HomeMy WebLinkAboutARB201900153 Application 2019-12-31Architectural
� 'view Board A
pplica t,„g
Pam A: Applicant
Contact and parcel Inf
ProjectName; �1ati0II !
stic Mountain
Talkhouse o
Tax map and Parcel(s): TM 69-7A
Contact PPhysical
ersoe
n: Pau! StreetAddress: Address; 9660 Rockfish Gap Turnpike
Business Na
me: The Gaines Group
Address 1430 ` PLC.
Rolkin
Court quite 302
DaYtame Phone C—j 434-979_5254 city Charlottesville
Fax # (--j State VA
----zip 229� E-mail p�thegaine5grou
Owner ofRecord: Dou pe11 feis p.com
Address 6049 Howardsville
Turnpike
Daytime Phone (--J 954~410- City Af�`on
6357 Fax # L, State VA
zip zzs� E maii dougslasdefei
Part $; Re►,iew @gmail.com
Select IV DC a and Fee
type
Revievt. by the
Architectural Review Board
X Conceptual l Plan/Advisory Re
Prelirrun vzew (far a Special Use Permit or a
�Y/Initial Review of a No Fee
Final Review of Site DeveIopmentPlan
Ame Site Development Plan No
nd"ient to an a Fee
Building approved Certificate ofA
Caun g Permit Review pproPriat S1075.00
t3'-wide Cert' mess
cate of ppropriateness S 242.00
S�ctures 75
0' or mAore from $ 634.00
S�etures located behind a the
EC, no t
Personal
erso tore that fronts theEC tones
g
FencingFireless ser►'ice facilities No Fee
or Eglipment or Lightin No Fee
Additions to _ g No Fee
Minor A" approved buildings
�endxients to ural No Fee
Bnildin site or architect
NOTE: g perntits where the c plans No Fee
For SIGNS use the hange is S0% or less of No Fee
combined APP the altered elevation
FOR OFFICE USE ONLYBP# L�C'ATIO No Fee
p� Amount g �' AND C11"'CLIST FOR SIGNS.
Date Paid
Connty. or�be � By who?
Albemarle
Dept or Comm u � Receipt # �
4itybevelopmeut, 401 Check # D__ {,Q
McIntire Rd, Charlottesville, V 22y02 Voice: (434 295_ �,t�
i w,01 t ofz
� 5832 Fa s: (434) 9724126
Part Q Description of Proposal
Describe your proposal. Attach a separate sheet if necessary.
Renovation to the existing west building at 9660 Rockfish Gap Turnpike. Improvements include a new dormer
on the south face, new skylights on the south face, and new patio on the north side. Also a new dumpster and
dumpster enclosure will be located near the existing east buildings.
I Part D: Applicant Agreement I
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 informatio s accurate, true, and correct to the best of my knowledge, and that the attached
plans coot ' ' fo quired by the appropriate checklist.
Si e o wner, er's representative Da
or contract purchase
r,,,-7�45-5-oze— A akin-
Printed name, Title 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.
10 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.
0 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
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