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Home My WebLink AboutARB201900113 Application 2019-10-07Application and Checklist for Sign Permit Part A: Applicant and Parcel Information Project Name. Sentara MarthaJefferson-Proffit Monument Address: 3263 Proffit Rd.; Charlotteville 22911 Tax map and parcel(s): 032AO-02-00-001A0 Zoning: Highway Commercial Contact Person ( Who should we call/write concerning this project?): Tanya Rutherford; Gropen, Inc Address 1766 Scottsville Rd. , Suite A City- Charlottesville state VA Zip 22902 Day Lime Phone( 434 295-1924 x 101 Fax # ( 434) 295-1926 l;-mail tutherford@gropen.com Owner of Record: Martha Jefferson Hospital; rep: Michael Spatz Address P.O. Box 2606 city. Charlottesville state VA ;dip 22902 Daytime Phone ( 434) 654-7038 Fax# �) E-mail MRSPATZ@Sentara.eom Contractor Name/Business Name: Gropen, Inc. Address 1766 Scottsville Rd. City Charlottesville State VA zip 22902 _ Daytime Phone ( 434) 295-1924 Fax # ( 434) 295-1926 E-mail trutherford@gropen.com Part B: Determining application requirements and fees 1. ,Sign Permit -- Please indicate which sign t}pe,you are applyingfor: 97 Freestanding or Monument Sign: $91.64 If a footing is required, an additional fee is required: $32.64 ❑ Wal l Sign (Including proper(y, awning. fuel pump canopy signs): $9 t.64 ❑ Sign Refacing: S59.00 2. Electrical Permit — Will the sign be illuminated? 5Z 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 PermitApplication packet for a list of Entrance Corridors.) m Yes (This sign will he constructed in an Entrance Corridor and it rives not meet the conditions of a $129.00 Comprehensive Sign Review. See .$RB requirements next pages.) ❑ Yes (This sign will be constructed in an Entrance Corridor cruel it does meet the conditions oJ'a Waive Fee Comprehensive Sign Review. See .4RB requirements nest pages.) ❑ No /This sign will not he constructed in an Entrance Corridor) $ 0.00 FEE TOTAL (Please add all the amounts checked in sections I - 3): $ '30p rr FOR OFFICE USE ONLY BP# � — 025 ARB# a�`"1 — I 1 3 By who? ro Receipt # ffq-w-check # By Fee Amount $ a Date Paid** — County of Albemarle Department of Community Development 401.Mclntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 PLEASE NOTE: Existing sign is being relocated - previously approved by 4RB & Zoning 11/I/2015 Page I of 4 Poss ►" Ery ARb A4YOtN r-e A t+J Part C: Submittal Items Required Note: Submittal packages must contain 4 collated copies of all information unless otherwise indicated. Additional submittal materials may be required if review by the Architct--tural Rexgew Board is necessary. Applicants will be notified if additional materials or ARB review are required. SECTION 1: FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS I A. Submittal Requirements Site plan or latest approved plat showing, to scale, the proposed location of the sign(s) with dimensions. m 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 tloe 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 (Pantone, 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.) Provide a site plan showing proposed landscaping around the sign, including botanical names and planting sizes. a 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. (.411 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. 21 Freestanding signs are required to have footing inspections. (schechiled hi° applicant) Freestanding signs are required to have electrical inspections if illuminated. (scheduled hy applicant) ® Freestanding signs are required to have final building and zoning inspections, (scheduled by applicant) 1 1/1/2015 Page 2 of NIA SECTION 2: WALL SIGNS NIA IA. Submittal Requirements � ❑ A 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 include these dimensions on the diagrams provided in Appendix B.) ❑ Sign 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 Indication of sign type (channel letters, cabinet, panel, etc.). o Indicate on the drawings the proposed materials and colors. Include standard color identification numbers (Pantone, 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.) c 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 ofthe 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. Inspection Requirements for Wall or Projecting Signs ❑ Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled bT applicano ❑ Wall and projecting signs are required to have final building and zoning inspections. (Scheduled brapplicano SECTION 3: ILLUMINATION REQUIREMENTS A. If the proposed sign is to be illuminated, the applicant must provide the following: ® Electrical permit AfPLJXt--)6% FOA peoLN►ZT Electrical schematic ® The location of proposed light fixtures identified on a plan and/or elevation Manufacturer 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 111112015 Page 3 of 4 A. Work Valuation $ 20,000. 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 I 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 Nv knowledge and belief and contains all information required by these checklists 09/27/2019 Signature of p on completing check ' Date Tanya Rutherford; VP of Operations 434-295-1924 x 101 Printed Name / Title Daytime phone number of Signatory County of Albemarle Department of Community Development 401 McIntire Road, North Vying, Charlottesville, VA 22902-4596 (434) 296-5832 Tel, (434) 972-4126 Fax www.albemarle.org 1/1/2015 Page 4 of4 Sign Diagrams Sign Dimensions Sign Height 10 Distance to property line or edge of right-of-way Sign Height = Sign Dimensions = Pole -Mounted Sign — Diagram f (Generally not acceptable in the ECs) Sign Height Sign Dimensions Building Frontage Building Frontage = Sign Height = Sign Dimensions Wall Sign — Diagram 3 g Sign Dimensions Sign Height Distance to property line or edge of right-of-way Sign Height = 96" Sign Dimensions =12.7 sq. ft. Monument Sign — Diagram 2 If multiple wall signs are proposed, list dimensions here: Sign 2 Height = Sign 2 Dimensions = Sign 3 Height = Sign 3 Dimensions = _ Sign 4 Height= ___ Sign 4 Dimensions = Sign 5 Height = Sign 5 Dimensions = Sign Diagrams revised 7/2009 — 1 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, TBD [County application name and number] was provided to Michael Spatz; rep for Sentara Martha Jefferson the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 032AO-02-00-001 AO manner identified below: by delivering a copy of the application in the X Hand delivering a copy of the application to Michael Spatz, Sentara Martha Jefferson [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 09/30/2019 Date Mailing 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 to the following address: [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tar assessment books or current real estate tax assessment records satisfies this requirement]. Signature �Alicant Tanya Rutherford Print Applicant Name 09/30/2019 Date