HomeMy WebLinkAboutARB201900138 Application 2019-11-26Application and Checklist for Sign Permit 0-6
Part A: Applieant and Parcel Information
PmJeetNume• CCLgmax _ _ Address: - i
yy 1 Ck,4117.✓d e
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TaxnW and porcel(s): 67100 - 00 _ a 0�- 010 0Q — .—
Zoning: C 6MMel-Lr0' G
T
Contact Person (Who should we callhvrite concerning this project?): Brion Draper - American Made Signs^
Adder 407 Earhart Street Suite B City Chariottesvdie
state VA
Zip 22903
Daytime Pl l®(__ _) 434-971-7446 Fax # l )
Email brion amedcanmadesi nsmom
Owner of Record: if0119 a,,Y Auto sC,LQ�siai2�'� r.✓�
Address .V T wWf -Ave CAU-e AW city Ri 6AMaw#
state V,4
zip
Daytime Phone (_ _ ) Fax # (--)
E-mail
Contractor NamelBusinem Name: Bdon Draper - American Made Signs
Address 407 Earhad Street Suite B City Charlottesville
State VA ^_zip
22903
Daytime Phone ( ) 434-971-7"6 _ _ Fax # C__)
Email bnonaamericanmadesigns.com
Part B: Determining application Muirements and foes
1.
Sign Permit — Please indicate which sign type you am allying for:
❑
Freestanding or Monument Sign:
$91.64
[]
If a footing is required, an additional fee is required:
$32.64
❑
Wall Sign (Including property, awning, fuel pump canopy signs):
$91.64
Sign Refacing: CH)
$59.00
2.
Electrical Permit — Wiil the sign be illuminated?
0
Yes (Illuminated signs require an electrical pernst and an electrical schentmw-)
$48.%
19
No
$ 0.00
3.
ARB Review — Wit the permanent sign(s) be constructed in an Entrance Corridor?
(See the Entrance Corridor map in the Sign PermltApplicationFaacket for a list ofEmranm Corridors.)
❑
Yes (This sign will be constructed in an Entrance Corridor and et does not meet the conditions of a
$129.00
Comprehensive Sign Review. See ARB requirements next pages.)
®
Yes (Ibis 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 (7his sign will not he constructed in an Entrance Corridor)
$ 0.0Q
FEE TOTAL (Please add all the amounts checked in sections I -- 3):
$
FOR OFRCE USE ONLY BP# 't "�
Fee Amount $ _ date Paid { By tkflfflKRhiPt# # O)M By
County of Albemarle De ent t Development
401 McIntire Road Charlottesville, VA 22902 Voice. (434) 296-5832 Fax: (434) 972-4126
11/1/2013Pop 1 of
A. Work Valuation
Fart D: Applicant Agreement
Applicant mast read and sign
• Fach application package must contam 4 folded copies of all plans and documents being submitted. Only 1 set of
materiW/coior 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 p wimp Is not complete without this checklist, completed, signed, and included with the required
submittal materials indicated on the checklist
t hereby certify that the Information provided an 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
Signature of person completing checklist Date
P1110/v PlwelzLqkiv�VtA
Printed Name / Title 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) 9724126 Fax
www.albemarle.org
11/112015 Page 4 of 4
Sign Diagrams
Sign Dimensions
Sign
Height
Distance to property line
or edge of right-of-way
Sign Height =
Sign Dimensions =
Pole -Mounted Sign - Diagram t
(Generally not acceptable in the ECS)
Sign
Holum Sign Dimensions
fBuilding Frontage
Building Frontage =
Sign Height =
Sign Dimensions =
Sign Dimensions
Sign
Height
Distance to property line
or edge of right-of-way
Sign Height =
Sign Dimensions =
Monument Sign - Diagram 2
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� f
PYV� C4�1 Vj1(
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 m
Sign Diagrams revised 7/2009 -- 1
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
nis form must accon*wny zoning applications (Home Occupation, Zoning Clearance, zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application a not the
owner.
l certify that notice of the application, CAM Gyp
[County application name and number]
was provided to Cag�WX A VV Sri°re,s'friR Ty C the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 0700 - 00 - 00 _ 0 l470 0 by delivering a copy of the application in the
mariner 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]
no
Date
Mailing a copy of the application to G GlAmAX_4" �O SWIVVioAel T .✓-
[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 f [ 16 ,q to the following address:
Date
UeeK � w5; 9;Cd.r�a 1, V�q 23 30
[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
ko,j P e-
Print Applicant Name
I1/i311q
Date