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ARB202100032 Application 2021-03-22 (5)
.1-t--77A' 'Albemarle• COL 'y 4 Community Dey el o pmentDepastrrdEst. P. _ .___Antire Road C?iario4sville,VA22992-4596.-:'ZO!) Voice:(434)296-5832 Fax.(434)972-41.26 ,,,, 74-1.'..±..• - '''':'• —.Y;;." Planning Application PAiltEL j OWNER INFORMATION TNT .06.O0.0766-011 .03800, Own e r(s): 2246-22484Vr-RoAD,LLt Application#. AR13202106032. PROPERTY INFORMATION Legal Description I Ac4E.P4E A : s ' _ . Magisterial.Dist. Jack Jouett kd Land Use Primary Office i" 1 _...._ _ Current AFD k(it in:It/E iiiii-ick 1,:s4.1 airrent Zoning'Pi7imary Illig,hwawcornmercial APPLICATION INFORMATION Street Address 201 2250IVY RD CHARLoTTESVILLE,22903 Entered By. 13ennifer mithlyi Application Type Fircilitectural Review Board ' 17:11 074.3.1-104.77 Project SIGNS-SENT'ARA.HOSPITALS- DIGITAL Received Date .03/22/21 Received Date Final , Submittal Date 03/22/21 Total Fees 129 . Cloiing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad , . ., .SUB APPLICATION(s) .. , Type .. , I Sub.APplicetio:,, . . Comment . '. . .S I ION' ' . ,, i 2, , , . , • •9.'ji1?1- .. . . APPLICANT / CONTACT INFORMATION ContectTpe Name ... . Address ., .':Cit./State. . ,Zip , ,Phone . PhorteGell i,iC'r 'li 2246;3:348 1W ROAD LLC - ' ' P,ti;,15..OX521:. ' ' - . :CFUiLOTTE :y14 '-22 9 p2::. t•: , - ,..i ' ! • . • , , ,. ., . -' .i Piirn....ly CC nr..1.1:t ...1i.i3AMIAN E HANDA l 2088.NELLIE STREET :LARGO,FL 33774 7272546491 E..G Ont.:2i c•zrzsa,,:tcr •A I 2655 INTERNATIONAL VIRGINIA BEACH, '23452 ,... -,. Date Signature of.Contractor or Authorized Agent 4 � Application and Checklist for Sign Permit silo Part A: Applicant and Parcel Information Project Name: SENTARA HOSPITALS Address: 2248 IVY ROAD, CHARLOTTESVILLE Tax map and parcel(s): 0600-00-00-03800 zoning: HC Contact(Who should we call w/questions?)Name: DAMIANE HANDA Business Name: Address 2088 NELLIE STREET City LARGO State FL Zip 33774 Daytime Phone(727)254-6491 Fax if(206)350-1097 E-mail DAMIANE@ETD.WEBSITE Contractor Name: AGI. Business Name: Address 2655.INTERNATIONAL PARKWAY City VIRGINIA BEACH State VA Zip 23452 Daytime Phone( ) Fax#( ) E-mail Business Owner Name: 2246-2248 IVY ROAD LLC Business Name: Address PO BOX 521 City CHARLOTTESVILLE state VA Zip 22902 Daytime Phone( ) Fax#( ). E-mail 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 Q Wall Sign(Including property,awning,fuel pump canopy signs): $91.64 ❑ Sign Refacing: $59.00 2. Electrical Permit—Will the sign be illuminated? Q 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? (Go to www.albemarle.org/arb for more information.) O Yes (This sign will be constructed in an Entrance Corridor and it does not meet the criteria of an $129.00 approved Comprehensive Sign Plan. See ARB requirements next pages.) ❑ Yes (This sign will be constructed in an Entrance Corridor and it does meet the criteria of a Waive Fee Comprehensive Sign Plan(CSP). Write the name of the CSP here: See ARB requirements next pages.For more info on CSPs,go to the link at www.albemarle.org/arb. ❑ No (This sign will not be constructed in an Entrance Corridor) $0.00 FEE TOTAL(Please add all the amounts checked in sections 1—3): $ FOR OFFICE USE ONLY BP# I/ T3_ S ARB# c9c %) - -3 a Fee Amount$ Date Paid By.who? Receipt# Check# By County of Albemarle Department of Community Development 401•McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 1/2/2020 Page 1 of 4 A Part C: Submittal Items Required ' Note:Submittal packages must contain 4 collated copies of all information unless otherwise indicated. Additional submittal materials may be required if review by the Architectural Review Board is necessary. Applicants will be notified if additional materials or ARB review are required. SECTION 1: FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS A. Submittal Requirements ❑ Site plan or latest approved plat showing,to scale,the proposed location of the sign(s)with dimensions. ❑ Distance from the sign to the property lines and/or edge of the VDOT right-of-way. ❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground. ❑ If the sign will be located in an easement,a letter of approval from the easement holder will be required. ❑ A to-scale color illustration of the proposed sign showing ❑ Dimensions of the sign,including overall height from the ground;cabinet size,length,width and depth;base size,etc.(Be sure to also include these dimensions.on the diagrams provided in the Sign Permit Application packet.) ❑. Proposed lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements:If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o If internally illuminated,indicate which areas of the sign are opaque and which are illuminated.Internally illuminated cabinet signs must have opaque backgrounds.(Opaque materials don't allow light to pass.through. When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.) o Identification of proposed materials and colors.Include standard color id numbers(Pantone,Benjamin Moore, Acrylic,etc.)for all materials,text,graphics,base,faces,trim caps,returns,etc. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed, preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o Provide a site plan showing proposed landscaping around the sign,including botanical names and planting sizes. o Additional submittal materials may be required if review by the Architectural Review Board is necessary.(The applicant will be notified if this requirement applies.) B. Inspection Requirements for Freestanding, Subdivision or Directory Signs ❑ Applicant must mark the location of the property lines and the location of the sign with stakes in preparation for a preliminary,zoning inspection. (All four corners of the sign must be marked with stakes that are easily visible to all inspectors.) ❑ A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be issued. ❑ Freestanding signs are required to have footing inspections. (scheduled by applicant) ❑ Freestanding signs are required to have electrical inspections if illuminated. (scheduled by applicant) ❑ Freestanding signs are required to have final building and zoning inspections. (scheduled by applicant) 1/2/2020 Page 2 of 4 SECTION 2:WALL.SIGNS A. Submittal Requirements 0. A drawing,to scale,showing dimensions of the sign(length,height,depth). ® Elevation drawing(s)or modified photograph of the entire building,to scale and in color,showing ® The sign location on the building,sign height above grade,and the length of building frontage.(Be sure to also include these dimensions on the diagrams provided in Appendix B) ® Sign lettering and/or graphics in their proposed location. O Entrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor,consult the.Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o Indication of sign type(channel letters,cabinet,panel,etc.). o Indicate on the drawings the proposed materials and colors.Include standard color identification numbers (Pantone,Benjamin Moore,Acrylic,etc.)for all materials,text,graphics,faces,trim caps,etc.For channel letter signs,indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is attached. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed in the sign,preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o If externally illuminated,indicate the location of proposed light fixtures and provide manufacturer's cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17. o For internally illuminated signs,indicate which areas of the sign are opaque and which are illuminated.