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VA200500001 Application 2005-02-28
Community Development Department,Planning& County of Albemarle Community Development Division 401 McIntire Road Charlottesville,VA 22902-4596 Planning Application 1 Voice:(434)296-5823 Fax•(434)972-4012 PARCEL / OWNER INFORMATION p Owner(s): Application# Project: PROPERTY INFORMATION Legal Description BRANCHLANDS PROF.CTR. CONDOS UNIT 205C Magisterial Dist. Rio Land Use Primary Current AFD Not in A/F District 1 Current Zoning Primary Planned Unit Development APPLICATION INFORMATION House# Street Name Apt/Suite City State Zip Street Address 1410 INCARNATION DR CHARLOTTESVILLE 22901- Entered By:Ana Kilmer on 02/28/2005 Application Type Variance Received Date 02/28/2005 Received Date Final Total Fees $ 120.00 Submittal Date 03/07/2005 Submittal Date Final Total Paid $ 120.00 Closing File Date Revision Number Comments. receipt#07949 Legal Ad SUB APPLICATION(s) Type Sub Application Date Comments APPLICANT / CONTACT INFORMATION Primary Contact Name Kim, Emily Phone # (301) 231-6977 228 Street Address 5210 Randolph Road Fax# (301) 231-6979 City/State Rockville, MD Zip Code 20852-0000 E-mail ekim@kumon.com Cellular# ( ) - Owner/Applicant Name NEW DOMINION MANAGEMENT LLC Phone# ( ) - Street Address 1521 STILL MEADOW COVE Fax # ( ) - City/State CHARLOTTESVILLE VA Zip Code 22901- E-mad Cellular# ( ) - Applicant Name Kim, Emily Phone# (301) 231-6977 228 Street Address 5210 Randolph Road Fax # (301) 231-6979 City/State Rockville, MD Zip Code 20852-0000 E-mail ekim@kumon.com Cellular# ( ) - Signature of Contractor or Authorized Agent Date es Geographical Data Services County ofAlbemarle Division-Room 218 Charlottesville,VA Properly Information 401 McIntire Road 22902-4596 ACTIVITY INFORMATION PLANNING ACTIVITIES BUILDING ACTIVITIES Special Special Application # Current Status Conditions Application # Current Status Conditions A200500001 Under Review Now. '7 11 AC CO Issued No • - ' PROPERTY INFORMATION TMP [061Z0-03-00-205C0 Legal Description rBRb"It tANtiS'PROi: L- .C bS '%Nf 205C Parent TMP 6061Z0-03-00-205B0 • Tax Map 061Z0 Section 03 4..1 Block 00 Parcel 205C0 GPIN 489222914149 Major Subdiv. Branchiands Prof. Ctr. Condos •^' ` Total Acres 0 000 TMP Inactive. No ADDRESS INFORMATION_ House = Street Name Apt/ Suite City State Zip Street Address 1410 INCARNATION DR CHARLOTTESVILLE 22901- OWNER INFORMATION r c P NI Owner Name #N .Niel/WIC Street Address 1521 STILL MEADOW COVE Y City/State CHARLOTTESVILLE VA ta ysK � 9 t Zip 22901- ADDITIONAL PROPERTY INFORMATION Comprehensive Plan Area Urban Area 2 High School District Albemarle Traffic Zone 117 Middle School District Burley Voter Precinct Branchlands Elem. School District Agnor-Hurt Magisterial District Rio Metro Block Group 3 Planning Area? CATS Area? Census Tract ',106 Public Water&Sewer Water&Sewer Water Supply Protection Area? __ 1Development Area? \ Watershed Rivanna River Other Rural Land? Historical Significance World Heritage Site Virginia Landmark Register National Historic Landmark National Register of Historic Places Agricultural&Forest District Not in A/F District Number of Number of Dwelling Landuse Structures Units Comp Plan Landuse Primary Urban Density Secondary Minor , Comp Plan Landuse Other