door is opened
• Produce a distinct sound, which can be heard throughout the house, for at least 30 seconds
• Automatically reset
• Deactivating buttons or switches shall be mounted at least 54” above the threshold of the door, and
shall not allow deactivation for more than 15 seconds.
Further questions may be addressed to the Albemarle County Department of Community
Development.
Page - 1 - of 5 Updated 11/1/15
COUNTY OF ALBEMARLE
Department of Community Development 401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126
Community Development Department
Permit Fee Schedule Effective 11/1/15
A. Building Permits a. New Residential (including additions)
Use Groups R-3 and R-5 (one and two family dwellings).
Calculate on gross finished square footage
Fee – per square foot ..................................................................................................... $0.53
Minimum fee ............................................................................................................... $80.00
Note: For garages, decks, and porches use fee schedule for accessory
structures. No additional fee for landings less than 10 sq. ft.
b. Accessory Structures (residential)
Residential attached garages, detached garages, sheds, decks, and
porches 10 sq. ft. or larger. Calculate on gross finished square footage.
Fee – per square foot ..................................................................................................... $0.16
Minimum fee ............................................................................................................... $27.00
c. Residential Swimming Pools / Hot Tubs / Spas
Fee - each ..................................................................................................................... $54.00
d. Mobile Homes / Prefabricated Homes
Fee - each ..................................................................................................................... $48.00
e. New Commercial (including additions)
Use groups A-1, A-2, A-3, A-4, A-5, B, E, F-1, F-2, H-1, H-2, H-3,
H-4, H-5, I-1, I-2, I-3, I-4, M, R-1, R-2, R-4, S-1, S-2, TWR or U, or an
addition to an existing commercial structure in any such use group
Calculate on gross square footage.
Fee - per square foot for 0 – 5000 sq. ft. ........................................................................ $0.22
PLUS – per square foot for excess over 5,000 sq. ft. ........................................... $0.15
Minimum fee ............................................................................................................... $80.00
f. Change of Building Occupancy Classification
Fee - for evaluation .................................................................................................... $161.00
g. Commercial Swimming Pools Fee - each .................................................................................................................. $328.00
h. Elevators / Escalators / Lifts
Fee - each ................................................................................................................... $258.00
i. Paint Spraying Booths
Fee - each ..................................................................................................................... $27.00
j. Mobile Office / Pre-manufactured Units
Fee - each ..................................................................................................................... $48.00
Page - 2 - of 5 Updated 11/1/15
k. Tents
Fee - each ..................................................................................................................... $54.00
l. Alterations / Repairs
All use groups. No increase in gross square footage.
Fee – per square foot .................................................................................................... $0.18
Minimum fee ............................................................................................................... $80.00
B. Electrical Permits a. New Residential (including additions)
Use Groups R-3 and R-5 (one and two family dwellings)
Fee - Included as part of the building permit fee under Section 5-201(A).
b. Accessory Structures (residential)
Fee - each ..................................................................................................................... $32.00
c. Mobile Homes / Prefabricated Homes
Fee - each ..................................................................................................................... $32.00
d. New Commercial (including additions)
All use groups (A-1, A-2, A-3, A-4, A-5, B, E, F-1, F-2, H-1, H-2, H-3,
H-4, H-5, I-1, I-2, I-3, I-4, M, R-1, R-2, R-4, S-1, S-2, TWR or U)
Calculate on gross square footage.
Fee – per square foot ..................................................................................................... $0.04
Minimum fee ............................................................................................................... $80.00
e. Swimming Pools / Hot Tubs/ Spas
Bonding
Fee - each ..................................................................................................................... $32.00
Equipment Wiring
Fee - each ..................................................................................................................... $32.00
f. Alterations and repairs of structures in all use groups –
No increase in gross square footage.
Fee – per square foot ..................................................................................................... $0.04
Minimum fee ............................................................................................................... $80.00
g. Signs
Fee - each ..................................................................................................................... $48.00
h. Temporary Service
Fee - each (unless the service is part of a building permit paid under 5-201(A)) ...... $102.00
i. Early Service
Fee – each (unless the service is part of a building permit paid under 5-201(A)) ....... $65.00
j. Fuel Dispensing Pumps
Fee - each ..................................................................................................................... $32.00
k. Alarm Systems
Calculate on gross finished square footage
Fee – per square foot ..................................................................................................... $0.04
Minimum fee ............................................................................................................... $80.00
C. Plumbing Permits a. New Residential (including additions)
Use Groups R-3 and R-5 (one and two family dwellings)
Fee – each Included as part of the building permit fee under Section 5-201(A).
b. Mobile Homes / Prefabricated Homes
Fee - each……………………………………………………………………….. ....... $32.00
Page - 3 - of 5 Updated 11/1/15
c. New Commercial (and additions to existing)
All use groups (A-1, A-2, A-3, A-4, A-5, B, E, F-1, F-2, H-1, H-2, H-3,
H-4, H-5, I-1, I-2, I-3, I-4, M, R-1, R-2, R-4, S-1, S-2, TWR or U)
Fee – per fixture ............................................................................................................. $9.00
Minimum fee ............................................................................................................... $80.00
d. Alterations / Repairs of all use groups
No increase in gross square footage.
