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HomeMy WebLinkAboutARB202200031 Application 2022-03-23al a h-cl Application and Checklist for Sign Permit 1 at, a- 4-a a' m�YNN,� Part A: Applicant and Parcel Information Project Name:..7plC6&6ur" *65q%57 Addresm ags i ')'ll /IU I�-L-.OI�I •Q-il � $ Tax map and arcel s :O Zoning: TT-- ,�11��11 n�I � r��, Contact (Who should we call w/ questions?) Name: r) I ^� {�/,� dV1L Business Name: Z i� • /r I C.Or4dQ —! 7 " Address p.0. D0X e'22' City �..-rnc.G.(nut�n State ✓A- Zip�_S Daytime Phone 8y'7- Ltlsl Fax#( R45-69,8(1 E-mail q it Contractor Name: �J.T, �. /'JtQ�G+'4� /Business Name: Address P 60 X City L.V/tt%b 49 State kliq-Zip e') LEI y / ,�•s Daytime PhonO-Ll IS1 Fax #�� tageY6 E-mail 401 C-L ta/ -11tl Jl�'iT(I Business Owner Name: Business Name: Address City State Zip Daytime Phone (_ ) Fax # (_) E-mail Part B: Determining application requirements and fees (includes 4% Technology Surcharge) NOTE: Fees are calculated PER SIGN. If you have 2 or more signs, rill out separate aoolications for each sien. 1. Sign Permit — Please indicate which sign type you are applying for: Fr Freestanding or Monument Sign: $123.30 ❑ If a footing is required, an additional fee is required: $54.06 Wall Sign (Including property, awning, fi et pump canopy signs) Up to three wall signs per establishment may $123.30 be included on one permit meeting applicable size requirements. Only one fee for all three wall signs will be assessed. ❑ Sign Refacing: $85.60 2. Electrical Permit— Will the sign be 11 uinated? [✓� Yes (Illuminated signs require an electrical permit and an electrical schematic) $73.14 ❑ No $ 0.00 3. ARB Review —Will the permanent signs) be constructed in an Entrance Corridor? (Go to haos://w v.albemmle.ore/eovemment/wmmunitv-develoomentladvisory-boards/architectural-review-board for more information) �Q Yes (Review by Architectural Review Board See ARB requirements nest pages) $147.68 ❑ Yes (Review by ARB Staff. See ARB requirements next pages. $135.20 ❑ Yes Resubmittal of a sign application $ 67.60 ❑ 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): $�{ 1 •y FOR OFFICE USE ONLY BP# ARB# Fee Amount $ Date Paid By who? Receipt # Check # By County of Albemarle Community Development Department 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 www.albemarle.ore 082021 Page 1 of �t(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 I: FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS A. Submittal Requirements Ld 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. ❑ Provide written authorization from the Albemarle County Service Authority (ACSA) for an approved location. ❑ If the sign will be located in an easement, a letter of approval from the easement holder will be required. FV(A footing/foundation diagram showing how the base or pole will be anchored in the ground. S�r A to -scale color illustration of the proposed sign showing Wr Dimensions of the sign, including overall height from the ground; cabinet size, length, width and depth; base ize, etc. (Be sure to also indade these dimensions on the diagrams provided in the Sign Permit Application packet.) 