(Opaque materials don't allow light to pass through.When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.Internally illuminated cabinets must have opaque.backgrounds.) B. Inspection Requirements for Wall or Projecting Signs O Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant) 0 Wall and projecting signs are required to have final building and zoning inspections:'(Scheduled by applicant) SECTION 3:ILLUMINATION REQUIREMENTS A. If the proposed sign is to be illuminated,the applicant must provide the following: ❑ Electrical permit ❑ Electrical schematic ❑ The location of proposed light fixtures identified on a plan and/or elevation ❑ Manufacturer cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17 of the Zoning Ordinance. 1/2/2020 Page 3 of 4 SECTION 4:WORK VALUATION A. Work Valuation $2500 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 certin)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 .40vrhsA w►d �e�✓' ,`v"w 3/19/2021 Signature of person completing checklist Date DAM IANE' HANDA/AGENT 727-254-6491/damiane@etd.website 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 1/2/2020 Page 4 of 4 opA Application and Checklist for Sign Permit gip" . Part A: Applicant and.Parcel,Information •Project Name: SENTARA HOSPITALS Address: 2248 IVY ROAD, CHARLOTTESVILLE Tax map and parcel(s): 0600-00-00-03800 zoning: HC Contact(Who should we call w/questions?)Name:.DAMIANE HANDA Business Name: Address 2088 NELLIE STREET City LARGO State PI- Zip 33774 Daytime Phone(727)254-6491 Fax#(206)350-1097 E-mail DAMIANE@ETD.WEBSITE • Contractor Name: AGI • Business Name: Address 2655 INTERNATIONAL PARKWAY City VIRGINIA BEACH State VA Zip 23452 Daytime Phone( ) Fax#( ) E-mail Business Owner Name: 2246-2248 IVY ROAD LLC Business Name: Address PO BOX 521 City CHARLOTTESVILLE. State VA Zip 22902 Daytime Phone( ) Fax#( ) E-mail Part B:Determining application'requirements and fees 1. Sign Permit—Please indicate which sign type you are applying for: Freestanding or Monument Sign: $91.04. O 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? O 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? (Go to www.albemarle:org/arb for more information.) O Yes (This sign will be constructed in an Entrance Corridor and it does not meet the criteria of an $129.00 approved Comprehensive Sign Plan. See ARB requirements next pages.) ❑ Yes (This sign will be constructed in an Entrance Corridor and it does meet the criteria of a Waive Fee Comprehensive Sign Plan(CSP): Write the name of the CSP here: See ARB requirements next pages.For more info on CSPs,go to the link at www.albemarle.org/arb. ❑ No (This sign will not be constructed in an Entrance Corridor) $0:00 FEE TOTAL(Please add all the amounts checked in sections 1 3): 2 $ FOR.OFFICE USE ONLY BP#.C905' ARBl -5 O VI\ J Fee Amount$/S.C9(4 Date Paid By who? Receipt# Check# By (y�� County of Albemarle Department Of Community Development n ( ` 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 )4 0.` CONX 1/2/2020 Page 1 of w `l Part C: Submittal Items.Required Note:Submittal packages must contain 4 collated copies of all information unless otherwise indicated. Additional submittal materials may be required if review by the Architectural Review Board is necessary. Applicants will be notified if additional materials or ARB review-are required. SECTION 1:FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS A. Submittal Requirements. O Site plan or latest approved plat showing,-to scale,the proposed location of the sign(s)with dimensions. ® Distance from the sign to the property lines and/or edge of the VDOT right-of-:way: ® A footing/foundation diagram showing how the base or pole will be anchored in the ground. ® If the sign will be located in an easement,a letter Of approval from the easement holder will be required. ®, A to-scale color illustration of the proposed sign showing ® Dimensions of the sign,including overall height from the ground;cabinet size,length,width and depth;base size,etc.(Be sure to also include these dimensions on the diagrams provided in the Sign Permit Application packet.) ® Proposed lettering and/or graphics in their proposed location. O Entrance Corridor Requirements:If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o If internally illuminated,indicate which areas of the sign are opaque and which are illuminated.Internally illuminated cabinet signs must have opaque backgrounds.(Opaque materials don't allow light to pass through. When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.) o Identification of proposed materials and colors.Include standard color id numbers(Pantone,Benjamin Moore, Acrylic,etc.)for all materials,text,graphics,base,faces,trim caps,returns,etc. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed, preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o Provide a site plan showing proposed landscaping around the sign,including botanical names and.planting sizes. o Additional submittal materials may be required if review by the Architectural Review Board is necessary,(The applicant will be notified if.this requirement applies.) B. Inspection Requirements for Freestanding, Subdivision or. Directory Signs ® Applicant must mark the location of the property lines and:the location of the.sign with stakes in preparation for a preliminary zoning inspection. (All four corners of the sign must be marked with stakes that are easily visible to all inspectors.) O A preliminary zoning inspection must-be completed to verify the location of the sign before the permit can be issued. ®- Freestanding signs are required to have footing inspections. (scheduled by applicant) ® Freestanding signs are required to have electrical inspections if illuminated. (scheduled by applicant) O Freestanding signs are required to have final building and zoning inspections. (scheduled by applicant) • • 1/2/2020 Page 2 of 4 SECTION 2:WALL SIGNS A. Submittal Requirements D A drawing,to scale,showing dimensions of the sign(length,height,depth). ❑ Elevation drawing(s)or modified photograph of the entire building,to scale and in color,showing ❑ The sign location on the building,sign height above grade,and the length of building frontage.(Be sure to also include these dimensions on the diagrams provided in Appendix B) ❑ Sign lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements: If'the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o Indication of sign type(channel letters,cabinet,panel,etc.). o Indicate on the drawings the proposed materials and colors.Include standard color identification numbers (Pantone,.Benjamin Moore,.Acrylic,etc.)for all materials,text,graphics,faces,trim caps,etc.For channel letter signs,indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is attached. o If colors other than Pantone.equivalents are identified,provide accurate physical samples of all colors proposed in the sign,preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o If externally illuminated,indicate the location of proposed light fixtures and provide manufacturer's cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17. o For internally illuminated signs,indicate which areas of the sign are opaque and which are illuminated.