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HomeMy WebLinkAboutARB202100110 Application 2021-09-20Architectural Review Board Application Part A: Applicant, Contact and Parcel Information Wawa Route 29 and Greenbrier Protect Name, 061 WO-02-OA-00100 Tax map and arcel s : Physical street Address: 1215 Seminole Trail n act Person: Mark Fontaine, CCIM Business Name: Renaud Consulting Address 8605 Westwood Center Drive, Suite 410 It Vienna State VA Zip 22182 Daytime Phone 571 765-4436 Fax iiE-mail mfontaine@renaudconsulting.net wner of R Charlottesville Realty Corporation Address P.O. Box 6340 City Charlottesville State VA Zip 22906 Daytime Phone Fax N E-mail IPart B: Review Tvne and Fees - *Application FEE + Technolotty Surcharge $40o I Select Review Type Review by the Architectural Review Board Conceptual Plan/Advisory Review Preliminary/Initial Review of a Site Development Plan V/ Final Review of a Site Development Plan Major Amendment Building Permit Review AL FEE + surcharge $559.52 ($538.00 + $21.52) * $559.52 ($538.00 + $21.52) * $1230.32 ($1183 + $47.32) per review $276.64 ($266.00 + $10.64) * $725.92 ($698 + $27.92) per review County -wide Certificate of Appropriateness Structures 750' or more from the EC, no taller than 5 stories $559.52 Structures located behind a structure that fronts the EC $559.52 Personal wireless service facilities $559.52 Fencing or Equipment or Lighting $279.76 Additions to ARB-approved buildings $559.52 Minor amendments to site or architectural plans $559.52 Building permits where change is 50%or less of altered elevation $559.52 FOR OFFICE USE ONLY BPN Fee Amount $ Date Paid By who? ARB# ($538.00 + $21.52) * ($538.00 + $21.52) * ($538.00 + $21.52) * ($269.00 + $10.76) * ($538.00 + $21.52) * ($538.00 + $21.52) * ($538.00 + $21.52) * Receipt N Check N By County of Albemarle Dept of Community Development, 401 McIntire Rd, Charlottesville, VA 22902 Voice: (434) 296-5R32 Fax: (434) 9724126 M IMI Pap Iart OVER Part C: Description of Proposal Describe your proposal. Attach a separate sheet if more space is needed. A Wawa fuel station and convenience store is proposed for 1215 Seminole Trail. The site development will include a fueling station with canopy and underground storage tanks, a convenience store with adjacent parking lot, and two drive aisles, one connecting from Seminole Trail and another from Greenbrier Drive. Part D: Applicant Agreement Applicant must read and sign: • 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. ARB checklists are available at www.albemarle.ore at the Community Development Forms Library. • Digital submittals are encouraged, but paper submittals are accepted. • Paper submittals: Each application package must contain I folded copy of all plans and documents being submitted, and 1 set of building material samples (if indicated on the corresponding submittal checklist.) 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. A pdf copy of all submittal items is requested. • Digital submittals: One set of building material samples may be required. See the corresponding submittal checklist for requirements. 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. One or more paper copies of the submittal may be requested during the review period. 1 hereby certify that I own the subject property or have the legal power to act on behalf of the owner in filing this application. 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: ownerown r r presen%p dcontract purchaser 04, Printed name, Title Mark Fontaine, CCIM (Contract Purchaser) Date v Daytime phone number of Signatory 571-765-4436 71202 -