01 Proposed lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements: Signs in the Entrance Corridors must conform to the Entrance Corridor Sign Guidelines and approved Comprehensive Sign Plans. Go to hgps://www.albemarle.org/govemmenVcommunily- development/advisory-boards/architectural-review-board for more information. 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. (schedided 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) County of Albemarle Community Development Department 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 www.albemarle.org 08/2021 Page 2 of 4 SECTION 2: WALL SIGNS A. Submittal Requirements Y 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 in hide these dimensions on the din rg ants provided in Appendix B.) Sign lettering and/or graphics in their proposed location. ❑ Entrance Corridor Requirements: Signs in the Entrance Corridors must conform to the Entrance Corridor Sign Guidelines and approved Comprehensive Sign Plans. Go to hftps://www.albemarle.org/izovemment/commLtnity- development/advisorv-boards/architectural-review-board for more information. 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 obiects be seen through it. Internally illuminated cabinets must have opaque backgrounds.) B. Inspection Requirements for Wall or Pro'ectin 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. (Scheduledby 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. ❑ 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. County of Albemarle Community Development Department 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 www.albemarle.ore 08/2021 Page 3 of SECTION 4: WORK VALUATION A. Work Valuation $ sscb.uv 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 I 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 ofmy knowledge and beliefand contains all information required by these checklists Signature of personcompleting checklist Date / Printed Name /Title Daytime phone number of Signatory County of Albemarle Community Development Department 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 www.albemarle.ore 08/2021 Page 4 of 4 LAND AND BUSINESS OWNER AUTHORIZATION AND CONSENT TO: Hilton Displays, Inc. FROM: Dhanvant Goradia Commercial Rentals LLC 1024 Carrington Place, Ste 100 Charlottesville, Va 22901 RE: Signage I declare and affirm that I am the Business Owner and Owner or Trustee of the real property (land) located at 2231 Seminole Lane, Charlottesville, Virginia, 22901 (Street Address, City, and State) And have full authority to authorize Hilton Displays, Inc. (Name of person or Company) and their subcontractors to submit a Permanent Sign Application for the aforementioned real property. I understand that sign construction is subject to Building code and contractor competency requirements as administered by the County Building Inspections Department. In addition, I hereby give notice to the sign permitting authority that I approve the sign Design Documents as submitted. I authorize the sign vendor, Hilton Displays, Inc., under contract with Starbucks to make application for and secure the necessary permit(s), remove any existing signs, install the new approved signs and provide wall surface restoration of any resulting visible wall damage. Dhanvan t Goradia 6 .,,.,Dhanvant Goradia Manager 11/19/2021 Signature Name (Print) Title Date STARBUCKS COFFEE #65465 29N & SEMINOLE 2231 SEMINOLE LANE CHARLOTTESVILLE VA 22901 21-57759 125 HILLSIDE DRIVE GREENVILLE SC 29607 P 800 353 9132 F 864 242 2204 www.hiltondisplays.com SITE PLAN 0 48" SIREN Q 46" DIRECTIONAL TYIEO Q 46" DIRECTIONAL DTIDT Q 62" DRIVE THRU CABINET-RH Q CLEARANCE BAR Q PARKING SIGN Q CURBSIDE PARKING Q 12" CHANNEL LETTERS - REM U 12" CHANNEL LETTERS - RVI O CANOPY Q DOS Q PRE -MENU BOARD © MENU BOARD © FEATHER BANNER 0L- ._- _..