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PARCEL I OWNER INFORMATION
TMP 07600-00-00-046A0 Owner(s): 5TH STREET FOREST LLC
Application# ARB202000116
PROPERTY INFORMATION
Legal Description !ACREAGE
Magisterial Dist. Samuel Miller Land Use Primary Residential -- Single-family (incl. modular homes .,,
Current 4.FD Not in A/F District Current Zoning Primary IR2 Residential
APPLICATION INFORMATION
Street AddressEntered By
Application Type Architectural Review Board ]enniferSmith v
110/27/2020
Project ALBEMARLE BUSINESS CAI-IPUS - BLOCK 5 - DIGITAL
Received Date 10/26/20 Received Date Final Submittal Date 10/26/20 Total Fees
Closing File Date Submittal Date Final; Total Paid
Revision Number —Comments
Legal Ad
SUB APPLICATION(s)
Type l Sub�.' plicatioF ConventInitial Site Plan 10/26/20
APPLICANT / CONTACT INFORMATION
Contact-I- Narre I Address I CityState i Zip Phone PhareCell l
Jim+_Sri Appii-art 5TH STREET FOREST LLC 250 W MAIN STREET STE 201. CH.hRLOTTES\ILL .=nrna y Ccrtect :JUSTIN SHIMP - SHIMP ENGINEERING 912 E HIGH STREET CH'.yRLOTTESaILL '2902 434227514E
Gate
Signature of Contractoror Authorized Aaent
Architectural Review Board Application
Part A: Applicant, Contact and Parcel Information
Project Name: Albemarle Business Campus - Block 5
Tax map and parcel(s): 76-46A& 76-54 Physical Street Address: N/A
Contact Person: Justin Shimp
Business Name: Shimp Engineering
Address 912 E High Street City Charlottesville State VA Zip 22902
Daytime Phone( ) 434-227-5140 Fax#( ) E-mail justin@shimp-engineenng.com
Owner of Record: 5th Street Forest LLC
Address 250 W Main Street, Ste 201 City Charlottesville State VA Zip 22902
Daytime Phone( ) Fax#( ) E-mall kyle.redinger@gmail.com
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 No Fee
Rezoning)
X 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 $634.00
County-wide Certificate of Appropriateness
Structures 750'or more from the EC,no taller than 5 stories No Fee
Structures located behind a structure that fronts the EC No Fee
Personal wireless service facilities No Fee
Fencing or Equipment or Lighting No Fee
Additions to ARB-approved buildings No Fee
Minor amendments to site or architectural plans No Fee
Building permits where the change is 50%or less of the altered elevation No Fee
NOTE: For SIGNS, use the combined APPLICATION AND CHEKLIST FOR SIGNS.
FOR OFFICE USE ONLY BP# ARB# d"`""
Fee Amount$ Date Paid y w o eceip ck# 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
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Part C: Description of Proposal
Describe your proposal. Attach a separate sheet if necessary.
See attached narrative
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 owner 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.
10/23/20
Signature of owner, owner's representative Date
or contract purchaser
Kyle Redinger, Manager
Printed name, Title
4344091929
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.
• 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.
• 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
OVER,