Current Zoning Zoning Adopted 12/1980 Zoning Prior to 12/1980 Primary Planned Unit Development , Secondary Minor Other ( Airport Safety Overlay .. Scenic Stream Overlay Natural Resource Extraction OverlayAirport Protection Overlay i` Entrance Corridor Overlay Flood Hazard Overlay Airport Noise Overlay KUMON NORTH AMERICA, INC. Washington, DC Branch Loehmann's Plaza 5210 Randolph Road, Rockville, MD 20852 tel 301 231 6977 fax 301 231 6979 www kumon corn February 18, 2005 Dear County of Albemarle: Enclosed are an application for variance, and a superimposed picture of the signage we would like to install at 1410 Incarnation Drive Charlottesville, VA 22901. If the signage is not within the county's guidelines, we can make any necessary changes to meet the requirements. If you have any questions, please feel free to contact me. Sincerely, Emily Kim Area Development Manager Washington DC Branch Office Kumon North America, Inc. Tel: (301) 231-6977, ext.228 Fax: (301) 231-6979 RECEIVED FEB 25 2005 COMMUNITY DEVELOPMENT KUMSN OFFICE USE ONLY • VA# ZO5 00 I 'FMP C I. . -,_12 Q-OQ a 5 C c y 1. Application for Variance k '//�/�' © VariaPoP- /n�ce/=S120 d& cide,1,14 ghititheic:svpio- Project Name; U �i ZCiS yy�� . Tax map and parcel: (JNiC (•rtp' id; f) j/E,'7+i 3 Magisterial District: ' Zoning: ? J P Physical Street Address(if assigned): 20 6 1/4-1 0 {o Cov-('1Gt+Io✓1 Dr i J '� CCt icn(SV ill( VA Location of property(landmarks, intersections,or other): Does the owner of this property own(or have any ownership interest in)any abutting property? It yes,please list those tax map and parcel numbers Contact Person(Who should we czll/write concerning this project?): E m (I `1 kit ► ` ,^ Address5-2il O nd p({'h City RO c.k.V it I e_. State l" r t) Zip ZOflSZ Citc0 v Z� Daytime Phone(3Q(J 23( -- (���/�� Fax# l—�r!�, 7 ]El-mail eKt WL@ kVI'VlO V'��•C,o r'1 Owner of Record 'Day, "'Q " Y'n�� J ''- " ' Address J�2 I ,`)j1�C / !i-botJ VL( City 6 '(try/ -5'�'V2 State VA Zip az_ c// Daytime Phone(Y.?(t) SO& 707 / Fax# E-mail .)7 i`jIe'I(3 gi) (e?Ff 17.4/1J . IV g/ Applicant(Who is the Contact person rcpreseating7): 6 1 \ 1 1 r\ Address_1J 0 CtOlk P4 City State M 7 Zip7o85 i �.3 (�2,�(—G Fax - ,—(_41. �l'ic�+-� �_ `4�v►�,Co p" Daytime Phone o � E-mail .P �-i/ OFFICE I NLY `_ �? Fee amount S ! Date Pald l� k N /0�yr By Who? 171- 1' Receipt i!l� 1 1 I By" County of Albemarle Department of Building Code& Zoning Services 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126 11/26/02 Page 1 of 2 VA-2005-001 (Sign # 1) New Dominion Management LLC (owner) / Kumon Math & Reading Center (applicants). Variance request to increase the permitted size of wall signage for an establishment without structure frontage, from 0 to 21 square feet to allow a new 21 square foot sign to be erected. Property is located in suite 205C at 1410 Incarnation Drive at the intersection of Hillsdale Drive and Branchlands Blvd. Tax Map 61Z, Section 3, Parcel 205C. Zoned PUD, Planned Unit Development. The following information shall be submitted with the application and is to be provided by the applicant: 1) Recorded plat or boundary survey of the property requested for the rezoning, if there is no recorded plat or boundary survey, please provide legal description of the property and the Deed Book and page number,or Plat Book and page number. F 34: u S ri-CPisieiNiAt- cf�•'Jr� ct'"bO %rt% /4, -P (,)/ Z- L/70J.j v.u:T zcrc—� DIED C134 PM,2 303 2) The appropriate drawings showing all existing and proposed improvements on the property,with all dimensions and distances to property lines, and any special conditions on the property that may justify the request. 