(Opaque materials don't allow light to pass through.When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.Internally illuminated cabinets must have opaque backgrounds.) B. Inspection Requirements for Wall or Projecting Signs ❑ Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant) ❑. Wall and projecting signs are required to have final building and zoning inspections. (Scheduled by applicant), SECTION 3: ILLUMINATION REQUIREMENTS A. If the proposed sign is to be illuminated,the applicant must provide the following: ❑ Electrical permit ❑ Electrical schematic ❑ The location of proposed light fixtures identified on a plan and/or elevation ❑ Manufacturer cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17 of the Zoning Ordinance. 1/2/2020 Page 3 of 4 SECTION 4:WORK VALUATION A. Work Valuation $8000 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 certify 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 3/19/2021 Signature of person completing checklist Date DAM IANE' HANDA/AGENT 727-254-6491/damiane@etd.website 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 1/2/2020 Page 4 of 4 of AL% Application and Checklist for Sign Permit ® "b Part A: Applicant and Parcel Information Project Name: SENTARA HOSPITALS Address: 2248 IVY ROAD, CHARLOTTESVILLE Tax map and parcel(s):0600-00-00-03800 zoning: HC Contact(Who should we call w/questions?)Name: DAM IANE HANDA Business Name: Address 2088 NELLIE STREET City LARGO State FL Zip 33774 Daytime Phone(727)254-6491 Fa,#(206)350-1097 E-mail DAMIANE@ETD.WEBSITE Contractor Name: AGI Business Name: Address 2655 INTERNATIONAL PARKWAY City VIRGINIA BEACH State VA Zip 23452 Daytime Phone( ) Fax#( ) E-mail Business Owner Name: 2246-2248 IVY ROAD LLC Business Name: Address PO BOX 521 City CHARLOTTESVILLE State VA Zip 22902 _ Daytime Phone( ) Fax#( ). E-mail • Part B:Determining application requirements and fees, 1. Sign Permit—Please indicate which sign type you are applying for: p 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? Q 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? (Go to www.albemarle.org/arb for more information.) © Yes (This sign will be constructed in an Entrance Corridor and it does not meet the criteria of an $129.00 approved Comprehensive Sign Plan. See ARB requirements next pages.) ❑ Yes (This sign will be constructed in an.Entrance Corridor and it does meet the criteria of a Waive Fee Comprehensive Sign Plan(CSP). Write the name of the CSP here: See ARB requirements next pages.For more info on CSPs,go to the link at www.albemarle.org/arb. ❑ No (This sign will not be constructed in an Entrance Corridor) $0.00 FEE TOTAL(Please add all the amounts checked inin sections 1—3): $ FOR OFFICE USE ONLY BP# V`1.— a a 1 5 ARB# cl I -3 a . Fee Amount$ Date Paid By who? Receipt# Check# By County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 1/2/2020 Page 1 of 4 4.) Part C: Submittal Items.Required . Note:Submittal packages must contain 4 collated copies of all information unless otherwise indicated. Additional submittal materials may be required if review by the Architectural Review Board is necessary. Applicants will be notified-if additional materials or ARB review are required. SECTION 1:.FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS • A. Submittal Requirements O Site plan or latest approved plat showing,to scale,the proposed location of the sign(s)with dimensions. ® Distance from the sign to.the property lines and/or edge of the VDOT right-of-way. O A footing/foundation diagram showing how the base or pole will be anchored in the ground. ® If the sign will be located in an easement,a letter Of approval from the easement holder will be required. O A:to-scale color illustration of the proposed sign showing ® Dimensions of the sign,including overall height from the ground;cabinet size,length,width and depth;base size,etc.(Be sure to also include these dimensions on the diagrams provided in the Sign Permit Application packet.) ® Proposed lettering and/or graphics in their proposed location. O Entrance Corridor Requirements:If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: • o If internally illuminated,indicate which areas of the sign are opaque and which are illuminated.Internally illuminated cabinet signs must have opaque backgrounds.(Opaque materials don't allow light to pass through. When lit only from behind,,the color of an opaque material.cannot be detected nor can objects be seen through it.) o Identification of proposed materials and colors.Include standard color id numbers(Pantone,Benjamin Moore, Acrylic,etc.)for all materials,text,graphics,base,faces,trim caps,returns,etc. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed, preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o Provide a site plan showing proposed landscaping around the sign,including botanical names and planting sizes. o Additional submittal materials may be required if review by the Architectural Review Board is necessary.(The applicant will be notified if this requirement applies.) B. Inspection Requirements for'Freestanding, Subdivision or Directory Signs ® Applicant must mark the location of the property lines and the location of the sign with stakes in preparation for a preliminary Zoning.inspection. (All four corners of the sign must be marked with stakes that are easily visible to all inspectors.) .0 A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be issued. ® Freestanding signs are required to have footing inspections.(scheduled by applicant) ® Freestanding signs:are required to have electrical inspections if illuminated..(scheduled by applicant) • 0 Freestanding signs are required to have final•building and zoning inspections. (scheduled by applicant) • 1/2/2020 Pagel of 4 SECTION 2:WALL SIGNS A. Submittal Requirements ❑ A drawing,to scale,showing dimensions of the sign(length,height,depth). ❑ Elevation drawing(s)or modified photograph of the entire building,to scale and in color,showing ❑ The sign location on the building,sign height above grade,and the length of building frontage.(Be sure to also include these dimensions on the diagrams provided in Appendix B) ❑ Sign lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements:Provide a color illustration of the front and side elevations of the sign showing: o Indication of sign type(channel letters,cabinet,panel,etc.). o Indicate on the drawings the proposed materials and colors.Include standard color identification numbers (Pantone,Benjamin Moore,Acrylic,etc.)for all materials,text,graphics,faces,trim caps,etc.For channel letter signs,indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is attached. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed in the sign,preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o If externally illuminated,indicate the location of proposed light fixtures and provide manufacturer's cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17. o For internally illuminated signs,indicate•which areas of the sign are opaque and which are illuminated.