HomeMy WebLinkAboutARB201800012 Application 2018-01-16 \ Community Development Department
ti . Albemarle C0 L ielntire Road Charlottesville,VA22902-4596
,,:r. � i Voice:(434)296-5832 Fax:{434)972-4126
\\%.,.1.61-dr.,.y Planning Application
1PARCEL]._OWNER INFORMATION
IMP 03200-00-00-036F0 =:.,.,nel-,,s,: S J S LIMITED COMPANY 200 CARLTON R
Application## 14RB201 800012
PROPERTY INFORMATION
Legal Description r FOREST LAKES 7-11/EXXON ^^
Magisterial Dist, Rivanna .1 Land Use Primary Commercial j vi
Current AFD Not in A/F District t__! Current Zoning Primary Highway Commercial IE
APPLICATION INFORMATION t
1
Street Address 3455 SEMINOLE TRL CHARLOTTESVILLE, 22911 Entered By
i
Application Type Architectural Review Board .Jennifer Smith
1c 2^ o
Project THE MARKET AT FOREST LAKES - SIGN
Received Date 01/16/18 ' Received Date Final —I Submittal Date 01/22/18 --. Total Fees I
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad A
SUB APPLICATION(s)
Type 1 Sub Applicatio Comment
SIGN 01/22/18
APPLICANT / CONTACT INFORMATION
CantactT1pe 1 Nerve Ado ress Cit,State Zip Phone Phan ll
ry,._..,'o:7 '—t S 7 S LIMITED COh1 PA,hJ'r ADO CARLTON R P tJ 60,: 1607 CH•=R.LOTTES',TLL .22902
Signature of Contractor or Authorized Agent Date
Application and Checklist for Sign Permit = f ={
Part A: Applicant andParcel Information
Project Name-11N. `a- ./.-i A- -rroc {- LcA.lu.S Address: 34455 Ser .r,,,p12. T a.' I
Tax map and parcel(s1: 03aco-CX)-00-031ar.0 Zoning:
Contact Person(Who should we call/write concerning this project?): S o In Po-
Address r(0 bak t6t- x.e City mc&tryi A;el State I L Zip a'io30
Daytime Phone(. 0) rlSZq•4014 Fax#( ) E-mail CCaLeNZ+KdS14v1�lC. CAt7t
Owner of Record: S 0- 5 LArry Id WfT 6�1y
Address Po boy, No1 City State VA Zip a acioa
Daytime Phone( ) Fax#( ) E-mail
Contractor Name/Business Name: Y t D SITS
Address Qo -60Y% 15144,D J City rnqut1-k- P r�1 State MC Zipa1Ct3O
Daytime Phone(Ali)loci•401 y Fax#( ) E-mail r eN 4 s.1 q 4\e.Corn
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
❑ If a footing is required,an additional fee is required: $32.64
Ei 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.)
❑ 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.)
, 0 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) S 0.00
FEE TOTAL (Please add all the amounts checked in sections I—3): S£l,�pLl i
FOR OFFICE USE ONLY BP; i I 1 ! S ARB#
Fee Amount S 1 I. (ii4 Date Paid t r )Yi I)p9 By who? L j)SCINc pt# )1)Qq Check# I I By ,� f
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
11/1/2015 Page 1 of4
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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 apptication,1\ Wr & q} Fong} l.a..klls Symb9
[County application name and number]
was provided to S SS L,rvti 4e a C.,o • the owner of record of Tax Map
[name(s)of the record owners of the parcel]
and Parcel Number 03aoaD-coo-co-03b Fo 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
XMailing a copy of the application to SSS l--.nnt .e..ci CzN-.-0or,y
[Name of the record owner if tie 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 \ .L4. IP to the following address:
Date
k "Ezo( I ln0I CJ•,c,,Ll esv►I\e_ V A a9 o a
[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].
Signature of Applicant
Print Applicant Name
Date
S
A. Work Valuation $
Part D: Applicant Agreement
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 cert5 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
'attn. . PO L tt-k,
Signature of person completing checklist Date
•ref - S or—Pro cc. 356. 159. t-40 94
Printed Name/Title Ma"0etS`r' 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 of4
ISO
Sign Diagrams
A
A
4 Sign Dimensions
Sign 4 Sign Dimensions
Height Sign
Height
Distance to property line ►
or edge of right-of-way Distance to property line
or edge of right-of-way
Sign Height=
Sign Height=
Sign Dimensions=
Sign Dimensions=
Pole-Mounted Sign — Diagram 1
(Generally not acceptable in the ECs) Monument Sign — Diagram 2
41O silk,"
A
It-I gltbi�
Sign Sign Dimensions
Height
1.11ounr4ed (.'I " h&j h+
r• pole
4 ►
Building Frontage
Building Frontage=
Sign Height=
Sign Dimensions=
Wall Sign —Diagram 3
If multiple wall signs are proposed, list dimensions here:
Sign 2 Height= Sign 4 Height=
Sign 2 Dimensions = Sign 4 Dimensions =
Sign 3 Height= Sign 5 Height=
Sign 3 Dimensions= Sign 5 Dimensions =
Sign Diagrams revised 7/2009— 1