HomeMy WebLinkAboutARB201900002 Application 2019-01-07Albemarle Countil
Planning Application
COMMLnity Development Department
431 Wcl-*ire Road Charlottesville, VA229-32-4598
: (434) 29&-5832 Fax : (434) 972-4123
TMPF 032AO-02-00-OOIAO owner(s): MARTHA I E FFE RSO N HOSPITAL
Application # I AR,8201.9000072
PROPERTY INFORMATION
Legal Description ACREAGE TRACT 2
Magisterial Dist, Rivanna Land Use Primary Office
Cu rre nt AFD Not in A /F District Current Zoning Primary Highway Commercial
APPLICATION INFORMATION
Street Address 13263 PROFFIT RD CHARLOTTESVILLE, 22911 I Entered BY
----- F]
Application Type Architectural Review Board Je r,Prjtch
Project Sentara Martha Jefferson — Sign
Received Date Final Submittal Date 01/22/1 Total Fees
Received Date F01/07/19 129
Closing File Date Submittal Date F Total Paid 129
Revision Number
Comments
Legal Ad
ISUB APPLICA
Type SubApplicatio I CommentISIGN :01/22/19
IAPPLICAN'T I CONTACT INFORMATION I
ContactTvDe I Name Address 7 ip
Phone PhoneCell
MARTHA JEFFERSON HOSPITAL zT-X DEPARTMENT SUITE 214 NOR FOLKVA i 23502
........................................... ... . . ... . .............. 4 ............. . ..... ... . ... -- ........ . ......................... ... ............. ... ......... ............. . .................. ....... ... . .. ............... ........ .......
ASHLEIGH OTTO 11766 SCOTTSVILLE RD STE A ::CHARLOTTESX-ILL 22902 4342951924
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............ ... . .. .... ..................
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Signature of Contractor orAuthorized Agent Date
Application and Checklist for Sign Permit a
Part A: Applicant and Parcel Information
41
Project Name #A
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Address: cJ /o C�
/j /�
%ZA
Tax map and parcel(s): V 3 Q —02- —00-60
/ A o Zoning:
Contact Person (Who should we call/write concerning this project?): A.5A /,--; C,
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Address 66 •S lsk A city Gho7rlQ ��fYi//t State V 44 Zip Z Z 10 2
Daytime Phone a lq5lqZq�-1 ax # (_�
E-mail Q%D//O 6)giDd . C
Owner of Record: Ir iellersonQ
$59.00
AddressPO. O• oX Z 60 6 City
�'har/ 2�eState Zip ZZ9D 2
Daytime Phone Fax # ( )
E-mail ol r Spd T2.� J&H-//,7,PL
Contractor Name/Business
Name/Bussiness Name: ��
fd
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Address /766 S,,Nsyllle 9W*'Skr/
CLity
j�lole s 1// //t State_ Zip 2216
Daytime Phone co Z 95 41 Fax # ( )
E-mail to)-60DC11.Q
Part B: Determining application requirements and fees
1. Sign Permit - Please indicate which sign type you are applying for:
❑ Freestanding or Monument Sign:
$91.64
❑ �f a footing is required, an additional fee is required:
$32.64
—IL.r/Wall Sign (Including property, awning, fuel pump canopy signs):
$91.64
❑ Sign Refacing:
$59.00
2. Electrical Permit - Will the sign be illuminated?
Yes (Illuminated signs require an electrical permit and an electrical schematic.)
$48.96
❑ No
$ 0.00
3. ARB Review - Will the permanent sign(s) be constructed in an Entrance Corridor?
(See the Entrance Corridor map in the Sign Permit Application packet for a list of Entrance Corridors.)
[111' Yes (This sign will be constructed in an Entrance Corridor and it does not meet the conditions of a
$129.00
Comprehensive Sign Review. See ARB requirements next pages)
❑ Yes (This sign will be constructed in an Entrance Corridor and it does meet the conditions of a
Waive Fee
Comprehensive Sign Review. See ARB requirements next pages)
❑ No (This sign will not be constructed in an Entrance Corridor)
$ 0.00
FEE TOTAL (Please add all the amounts checked in sections 1 - 3):
$
FOR OFFICE USE ONLY BP# f:� o o ARB# a a -•
2p`
Fee Amount $ Date Paid By who? Receipt # Check #
By
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/l/2015 Page 1 of 4
►%A )zyll
I SECTION 1: FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS
A. Submittal Requirements
❑ Site plan or latest approved plat showing, to scale, the proposed location of the sign(s) with dimensions.
❑ Distance from the sign to the property lines and/or edge of the VDOT right-of-way.
❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground.
❑ If the sign will be located in an easement, a letter of approval from the easement holder will be required.
❑ A to -scale color illustration of the proposed sign showing
❑ Dimensions of the sign, including overall height from the ground; cabinet size, length, width and depth; base
size, etc. (Be sure to also include these dimensions on the diagrams provided in the Sign Permit Application packet.)
❑ Proposed lettering and/or graphics in their proposed location.
❑ Entrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor, also provide a color
illustration of the front and side elevations of the sign showing:
o If internally illuminated, indicate which areas of the sign are opaque and which are illuminated. Internally
illuminated cabinet signs must have opaque backgrounds. (Opaque materials don't allow light to pass through.
When lit only from behind, the color of an opaque material cannot be detected nor can objects be seen through it.)
o Identification of proposed materials and colors. Include standard color id numbers (Panton, Benjamin Moore,
Acrylic, etc.) for all materials, text, graphics, base, faces, trim caps, returns, etc.
o Provide accurate physical samples of all colors proposed, preferably in the material proposed. (Paint chips that
accurately reflect the proposed colors are acceptable.)
o Provide a site plan showing proposed landscaping around the sign, including botanical names and planting sizes.
o Additional submittal materials may be required if review by the Architectural Review Board is necessary. (The
applicant will be notified if this requirement applies.)