(Opaque materials don't allow light to pass through.When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.Internally illuminated cabinets must have opaque backgrounds.) B. Inspection Requirements for Wall or.Projecting Signs ❑ Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant) ❑ Wall and.projecting signs are.required to have final building and zoning inspections. (Scheduled by applicant) SECTION 3:ILLUMINATION REQUIREMENTS A. If the,proposed sign is to be illuminated,the applicant must provide the following: ❑ Electrical permit ❑. Electrical schematic ❑ The location of proposed-light'fixtures identified on a plan and/or elevation ❑ Manufacturer cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17 of the Zoning Ordinance. 1/2/2020 Page 3 of 4 • SECTION 4:WORK VALUATION A. Work Valuation $8000 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 certib,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 Diy,ly1,(jw`t, 3i)CON A9t-/ 3/19/2021 Signature of person completing checklist Date DAMIANE' HANDA/AGENT 727-254-6491/damiane@etd.website 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. 'a c,';! 'f,,T t J' • 1/2/2020 Page 4 of 4 - / Application and Checklist for Sign Permit Part A: Applicant and Parcel Information Project Name: SENTARA HOSPITALS Address: 2248 IVY ROAD, CHARLOTTESVILLE Tax map and parcel(s): 0600-00-00-03800 zoning: HC Contact(Who should we call w/questions?)Name: DAMIANE HANDA Business Name: . Address 2088 NELLIE.STREET City LARGO - State FL Zip 33774 Daytime Phone(727) 254-6491 Fax#(206)350-1097 E-mail DAMIANE@ETD:WEBSITE Contractor Name: AGI - Business Name: • Address 2655 INTERNATIONAL PARKWAY City VIRGINIA BEACH State VA Zip 23452 Daytime Phone( ) Fax#( ) E-mail • Business Owner Name: 2246-2248 IVY ROAD LLC Business Name: Address PO BOX 521 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone( ) Fax#( ) E-mail • 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, Q Wall Sign(Including property,awning,fuel pump canopy signs): $91.64 ❑ Sign Refacing: $59.00 2. Electrical Permit—Will the:sign be illuminated? Q 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? (Go to www.albemarle.org/arb for more information) Q Yes (This sign will be constructed in an Entrance Corridor and it does not meet the criteria of an $129.00 approved Comprehensive Sign Plan. See ARB requirements next pages.) ❑ Yes (This sign will be constructed in an Entrance Corridor and it does meet the criteria of a Waive Fee Comprehensive Sign Plan(CSP). Write the name of the CSP here: See ARB requirements next pages.For more info on CSPs,go to the link at www.albemarle.org/arb. ❑ No (This sign will not be constructed in an Entrance Corridor) $0.00 FEE TOTAL(Please add all the amounts checked in sections 1__3): $ FOR OFFICE USE ONLY BP# a\ JI c ARB# ,osaI_gcD Fee Amount$ Date Paid- By who? Receipt# Check# By County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 1/2/2020 Page 1 of 4 __ - _ _ / _ Part C: Submittal Items Required Note:Submittal packages.must contain 4 collated copies of all information unless otherwise indicated. Additional submittal materials may be,required if review by the Architectural Review Board is necessary. Applicants will be notified if additional .materials or ARB review are required. SECTION 1:FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS A. Submittal Requirements. ❑ Site plan or latest approved plat showing,,to scale,the proposed location of the sign(s)with dimensions. ❑ Distance from the sign to the property lines and/or edge of the VDOT right-of-way, ❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground. • ❑ If the sign will be located in an easement,a letter of approval from the easement holder will be requited. ❑: A to-scale color illustration,.of the proposed sign showing ❑ Dimensions,of the sign,including overall height from the ground;cabinet size,length,width and depth;base size,etc.(Be sure to also include these dimensions on the diagrams provided in.the Sign Permit Application packet.) ❑ Proposed lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements:If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o If internally illuminated,indicate which areas of the sign are opaque and which are illuminated.Internally illuminated cabinet signs must have opaque backgrounds.(Opaque materials don't allow light to pass through. When lit only from behind,.the color of an opaque material cannot be detected nor can objects be seen through it.) o Identification of proposed materials and colors.Include standard color id numbers(Pantone,.Benjamin Moore, Acrylic,etc.)for all materials,text;graphics,,base,faces,_trim caps,returns,etc. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed, preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.)' o Provide a site plan showing proposed landscaping around the sign,including botanical names and planting sizes. o Additional submittal materials may be required if review by the Architectural Review Board is necessary.(The applicant will be notified if this requirement applies.) B. Inspection Requirements for Freestanding, Subdivision or.Directory Signs ❑ Applicant must mark the location of the property lines and the location of the sign with stakes in preparation for a preliminary zoning inspection. (All foto.corners of the sign must be marked with stakes'that are easily visible to all inspectors.f ❑ A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be issued. ❑ Freestanding signs are required to have footing inspections.(scheduled by applicant) ❑ Freestanding signs are required to have electrical inspections if illuminated. (scheduled by applicant) ❑ Freestanding signs are required to have final building and zoning inspections.(scheduled by applicant) 1/2/2020 Page 2 of 4 -- . - - -- --- - 1. --_ _• - • •. SECTION 2:WALL SIGNS ' A. Submittal Requirements 0. A drawing,to scale,showing dimensions of the sign(length,height,depth). O Elevation drawing(s)or modified photograph of the entire building,to scale and in color,showing O The sign location on the building,sign height above grade,and the length of building frontage.(Be sure to also include these dimensions on the diagrams provided in Appendix B) O Sign lettering and/or graphics in their proposed location. 0 Entrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o Indication of sign type(channel letters,cabinet,panel,etc.). o Indicate on the drawings the proposed materials and colors.Include standard color identification numbers (Pantone,Benjamin Moore,Acrylic,etc.)for all materials,text,graphics,faces,trim caps,etc.For channel letter signs,indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is attached. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed in the sign,preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o If externally illuminated,indicate the location of proposed light fixtures and provide manufacturer's cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17. o For internally illuminated signs,indicate which areas of the sign are opaque and which are illuminated.(Opaque materials don't allow light to pass through.When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.Internally illuminated cabinets must have opaque backgrounds.) B. Inspection Requirements for Wall or Projecting Signs O. Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant) O Wall and projecting signs are required to have final building and zoning inspections. (Scheduled by applicant) SECTION 3:ILLUM'INATION REQUIREMENTS A. If the proposed sign is to be illuminated,the applicant must provide the following: ❑ Electrical permit ❑ Electrical schematic ❑ The location of proposed light fixtures identified on a plan and/or elevation ❑ Manufacturer cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements.as outlined in Section 4.17 of the Zoning Ordinance. 