___.._..- _ "MUCKS -r�l p� o �o ..�).. O O© I NJ z Z OI 0 I I y O I A I I 'rs� p II I � .I ARCHITECTURAL SITE PLAN -FOR REFERENCE ONLY 1 ]SNgLSgEpRIVE � 4PF[MiLLESCANIi .m lssmn rw]u vw •: Starbucks 65465 2231 Seminole Lane Charlottesville VA 22901 Aubree PEI Brian Sowder 10-20-21 As Noted 2021/Starbucks/Locations/ Charlottesville W21-5n59/ SB Charlottesville VA 21-57759 MF XI[NI W MSIXMMXG 610 SXgYiCMC[VIWl ,EPMESXIAIIDN Or D 'Ro"Ea D I WF ID 1E n1105 IN M D1. DIFFERS "N.5.ET5. IDr rlwsrzD FXMI Mb DirsEX sucMly MOM DMI �•ULY Wd.oalter. UIDD [ohes I... REJ ELEVATION Q 48" SIREN Q 46"DIRECTIONAL TY/EO 0 46" DIRECTIONAL DT/DT 0 62" DRIVE THRU CABINET-RH © CLEARANCE BAR © PARKING SIGN Q CURBSIDE PARKING © 12" CHANNEL LETTERS - REM O 12" CHANNEL LETTERS - RW Q CANOPY © DOS O PRE -MENU BOARD © MENU BOARD © FEATHER BANNER scale: 1/8" = 1' (11z17 paper) CUSTOMER SUPPLIED MENU BOARDS TO BE INSTALLED BY SIGNAGE VENDOR. hh _ _ ^ —n Keay Q l___ i tr.pio 7 M'.'.:.n111-VIDoin.<em' e Starbucks 65465 2231 Seminole Lane Charlottesville VA 22901 Aubree Perry Brian Sowder 10-20-21 As Noted 2021/Starbucks/Locations/ Charlottesville VA/21-57759/ SB Charlottesville VA 21-SMS BneeiwrMrs tabonitarles Inc. NEU ELEVATION 0 48" SIREN Q 46"DIRECTIONAL TY/EO Q 46" DIRECTIONAL DT/DT Q 62" DRIVE THRU CABINET-RH Q CLEARANCE BAR Q PARKING SIGN Q CURBSIDE PARKING © 12" CHANNEL LETTERS - REM 0 12" CHANNEL LETTERS -RW Q CANOPY Q DOS Q PRE -MENU BOARD © MENU BOARD © FEATHER BANNER scale: 1/8' = 1' (11x17 paper) --1411ZTIIT 135 HILLSIDE WIVE- GREEWILLL St 351>3iapl3oi.3M wrn,MIbM15pYyf.mm Starbucks 65465 2231 Seminole Lane Charlottesville VA 22901 • . Aubree Perry e Brian Sewder 19-20-21 As Noted 2021/Starbucks/Locations/ Charlottesville VN21-57759/ Be Charlottesville VA 21-57759 Unaenvriters laboratories Inc. 48" ILLUMINATED SIREN QIY I SBC-S13163-SL Q switch A Frgnt Yew Scale: 314' = 1'40' (11X17 Paper) SPEGIFICOUNS: Q Single faced internal illuminated wall mount logo disk. Cabinet to be 3- deep, fabricated aluminum rewm5 and back Paint cabinet black Faces to be 3/16-while Plea with I- black tomato Q Graphics of logo to be 1st surface 3M Translucent Scotcbael vinyl. Moly Green #3630-76 over opaque white. Siren to show pull While. Q Inlemally illuminated logo disk with Sloan Prism Enlighten 6500K white 1ED's COLOR LEGEND PMSiwINT VINYL PMa L25e� RAV021M 3M ]6]043 pnewywnE ]w ]6]ndYl3YLS1n v, �• wall mount EVOLVED PNS ]69c Wl REPL wrmB ]M 660.10 4r 0sfaamNo 12.56 1.17 120/277 Side vIV 3'(named COMING POWER A Disk Section New Tya Aluminum re an 1' black him cap 3/16' while acrylic face O Enlarged Detail DAY NIGHT 1 MILLSIOE ORnT�4REEIMLLE X3W0> sl)i. F W ZZZ3lW wmrMl�aWfO4Yamm e � Starbucks 65465 2231 Sam note Lane Charlottesville VA 22901 Aubree Perry Brian Sowder 10-20-21 As Noted 2021/Starbucks/Locations/ Charlottesville VA/21-57/59/ SB Chadonesvllle VA 21.57759 