Fee – per fixture ............................................................................................................. $9.00
Minimum fee…………………………………………………………….. .................. $80.00
e. Water Lines
Fee - each (unless the lines are included as part of a permit paid under 5-201(A)) .... $27.00
f. Sewer Laterals
Fee - each (unless the lateral is included as part of a permit paid under 5-201(A)) .... $27.00
g. Fire Suppression Systems
Fee – each head………………………………………………………………………. . $0.86
Minimum fee……………………………………………………………… ................ $80.00
D. Mechanical Permits a. New Residential (including additions)
Use Groups R-3 and R-5 (one and two family dwellings)
Fee - Included as part of the building permit fee under Section 5-201(A).
b. Mobile Homes / Prefabricated Homes
Fee – each…………………………………………………………………………..... $32.00
c. New Commercial (and additions to existing)
All use groups (A-1, A-2, A-3, A-4, A-5, B, E, F-1, F-2, H-1, H-2, H-3,
H-4, H-5, I-1, I-2, I-3, I-4, M, R-1, R-2, R-4, S-1, S-2, TWR or U)
Calculate on gross square footage.
Fee – per square foot ..................................................................................................... $0.04
Minimum fee……………………………………………………………… ................ $80.00
d. Alterations / Repairs - All use groups.
No increase in gross square footage.
Fee – per square foot ..................................................................................................... $0.04
Minimum fee……………………………………………………………… ................ $80.00
e. Underground Tanks (including associated piping)
Fee – each (unless the tanks are included as part of a permit paid under 5-201(A)) . $183.00
f. Aboveground Tanks (including associated piping)
Fee – each (unless the tanks are included as part of a permit paid under 5-201(A)) . $108.00
g. Gas / Oil Lines
Fee – each (unless the lines are included as part of a permit paid under 5-201(A)) .... $38.00
h. Furnaces / Woodstoves /Gas Log Systems
Fee – each (unless the system is included as part of a permit paid under 5-201(A)) .. $70.00
i. Range Hoods
Fee – each .................................................................................................................... $27.00
j. Hood Suppression Systems
Fee - each ..................................................................................................................... $32.00
Page - 4 - of 5 Updated 11/1/15
E. Amusement Rides a. Kiddie Rides
Fee - each ..................................................................................................................... $16.00
b. Major Rides
Fee - each ..................................................................................................................... $27.00
c. Spectacular Rides
Fee - each ..................................................................................................................... $43.00
F. Demolition Permits Fee - each ......................................................................................................................... $102.00
G. Miscellaneous a. Other Permits
Building, electrical, plumbing, mechanical, or amusement devise permit not
identified above
Fee per inspection ........................................................................................................ $32.00
b. Re-inspections
For each inspection of work performed after the second inspection of such work
Fee per inspection ........................................................................................................ $32.00
c. Plan Amendments
New plans submitted requiring a fire/safety/structural review
Fee - each……………………………………………………………………….. ....... $32.00
d. State Surcharge (Applications subject to a state surcharge)
Fee ..................................................................................................................................... .2%
H. Refunds For permit applications withdrawn or voided after processing.
Refund shall not exceed 80% of original fee.
Refund must be requested in writing.
State Surcharge is non-refundable.
I. Zoning Inspections* a. Foundation of main and accessory structures
The fee for each inspection following the laying of the foundation
of main or accessory structures – each ………………………………………….. ..... $16.00
b. Surface water drainage pipes and culverts
The fee for each inspection pertaining to the size and location of
surface water drainage pipes and culverts - each……………………………….. ....... $11.00
c. Subsurface stone for parking lot or entrance
The fee for each inspection to determine the proper depth of the sub-
surface stone for a parking lot on, or entrance onto, the property being
developed, prior to the final surfacing of the parking lot or entrance - each ............... $11.00
d. Final site inspection
The fee for each final site inspection before a certificate of occupancy
or a temporary certificate of occupancy - each…………………………………. ....... $16.00
J. J. VSMP and VESCP fees * (Code section 17-207 and 208) a. Stormwater Pollution Prevention Plan ........................................................................ $209.00
b. Agreement in Lieu of a Erosion and Sediment Control Plan ...................................... $150.00
c. Any land disturbance over 1 acres…………refer to Water Protection Ordinance application
Page - 5 - of 5 Updated 11/1/15
K. Review of groundwater assessment information required by sections 31.2.2
or 32.5.7:* Tier 1 assessment under Albemarle County Code § 17-401
Fee…….. .............................................................................................................................. $54.00
*IN ADDITION TO BUILDING FEES.