1/2/2020 Page 3 of4 SECTION 4:WORK VALUATION A. Work Valuation $2500 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 cert/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 3/19/2021 Signature of person completing checklist Date DAMIANE' HANDA/AGENT 727-254-6491/damiane@etd.website 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 1/2/2020 Page 4 of 4 a Application and Checklist for Sign Permit Part A: Applicant and.Parcel Information Project Name: SENTARA.HOSPITALS Address: 2248 IVY ROAD, CHARLOTTESVILLE • Tax map and parcel(s):0600-00-00-03800 zoning: HC Contact(Who should we call w/questions?)Name: DAMIANE,HANDA Business Name: Address 2088 NELLIE STREET City LARGO . State FL Zip 33774 Daytime Phone(727).254-6491 Fax#(206)350-1097 E-mail DAMIANE@ETD:WEBSITE • Contractor Name: AGI Business Name: Address 2655 INTERNATIONAL PARKWAY city VIRGINIA BEACH State VA Zip 23452 Daytime Phone( ) Fax#( ) E-mail Business Owner Name: 2246-2248 IVY ROAD LLC Business Name: Address PO BOX 521 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone( ) Fax#( ) E-mail • 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 O Wall Sign(Including property,awning,fuel pump canopy signs): $91.64 ❑ Sign Refacing: $59.00 2. Electrical Permit—Will the sign be illuminated? Q 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? (Go to www.albemarle.org/arb for more information.) E Yes (This sign will be constructed in an Entrance Corridor and it does not meet the criteria of an $129.00 approved Comprehensive Sign Plan. See ARB requirements next pages.) ❑ Yes (This sign will be constructed in an.Entrance Corridor and it does meet the criteria of a Waive Fee Comprehensive Sign Plan(CSP) Write the name of the CSP here: See ARB requirements next pages.For more info on CSPs,go to the link at www.albemarle.org/arb. ❑ No (This sign will not be constructed in an Entrance Corridor) $0.00 FEE TOTAL(Please add all the amounts•checcked in sections 1—3): $ FOR OFFICE USE ONLY BP 3 I ARB# a.i . Fee Amount$ Date Paid By who? Receipt# Check# By County of Albemarle Department of Community Developmentget) 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 1 20Pa Page /22/ 0 g `� Vim' Part C:Submittal Items.Required Note:Submittal packages must contain 4 collated copies of all information unless otherwise indicated. Additional submittal materials may be required if review by the Architectural Review Board is necessary. Applicants will be notified if additional materials or ARB review are required. SECTION 1:FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS A. Submittal Requirements D Site plan or latest approved plat showing,to scale,the proposed location of the sign(s)with dimensions. ❑• Distance from the sign to the property lines and/or edge of the VDOT right-of-way. ❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground. ❑' If the sign will be located in an easement;a letter of approval from the easement holder will be required. ❑. A to-scale color illustration of the proposed sign showing ❑ Dimensions of the sign,including overall height from the ground;cabinet size,length,width and depth;.base size,etc.(Be sure to also include these dimensions on the diagrams provided in the Sign Permit Application packet.) ❑ Proposed lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements:If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a.color illustration of the front and side elevations of the sign showing: o If internally illuminated,indicate which areas of the sign are opaque and which are illuminated.Internally illuminated cabinet signs must have opaque backgrounds.(Opaque materials don't allow light to pass through. When lit only from behind,the color of an opaque material cannot be detected•nor can objects be seen through it.) o Identification of proposed materials and colors.Include standard color id numbers(Pantone,Benjamin Moore, Acrylic,etc.)for all materials,text,graphics,base,faces,trim caps,returns,etc. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed, preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o Provide a site plan showing proposed landscaping around the sign,including botanical names and planting sizes. o Additional submittal materials may be required if review by the Architectural Review Board is necessary.(The applicant will be notified if this requirement applies.) B. Inspection Requirements for Freestanding, Subdivision or Directory Signs ❑ Applicant must mark the location of the property lines and the location of the sign with stakes in preparation for a preliminary zoning inspection. (All four corners of the sign must be marked with stakes that are easily visible to all inspectors) ❑ A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be issued. ❑ Freestanding signs are required to have footing inspections. (scheduled by applicant) ❑ Freestanding signs are required to have electrical inspections if illuminated. (scheduled by applicant) ❑ Freestanding signs are required to have final building and zoning inspections. (scheduled by applicant) 1/2/2020 Page 2 of 4 SECTION 2:.WALL SIGNS A. Submittal Requirements O A drawing,to scale,showing dimensions of the sign(length,height,•depth). O Elevation.drawing(s)or modified photograph of the entire building,to scale and in color,showing ® The sign location on the building,sign height above grade,and the length of building frontage.(Be sure to also include these dimensions on the diagrams provided in Appendix B) O Sign lettering and/or graphics in their proposed location. O Entrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o Indication of sign type(channel letters,cabinet,panel,etc.). o Indicate on the drawings the proposed materials and colors.Include standard color identification numbers (Pantone,Benjamin Moore,.Acrylic,.etc.)for all materials;text,graphics,faces,trim caps,etc.For channel letter signs,indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is attached. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed in the sign,preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) • o If externally illuminated,indicate the location of proposed light fixtures and provide manufacturer's cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17.. o For internally illuminated signs,indicate which areas of the sign are opaque and which are illuminated:(Opaque materials don't allow light to pass through.When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.Internally illuminated cabinets must have opaque backgrounds.) B. Inspection Requirements for Wall Or Projecting Signs E Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant) ® Wall and projecting signs are required to have final building and zoning inspections. (Scheduled by applicant) SECTION 3:ILLUMINATION REQUIREMENTS A. If the proposed sign is to be illuminated,the applicant must provide the following: ❑ Electrical permit ❑ Electrical schematic ❑ The location of proposed light fixtures identified on a plan and/or elevation ❑ Manufacturer cut sheets describing illumination type,intensity,style,shielding,color,and height.All•lighting must meet ordinance requirements as outlined in Section 4.17 of the Zoning Ordinance.. 