IlndemMen tabomtorles Inc. 46" ILLUMINATED DIRECTIONAL TYEO City. 1 SBCS14091SL 0 Sig Fabxated.090'Aluminum cabinet painted black 0 match RAL 7021 as shown. Directional copy and graphics backed up with 11W white polycarbonate. All polycarbonate face elements to be attached to interior face panels with well studs. All interior portions of sign cabinet painted white. Graphic elements illuminated with Sloan Prism Enlighten LEDs. LEDs mounted on Internal bell with self contained LED power supply. All components accessible through face of cabinet Support: Support structure to be welded aluminum Nice and plate construction painted black W match RAL 7021 Plate to be constructed to be retro-ficable to existing sign foundations. All foundations new and used b be analyzed for suitability, and must meet all local city or state code regulabons. Scale:3W=l"1107 Pape4—:.5IF-.-- Vr=1 Stal led.g Front Fw nn ve Store Side Vic Rnn Fe.11.h Zlo, DAY NIGHT COLOR LEGEND PMcP4NT WM © Slxe S, Ft i Sp. Ft- Volts Amps WbMAh 115ka151Dt Dew. WFF.wIeFSCi%Ol ..rv.nrmmirWY«en •c - Starbucks 65465 2231 Seminole Lane Charlottesville VA 22901 Aubree Perry Brian Sowder 10-20-21 As Noted 2021/Starbucks/Locations/ Charlottesville VAt21-57759/ SB Charlottesville VA 21-57759 Undeiwriten S teboratodes lnc. jWx 46" ILLUMINATED DIRECTIONAL < DT/DT> - No Low W. 1 SBCSM27SL P4 ,1Y&- bT0 „IDLMIVE O �� Ge"INVILLE.39a0i �SJ' rtl tYl6' 111YI6' � 531117 I+elwernae�wla WLSVIu�Ir+l u,W .M 11l "a1. iWlq lap v.nrnnoMl"bn.<w" /aeo L.,..,Xw"aeuY.rll ]XMwrdamlm ,41gn Specifications, DID 21-57759 i a .. Imla wmw - • Fabricated .090' Aluminum cabinet painted black to match PAL 7021 with whtte end Lap as shown. JOB NAME _ _ as Directional copy and chevrons backed up with tre' while polycarbonate. Starbucksf VNIZ s p^g b ti u�iuv �..e•I^o°"I pJn l2waele'pw r. r ammmum cox pumea to maker ltnvollw. mmm aemeb -af.rout All polywrbonate face elements to be attached to interior face panels with welded studs. AD interior portions of sign cabinet painted white. Graphic elements illuminated with Sloan Prism Enlighten LEDs. LEDs mounted on Internal baffle with self contained! LED power supply. All components accessible through face of cabinet. Support: 2231 Semmole lane Charlottesville VA 22901 16Lilly', — G•lr..,i Support structure to be welded aluminum tube and plate canstnlction painted black to match RAL 7021 -aarl.*•Xoln.""rose "�I 10nO°3i Plate to be consbudetl to be relro-fltabk to existing sign foundations. All foundations new and used N be anatte co foregulation suitability and mull meet all local dry or state code regulations. Aubree Perry Scale- 3W 1'(1107 Paper) �—r.s s'r Y•.X—� TIC • Y1lY Flenr lionlisa sees aide Vlev Rear FIw.IXn. View Brian Sowder 10-2o-21 .. 10-22-21 BS/11-1521 BS/ 11-23-21 BS DAY NIGHT As Noted F4( DRIVE 2021/Starbucks/Locations/ IN. THRU Charlottesville VA/21-SAS9/ SB Charlottesville VA 21-57759 FSf: CLIEYi CCLOR LEGEND SLCRAE LANDLORD: INWAINI VINYL PYS N35C JY 161bta SWNA LO.N' RAL]DMY ]Y ]alW3 TiWIXGI YfPFSEXlAtp1X Ci ME ADFD".ED 9Fa.1aE d& 1D amseSs IDakIN VNYtpXSN VXMwL DEvefS UN sl1&SIINifi Is PLBwXRE ]Y N]0.31V rR11D w. i"yEDXflODJLIb/'y g4n. suriumLYLMwIry. Untlerwrilers u� WSMc I 'MOT rEiLwNr1E ]Y tlLLtp Y•InYmnl 2W 1A oa1 laboratories Inc. 62" ILLUMINATED DT WALL SIGN City. 1 SBC-ADT-1862-RH-SL 0 six ,�„ EM•Ee.b b •+T au1Mw rmm , Scale: 3/4' = V (1107 Paper) 7.96 SIF FwNM Sery ce eo=Ton yr w MOTTO SCALE COLOR LEGEND PMS WfiC ]M J6J0.T6 R.LLMY]N JM J6Joi3 PN61wIRE ]M Ifi]oIIb rr]510 PMa ]fi6C I�nnNA v.rt M twaraj ]M 660.10 NOTTOSCALE aMuryl �.ea.