HomeMy WebLinkAboutARB202000132 Application 2020-12-21Architectural Review Board Application���
Part A: Applicant, Contact and Parcel Information
Project Name: Albemarle Business Campus: Block 5
Tax map and parcel(s): 76-46A, 46F (Portion), 54 Physical Street Address: N/A
Contact Person: Justin Shimp
Business Name: Shimp Engineering
Address 912 E High Street City Charlottesville
Daytime Phone C_) 434-227-5140 Fax # C__)
State VA zip 22902
E-mail justin@shimp-engineering.com
Owner of Record: 5th Street Forest LLC
Address 250 W Main Street, Suite 201 City Charlottesville
Daytime Phone O Fax # C__)
State VA zip 22902
E-mail 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)
Preliminary/Initial Review of a Site Development Plan No Fee
X 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#
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) 9724126
102015 PW 1 oft
OVER ,
Part C: Description of Proposal
Describe your proposal. Attach a separate sheet if necessary.
Proposal for a self -storage building with ground -floor retail. Please refer to the ARB package provided by
SAA for a complete description.
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 tha n the subject property or have the legal power to act on behalf of the owner in filing this
application. * subm tal requirements below. I also certify that the information provided on this application
and accomp yin ation is accurate, true, and correct to the best of my knowledge, and that the attached
plans coot m info ation equired by the appropriate checklist.
12/21 /2020
Date
or
Justin Shimp, P.E. 434-227-5140
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.
• 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
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