HomeMy WebLinkAboutARB201700125 Application 2017-11-08 it�j� Albemarle Coun Community Development Department
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Voice 434)296-5832 Fax {434}972-4126
14.1711Planning Application
PARCEL J OWNER INFORMATION
TMP 056A2-01-00-03000 Owner(s): UNIVERSITY OF VIRGINIA COMMUNITY CREDIT UNION INC
Application# ARB20170012 ,
PROPERTY INFORMATION
Legal Description IACREAGE PARCEL A
Magisterial Dist. White Hall El Land Use Primary Forest El
Current AFD Not in A/F District v Current Zoning Primary Downtown Crozet District El
APPLICATION INFORMATION
Street Address Entered By
— Keith Bradsha0
Application Type Architectural Review Board 11r'13r`2017
Project Birchwood Place UVA Community Credit Union-Amendment
Received Date 11/08/17 Received Date Final Submittal Date 11/20/17 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
A
Legal Ad
SUB APPLICATION(s)
Type Sub Applicatto Comment
Conceptual Site Development Plan
APPLICANT / CONTACT INFORMATION
Contact-Type Name Address CityState Zip Phone PhoneCell
flea sera 4cpdi-art UNIVERSITY OF'VIRGINIA COMMUNITY 3300 BERKMAR DRIVE 'CHARLOTTESVILL '22901
;,,-lary C_reszt carlin campbell pi.campbell 109 zeta dr, pittsburgh pa 15238 4129630100
Signature of Contractor or Authorized Agent Date
t
Architectural Review Board Application
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Part A: Applicant,Contact and Parcel Information
Project Name: Birchwood Place- University of Virginia Community Credit Union
Tax map and parcel(s): 056A2-01-30 Physical Street Address: 5714 Three Notched Road
contact Person: Carlin Campbell
Business Name: PWCampbell
Address 109 Zeta Drive City Pittsburgh State PA
zip 15238
Daytime Phone(412) 963-0100 x 322 Fax#(412 ) 963-0200 E-mail carlin campbell@pwcampbell.com
Owner of Record: University of Virginia Community Credit Union
Address 3300 Berkmar Drive City Charlottesville State VA
Zip 22901
Daytime Phone( ) Fax#( ) E-mail
Part B: Review Type and Fee
Select review type
Review by the Architectural Review Board
Conceptual Plan/Advisory Review(for a Special Use Permit or a No Fee
Rezoning)
Preliminary/Initial Review of a Site Development Plan No Fee
Final Review of a Site Development Plan $1075.00
x Amendment to an approved Certificate of Appropriateness $242.00
Building Permit Review $634.00
County-wide Certificate of Appropriateness
Structures 750'or more from the EC,no taller than 5 stories No Fee
Structures located behind a structure that fronts the EC No Fee
Personal wireless service facilities No Fee
Fencing or Equipment or Lighting No Fee
Additions to ARB-approved buildings No Fee
Minor amendments to site or architectural plans No Fee
Building permits where the change is 50%or less of the altered elevation No Fee
NOTE: For SIGNS, use the combined APPLICATION AND CHEKLIST FOR SIGNS.
FOR OFFICE USE
ONLY BP# ARB#
Fee Amount$�'s --- Date Paid j ) .61 ' l B who9 T Receipteck# t 1�Ot
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County of Albemarle Dept of Community Development,401 McIntire Rd,Charlottesville,4 VA 22902 Voice:(434)296-5832 Fax:(434)972-4126
10/201 5 Page 1 of 2
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Part C: Description of Proposal
Describe your proposal.Attach a separate sheet if necessary.
See attached sheet.
Part D: Applicant Agreement
Applicant must read and sign
• Each application package must contain(8)folded copies of all plans and documents being submitted.
Only(l)set of building material samples is required. All submittal items, including building material
samples, become the property of Albemarle County. Applicants are encouraged to maintain duplicate
copies of all submittal items in their own files.
• Only complete application packages will be scheduled for ARB review. The application package is not
complete without the appropriate checklist, completed, signed, and included with the required submittal
materials indicated on the checklist.
I hereby certify that I own the subject property or have the legal power to act on behalf of the owner in filing this
application. *See submittal requirements below. I also certify that the information provided on this application
and accompanying information is accurate, true, and correct to the best of my knowledge, and that the attached
plans contain all information req 'red by the appropriate checklist.
11/7/2017
S nature o owner, owner's representative Date
or contract purchaser
Carlin Campbell, Preconstruction Team Leader 412-963-0100 x 322
Printed name, Title Daytime phone number of Signatory
*Ownership Information:
• If ownership of the property is in the name of any type of legal entity or organization including, but not
limited to, the name of a corporation, partnership or association, or in the name of a trust, or in a fictitious
name, a document acceptable to the County must be submitted certifying that the person signing above has
the authority to do so.
• If the applicant is a contract purchaser, a document acceptable to the County must be submitted containing
the owner's written consent to the application.
• if the applicant is the agent of the owner, a document acceptable to the County must be submitted that is
evidence of the existence and scope of the agency. Attach the owner's written consent.
11/2010 Page 2 of 2
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