1/2/2020 Page 3 of 4 SECTION 4:WORK VALUATION A. Work Valuation $2500 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 certify 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 dO/OvyyhmrQi „tr,jvyvik JCL 3/19/2021 Signature of person completing checklist Date DAMIANE HANDA/AGENT 727-254-6491/damiane@etd.website 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 1/2/2020 Page 4 of 4 Application and Checklist for Sign Permit f Part A: Applicant and Parcel Information Project Name: SENTARA HOSPITALS Address: 2248 IVY ROAD, CHARLOTTESVILLE Tax map and parcel(s): 0600-00-00-03800 zoning: HC Contact(Who should we call w/questions?)Name: DAMIANE HANDA, Business Name: • ' Address 2088 NELLIE STREET City LARGO State FL Zip 33774 Daytime Phone(727)254-6491 Fax#(206)350-1097 E-mail DAMIANE@ETD.WEBSITE Contractor Name: AGI Business Name: • Address 2655 INTERNATIONAL PARKWAY City VIRGINIA BEACH State VA Zip 23452 Daytime Phone( ) Fax#( ) E-mail Business Owner Name: 2246-2248 IVY ROAD LLC Business Name: Address PO BOX 521 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone( ) Fax#( ) E-mail • 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 O Wall Sign(Including property,awning,fuel pump canopy signs): $91.64 ❑ Sign Refacing: $59.00 2. Electrical Permit—Will the sign be illuminated? O 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? (Go to www.albemarle.org/arb for more information.) O Yes (This sign will be constructed in an Entrance Corridor and it does not meet the criteria of an $129.00 approved Comprehensive Sign Plan. See ARB requirements next pages.) ❑ Yes (This sign will be constructed in an Entrance Corridor and it does meet the criteria of a Waive Fee Comprehensive Sign Plan(CSP). Write the name of the CSP here: See ARB requirements next pages.For more info on CSPs,go to the link at www.albemarle.org/arb. ❑ No (This sign will not be constructed in an Entrance Corridor) $0.00 FEE TOTAL(Please add all the amounts checked in sections 1—3): $ FOR OFFICE USE ONLY BP# �Da I 73`� ARB# 070&1 ,� Fee'Amount$ Date Paid By who? Receipt# Check# By County of Albemarle Department of Community Development 401.McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 1/2/2020 Page 1 of 4 Part C:'Submittal Items Required . Note:Submittal packages must contain 4 collated copies of all information unless otherwise indicated. Additional submittal materials may be required if review by.the Architectural Review Board is necessary. Applicants will be notified if additional materials or ARB review are required. SECTION 1:FREESTANDING', SUBDIVISION OR DIRECTORY SIGNS A. Submittal Requirements D Site plan or latest approved plat showing,to scale,the proposed location of the sign(s)with dimensions. ❑ Distance from the sign to the property lines and/or edge of the VDOT right-of-way. ❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground. ❑ If the sign will be located in an easement,a letter of approval from the easement holder will be required. ❑ A to-scale color illustration of the proposed sign showing ❑ Dimensions,of the sign,including overall height from the ground;cabinet size,length,width and depth;base size,etc.(Be sure to also include these dimensions on the diagrams provided in the Sign Permit Application packet.) ❑ Proposed lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements:If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o If internally illuminated,indicate which areas of the sign are opaque and which are illuminated.Internally illuminated cabinet signs must have opaque backgrounds.(Opaque materials don't allow light to pass through. When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.) o Identification of proposed materials and colors.Include standard color id numbers(Pantone,Benjamin Moore, Acrylic,etc.)for all materials,text;graphics,base,faces,trim caps,returns,etc. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed, preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o Provide a site plan showing proposed landscaping around the sign,including botanical names and planting sizes. o Additional submittal materials may be required if review by the Architectural Review Board is necessary.(The applicant will be notified if this requirement applies.) B. Inspection Requirements for Freestanding, Subdivision or Directory Signs ❑ Applicant must mark the location of the property lines and the location of the,sign with stakes in preparation for a preliminary zoning inspection. (All four corners of the sign must be marked with stakes that are easily visible to all inspectors.) ❑ A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be issued. ❑ Freestanding signs are required to have footing inspections. (scheduled by applicant) ❑ Freestanding signs are required to have electrical inspections if illuminated. (scheduled by applicant) 0 Freestanding signs are required to have final building and zoning inspections. (scheduled by applicant) 1/2/2020 Page 2 of 4 SECTION'2:WALL SIGNS A. Submittal Requirements E A drawing,to scale,.showing dimensions of the sign(length,height,depth). E Elevation drawing(s)or modified photograph of the entire building,to scale and in color,showing E The sign location on the building,sign height above grade,and the length of building frontage.(Be sure to also include these dimensions on the diagrams provided in Appendix B) E Sign lettering and/or graphics in their proposed location. E: Entrance Corridor Requirements: If the sign is to be constructed in an Entrance.Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide•a color illustration of the front and side elevations of the sign showing: o Indication of sign type(channel letters,cabinet,panel,etc.). o Indicate on the drawings the proposed materials and colors.Include standard color identification numbers (Pantone,Benjamin Moore,Acrylic,etc.)for all materials,text,graphics,faces,trim caps,etc.For channel letter signs,indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is attached. o If colors other than Pantone equivalents are identified,provide accurate physical samples'of all colors proposed in the sign,preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o If externally illuminated,indicate the location of proposed light fixtures and provide manufacturer's cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17. o For internally illuminated signs,indicate which areas of the sign are opaque and which are illuminated.(Opaque materials don't allow light to pass through.When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.Internally illuminated cabinets must have opaque backgrounds.) B. Inspection Requirements for Wall or Projecting Signs E Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant) E. Wall and projecting signs are required to have final building and zoning inspections: (Scheduled by applicant) SECTION 3:ILLUMINATION REQUIREMENTS A. If the proposed sign is to be illuminated,the applicant must provide the following: ❑. Electrical permit ❑ Electrical schematic ❑ The location of proposed light fixtures identified on a plan and/or elevation ❑ Manufacturer cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17 of the Zoning Ordinance. 