HomeMy WebLinkAboutARB201700118 Application 2017-10-26 `, .a/�?ernarleCor Community Development Department
,�) 451 tire Road Charlottesville V.A225D2-4na96
'mce i434s 296-6832 Fax 14341 972-4126
Planning Application
PARCEL / OWNER INFORMATION
IMP 056A2-01-00-03000 Owner(s): UNIVERSITY OF VIRGINIA COMMUNITY CREDIT UNION INC
Application# ARB2O1700118
PROPERTY INFORMATION
Legal Description [ACREAGE PARCEL A r
Magisterial Dist White Hall Iv Land Use Primary Forest !
A F]
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Current AFD Not in A/F District i+i Current Zoning Primary Downtown Crozet District t
APPLICATION INFORMATION �J
Street Address Entered By
Application Type Architectural Review Board i-{ Jennifer Smith.
1 110/27/2017
Project UVA COMMUNITY CREDIT UNION - MINOR AMENDMENT
Received Date 10J19i'�7 tt/ Received Date Final [ Submittal Date 1Q/_2'3f'Y'7"' r��Total Fees
Closing File Date '�loo Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad r
.*
,SUB APPLICATION(s)
Type 1 Sub APPPlicatio Comment
Minor Amendment 10/23/17
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APPLICANT / CONTACT INFORMATION
ContactType , Name _..1_ AOaress CityState __.. .__ _ !
a ty I Zip j Phone PhoreCell
,,r mr 1/41..Yza-t ;UNIVERSITY OF VIRGINIA. COMMUNIn 3300 BERI<MAR DRIVE CHARLOTTESVILL 22901
-+-+a-, a-a=t C.r.RLIN CAMPBELL- PVQCAMPBELL 109 ZETA.DRIVE PITTSBURGH,PA 15238 4129630100
Signature of Contractor or Authorized Agent Date
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Architectural Review Board Application ,??
Part A: Applicant, Contact and Parcel Information
Project Name: UV r1 �i(Kt4LV�/l� Cr/Li } Un,pn
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Tax map and parcel(s): O55(4402.-O I-CO O o00 Physical Street Address: CrUl. # \)P
Contact Person: `ari;`,, Cs;rKp be-it
Business Name: PwC44%,,01C-1k
Address MCP Ze-A-r, a:NIC City p,Y0„..4. State t?\ Zip 62-38
Daytime Phone('4 L) 614;3-O1u4) Fax#(No-) 46,3- C 1. c E-mail (.E-r vt 6.4cit �J
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Owner of Record: UV Q1 £ ww- iv„„++� Cctol v 1.- �(0)# �Uw%
Address 3300 aer V.noner .A\11.- City ( �,��S�eS:t�\\e State Zip 2:2-"I V\
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Daytime Phone(434 ) %el - 'Z00% Fax#( ) E-mail �-o•+'i4e4 U5 (J Uv A . Cd
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
Amendment to an approved Certificate of Appropriateness $242.00
Building Permit Review $634.00
I County-wide Certificate of Appropriateness
Structures 750' or more from the EC,no taller than 5 stories No Fee
Structures located behind a structure that fronts the EC No Fee
Personal wireless service facilities No Fee
Fencing or Equipment or Lighting No Fee
Additions to ARB-approved buildings No Fee
Minor amendments to site or architectural plans No Fee
Building permits where the change is 50%or less of the altered elevation No Fee
NOTE: For SIGNS, use the combined APPLICATION AND CHEKLIST FOR SIGNS.
FOR OFFICE USE ONLY BP# ARB#
Fee Amount$ Date Paid By who? Receipt# Check# By
County of Albemarle Dept of Community Development,401 McIntire Rd,Charlottesville,VA 22902 Voice:(434)296-5832 Fax:(434)972-4126
10/2015 Page 1 of 2
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Part C: Description of Proposal
Describe your proposal.Attach a separate sheet if necessary.
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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(1) 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 required by the appropriate checklist.
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Si ature of owne owner s represen a w Date
or contract purchaser
J (:-I.. • b6 it 1 Prr(w.s c.4,0., I ,. Lt Ci — %)3-o I oo x 3 z Z
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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