3) Fte payable to the County of Albemarle. (� 4) Description of Request: WC iD(A &1 1,I '(-L 'o veC U�S - 1 (�✓� I� �' t h JC v''&V�-Q ow [vie ra�v�afi 9✓y e AA r Ll i I(_e vA '2 Z i 1 , --tt' SioJ� . 5) Justification shall be based on these three(3)criteria: 1) That the strict application of this ordinance would produce undue hardship_(uYfeo-}-1�-} -Ere_ iS vtp roarl<e+ r`o Sl 51,\o -to rSyU I-- ,skndeytk a►ud r ko«nor Cevt-e r. "Tit.Vitrt e., cnagifcS Vv i2_ p .f r - < 2) That such hardship is not shared generally by other properties in the same zoning district and the same vicinity. �t (2.41n e r S i?jvt s ri-. KO veto SACS r c$. 3) That the authorization of such variance will not be of substantial detriment to adjacent prope and that the character of the district will not be changed by the granting of the variance. 'rytt I t e v la ,eL0 d t/tvi Crt-1' - 4-‘At w etf-y �.'^d Cka v-c.c+e e �satY i cE- �i°Y`°• Will b< 2it 'wet - dCsI a 9Lid1'ta12 Owner/Applicant Must Read and Sign The application may be deferred by the staff or the Board of Zoning Appeals, if sufficient information necessary to this review has not been submitted by the deadline. I hereby certify that the information provided on this application and accompanying information is accurate,true and correct to the best of my knowled e and belief. Si nature of Owner, Contract Purchaser,Agent Date liPt-N)6 i �v� (17 CC - 707 / Print Name Daytime phone number of Signatory �/�A I��`��� 11/26/02 Page 2 of 2 . . tyradrod V� 1V�: ?'J : > _ / 14 WL ESMT " WM TO BE SIZED � oo' -- ---BY ACSA `-- ATTACHMENT B l fy. �— mac• ..- - �. - 1 ,- • - 411 — / F CG6 (20) 9x18 ' SP = 18Q. / (16 �x 19 ' SP 144 ' . t 1 ,�0 BUILDIN-4 SE " ....._ ,„ "C / / / / _fir r a 202 - rN2 / UNIfN202A -\.-1- A UNIT'# 101 • / AO KUMON MATH&READING CENTER GEST EDUC'A 1'ION&SERVICES VACANT .GIB ', ���y� UNIT N 101 ' A1'LANITC•SPORTS&REHAB / �� I� �,' �' ATI.ANITC SPORTS&REHAB N 202 ►-- ` � r(\ j / / (�L N'I / ccn ��. W1. • c.t, 1 9x7,4 1 • SNr a �4 H C = L,� , , / ? CC (1 ) 9x1 ' SP 1. 6 4 •R �` �' o y Pr �, (U 4 R 4!f41 4 Gi, /3000 PSI 4" CONC . •EWALK CG-12/ / N56 '59 'S8`. / 2 _ ft / / 215. 000' 11 co ono UNIT N 201 .� .r1 23 �3 I Il I NY L E 1q 25 ;s3= I � 1 I ilk _, �0 1 st FL ELEv 430.5'; 9200 SF I \ \ 2 nd FL ELEV 442.5'; 15, 050 SF I 11NrrN2osw&B W 0 � \ O 42 v ALBEMA I E ARTH _ • 7-:\\ N. fL O O \ \ O CD i O 1 LYNCH IROPRA tA,1N11 #1 207- m • o •c.,., \ m o 0JN 3 C ELL GRAP1�tI 'S Y m \ R' N ` 1 co r Z \ (r. _ \ co I d--La (NIT N2U �' \ \ cc\ JA'fl0 IDL 1NSl1RA L' _ _ _� 1 \ F m 7OD S 59. 5 BW ` \ \ _ oC y 2'R — _ 215. 000 N ce u 7- Ti‘-1- 2 R LOADING _ (:x 20 ' SS E' T EX F oPP ! SPACE _ iI�PSTER S - S S \ X S VI -tS % o •�• m \ i' 110013 c' F ri I tgr ,.,F��y6 S \ ----2------ 16: _ . s PROP. UTILITY ESMT �` CUFFS �EAK 6 DITCIR'' ACE R \ 8SS (SEE IDS) 441 `4/0,, s �'R °r °tea S_ S54 •0 ellamt 20 ' t.NOSCAPING BUFFER ADJA EN i TO 36" -RCP BY OTHERS �4p • . ' 23.'W _ -. TT .1 e[1CA r7wAe -n I (A . 