The URL can be used to link to this page

Home My WebLink AboutARB202000107 Application 2020-10-12Architectural Review Board Application Part A: Applicant, Contact and Parcel Information Project Name: __________________________________________________________________________________________________________ Tax map and parcel(s): _______________________________________ Physical Street Address: __________________________________ Contact Person: ______________________________________________________________________________________________ Business Name: ______________________________________________________________________________________________ Address ________________________________________ City ___________________________ State ___________ Zip __________ Daytime Phone (____) ___________________ Fax # (____) ___________________ E-mail __________________________________ Owner of Record: ____________________________________________________________________________________________ Address ________________________________________ City ___________________________ State ___________ Zip __________ Daytime Phone (____) ___________________ Fax # (____) ___________________ E-mail __________________________________ Part B: Review Type and Fee Select review type Review by the Architectural Review Board Conceptual Plan/Advisory Review (for a Special Use Permit or a Rezoning) No Fee Preliminary/Initial Review of a Site Development Plan No Fee Final Review of a Site Development Plan $1075.00 Amendment to an approved Certificate of Appropriateness $ 242.00 Building Permit Review $ 634.00 County-wide Certificate of Appropriateness taller than 5 stories No Fee Structures located behind a structure that fronts the EC No Fee Personal wireless service facilities No Fee Fencing or Equipment or Lighting No Fee Additions to ARB-approved buildings No Fee Minor amendments to site or architectural plans No Fee Building permits where the change is 50% or less of the altered elevation No Fee NOTE: For SIGNS, use the combined APPLICATION AND CHEKLIST FOR SIGNS. FOR OFFICE USE ONLY BP#_________________________________________ ARB#______________________________________________ Fee Amount $_______________ Date Paid ______________ By who? ___________ Receipt # _________ Check # __________ By ___________ County of Albemarle Dept of Community Development, 401 McIntire Rd, Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 10/2015 Page 1 of 2 Part C: Description of Proposal Describe your proposal. Attach a separate sheet if necessary. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Part D: Applicant Agreement 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 owne r in filing this application. *See submittal requirements below. I also certify that the information provided on this application and accompanying information is accurate, true, and correct to the best of my knowledge, and that the attached plans contain all information required by the appropriate checklist. _____________________________________________ ____________________________________ Signature of Date or contract purchaser _____________________________________________ ____________________________________ 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 certifyi ng that the person signing above has the authority to do so. If the applicant is a contract purchaser, a document acceptable to the County must be submitted containing If the applicant is the agent of the owner, a document acceptable to the County must be submitted that is 11/2010 Page 2 of 2