®oma .]a'p.ymm +.me.•vbpbo.+• sun DAY SSBn Specifications" fications" Cabinet • Fabnuted .090' 12nm1 aluminum housing painted black to match RAL 7021M with 3M #180-10 white vinyl end cep as shown. • Directional copy and chevrons backed up with .125 white polycarb. All polycarb face elements to be attached to aluminum face panel with weld studs. • Welded aluminum construction with no visible fasteners. Fasteners retaining the hinged face will be located on the bottom such that they are not visible. All fasteners used in the assembly of internal components shall be coated to prevent corrosion. • Internal structure of Cabinet shall be per approved shop drawings. • Graphic elements are internally illuminated using Sloan Prism Enlighten LEDs. LED's to be mounted on back panel with self-contained power supply. All electrical Components are removable for service. Regulatory: • Sign must meet all regulations in the National Electric Code as well as any local or state electrical codes. • As per NEC 600.6. sign is equipped with a service disconnect switch. • Sign must be listed as an Electric Sign per Underwriters Laboratories UL48 and/or CSA and bear the appropriate UL, CUL or CSA relevant certification marks. Primary power by electrical Contractor per NEC. S'aG Sq. FV SO WU Amps NIGHT wsrnlupr]Ica nv� t]SNmSDE.-..U.11.. bo I]I91]i rMt Ulllp ..e..nxwwbpryi<om Starbucks 65465 2231 Seminole Lane Charlottesville VA 22901 I Aubree Perry 1 s elan sowbcr 10-20-21 As Noted 2021/Starbucks/Locetions/ Charlottesville VA/215TE59/ SB Charlottesville VA 21-STr59 oe441d1DF.[Ew wbto..ACWCEIIW1 MiIEEWATIM OF W PADPG]ED SGx WE 1D wWT ONJ N mININo DOXES Me ]II&S1 .. Ms PMSNm M(ACT WY DIFFER SPNnY ROM oPAWING. N REVOLUTION CLEARANCE BAR SECS22544SHB-C-10 Oty. 1 NON- STRUCTURAL BASE COVER BASE PLATE NATURAL FINISH OR ENGINEERED FILL 22 _ 1' c-1 3'-6' 1'-0' 5 6 025'X4'X4' STEEL TUBE CLEARANCE BAR w HEIGHT MAY REOUIRL z ADJUSTMENT TO ACCOMODATE CURB z AND/OR FOUNDATION HEIGHT. wm MANUFACTURER TO F PROVIDE (2) 30- CABLE in LENGTHS FOR SUCH 1'-9. ADJUSTMENTS MIN. m ' AVG. —I ,j_ r CURB AND GRADE MAY r ROAD BED VARY PER LOCATION / z r •off 'vF n p M1?DI0. cKVAND£D PNCHOR BOLTS .+r•m.. 00 (3) n TIES wrrNMI FlRSTS• IX o THENS3TIESATTO4. w LLJ—_ 3•(u.LR- (4)•LNnRTn LLBARS SPACED �Mw, omwaw w U EVENLYAROVND PERIMETER U 6' DIA. 3'CLR. SMIe: 1W .1'-P (I t XI paper) SYm� FONT' 4M SBIM � P— • • mm IN 1051.COLOR \s®�nYo+^qln LEGEND Frent Yew-�PIavE•GraeM1k OCYih ausww IRSTAINIT VINYL PMs swc xA � RALIe]1Y dY=3 RE% -WHITE - - - 3MNe•1a _N_FpW®%aGM 3/4'= -- -- Scale: 3/4' 1'•O' (11 z17 paper) f n•. YMNUYYeMhtivunubl = l Lj m araSe 1 1 a. End Section View ROTATE UP TO 90' IF STRUCK BY VEHICLE 4fbT0N9A9P4� u�o<owrvl. wuaMwesczx•z r m.. wz.zzw ..