5 . ) l (PIPED STREAM) � — — - 130 .520 ' �• SPIN Kross TMP Query Report TMP#: 061Z00300205C0 File Recorded Completed Project Name Condition Final Action CLE-2004-022 2/4/2004 S P2003078 10/23/2003 2/2/2004 Daniel N Tribastone See official determination that tutoring VOID service are not schools Therefore,no special use permit required. See Official Determination Letter. SIG-2005-004 1/12/2005 Monday,February 28,2005 Page 1 of 1 ��B 'ec ` �ti f 4N e • 1/7 ^,N ` 0�`', $Se sir... _4V` co oN'V \N \ ° .9 - SS' \ ti s 6 Co ,r� , b., vyl 4 O / r�� ti = 4.i .' tit 1 .. , . :Ij'*( K:, ' tillp �� I. Ile :Etna r ' .. �L n k / 6 -:a�`1��� I scp ivdQ©�©® VA-2005-001 New Dominion Management LLC (owner)/Kumon 1111 © • Math & Reading Center(applicants) 61W 2 C"5A RY allied �"'�,i7 s •� ,� Tax Map 61Z (3), Parcel 205C p.®®;�/'' ' q.‘,. VI / • ® \ � C • N y= 44 t•' ,Z 110, • ' (;:,...' i ,Ir 0.' 1 lif! il.,y' ........,..... #. d , ' -. mctr a N U ,„ ,, N i �lilizi I ©�OO.• Z'2 Nf 9, N N _ -, �0 61 • i MICa.rlior ut 2 • `'.� 6`�~� ,I j o' 0, fit-' . Not. c 'R „ &'a ®1 , •.0) , �ry�. •_ 61�{-- 61Z2-G.:.:;.;,4 25 • ;- r - s t• ` ,8 r-5-4: r ? m @' h 2 gyp,.. ' ? ''' 4,•i--'-'-,,`t-.--,.,.-,.',-,,1,,q_:,_,,',-,...-_,. 4,1=0 o,ro,-,iN•,i .",,.'-'T,::....,`-..,-.,j 1.,_x r'i ....,z,_.f,.-:, x a y fl may- ,Y,, ` ?s' • ^_ :. 77 rye 1 ,o +- '„� ttv.o. rr,£ e_ .3 ��: ig " r,, --_1 W i a A, * -' `.,N�a0y�Q ." -fie 5 fit'-. i4,: it:-t F EA- R�-.3' ys.-.Y ` '� � a. �' i�s3"'* `VS' 4 µ4 _'M` .+5 a' ;n;; f �i. -- r �• = . y r ', - •. �Cityi of Charlottesville i, , _ - ,.: . a . .f .. � /art, �I�-` ,�= ap >a. �.....-:a >. Albemarle County Tax Map: Scale ��A" , ..ir ,� ,� ,� 0 61 Z Part 2 � ,e4L,.. . i=-0...2 Note:This map is for display purposes only Greenbrier Heights-Branchlands leaf and shows parcels as or 1n lot ooJ. Branchlands Retirement Village -Brookmill Condos See Map Book Introduction for additional details. g + County of Albemarle Community Dev�,,,N,nent Department,Central Operations Division 401 McIntire Road Charlottesville,VA 22902-4596 Buifdrrig Application Voice:(434)296-5832 Fax:(434)972-4126 r. .�� .. .y b� r „ � a TMP 061Z0-03-00-10100 Acres 0,000 House Street Name Apt/suite Current BTK LLC Owner(s) Major Subdiv. Branchiands Prof. Ctr. Condos Primary Zoning Planned Unit Development City/State CHARLOTTESVILLE VA Zip 22901- Total Fees Total Payments Entrance Corridor Overlay? No Un-Addressed7 L_ APPLICATION INFORMATION Ada P c.v A„plic anon >: Current Application(s) # Address Date Entered: 07/06/2001 199900875NC 200101123S Existing Bldg Appl # Application Type Building Permit E2004030680E 2001011235 Sub-App Type Sign Commercial?❑ Residential? ❑ Work Valuation I$ 1,500.00 Comments: Special Conditions?❑ Last Amendment Date 'r Amendment Description APPLICATION CONTRACTOR INFORMATION Company Name I Prlfi OnycCt@ft Qc?> El Address am`' City State -' 3 Zip Code Fax # w ,i, ,, Phone# License Classes License Exempt? 71 County Licensed? 