1/2/2020 Page 3 of 4 • SECTION 4:WORK VALUATION A. Work Valuation $2500 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 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 certify 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 3/19/2021 Signature of person completing checklist Date DAM IAN E' HANDA/AGENT 727-254-6491/damiane@etd.website 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 1/2/2020 Page 4 of 4 pF ni Application and Checklist for Sign Permit Part A: Applicant and Parcel Information Project Name: SENTARA HOSPITALS Address: 2248 IVY ROAD, CHARLOTTESVILLE Tax map and parcel(s): 0600-00-00-03800 - zoning: HC Contact(Who should we call w/questions?)Name: DAMIANE HANDA, Business Name: Address 2088 NELLIE STREET _ City LARGO , State FL Zip 33774 Daytime Phone(727)254-6491 Fax#(206)350-1097 E-mail DAMIANE.@ETD.WEBSITE . Contractor Name: AGI Business Name: Address 2655 INTERNATIONAL PARKWAY City VIRGINIA BEACH State VA Zip 23452 Daytime Phone( ) Fax#( ) E-mail Business Owner Name: 2246-2248 IVY ROAD LLC Business Name: Address PO BOX 521 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone( ) Fax#( )-_ E-mail 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 Q Wall Sign(Including property,awning,fuel pump canopy signs): $91.64 ❑ Sign Refacing: $59.00 2. Electrical Permit—Will the sign be.illuminated? O 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? (Go to www.albemarle.org/arb for more information.) O Yes (This sign will be constructed in an Entrance Corridor and it does not meet the criteria of an $129.00 approved Comprehensive Sign Plan. See ARB requirements next pages.) ❑ Yes (This sign will be constructed in an.Entrance Corridor and it does meet the criteria of a Waive Fee Comprehensive Sign Plan(CSP). Write the name of the CSP here: See ARB requirements next pages.For more info on CSPs,go to the link at www.albemarle.org/arb. ❑ No (This sign will not be constructed in an Entrance Corridor) $0.00 FEE TOTAL(Please add all the amounts checked in sections 1—3): $ FOR OFFICE USE ONLY BP# 0,11 $� ARB#c I-3a . Fee Amount$ Date Paid By who? Receipt# Check# By County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 1/2/2020 Page 1 of 4 /,i 1 1)e‘ Part C: Submittal Items Required Note:Submittal packages must contain 4 collated copies of all information unless otherwise indicated. Additional submittal- materials may be required if review by the Architectural Review Board is,necessary. Applicants will be notified if additional materials or ARB review are required. SECTION 1:.FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS A. Submittal Requirements ❑ Site plan or latest approved plat showing,to scale,the proposed location of the sign(s)with dimensions. ❑ Distance from the sign to the property lines and/or edge,of the VDOT right-of-way. ❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground. ❑ If the sign will be located in an easement,a letter of approval from the easement holder will be required. ❑ A to-scale color illustration of the proposed sign showing, ❑ Dimensions of the sign,including overall height from the ground;cabinet size,length,width and depth;,base size,etc. (Be sure to also include these dimensions on the diagrams provided in the Sign Permit Application packet.) ❑ Proposed lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements:If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o If internally illuminated,indicate which areas of the sign are opaque and which are illuminated.Internally illuminated cabinet signs must have opaque backgrounds.(Opaque materials don't allow light to pass through. When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it) o Identification of proposed materials and colors.Include standard color id numbers(Pantone,Benjamin Moore, Acrylic,etc.)for all materials,text;graphics,base,faces,trim caps,returns,etc. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed, preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o Provide a site plan showing proposed landscaping around the sign,including botanical names and planting sizes. o Additional submittal materials may be required if review by the Architectural Review Board is necessary.(The applicant will be notified if this requirement applies.) B. Inspection Requirements for Freestanding, Subdivision or Directory Signs ❑ Applicant must mark the location of the property lines and the location of the sign with stakes in preparation for a preliminary zoning inspection. (All four corners of the sign must be marked with stakes that are easily visible to all inspectors) ❑ A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be issued. ❑ Freestanding signs are required to have footing inspections. (scheduled by applicant) ❑ Freestanding signs are required to have electrical inspections if illuminated. (scheduled by applicant) ❑ Freestanding signs are required to have fmal building and zoning inspections. (scheduled by applicant) • 1/2/2020 Page 2 of 4 SECTION 2:WALL SIGNS A. Submittal Requirements O A drawing,to scale,showing dimensions of the sign(length,height,.depth). O Elevation drawing(s)or modified photograph of the entire building,to scale and in color,showing ® The sign location on the building,sign height above grade,and the length of building frontage.(Be sure to also include these dimensions on the diagrams provided in Appendix B) O Sign lettering and/or graphics in their proposed location. O Entrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o Indication of sign type(channel letters,cabinet,panel,etc.). o Indicate on the drawings the proposed materials and colors.Include standard color identification numbers (Pantone,Benjamin Moore,Acrylic,etc.)for all materials,text,graphics,faces,trim caps,etc.For channel letter signs,indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is attached. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed in the sign,preferably in the material proposed.(Paint chips that accurately reflect the proposedcolors are acceptable.) o If externally illuminated,indicate the location of proposed light fixtures and provide manufacturer's cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17. o For internally illuminated signs,indicate which areas of the sign are opaque and which are illuminated.(Opaque materials don't allow light to pass through.When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.Internally illuminated cabinets must have opaque backgrounds.) B. Inspection Requirements for Wall or Projecting Signs O Wall and projecting signs are required to have electrical inspections if illuminated.(Scheduled by applicant) ®. Wall and projecting signs are required to have fmal building and zoning inspections. (Scheduled by applicant) SECTION 3:ILLUMINATION REQUIREMENTS A. If the proposed sign is to be illuminated,the applicant must provide the following: ❑ Electrical permit ❑ Electrical schematic ❑ The location of proposed light fixtures identified on a plan and/or elevation ❑ Manufacturer cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17 of the Zoning Ordinance. 