Revised: September 18, 2017
COUNTY OF ALBEMARLE
Department of Community Development 401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126
ADDRESSING NOTICE
Dear Customer,
The address for this new dwelling will be provided to the owner listed on the Building Permit between the
footing and final inspection as a new address notification letter. The new address notification letter will
include how this new address should be displayed and be sent to the Postmaster.
When a third addressable structure is built off a driveway / private road that already has two addresses,
the driveway will need to have a private road name (regardless of whether it is required to have road
improvements). A majority of the property owners whose property is served by the driveway will be
sufficient to choose the official road name and all existing addresses will be changed to use the new road
name. Please contact our office to start this process early.
If a third party entity requests the new address prior to receiving the notification letter, you can do the
following:
• A closing/mortgage company may request this address for the contract. In this instance, providing
the tax map and parcel number will be sufficient.
• The electric/telephone company may request this address. In this instance, speaking with a
supervisor, to provide verbal directions to the new dwelling, will suffice.
If your notification letter has not arrived by the time the final inspection is to take place, then you may
contact:
Elise Kiewra
GIS Specialist
(434) 296-5832 ext. 3030
Issued 2/16/2017
BTEX Testing – Building Permit Applications near Petroleum Release Sites
Article V. Private Groundwater Well Testing was added to Chapter 5. Building Regulations of
the Albemarle County Code, effective May 4, 2005.
Article V requires that building applications in areas with no public water service undergo a
review of their location, relative to petroleum contamination sites defined by the Virginia
Department of Environmental Quality (DEQ). If the well, which will be drilled to serve the
proposed building, is within 2000’ of a DEQ-identified contamination site, the well water needs
to be tested for four petroleum-related compounds (Benzene, Toluene, Ethylbenzene and Xylene
(BTEX)). Article V identifies the threshold levels of acceptability for each of the four
compounds. The permit applicant is responsible for getting the test done and paying for the test.
The test results need to be submitted in writing to the County. If the test results are negative (i.e.
no contaminants present over the threshold limits), a building permit shall be issued, if all other
permit review requirements are met. If the test results are positive, a building permit cannot be
issued until the applicant has identified an alternative source of potable water.
Article V states that the samples and tests shall be done by the DEQ or a certified laboratory.
Under most situations, the applicant will have to contract directly with a laboratory to do the
sampling and testing. The website referenced below contains a current listing of water testing
laboratories certified in Virginia. Look specifically for labs certified to test for the BTEX
compounds.
Virginia Department of General Services:
http://www.dgs.virginia.gov/
1. Follow the Division of Consolidated Laboratory Services link on the left of the webpage.
2. Follow the Drinking Water and Tuning Fork Certification link on the right of the
webpage.
3. Open the Certified SDWP and VELAP Laboratory Listing document at the top of the
webpage.
Attention Homebuilders of Single-Family Attached Homesfor Albemarle County
As of January 1st 2017, Albemarle County Engineering is no longer accepting “Agreements in Lieu of a
Plan” for building permit applications for attached homes. Applicants submitting building permits for
attached single-family homes must also submit a VSMP application, which includes a Registration
Statement, an Erosion and Sediment Control Plan (ESCP), a copy of the approved SWM Plan for the
development (if within a common plan of development), a Stormwater Pollution Prevention Plan
(SWPPP), and a Pollution Prevention Plan (PPP).
The VSMP application must be submitted for approval by the Engineering Department and Bonds must
be posted prior to approval of the application. Once bonds have been posted and the application has
been approved, it will then be submitted to the Department of Environmental Quality (DEQ) for issuance
of the VSMP Permit. Proof of payment for the DEQ permit must be provided before a pre-construction
meeting can be scheduled or a County Land Disturbance Permit can be issued.
Erosion and Sediment Control plans shall include at a minimum a Construction Entrance (CE) with wash
rack, Silt Fence (SF) around the perimeter of proposed land disturbance and/or BMPs, and
temporary/permanent seeding/mulching. Additional controls, such as basins/traps and diversion
ditches, may also be required.
Required applications and forms:
VSMP Application:http://www.albemarle.org/upload/images/forms_center/departments/Community_Development/forms/Engineering_and_WPO_Forms/WPO_VSMP_Virginia_Stormwater_Management_Program_Application.pdf
Stormwater Pollution Prevention Plan (SWPPP) template:http://www.albemarle.org/upload/images/forms_center/departments/Community_Development/forms/Engineering_and_WPO_Forms/Stormwater_Pollution_Prevention_Plan_SWPPP_template.pdf
Registration Statement form (from the Virginia Department of Environmental Quality (DEQ) website):http://www.deq.virginia.gov/Portals/0/DEQ/Water/Publications/CGPRegistrationStatement2014.pdf
Bonding Requirements (attached SF homes only, NOT detached SF homes):
Bonding is required for all attached (duplex or townhouse) projects. The bond amount is calculatedbased on the estimated cost of ESC measures as follows: base amount of $2,500 for a ConstructionEntrance (CE) plus $500 per attached unit.