1111 Expiry Date State Registry # 1 Expiry Date State Class APPLICATION CONTACT INFORMATION Contact Type Owner/Applicant Contractor Contact# For adding a Contractor Contact On Name BTK LLC BRANCHLANDS PROFESSIONAL CENJ Street Address 1410 INCARNATION DRIVE BTK LLC BRANCHLANDS PROFESSIONAL CEN City/State CHARLOTTESVILLE,VA Zip Code - Phone # (804)979-8181 Fax # ( ) _ Work/Cell # ( ) - E-mail Add Occupancy >> .,PPLICATION OCCUPANCY INFORMATION Floor 0 (Zero) = Basement Floor Floor Occupancy Floor Live Load Max Occupancy Load $� Temp. Occupancy Date Special Occ. Conditions N { Community De Went Department,Central 1 County o AIbeme,„ ', C}peraionsDiv�san ��, 401 McIntire Road Charlottesville.VA 22902-4596 i' Building and Proposed Use Voice:(434)296-5832 Fax:(434)972-4126 �g TMP 061Z0-03-00-10100 Acres 0,000 House Street Name Apt/Suite Current BTK LLC Owner(s) Major Subdiv. Branchiands Prof. Ctr. Condos Primary Zoning Planned Unit Development City/State CHARLOTTESVILLE VA Zip 22901- APPLICATION INFORMATION Application T 200101123S Application Type Building Permit Sub Application Type Sign Address BUILDING WORK INFORMATION Work Class: Frame Type: Water Supply Sewage Heating/Mechanical Fireplace Type: Type: Disposal Type: Type: Addition? Masonry? Cartesian? None? Electrical? Fireplace? Alteration's Steel? None? Private? Gas' Gas Logs? New? Wood? Private? Publics HP? Other? Other? Public? Oil? Remodel? Radiant? Wood Stove? Footing / Jurisdictional Area Power Foundation Type: Companies: Basement' Allegheny? Crawl Spaces Amencan? None? Central VA? Other? Other Foot./Found. Desc Dominion? Slab? Rappahannock? Unknown? Work Description: FREESTANDING Directions: 1410 INCARNATION DRIVE Legal Description Use Group Construction Type Square Footages: Porches #of Stories Decks 1st Floor Garage 2nd Floor Swimming Pool 3rd Floor Unfinished Basement Finished Basement Other Unfinished Other Habitable Total Unfinished Sq. Footage 0 Total Habitable Sq. Footage 0 Total Building Sq. Footage 0 •ROPOSED USE INFORMATION Dwelling Units Bedrooms ro Baths 0 Garages 0 Carports 0 Kitchens Swimming Pools\Hot Tubs\Spas(Res. Only) Mobile\Prefab. Homes Accessory Structures Mobile Offices\Prefab. Units Other 0 Paint Spray Booths Elevators\Escalators\Lifts Old BI Work Info Data Entry: C/'+ Albemarle Community Deveivkinent Department,Central ounty ofAlif emarie Operations Division 401 McIntire Road Charlottesville.VA 22902-4596 Building Application Voice:(434)296-5832 Fax: (434)972-4126 77;.:.ai.aF.�:&.r��,»..,.,a.�a.'�..:.�.- �. .."4iii* .,_. .a-��: .._ "�,, a.. TMP 061Z0-03-00-20300 Acres 0,000 House -e Street Name Apt/Suite Current BENZ,CHARLES E OR DEBORAH CHAPPELL BENZ Owner(s) Major Subdiv, Branchiands Prof. Ctr. Condos Primary Zoning Planned Unit Development City/State CHARLOTTESVILLE VA Zip 22901- Total Fees Total Payments Entrance Corridor Overlay? No Un-Addressed? J Current Application(s) # Address Date Entered: 08/14/2001 200101167AC 200101312S Existing Bldg Appl # Application Type Building Permit sub APP Type Sign 200101312E Commercial?❑ Residential? ❑ Work Valuation $ 1,500.00 Comments: Special Conditions? Last Amendment Date Amendment Description APPLICATION CONTRACTOR INFORMATION Company Name Contractor# Prj rticr@ft kor?