�Au..Mgan.mm • Starbucks65465 2231 Seminole Lane Charlottesville VA 22901 t• • Perry owder 10-20-21 As Noted 2021/Starbucks/Locations/ Chatlo6esville VIV21.5Tl59/ SB Charlottesville VA 21-57T5e Undervollen, laboratories ins. REVOLUTION CLEARANCE BAR SBC-S22544.SHB-C-10 Qty. 1 ELEVATION VIEW S. 4" 4" 4" X 4" X 0.25" STEEL TUBE ALL ANCHORS 70 BE V-6"DIA. 5' 8" 5" u—r•ia-�A rr�r�r—'A vn 135 XR151DE DRIVF .4RFEHNLLE SCl%al M03519133 iB ]SM www.WXm]MeyvMm • 9 POST WELDED TO BASE PROVIDED • - BV G.C. ANCHOR BOLT _ � r� —�1 --tT Starbucks 65465 (TYP.I OF 4) (4)ANCHOR I I -I m BOLTS I I I I HIGH STRENGTH L.L- -_jJ - 2231 Seminole Lane NON -SHRINKING GROUT BASE N Charlottesville VA 22901 OUTLINE 8" X 8" X 3/4" STEEL BASE SIN PLATE 'a 4" X 4" X 0.25" STEEL TUBE POST WELDED TO BASE - - - o- "l THRU HOLE FOR MOUNTING (TYP.) PLAN VIEW BASE PLATE COLOR LEGEND PMS'PAINT VINYL BOLT PATTERN (TOP VIEW) ROD LENGTH - SEE ELEVATION (3) 12- HEAVY HEX NUTS & WASHER -GALVANIZED CENTER ANCHOR ROD TACK NA PATTERN IN FOUNDATION NUT TO ROD 1/2" HEAVY HEX (4)12' DIA. A36 THREADED HOT DIPPED GALVANIZED NUT WITH WASHER THREADED ANCHOR RODS WITH GALVANIZED HARDWARE ANCHOR ROD DIMENSIONS IN RED ARE FOR 150 MPH WIND LOAD SITE -SPECIFIC FOOTING ENGINEERING REQUIRED BY LICENSED ENGINEER Aubree Perry Brian Sowder flr9Abil As Noted 2021/Starbucks/Locations/ Chadoaeaville VA 1.57159/ S6 CharlmeNvllle VA 21.5T 59 UNderentin. Lawwarlee I.. 18" x 12" PARKING SIGN SBC-PK-1812-UC-54-BP City. 2 O I I 3F 2r�l 0 E.MMVMw SCALE 3'=1'-0' SPECBRCA110113 A. WALUMWUM MKING SIGN TO BE PAINTED PMS 560c B. FACE TO HAVE APPLIED DIGITALLY PRIMED VINYL 3 WHICS ON SMITE REFLE"VEVINYL w2HF WHITE REFLECTNE 00RDER C. SIGN PANEL TO BE FASTENED TO"IlANNEL POST WI Ent FI¢' BOLTS(QW.. 2) 0. SIGN POST To BE IFCHPNNEL (6TA 2IWME) E. MOUNTED WITH PLATE MOUNTING BRACIOET ❑ ■ ■ Rellectiv MRA PMS3425C PIS 560C (314 #280-10) SCALE: V=1'-0' U-Channel Post Surface Mount Base w/ 10' Square (114 plate) and four 1/2' mounting holes welded to IT tall 21b/R U-Channel Post Stub w/ 7/16- holes t every 1'. Used to permanently and securely Install U-Channel Post to concrete. \ Requires four concrete anchor bolts 1� �iSMILL510EDPoVF � LPFn1VILLE5C N6o] eW 1519N1 � f bl Ni l]d ww.NaoNlUlay�swn Starbucks 65465 2231 Seminole lane Charlottesville VA 22901 Aubree Perry Brian Sowder P •• 1 D-20-21 As Noted 2021/Starbueks/Loeallone/ Charlottesville VA/21-5T 59/ V21-5nS9SB Charlottesville A UndanMle. llll' Iaborawras lna 18" x 12" PARKING SIGN SBC-PK-1812-UC-54-BP Qty. 3 Be, O SCALE:1•=4-0• 0 Ruscull: r nt View • ra '?ii'f51 B. FACE TO HAVE A'PUEO OIGRALLY PRINTED VINYL G W I RCS ON WHITE REFIT arVir WNR6 REFLECTIVE BORDER. C. SIGN MELTO BE FASTENED To U-0 NNELMET Wl W1r BOLTS(OTY. 2) O. SIGN POST TO BE U[HANNEL(5TA 211C MOE) E. MOUNTED W9iH ELATE MOUNTING BRACN T ❑ ■ ■ ❑ Reflecllve WbRe PMS3425C PUS 560C PMS 9521C (3M #280-10) U-Channel Post Surface Mount Base w/ 10- Square (1/4- plate) and four 1/2' mounting holes welded to 10' tall 21b/ft U-Channel Post Stub w/ 7/16- holes at every 1'. Used to permanently and securely install U-Channel Post to concrete. Requires four concrete anchor bolts 1]S MILISIOEOflNE 4PEFNVILLEX i96W 0035191)] . F W YS]lW w'xrrA4laMIWYFuw^ •C Starbucks 65465 2231 Seminole Lane Charlottesville VA 22901 Aubree Perry Brian Sowder 0-20-21 As Noted 2021/Starbucks/Locations/ Charlottesville VA]21-5nS9/ SB Cbadoneaville VA 21-57759 UlLdenidk]a Inc. 12" CHANNEL LETTERS - REMOTE SSCS19494SB-WSL OTY 1 m xauotoww • cMrY+utscxm+ 42' 3'Rewal Deep