Example for a 5-unit Townhouse project: $2,500 + ($500 per unit * 5 units) = $5,000 bond
Request to Establish a Bond form:http://www.albemarle.org/upload/images/forms_center/departments/Community_Development/forms/bonds/Bond_Request_to_Establish_a_Bond.pdf
Bonds will be returned upon termination of the VSMP permit.
lnt.rnrl U3c Oolv
D.r. Re.ivcd: _ Fe. P.id:
Re..iv.d by:
lnrrke: Foflfd to Mr gement Arllysr
REQUEST TO ESTABLISH A BOND
APPROVED PLAN #
PROJECT NAME:(As listed on the approved plan)
All parcels in the project, including any off-site work ifeasements are not provided, and current owners. Use a
separate sheet if more owners are required. Owner and tax map information must be conect, and plans must be
approved prior to bond estimates being prepared.
TAX MAPs / PARCELs:
TAX MAPs / PARCELs:
TAX MAPs / PARCELS:
TAX MAPs i PARCELS:
TAX MAPs / PARCELS:
OWNER'S NAME:
SIGNATURE: date:
OWNER'S NAME:
SIGNATURE:
OWNER'S NAME:
SIGNATURE: oate:
OWNER'S NAME:
SIGNATURE:
OWNER'S NAME:
SIGNATURE: date:
NOTE: If ownership of the property is in the name of any type of legal entity or organizationincluding, but not limited to the name of corporation, partnership, limited liability company,trust, association, etc., documents acceptable to the County must be submitted certifying thatthe person signing above has the authority to do so.
The requested estimates are;
D VESCP Erosion & Sediment Control per Water Protection Ordinance section l7-207; S0 fee
tr VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per WaterProtection Ordinance section l7-208; 5250 fee required
! Subdivision (roads, drainage, etc.) per Subdivision Ordinance section l4-435;& Water & Sewer per Subdivision Ordinance section l4-435; $269 fee required
A bond estimate will be prepared by the plan reviewer. The estimate must be sent to the owner. Please providecontact information.
EMAIL:
OR REGULAR MAIL ADDRESS:
date:
Revised 6/202014, I l/l/2015
October 30, 2014, Revised – 5/4/2015, 6/10/2015
15
COUNTY OF ALBEMARLE
Department of Community Development 401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596 Phone (434) 296-5832 Fax (434) 972-4126
Virginia Stormwater Management Program (VSMP)
Documentation Each permit for construction of a residential dwelling MUST provide VSMP documentation.
What form this documentation must take depends upon the location of the residence and the
amount of land disturbance, as discussed below. Generally, VSMP permit documentation
consists of an application and a Stormwater Pollution Prevention Plan (SWPPP), which has four
main parts; (1) An erosion and sediment control plan (ESCP), (2) A stormwater management
plan (SWMP), (3) A pollution prevention plan (PPP), and ongoing inspection reports by the
operator.
A. For a residence being built within a subdivision, site plan, or common plan of development; The following must be provided with the building permit;
1. A SWPPP is required, following the county template. ($209 fee, according to Water Protection Ordinance section 17-208.) The SWPPP will contain the pollution
prevention plan and;
2. An agreement in lieu of a plan for an erosion and sediment control plan. ($150 fee per section 17-207)
3. An agreement in lieu of a plan for a stormwater management plan.
B. For a residence being built on an individual lot with a land disturbance of one (1) acre or less, and not part of a subdivision, site plan or common plan of development. An individual
SWPPP is not required. The following items are required with the building permit;
1. A critical resources plan. Instructions are attached.
2. An agreement in lieu of a plan for an erosion and sediment control plan. ($150 fee, per 17-207)
Land disturbance refers to any denuded areas, including driveways, drainfields, landscaping, etc.
C. For a residence being built on an individual lot with land disturbance of more than one (1) acre, and not part of a subdivision, site plan or common plan of development. An
individual VSMP general construction permit must be processed through the Department of
Environmental Quality (DEQ). A Water Protection Ordinance (WPO) application must be
submitted to the Community Development Office, separate from the building permit, with the
associated state fees and supporting documentation, which will include the SWPPP, ECP,
SWMP, PPP and other documents. This plan will be reviewed, approved and bonded prior to the
start of construction, typically a 3-6 month process. A professional engineer’s seal will be
required for the stormwater management plan.