> ❑ Address city Irjr1 ", 3 ' State Zip Code Fax # wcp, Phone # License Exempt? M County Licensed? IIExpiry DateMEM License Classes State Registry # Expiry Date State Class APPLICATION CONTACT INFORMATION Contact Type Owner/Applicant Contractor Contact# For adding a Contractor Contact On Name IBRANCHLAND PROF CENTER CHAPPEL GRAPH I Street Address P.O. BOX 8147 BRANCHLAND PROF CENTER CHAPPEL GRAPH'' City/State CHARLOTTESVILLE,VA Zip Code - , Phone # ( ) - Fax # ) _ Work/Cell # ( ) E-mail Add Occupancy >> APPLICATION OCCUPANCY INFORMATION Floor 0(Zero) = Basement Date Entered:08/23/2001 Floor Floor Occupancy Floor Live Load Max Occupancy Load Temp. Occupancy Date Special Occ. Conditions N } •f• rya "f # �c Community Devetup,nent Department.Central cuntV o AlbemarleOperations Division t 401 McIntire Road Charlottesville,VA22902-4596 ;:ice: (434}296-5832 Fax:t434)972-4126 III •ARCEL/ OWNER INFORMATION STREET ADDRESS mT , I >, • Street Name Apt/Suite Current BENZ,CHARLES E OR DEBORAH CHAPPELL BENZ Owner(s) Major Subdiv- Branchlands Prof. Ctr. Condos Primary Zoning Planned Unit Development City/State CHARLOTTESVILLE VA Zip 22901- APPLICATION INFORMATION Application # 200101312S Application Type !Building Permit Sub Application Type Sign Address BUILDING WORK INFORMATION Work Class: Frame Type: Water Supply Sewage Heating/Mechanical Fireplace Type: Type: Disposal Type: Type: Addition? Masonry? Cartesian? None? Electrical? Ei Fireplace? Alteration? Steel? None? Private? Gas? ill Gas Logs? New? Wood? Private? ;...,.; Public? HP? Li Other? Other? __, Public? Oil? Remodel? Radiant? _._ Wood Stove? Footing / Jurisdictional Area Power Foundation Type: Water&Sewer Companies: Basement? Allegheny? Crawl Space? American? None? Central VA? Other? Other Foot./Found. Desc. Dominion? Slab? Rappahannock? Unknown? Work Description: - - WALL SIGN Directions: 1410 INCARNATION DRIVE Legal Description: .7 r ^ uF 'mF � ;� a f � � A a� w ✓V,„ ;f d s ems � rf x � 2 p . -- Use Group Construction Type Square Footages: Porches #of Stories - Decks 1st Floor Garage 2nd Floor Swimming Pool 3rd Floor Unfinished Basement Finished Basement Other Unfinished Other Habitable Total Unfinished Sq. Footage 0 Total Habitable Sq. Footage 0 Total Building Sq. Footage 0 PROPOSED USE INFORMATION Dwelling Units Bedrooms 0 Baths 0 Garages 0 Carports 0 Kitchens I Swimming Pools\Hot Tubs\Spas(Res. Only) J Mobile\Prefab. Homes Accessory Structures Mobile Offices\Prefab. Units Other 0 Paint Spray Booths Elevators\Escalators\Lifts Old BI Work Info Data Entry: SUBMIT DATE I 08/14;2001 PAYMENT (45.00 061 ZO-03-00-20300 STAFF I Sharon Badges RECEIPT# 114316 PERMIT# I SIG-2001-141 ZONE HC TYPE OF SIGN WALL CATEGORY I SIGN SQ FOOTAG Applicant IHightech Signs New Applicant In care of Ben Foster City Charlottesville VA 22901 Address 2165 Seminole Trail Phone 804-974-7900 Fax EMail Contact I New Contact Owner Branchland Professional In care of none City Charlottesville VA Address Phone Fax EMail Business Name: IChappel Graphics NOTES: 2001-1312"S" ACTION TAKEN I ACTION DATE I #OF TEMP REMOVAL I SIGNS DATE et.Lirl t;w CComrrunity De e,cc,cent Department,Central 4: iI lty of Alberna ,„ Operations Division 401,McIntire Road Charlottesville,VA 22902-4596 dui d;rig Application (434)296-5832 Fax:(434)972-4126 ❑r a M -a ,:7ra : . +mod g id .. STREET ADDRESS TMP 061Z0-03-00-20600Street Name Apt!suite Current RUDD, WILLIAM L OR LINDA W Owner(s) Major Subdiv. Branchlands Prof. Ctr. Condos Primary Zoning Planned Unit Development City/State CHARLOTTESVILLE VA Zip 22911- Total Fees Total Payments Entrance Corridor Overlay? NOj) Un-Addressed? ❑ APPLICATION.IN FORNt%1TI011 r( Current Application(s) # Address Date Entered:09/25/2003 200001227AC 200301525S Application Type Building Permit Existing Bldg Appl # Sub-App Type Sign 200301525S Commercial?