cha" brier -' Disconnect switchI'lliac Starbueks 65665 o Powersupply or,WkTdmcap 3/18'Tsmml White acMic e 3" 2231 Seminole Lane 120/277 VOLT Charlonesville VA 22901 FI•al VIEW bide New Scale: 1/2" = 1' (11x17 Paper) Whole LED auminarm D wXES iin a .053' Aluminum Letler6acks SPECIFICATIONS A (normally illuminated channel letters to be fabricated from .040 returns re aluminum with ppainted White interiors and pre -finished black returns. Letter backs M be aluminum stapled to sidewalls and sealed. War lasacerryce M+II vary by Site Trru hplt5 III AuOree Perry IF B Faces to be 3/16" White acrylic with 1"Black hMcap Brian Sowtler C Letters illuminated w/ Sloan Prism Enlighten White 6500k LED's w/ remote power supply. a D Letters to be installed flush to war. 10-20-21 MOUNTING AND LETTER DETAIL(TYP) •'it SCALE:NTS 10-22-21 SS / 11-15-21 9S/ 11-23-21 ES jledASN0 DAY NIGHT 2021/Starbucks/Locations/ VA/21-5 Charlottesville 7759/ SS Charlo etwille VA 21-ST759 ��� � � �J `J UU� • • � SLSPN: L-NDLORD: rYs'YtSc ]M ]6]o-n rxflmFwriN OF NE L61o4VM1UM WEW1 .r.c..fM pf nrt MOMOM xruGf. W[ TO RALnTIM ]Y ]a]bi] w TIE VAISHED POI X9mWLaMLESAIn SLBSm�RS ME FINISHED PPppUtl MrvDIFFER SULHTLV MOM pPPMNG. pyg yM� ]M ]8]83p111]5.1p n a� u \ UnEe Iter8 VN9 JBBC NA taboratr des Inc. TEFL WXRE aM eeede 12"CHANNEL LETTERS - RAC EWAY SBC-S18503-SB-W-SL OTY 1 0 9'A" o p B d F r- D FScront Yew ale: 112'- = 1' (11x17 Paper) A Intemally illuminated channel letters to be fabricated hom .0a0 returns aluminum with pre -painted White interiors and pre -finish Black returns. Letter backs to be aluminum stapled to sidewalls and sealed. B Faces to be 3/16" White acrylic with 1' Black trimcop C Letters illuminated w/ Sloan Prism Enlighten White 65001, LED's. D Letters to be installed on Raceway. Paint color of Raceway to be determined! by site. DAY PMS N3G [: ]M ]B]O�16 RAL10'HM ]M ]6]OA2 Me ya91E 3M]n]04W 7I2IM �5�10 PMa369c REFL.M1 ]M U0 10 3) 063'1 NIGHT MOUNTING AND LETTER DETAIL(T'P) SCALE: NITS Al01. -iHbLOA18FSR641'S- r)]NILLSIDfWIwE�LPFFNNLL[XiXN M )M9�)3 � rbI SREIM -w,nMpNpYya�wn Starbucks 65a65 2231 Seminole Lane Charlottesville VA 22901 w by site I Aubree Perry Brian Sowder 10-20-21 As Noted 2021/Starbucks/Locations/ CharlObesvllle VA/21Sn%/ SB Charlottesville VA 21-5] 59 Underwriters taboraterles W. CANOPY STEEL KIT - INSTALL ONLY SBC-AB-CANOPY SBC-ABT-CANOPY Notw. -All steel shall be A36 Galvanized or Qty. 1 A304 Stainless Steel 0 FROM EIEV DOE M NAM u i RAT S'TTM cArloPVABms MBAH08PFAItFA — sTEELBASEPLATE wElnmTosrEa. Po518BVMm. la'VEB. E9'OIA)NOT UVW GM.VANttEO OULEDURED 1r51t21 REIRFD IA Dm,LTIRAL 8ME COVER rUTMNLGRMIE ORE P`EMPEO FlLL 8'MIN.It•A ff MW.I CUT-OUT THRU HOLE FOR MOUNTING (TYP.) m i3 ANCHOR BOLT 6 (TYP 1 OF 4) a 4' X4'X025' STEEL TUBE POST WELDED n TO STEEL BASE PLATE 1 3/6' BASE FRONT EDGE FACING b PLATE DRIVE THRU LANE b CANOPY BASE PLATE xaio: 1"= V-0" wj S•PRWEOrpNA .) COFOOTNe g N.ATEM}I PIAIEI n corvourt O� a EE LCMC LENG1N.nm AS SRO an �. B-P P.D. DT DIGITAL ORDER SCREEN CANOPY GROUND FOOTING scale: 1/4" = 1 TEMPLATE scale: 3/4" = V e6er STEEL B SEF TE z1¢savARE x vP ATE - - W S E OE (TVP.t OF 4) 1 T11RUH SSFOR MOUN1NO MP, 9.MS%SS X'e sn"i POST WE. TOSTEEL BASE PLATE FROM E ANLMORBOLT FA OTLARE r lOFA) DOS us WLUIDE OFAe . duE, u zsEm