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Home My WebLink AboutARB201900076 Application 2019-08-15Architectural Review Board Application ��°�Af �fAGIS�A Part A: Applicant, Contact and Parcel Information Project Name: Polly's Folly country store Tax map and parcel(s): 08700-00-00-02600 Physical Street Address: 2946 Monacan Trail Road Contact Person: Polly Davis Doig Business Name: Polly's Folly Address 1429 Burchs Creek Road city Charlottesville Daytime Phone(__) 434.823.1970 Fax # O _ State VA Zip 22903 E-mail davisdoig@gmail.com Owner of Record: ThreeDee LLC Address 1429 Burchs Creek Road city Charlottesville Daytime Phone (__) 434.823.1970 Fax # State VA Zip 22903 E-mail davisdoig@gmaii.com Part B: Review Type and Fee now - Select NOTE: 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 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 For SIGNS, use the combined APPLICATION AND CHEKLIST FOR SIGNS. X 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 I of 2 OVER Part C: Description of Proposal Describe your proposal. Attach a separate sheet if necessary. To renovate and restore the old Sprouse furniture store to its original use as a country sto rical and plumbing. The siding will be replaced with Hardieboard, original gas -station canopy will be replaced with a tighter -hugging porch a allows or a deceleration lane. Excavation on the left of the building will allow for a parking lot to improve safety, as well as allow the North Garden Farmer's Market to exist on the back two acres. We will add on a 12'x12' kitchen to the r with sliding barn doors that will increase its attractiveness/old school charm. We intend to respect e Character ot the building, and even give it more than it hadin Its ey. ay. 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. % June 23, 2019 Signature of owner, owner's representative Date or contract purchaser Polly Davis Doig, owner Printed name, Title 434.823.1970/434.872.1265 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 OVER —,