The SWPPP template, agreements, and WPO application are available on the county website at;
http://www.albemarle.org/deptforms.asp?department=cdengwpo
Notice to Building Permit Applicants in the Rural Areas
Effective February 7, 2008, building permit applicants in the rural areas zoning district
will be required to submit a plan demonstrating compliance with zoning and water
protection ordinances. What type of plan is submitted will depend on the size of the
project. Below are descriptions of the two types;
1) For disturbances of 1 acre or more, an Erosion and Sediment Control Plan, narrative,
application (Water Protection Ordinance Application), and fee, must accompany a
building permit application and plan. Erosion Control Agreements in Lieu of a Plan will
no longer be accepted. The Erosion and Sediment Control Plan will be required to show
the existing and proposed topography, driveway, stream buffers and critical slopes
located on the site to demonstrate compliance with the county code. A performance bond
will be required upon approval, the details of which will be determined based on the plan.
While it is not required, many applicants may find it necessary to retain the
services of an engineer or surveyor to prepare and process the Erosion and Sediment
Control Plan. Requirements for this plan can be found in the Virginia Erosion and
Sediment Control Handbook (VESCH) found on the Department of Conservation website
(http://www.dcr.virginia.gov/soil_&_water). The county takes from 2 to 6 weeks to
review a plan. It typically takes 2-3 rounds of review and revision before a plan is
approved. A detailed list of County requirements for an Erosion and Sediment Control
plan can be found in the Albemarle County Design Manual – Engineering Review Final
Plans Checklist
(http://www.albemarle.org/deptforms.asp?section_id=&department=cddstds ).
2) For disturbances of less than 1 acre, an Erosion Control Agreement in Lieu of a Plan
will be accepted, if accompanied by a Critical Resource Plan. The Critical Resource Plan
must be prepared as follows:
A. Use county base mapping from the county web-site at
http://gisweb.albemarle.org/. Bring up the parcel and house location by searching
for the owner’s name or tax map number. At the bottom of the map provided,
type in a scale of 1” = 100’. Choose the Critical Resource Plan theme, and click
on “create printable map”. Print this page
B. Using a ruler to scale, draw the house and driveway on the plan, measuring 1 inch
on the plan sheet as 100 feet on the ground. Label the driveway and the house.
C. Draw a dashed line around all areas to be disturbed. Label this line; “maximum
disturbance limits”.
D. Label the stream buffer areas; “Stream buffer areas to remain undisturbed.”
E. Label the critical slope areas; “Critical slope areas to remain undisturbed.”
F. Place the following note on the plan, and have it signed by the owner, with the
owner’s name printed underneath: “I agree to build according to this critical
resource plan: signature / printed name”
An example of a Critical Resource Plan is shown below.
County staff will check Critical Resource Plans for three items:
1. Driveway grades; at any point on the driveway, to any other point, the grade must
be 16% or below. This means the difference in vertical grades, divided by the
length between two measurement points must be 0.16 or below. An example is
shown on the plan. Driveways must be at least 10’ wide, and extend to within 50’
of the proposed structure(s).
2. There must be no disturbance to the stream buffers. If disturbance is unavoidable,
a mitigation plan, application and fee will be required before the building permit
can be issued. Similar to an erosion control plan, this will take 2-6 weeks to
review, and typically takes 2-3 revisions before approval.
3. There must be no disturbance to critical slopes. If disturbance is shown, unless it
is unavoidable to obtain access to the parcel, a waiver must be requested, and will
likely be heard by the Planning Commission. This is a 6-8 week process and must
be concluded before a building permit is issued.
County Code for these requirements can be found in sections 18-4.6.6, 18-4.2, and 17-
317, at http://www.albemarle.org/department.asp?department=ctyatty&relpage=2784.
COUNTY OF ALBEMARLEDepartment of Community Development
401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596
Tel. (434) 296-5832 ● Fax (434) 972-4126
___________________Erosion Control
Agreement Number
EROSION AND SEDIMENT CONTROL AGREEMENT FOR
SINGLE FAMILY RESIDENCE CONSTRUCTION
Building Permit # _____________________________ Tax Map/Parcel _______________________________
Subdivision ________________ Phase _____ Section _____ Block _____ Lot _____ Zoning __________
A $150 fee is required with this agreement
In lieu of submitting a formal erosion and sediment control plan for development of this single family residenceand/or appurtenant structure, I agree to comply with the requirements of the Albemarle County WaterProtection Ordinance, County Code Chapter 17, the Virginia Erosion and Sediment Control Law, VirginiaCode, Title 62.1, Chapter 3.1, Article 2.3, and Erosion Control Regulations 9VAC25-840, and the VirginiaErosion and Sediment Control Handbook, latest edition. I agree to provide erosion control measures inaccordance with the Handbook standards and specifications in order to protect against the transport of soil andsediment off of the property. I further agree to comply with additional requirements determined necessary bythe Program Authority. Such requirements shall be based on established conservation standards and shallrepresent the minimum practices that Albemarle County deems necessary to provide adequate control of erosionand sedimentation on or resulting from this development. At a minimum, the following to the followingmeasures will be implemented:
1. Silt fence, sediment traps and other protective measures shall be provided in areas where sediment fromdisturbed areas may leave the site, and must be properly installed before land disturbance. Thesemeasures must remain installed and maintained until adequate stabilization is achieved as determined by theProgram Authority.