B. Inspection Requirements for Freestanding, Subdivision or Directory Signs
❑ Applicant must mark the location of the property lines and the location of the sign with stakes in preparation for a
preliminary zoning inspection. (All four corners of the sign must be marked with stakes that are easily visible to all
inspectors)
❑ A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be
issued.
❑ Freestanding signs are required to have footing inspections. (scheduled by applicant)
❑ Freestanding signs are required to have electrical inspections if illuminated. (scheduled by applicant)
❑ Freestanding signs are required to have final building and zoning inspections. (scheduled by applicant)
11/1/2015 Page 2 of 4
SECTION 2: WALL SIGNS
A. Submittal Requirements
L' drawing, to scale, showing dimensions of the sign (length, height, depth).
Elevation drawing(s) or modified photograph of the entire building, to scale and in color, showing
The sign location on the building, sign height above grade, and the length of building frontage. (Be sure to also
inC,lude these dimensions on the diagrams provided in Appendix B)
Sign lettering and/or graphics in their proposed location.
�ntrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor also provide a color
illustration of the front and side elevations of the sign showing:
o Indication of sign type (channel letters, cabinet, panel, etc.).
o Indicate on the drawings the proposed materials and colors. Include standard color identification numbers
(Panton, Benjamin Moore, Acrylic, etc.) for all materials, text, graphics, faces, trim caps, etc. For channel letter
signs, indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is
attached.
o Provide accurate physical samples of all colors proposed in the sign, preferably in the material proposed. (Paint
chips that accurately reflect the proposed colors are acceptable.)
o Location of proposed light fixtures and manufacturer cut sheets describing illumination type, intensity, style,
shielding, color, and height. All lighting must meet ordinance requirements as outlined in Section 4.17.
o For internally illuminated signs, indicate which areas of the sign are opaque and which are illuminated. (Opaque
materials don't allow light to pass through. When lit only from behind, the color of an opaque material cannot be
detected nor can objects be seen through it. Internally illuminated cabinets must have opaque backgrounds.)
B. UISDection Reauirements for Wall or
W7I and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant)
+W/all and vroiectim signs are required to have final building and zoning inspections. (Scheduled by applican
SECTION 3: ILLUMINATION REQUIREMENTS
A. X the proposed sign is to be illuminated, the applicant must provide the following:
VL1 ectrical permit
Ectrical schematic
rocation of proposed light fixtures identified on a plan and/or elevation
facturer cut sheets describing illumination type, intensity, style, shielding, color, and height. All lighting must
meet ordinance requirements as outlined in Section 4.17 of the Zoning Ordinance.
SECTION 4: WORK VALUATION
11/1/2015 Page 3 of 4
A. Work Valuation
Part D: Applicant Agreement r .
Applicant must read and sign
• Each application package must contain 4 folded copies of all plans and documents being submitted. Only 1 set of
material/color samples is required. All submittal items become the property of Albemarle County. Applicants are
encouraged to maintain duplicate copies in their own files.
• The application package is not complete without this checklist, completed, signed, and included with the required
submittal materials indicated on the checklist.
I hereby certify that the information provided on this application and accompanying information is accurate, true and
correct to the best of my knowledge and belief and contains all information required by these checklists
66A I Jjff n AA �' X.X5:j �AA �e.
/Z 3
Signature of person completing checklist Date
L durem v ovt ani ,� - Z 15 !oo
Printed Name / Title Daytime phone number of Signatory
County of Albemarle Department of Community Development
401 McIntire Road, North Wing, Charlottesville, VA 22902-4596
(434) 296-5832 Tel, (434) 972-4126 Fax
www.albemarle.org
11/1/2015 Page 4 of
Sign Diagrams
Sign Dimensions
Sign
Height
I
Distance to property line
or edge of right-of-way
Sign Height =
Sign Dimensions =
Pole -Mounted Sign — Diagram 1
(Generally not acceptable in the ECS)
Sign
Height Sign Dimensions
Building Frontage
Building Frontage = / Da -C
Sign Height = 32,1
j r
Sign Dimensions = 1 , �� �j� 12 1 5/.o
Wall Sign — Diagram 3
Sign 2 Height =
Sign 2 Dimensions =
Sign 3 Height =
Sign 3 Dimensions
Sign Dimensions
Sign
Height
Distance to property line
or edge of right-of-way
Sign Height =
Sign Dimensions =
Monument Sign — Diagram 2
I L "I'� -
Si
Sin 3n Dilor S
Meigk+
Ovilcln3 Frov 4.ioe.
6uiidin Frorl4a9t:= 01
Sign Hi h+ ; 32�►
Sin Dim nsi o =17 % b /�� / 2 9 S ii
9 n s � g
If multiple wall signs are proposed, list dimensions here:
Sign 4 Height =
Sign 4 Dimensions =
Sign 5 Height =
Sign. 5 Dimensions =
Sign Diagrams revised 7/2009 — t
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
(' [County application name and number]
was provided to 1. f G a e/ J 9/7— the owner of record of Tax Map
[name(,,, the record ow rs of the parcel]
and Parcel Number O 3 Z, A 0 6 Z O D OO f A O by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
, Mailin a co of the application to 11 i'! r . j t ) sualz
g copy PP � (di� c� � 1 �-�1'�S� Yl �� !(7S 171tr� I . IC �c�� I I
[Name of the record owner if the recordlowner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on 2 to the following address:
Date
260fo , CIn a r I of 4&wiIIt, VPS 2-2-
[address;
2
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
A"MYL �,
Signature of Applicant
C.aoren Rou+son
Print Applicant Name
r2 31 1T
Date