1/2/2020 Page 3 of 4 . s SECTION 4:WORK VALUATION A. Work Valuation $2500 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 cert 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 eoutt Vo/yl, Hpitrota 3/19/2021 Signature of person completing checklist Date DAMIANE' HAN DA/AGENT 727-254-6491/damiane@etd.website 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 1/2/2020 Page 4 of 4 Application and Checklist for Sign Permit Part A: Applicant and Parcel Information Project Name: SENTARA HOSPITALS Address: 2248 IVY ROAD, CHARLOTTESVILLE Tax map and parcel(s): 0600-00-00-03800 Zoning:'HC Contact(Who should we call w/questions?)Name: DAMIANE HANDA Business Name: Address 2088 NELLIE STREET , , City LARGO State FL Zip 33774 Daytime Phone(727)254-6491 Fax#(206)350-1097 E-mail DAMIANE@ETD.WEBSITE Contractor Name: AGI Business Name: Address 2655 INTERNATIONAL PARKWAY City VIRGINIA BEACH State VA Zip 23452 Daytime Phone( ) Fax#( ) E-mail Business Owner Name: 2246-2248 IVY ROAD LLC Business Name: Address PO BOX 521 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone( ) Fax#( ) E-mail 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 Q Wall Sign(Including property,awning,fuel pump canopy signs): $91.64 ❑ Sign Refacing: $59.00 2. Electrical Permit—Will the sign be illuminated? _ Q 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? (Go to www.albemarle.org/arb for more information.) Q Yes (This sign will be constructed in an Entrance Corridor and it does not meet the criteria of an $129.00 approved Comprehensive Sign Plan. See ARB requirements next pages) ❑ Yes (This sign will'be constructed in an Entrance Corridor and it does meet the criteria of a Waive Fee Comprehensive Sign Plan(CSP). Write the name of the CSP here: See ARB requirements next pages.For more info on CSPs,go to the link at www.albemarle.org/arb. ❑ No (This sign will not be constructed in an Entrance Corridor) $0.00 FEE TOTAL(Please add all they amounts checked in sections 1—3): /, $ FOR OFFICE USE ONLY BP#c�aE .� S ARB# &Da.I Fee Amount$ Date Paid By who? Receipt# Check# By County of Albemarle Departmentof Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 1/2/2020 Page 1 of 4 dt% . Part C: Submittal Items Required Note:Submittal packages must contain 4 collated copies of all information unless otherwise indicated. Additional submittal materials may be required if review by the Architectural Review.Board is necessary. Applicants will be notified if additional materials or ARB review are required. SECTION 1:FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS A.' Submittal'Requirements: ❑ Site plan or latest approved plat showing,to scale,the proposed location of the sign(s)with dimensions. ❑ Distance from the sign to the property lines and/or edge of the VDOT right-of-way. ❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground. ❑ If the sign will be located in an easement,a letter of approval from the easement holder will be required. ❑ A to-scale color illustration of the proposed sign showing, ❑ Dimensions of the sign,including overall height from the ground;cabinet size,length,width and depth;base size,etc. (Be sure to also include these dimensions on the diagrams provided in,the Sign Permit Application packet.) ❑ Proposed lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements:If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide a color illustration of the front and side elevations of the sign showing: o If internally illuminated,indicate which areas of the sign are opaque and which are illuminated.Internally illuminated cabinet signs must have opaque backgrounds.(Opaque materials don't allow light to pass through. When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.) o Identification of proposed materials and colors.Include standard color id numbers(Pantone,Benjamin Moore, Acrylic,etc.)for all materials,text,graphics,base,faces,trim caps,returns,etc. o •If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed, preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o Provide a site plan showing proposed landscaping around the sign,including botanical names and planting sizes. o Additional submittal materials may be required if review by the Architectural Review Board is necessary.(The applicant will be notified if this requirement applies.) B. Inspection Requirements for Freestanding, Subdivision or Directory Signs ❑ Applicant must mark the location of the property lines and the location of the sigh with stakes in preparation for a preliminary zoning inspection. (All four corners of the sign must be marked with stakes that are easily visible to all inspectors.) ❑ A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be issued. ❑ Freestanding signs are required to have footing inspections.(scheduled by applicant) Freestandingsigns are required to have electrical inspections if illuminated. (scheduled byapplicant) ❑ � q P pp � ) ❑ Freestanding signs are required to have final building and zoning inspections. (scheduled by applicant) 1/2/2020 Page 2 of 4 SECTION 2:WALL SIGNS A. Submittal Requirements E A drawing,to scale,showing,dimensions of the sign(length,height,depth). E Elevation drawing(s)or modified photograph of the entire building,to scale and in color,showing E The sign location on the building,sign height above grade,and the length of building frontage.(Be sure to also include these dimensions on the diagrams provided in Appendix B) E Sign lettering and/or graphics in their proposed location. E. Entrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor,consult the Entrance Corridor Sign Guidelines at www.albemarle.org/arb for design requirements.Provide color illustration of the front and side elevations of the sign showing: o Indication of sign type(channel letters,cabinet,panel,etc.). o Indicate on the drawings the proposed materials and colors.Include standard color identification numbers (Pantone,Benjamin Moore,Acrylic,etc.)for all materials,text,graphics,faces,trim caps,etc.For channel letter signs,indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is attached. o If colors other than Pantone equivalents are identified,provide accurate physical samples of all colors proposed in the sign,preferably in the material proposed.(Paint chips that accurately reflect the proposed colors are acceptable.) o If externally illuminated,indicate the location ofproposed light fixtures and provide manufacturer's cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17. o For internally illuminated signs,indicate which areas of the sign are opaque and which are illuminated.(Opaque materials don't allow light to pass through.When lit only from behind,the color of an opaque material cannot be detected nor can objects be seen through it.Internally illuminated cabinets must have opaque backgrounds.) B. Inspection Requirements for Wall or.Projecting Signs • Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant) E Wall and projecting signs are required to have final building and zoning inspections. (Scheduled by applicant) SECTION 3:ILLUMINATION REQUIREMENTS A. If the proposed sign is to be illuminated,the applicant must provide the following: ❑ Electrical permit ❑• Electrical schematic ❑• The location of proposed light fixtures identified on a plan and/or elevation ❑ Manufacturer cut sheets describing illumination type,intensity,style,shielding,color,and height.All lighting must meet ordinance requirements as outlined in Section 4.17 of the Zoning Ordinance. 1/2/2020 Page 3 of 4 SECTION 4:WORK VALUATION A. Work Valuation $2500 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 certify 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 C0 amQ- (I 0vi' 3/19/2021 Signature of person completing checklist Date DAMIANE' HANDA/AGENT 727-254-6491/damiane@etd.website 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 1/2/2020 Page 4 of 4