2. All erosion measures are subject to inspection periodically and after each runoff-producing rainfall event.Any necessary repairs to maintain the effectiveness of the erosion control devices and cleanup ofsedimentation must be made immediately. If erosion control measures are found to be inadequate, or inneed of repair, by a county inspector, you will be notified. A fee of $150 will be charged for eachreinspection that is necessary.
3. A temporary stone construction entrance shall be provided wherever traffic will be leaving a constructionsite and where there exists the possibility of transporting mud directly onto a road or other paved area.
4. All denuded areas on the site shall be stabilized within seven (7) days of final grading with permanentvegetation or a protective ground cover suitable for the time of year. Temporary soil stabilization shall beapplied within seven (7) days to denuded areas that may not be at final grade but will remain dormant(undisturbed) for longer than thirty (30) days.
5. A permanent stabilization/vegetative cover shall be established on all denuded areas within nine (9)months of the start of clearing or grading. Unless documented in writing to the Program Authority at thestart of land disturbance, the nine (9) months shall be measured from the permit issuance date. If anextension is necessary and construction extends for more than a year, a permit renewal fee of $150 willbe required.
6. During construction of the project, soil stock piles and borrow areas shall be stabilized, covered, orprotected with sediment trapping measures.
09/07, Revised 03/09, 10/14, 05/15
7. All storm sewer inlets that are operable during construction shall be protected so that sediment-laden watercannot enter the storm water conveyance system without first being filtered or otherwise treated to removesediment.
8. All temporary erosion and sediment control measures shall not be removed until disturbed areas arestabilized. After stabilization is complete, all measures shall be removed within 30 days, unless otherwiseauthorized by the Program Authority. Trapped sediment and the disturbed soil areas resulting from thedisposition of temporary measures shall be permanently stabilized to prevent further erosion andsedimentation.
I further understand that failure to comply with such requirements within three (3) working days, followingnotice by a county official, could result in a citation for violation and may require the submission and approvalof a formal erosion control plan with an appropriate performance bond as provided in Section 17-414 of theAlbemarle County Water Protection Ordinance. I hereby agree to be responsible for carrying out each ofthe duties and responsibilities enumerated above, as well as all other requirements of AlbemarleCounty’s erosion and sediment control program. I also hereby agree to maintain responsibility for thispermit regardless of the sale of the property prior to completion of the work covered by this permit.
Original: Engineering Inspector
Copies: Building Permit File
Landowner/Authorized Agent
Original: Engineering Inspector
Copies: Building Permit File
Landowner/Authorized Agent
Landowner
Print Name _________________________________________
Address ____________________________________________
City _____________________ State ________ Zip _________
Phone Number_______________________________________
Signature ____________________________ Date__________
I hereby grant the County of Albemarle the right to enter upon subject
property for inspections to ensure compliance.
Responsible Land Disturber
Print Name _________________________________________
Address ____________________________________________
City _____________________ State ________ Zip _________
Phone Number ______________________________________
Signature ____________________________ Date__________
RLD Cert. Number__________________________________
Comments/Additional Requirements from Plan Approving Authority: ____________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
_________________________________________________________________________________Office Use Only
APPROVED BY Date___________________________
COUNTY OF ALBEMARLEDepartment of Community Development
401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596
Tel. (434) 296-5832 ● Fax (434) 972-4126
___________________Erosion Control
Agreement Number
STORMWATER MANAGEMENT AGREEMENT FOR
SINGLE FAMILY RESIDENCE CONSTRUCTION
Building Permit # _____________________________ Tax Map/Parcel _______________________________
Subdivision ________________ Phase _____ Section _____ Block _____ Lot _____ Zoning __________
In lieu of submitting a formal stormwater management plan for development of this single family residenceand/or appurtenant structure, I agree to comply with the requirements of the Albemarle County WaterProtection Ordinance, County Code Chapter 17, the Virginia Stormwater Management Law, Virginia Code,9VAC25-850, and 9VAC25-870. I agree to provide stormwater management measures as determined necessaryby the Program Authority. Such requirements shall be based on established state standards and shall representthe minimum practices that Albemarle County deems necessary to provide adequate control of stormwaterrunoff resulting from this development. At a minimum, the following measures will be implemented:
1. The site shall be fully stabilized with permanent vegetation or equivalent stabilization with seven (7) days offinal grading.