❑ Residential? Work Valuation $ 1,700.00 Comments: Special Conditions? Last Amendment Date Amendment Description APPLICATION CONTRACTOR INFORMATION Company Name t ? J Contractor# C12� n s Primary-Contractor? ❑ r k' p r . t Address falt , a' N• ; x � Ci ty '-r3,.% : �i qi State gfN Zip Code ig ' lt '_ i s v is Fax # Phone # �a License Classes License Exempt? County Licensed? ❑ Expiry Date ; State Registry# 11 1 Expiry Date tfa State Class 0: si edV` s; - ice g APPLICATION CONTACT INFORMATION Add Contact Contact Type Owner/Applicant Contractor Contact For adding a Contractor Contact On Name Street Address BOX 5777 a N A, -t City/State CHARLOTTESVILLE,VA d C 5 d 4/.4:N�m ���,�r �� ,� Zip Code - Phone # ) - Fax # ) _ Work/Cell # ( ) - fgagtiftraN' .�..11 l¢ ��..f . Email Add Occupancy >-y APP 3 ATION OCCUPANCY INFORMATION Floor 0(Zero) = Basement Date Entered: 10/20/2003 Floor Floor Occupancy Floor Live Load Max Occupancy Load sc � Temp. Occupancy Date x. r� Special Occ. Conditions N P Oounty Community Deveiwpioent Department.Central t,,iounL#y of Albema. .0 Operations Division 401 McIntire Road Charlottesville VA 22902-4596 Building and Proposed Use voice:(434)296-5832 Fax:(434)972-4126 TMP 061Z0-03-00-20600 Acres'0.000 House Street Name Apt/suite Current RUDD, WILLIAM L OR LINDA W Owner(s) Major Subdiv, Branchiands Prof. Ctr. Condos Primary Zoning Planned Unit Development City/State CHARLOTTESVILLE VA Zip 22911- APPLICATION INFORMATION Application # 200301525S Application Type Building Permit Sub Application Type Sign Address BUILDING WORK INFORMATION' Work Class: Frame Type: Water Supply Sewage Heating/Mechanical Fireplace Type: Type: Disposal Type: Type: Addition? 11 Masonry? • Cartesian? , None? i,..., Electrical? Fireplace? Alteration? LI Steel? None? Private? [._ Gas? Gas Logs? New? Lj Wood? Private? Public? L. HP? Other? Other? 1 Public? Oil? Remodel? Radiant? Wood Stove? 7.1 Footing / Jurisdictional Area Power Foundation Type: .Y ' m 744 1 Companies: W � i Sarer Basement? Allegheny? Crawl Spaces American? None Central VA? Other? Other Foot./Found. Desc. Dominion's Slab? Rappahannock? ,..._ Unknown? Work Description: SIGN WALL ILLUMINATED Directions: - ---- --------------- ------ NATIONWIDE INSURANCE 1410 INCARNATION DRIVE SUITE 206 Legal Description: IridUIPJI Use Group Construction Type Square Footages: - Porches #of Stories Decks 1st Floor Garage 2nd Floor Swimming Pool 3rd Floor Unfinished Basement Finished Basement Other Unfinished Other Habitable Total Unfinished Sq. Footage Total Habitable Sq. Footage 0 Total Building Sq. Footage 0 PROPOSED USE INFORMATION Dwelling Units Bedrooms L 0 1 Baths 0 Garages 0 Carports 0 Kitchens Swimming Pools\Hot Tubs\Spas(Res. Only) Mobile\Prefab. Homes Accessory Structures Mobile Offices\Prefab. Units Other J 0 Paint Spray Booths Elevators\Escalators\Lifts Old BI Work Info Data Entry: ECG Xuad 16030)s2s4 i' 4,d/itch&a,01 14-0 44)1(i �05 ya,eAv 90 03 eff), . (jet 0i34,2,U_ c71-0 jtt,„dyy4) ,(,4 /f)--- it AcLetax6e /C/ 601-L60049H zss)