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HomeMy WebLinkAboutARB201900132 Application 2019-11-05 Application and Checklist for Sign Permit ,., ,aS," Part A: Applicant and Parcel Information Project Name: Champion Grill Address: 2075 Bond St#180, Charlottesville,VA Tax map and parcel(s): 061 W0-03-00-019A0 zoning: Commercial Contact Person(Who should we call/write concerning this project?): Brion Draper-American Made Signs Address 407 Earhart Street Suite B City Charlottesville State VA Zip 22903 Daytime Phone( ) 434-971-7446 Fax#( ) E-mail brion@americanmadesigns.com Owner of Record: OCT STONEFIELD PROPERTY OWNER LLC Address 230 ROYAL PALM WAY Suite 200 City Palm Beach State FL Zip 33480 Daytime Phone( ) Fax#( ) E-mail Contractor Name/Business Name: Brion Draper-American Made Signs Address 407 Earhart Street Suite B City Charlottesville State VA Zip 22903 Daytime Phone( ) 434-971-7446 Fax#( ) E-mail brion@americanmadesigns.com Part B: Determining application requirements and fees 1. Sign Permit—Please indicate which sign type you are applying 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: $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.) • No (This sign will not be constructed in an Entrance Corridor) $0.00 FEE TOTAL(Please add all the amounts�p checked in sections 1—3): $ 9 U l- FOR OFFICE USE ONLY BP#9 I ! 1[ 1 ARB#�O f�- /3d Fee Amount$ 1 . Date Paid By who? Receipt.`#' Check# By County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice:(434)2,96-5832 Fax: (434)972-4126 ,,. i. , r 1;. ,••,- 11/1/2015 Page 1 of 4 A. Work Valuation $ I O'jty 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 1 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 certj 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 10/22/2019 Signature of person completing checklist Date Brion Draper/Owner 434-971-7446 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)972-4126 Fax www.albemarle.org 11/1/2015 Page 4 of 4 Sign Diagrams • 4 Sign Dimensions Sign 4-- Sign Dimensions Height Sign Height 0 f Distance 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= Sign Dimensions= Pole-Mounted Sign—Diagram 1 (Generally not acceptable In the ECs) Monument Sign—Diagram 2 A Sign Sign Dimensions Height 4 ► Building Frontage Building Frontage= 16 5 0 Sign Height= j2q �t Sign Dimensions= + " x ' O Wall Sign—Diagram 3 If multiple wall signs are proposed,fist dimensions here: il Sign 2 Height= 129 Sign 4 Height= x2'`/ Sign 2 Dimensions= Sign 4 Dimensions= Sign 3 Height= Sign 5 Height= Sign 3 Dimensions= 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, OVtG`NtirO!✓ -k.1 n [County application name and number] MI was provided to 0 6 t 5.1-Dive II 0wrvta2 the owner of record of Tax Map [name(s)of the record owners of the parcel] and Parcel Number 0 CO 1 WO- 0 3 DO— D( l A p 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 0 CI- S _/p_/�4e-a1114A Opv (LLC [Name of the Vr1elc'ord 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 I O/Z 3/ (/ to the following address: Date 2 3 o i.D Yet, WwY cU,'i� ZO©, nay fe6' 6, F L 3 90 [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], 4,4 Signature of Applicant Print Applicant Name I 0 f Zbf�/R Date