2. For sites within a larger plan of development, all runoff from the house and driveway and developed areasshall runoff as directed on the overall plan, or sheet flow to adjacent vegetated areas. Runoff shall notadversely impact neighboring properties.
3. For sites without a larger plan of development, runoff shall sheet flow to vegetated areas. Such areas shallbe natural areas subject to mowing no more than 4 times per year, and at least 100 feet in flow length to thenearest property line, stream, or receiving water.
4. Roof gutters shall be directed to splash blocks or level spreaders to establish sheet flow to vegetated areas asper item 2-3. No concentrated runoff shall be discharged from the property.
5. For site without a larger plan of development, all impervious areas and storm sewer inlets shall be situatedso that water cannot enter the storm water conveyance system without first being filtered or otherwisetreated to remove potential pollutants as indicated above. Roof gutters shall not be conveyed directly tostorm sewer, ditch lines or property lines.
I further understand that failure to comply with such requirements within three (3) working days, followingnotice by a county official, could result in a citation for violation and may require the submission and approvalof a formal stormwater management plan with an appropriate performance bond as provided in Section 17- 403of the Albemarle County Water Protection Ordinance. I hereby agree to be responsible for carrying outeach of the duties and responsibilities enumerated above, as well as all other requirements of AlbemarleCounty’s stormwater management program. I also hereby agree to maintain responsibility for thispermit regardless of the sale of the property prior to completion of the work covered by this permit.
09/07, Revised 03/09, 10/14, 05/15
Original: Engineering Inspector
Copies: Building Permit File
Landowner/Authorized Agent
Original: Engineering Inspector
Copies: Building Permit File
Landowner/Authorized Agent
Landowner
Print Name _________________________________________
Address ____________________________________________
City _____________________ State ________ Zip _________
Phone Number_______________________________________
Signature ____________________________ Date__________
I hereby grant the County of Albemarle the right to enter upon
subject property for inspections to ensure compliance.
Responsible Land Disturber
Print Name _________________________________________
Address ____________________________________________
City _____________________ State ________ Zip _________
Phone Number ______________________________________
Signature ____________________________ Date__________
RLD Cert. Number__________________________________
Comments/Additional Requirements from Plan Approving Authority: ____________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
_________________________________________________________________________________Office Use Only
APPROVED BY Date___________________________
Issued – 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Single Family Residential Albemarle County
COUNTY OF ALBEMARLE Department of Community Development
401 McIntire Road, North Wing
Charlottesville, Virginia 22902-4596
Tel. (434) 296-5832 ● Fax (434) 972-4126
Stormwater Pollution Prevention Plan (SWPPP)
For Single Family Residential Construction within a larger plan of development
For Construction Activities At:
Project Name: ___________________________________________________________________
Address: ___________________________________
___________________________________
___________________________________
Prepared by:
Name: ___________________________________________________________________
SWPPP Preparation Date: __________________________________
(This document is to be made publicly available according to 9VAC25-880-70, Part II, section D)
Issued – 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Single Family Residential Albemarle County
Erosion and Sediment Control Plan. An erosion and sediment control plan is in place for the overall development, under the operation of the
developer. An erosion and sediment control agreement is in place for this lot, and is attached.
(Provide a signed copy of the agreement here.)
Stormwater Management Plan A stormwater management plan is in place for the overall development, under the operation of the developer.
□ Details and plans for required stormwater management measures on this lot are attached.
□ There are no required stormwater management measures on this lot.
(Provide plans and details for any stormwater management facilities or best management practices to be used on
this lot.)
Pollution Prevention Plan. (reference County Code 17-404 and State Regulation 9VAC25-880-70 part II section A.4)
A. Sources of Pollutants. Common activities and minimum control and prevention practices
Pollutant, or Pollutant
Generating Activity Location on site
Prevention Practices,
Control Measures
Clearing, grading, excavating, and un-
stabilized areas Land disturbance area
Follow Erosion and Sediment Control
Plan. Dispose of clearing debris at
acceptable disposal sites. Seed and mulch,
or sod within 7 days of land clearing
Paving operations Roads and driveways
Cover storm drain inlets and use drip pans
and absorbent/oil dry for all paving
machines to limit leaks and spills
Concrete washout and
cement waste
Current location and detail shown on
plan
Direct concrete wash water into a leak-
proof container or leak-proof settling basin
that is designed so that no overflows can
occur
Structure construction, stucco,
painting, and cleaning Structures
Enclose or cover material storage areas.
Mix paint indoors in a containment area or
in a flat unpaved area. Prevent the
discharge of soaps, solvents, detergents
and wash water, paint, form release oils
and curing compounds.
Dewatering operations Dewatering sites shown on plan
Water shall be filtered, settled or similarly
treated prior to discharge as shown on
plan.
