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HomeMy WebLinkAboutARB201900095 Application 2019-08-02 Application and Checklist for Sign Permit Part A: Applicant and Parcel Information Project Name: OD?VQpttr.. Address: 3.1 S g iANI M0.2 . 'f"'r - Tax map and parcel(s): Zoning: Contact Person(Who should we call/write concerning this project?): P A\( p c t l Address e. ©, QOX 0.(/61 City ..‘0,0_ O 1t/sn ids State VA _l.ip .2s5J Daytime Phone OD) /97- 3t.)S' Fax#( ) N/4 _E-mail der: t geft.o.heoftwif/oas 114.611 Owner of Record: /21NAAy�r r PIa=O. sP 2 LL.L 4 60,1 t J# Address 44W# e340/ t gf, _ City AarWief&.4- _ State et p A1903 Daytime Phone(X7Y) Wag -33/3 Fax#( ) E-mail nark wq 11 'CGS Contractor Name/Business Name: Address City State Lip Daytime Phone( ) Fax#( ) E-mail Part B: Determining application requirements and fees 1. Sign Permit-Please indicate which sign type you are applying for: 4 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: $59.00 2. Electrical Permit-Will the sign be illuminated? 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 Permit Application packet for a list of Entrance Corridors.) ❑ Yes (This sign will be constructed in an Entrance Corridor and it does not meet the conditions of a $129.00 Comprehensive Sign Review. See ARB requirements next pages.) ❑ Yes (This 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.) 9 No (This sign will not be constructed in an Entrance Corridor) $0.00 FEE TOTAL(Please add all the amounts checked in sections I -3): $ FOR OFFICE USE ONLY B> 1q' /V 10 n51 01 ARB#a0 i Fee Amount S Date Paid By who? Receipt# Check# B} County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 11/1/2015 Page 1 of 4 A. Work Valuation $00a2 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 my knowledge and belief and contains all information required by these checklists V/9 /9 Signature of person completing checklist Date &AV—fri2CS PC -`-/r("C - S l#041-/ 7 -3 YJ-5 11/1/2015 Pane 4 of 4 Sign Diagrams • 4 Sign Dimensions • Sign 4 Sign Dimensions Height Sign 4 • Height ( �/ Md Il l 1 ' .CeteVA- 1 51a./1) IDistance to property line ► or edge of right-of-way i Distance to property line or edge of right-of-way Sign Height= Sign Height= Sign Dimensions= rr X y6" Sign Dimensions= Pole-Mounted Sign —Diagram 1 Monument —Sign Diagram 2 (Generally not acceptable in the ECs) g g • Sign Height Sign Dimensions Building Frontage Building Frontage= /i6 O oleo% Sign Height= /4 Sign Dimensions= 07 / P x /,3 1 "1 Wall Sign— Diagram 3 If multiple wall signs are proposed, list dimensions here: Sign 2 Height= /`J� Sign 4 Height= /4' r Sign 2 Dimensions = 3 b r, X /q7 " Sign 4 Dimensions = die" .X //01 Sign 3 Height= J4 Sign 5 Height= f" I Sign 3 Dimensions= � r L� X 9�7sr% Sign 5 Dimensions = oly " X 30.S 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, 'st 9I0-g1/7- 8:)� r [County application name and number] was provided to Ri„a,at�.n►_ S zo_ St 1� ,I L the owner of record of Tax Map [name(s)of the record owners of the parcel] and Parcel Number by delivering a copy of the application in the manner 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] on Date Mailing a copy of the application to 12.ivy,priv r I o 7 f L 5 - L' — [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 -7/f®/ /q to the following address: Date [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]. a Signature of Applicant &S‘jPrint Applicant Name '7'//q //Q Date f / RIVANNA PLAZA SPE, LLC 1208 PRESTON AVENUE, CHARLOTTESVILLE, VA 22903 LETTER OF AUTHORIZATION July 16, 2019 To Whom It May Concern: This letter is to certify that The MC Group or agent (Creative Connections) thereof is authorized to survey, permit and install signage on behalf of Nicki's Furry Friends, LLC (dba Dogtopia) at the following property address: 315 Rivanna Plaza Drive, Suite 120, Charlottesville, VA 22901. All work is at Dogtopia's expense and liability and this letter only grants permission to enter, perform work, and obtain necessary permits and approvals for such signage. The MC Group and its agents and subcontractors agree to carry liability and worker's comp insurance for their work and employees. Sincerely, Rivanna Plaza SPE, LLC By: Mark Green Manager 434-409-3313 MARKWGREEN@GMAIL.COM