Material delivery and storage Designated area shown on plan
Designated areas for material delivery and
storage. Placed near construction
entrances, away from waterways and
drainage paths
Material use during building process Building areas Follow manufacturer’s instructions .
MSDS’s attached.
Solid waste disposal Current designated container areas on
plan
Waste collection area will not receive a
substantial amount of runoff from upland
areas and does not drain directly to a
waterway. Containers have lids covered
before periods of rain, or are in a covered
area. Scheduled collection to prevent
overfilling. MATERIALS NOT TO BE
BURIED ON-SITE
Sanitary waste Current locations shown on plan
Convenient and well-maintained portable
sanitary facilities will be provided, and
located away from waterways or inlets.
Such facilities shall be regularly
maintained.
Issued – 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Single Family Residential Albemarle County
Pollutant, or Pollutant
Generating Activity Location on site
Prevention Practices,
Control Measures
Landscaping operations Landscape areas shown on plan
Apply fertilizers in accordance with
manufacturer’s recommendations and not
during rainfall events
Wash Waters Wash areas shown on plan
To be treated in a sediment basin or better
control as specified on plan. Minimize
the discharge of pollutants from
equipment and vehicle washing
Vehicle and equipment washing Designated areas and details shown on
plan
Provide containment and filtering for all
wash waters per the plan
Fueling
Fueling station
Provide double walled tanks, a lined
containment area, drip pans, and spill
prevention and cleanup materials.
Minimization of exposure to precipitation and stormwater. Minimize the exposure of building materials, building products,
construction wastes, trash, landscape materials, fertilizers, pesticides, herbicides, detergents, sanitary waste, and other materials
present on the site to precipitation and to stormwater.
(Identify all non-stormwater discharges to occur on your site. Keep this plan up-to-date with ongoing site
changes and inspections. See CGP, 9VAC25-880-70 section E for examples of non-stormwater discharges.)
B. Non-stormwater discharges
Discharge Pollutants or Pollutant
Constituents
Location on Site
C. Persons responsible for pollution prevention practices
(Provide the names and contact information for all persons responsible for prevention practices as listed above.)
Issued – 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Single Family Residential Albemarle County
D. Response and reporting practices
Minimize discharges from spills and leaks. Minimize the discharge of pollutants from spills and leaks and implement chemical spill
and leak prevention and response procedures as follows.
Most spills can be cleaned up following manufacturer specifications. Absorbent/oil dry, sealable containers, plastic bags, and
shovels/brooms are suggested minimum spill response items that should be available at this location.
1st Priority: Protect all people
2nd Priority: Protect equipment and property
3rd Priority: Protect the environment
1. Check for hazards (flammable material, noxious fumes, cause of spill) – if flammable liquid, turn off engines and nearby
electrical equipment. If serious hazards are present leave the area and call 911. LARGE SPILLS ARE LIKELY TO
PRESENT A HAZARD.
2. Make Sure the spill area is safe to enter and that it does not pose an immediate threat to health or safety of any person.
3. Stop the spill source.
4. Call co-workers and supervisor for assistance and to make them aware of the spill and potential dangers.
5. If possible, stop spill from entering drains (use absorbent or other material as necessary).
6. Stop spill from spreading (use absorbent or other material)
7. If spilled material has entered a storm sewer; contact locality’s storm water department.
8. Clean up spilled material according to manufacturer specifications, for liquid spills use absorbent materials and do not flush
area with water.
9. Properly dispose of cleaning materials and used absorbent material according to manufacturer specifications.
Emergency Contacts: Normal Working Hours DEQ Valley Regional Office 540-574-7800
Nights, Holidays & Weekends VA Dept. of Emergency Management 804-674-2400
Pollution Prevention Awareness All site personnel and workers will be made aware of the prevention practices and measures contained in this
document.
Qualified personnel The following personnel are responsible for inspections;
(Provide the name, telephone number, and qualifications of the qualified personnel conducting inspections.)
General permit copy A copy of the construction general permit, 9VAC25-880, will be attached to this document on the construction
site. The general permit can be found at http://www.deq.virginia.gov/Programs/Water/StormwaterManagement/VSMPPermits/ConstructionGeneralPermit.aspx
Inspection logs
Inspections will be conducted on-site, and recorded here, as required by the 9VAC25-880-70, Part II, section B
and F of the Construction General Permit.
Issued – 10/2014 Stormwater Pollution Prevention Plan (SWPPP) Single Family Residential Albemarle County
Signed Certification
(Provide certification according to 9VAC25-870-370. For purposes of plan review and approvals, this
certification should be the owner of the property, the same signature as appears on the bonds and
applications.)
CERTIFICATION
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."
Owner/Operator Name: _____________________________________________ Company: _____________________________________________ Title: _____________________________________________ Signature: _____________________________________________ Date: _____________________________________________