rwxAN�MIrWry••wniw Starbueks 65465 2231 Seminole Lane Charlottesville VA 22901 Aubree Perry BASE COLER OMWE .EOF WSPOSTet$EPIATE ALL pplllE ILLCgYgllr .OaORSOLT paB695 TO Cp10Un PFA and..TO (ml: Brian SOwtler NI ATE9LXC.VWPYSASE PLATE 9EPROYeEO EIECIXIS/1 BES/9GVE n1 AT. %ATc BYGG amiE GWTWO EDGEOFCONCRE}E 3 P B • FCOING WfUREO";;wv 2.6 STff a -I' 3Nyay� 10-20-21 aMEPATE t"P. OPn) w E X ii 10-22-21 BS/11-15-21 as/ za w z a o 11-23-21 BS -- I e— - I • _ 17 Dossruo-uPs - i As Noted CM1orv"'em"O ereo-uv e• r.r r r.r r r e-a 2021/Starbucks/Locations/ CharlotteSVIIIB VA/21-5n59/ SB Charlottesvllle VA 21.57759 BOLT PATTERN (TOP VIEW) 1e,... nF1x61Y R4zosXOW Aca eJE Te PfHEssxrinox aF nlFarM sGWSL. B m vlxun1461H FWmwc oMSES A10 suB$Tsal6. zM nMsxm PRmucr Lur Rin1R ulumnr r xmn mnvexc (�Lt Underwriters Labaralohes Ina DIGITAL ORDER SCREEN STEEL KIT - INSTALL ONLY SBC-AB-DOS Note: -All steel shall be galvanized SBC-ABT-DOS QIy.1 © FRONT ELEVATION SIDE ELEVATION .r 2 5'I 'I , HOT DIPPED GALVANIZED O LEVELING NUTS y (4) REQUIRED NON-STRUCTURAL BASE COVER ® STEEL MOUNTING BASE WELDED TO POST NATURALGRADEOR ENGINEERED FILL 6"MIN. 0r-1 _ ___ CONDUIT (4) 10 CIA, X 9' LONG GALVANIZED ANCHOR BOLTS: p < 3 1/4"PROJECTION ABOVE LL o FOOTING �= 3"CIA. (3)113 TIES WRHIN FIRST 5• THEN #3 TIES t0 -/ AT 12.O.C. (6) V5 VERTICAL BAR SPACED EVENLY AROUND r.0. .ix DIA. PERIMETER CIA. DT DIGITAL ORDER SCREEN POST GROUND FOOTING SWe 3/8". V-0" 1'-21/4' 31/8• EO EO 31V it FRONTEDGE FACING DT LANE TEMPLATE scale: 1 1/2" =1 V-21/4" 31/8" EQ EQ 311T g 0.625" STEEL "I BASE PLATE 210 SOUARE X 1/4" PLATE p - -- - - WASHERS w (7YP. 1 OF 4) THRU HOLES FOR - w MOUNTING (TYP.) - -- -- - 9.843" X 3.973 X 3/16" STEEL POST WELDED TO STEEL <_ BASE PLATE FRONTEDGE ANCHOR BOLT FACING DT LANE (TYP 1 OF 4) BASE PLATE CONDUIT STUB -UPS T ABOVE FOOTING w (4) ANCHOR BOLTS BASE OUTLINE DRIVE THRU LANE FACE THIS SIDE r -B•DLA. q Q 6' ,r a• IV� B' T T T l In � In I- 11i y y m --�-- - jw= 3 r 0 _ 7.7t J - - I III I / Z. r 1•r z• BOLT PATTERN (TOP VIEW) s : 1 1/2" = V-0' Ix5N14L51UE0WYE. EgFENYItIE%N6Ex vwommn . rwvx aw rww.Ml�enCfaphr�.mm Starbucks 65465 2231 Seminole Lana Charlottesville VA 22901 Aubree Perry Brian Sowder 10-20-21 As Noted 2021/Starbucks/Localions/ Charlonesville VA/21-57759/ SB Cherlonesvllle VA 21-5n59 Ibq•d4bo -- - L•karelMaa ilw. PRE MENU BOARD STEEL KIT - INSTALL_ONLY SBC-AB-PMB Note: -All steel shall be A36 Galvanized or SBC-ABT-PMB A304 Stainless Steel Qty. 1 O FRONTELEVAIrION 7. 51/8' STEEL MOUNTING BASE WELDED TO POST NON-STRUCTURAL BASE COVER w HOT DIPPED GALVANIZED LEVELING NUTS (4) REQUIRED NATURAL GRADE OR ^ ENGINEERED FILL r r � - 6* MIN. ¢ - ?�w.� CONDUIT t9 m (4) 11T DIA. X 9' LONG 00 GALVANIZED ANCHOR ¢ ¢ c 3' MIN. BOLTS; 31/4' PROJECTION ABOVE FOOTING �LL �.FIRST THEN#3T 112 .8 SAT O.C.5^ i E 7 - 0' (6) #5 VERTICAL BAR SPACED EVENLY PERIMETER 7 0' DVS AROUND DIA. DT PRE -MENU GROUND FOOTING soic 3W-V-0' ,-6• TEMPLATE scale: 1 1/7 = V uzwtww orm . curxruruawr HRU HOLE FOR MOUNTING 410 4' r 410 •„�,M ew:wur.x�nm (TYP.) 6' X 3' X 0.1875' STEEL POST --- t•I WELDED TO •' •Eli . _ BASE PLATE 21/2' SQUARE U I I U v X 1/4' PLATE ? Starbucks 65465 WASHER (TYP.1 OF 4) -- - O 4 ANCHOR BOLT (TYP 1 OF 4) -- -= Lv 2231 Semincle Lana Charlottesville VA 22901 314' STEEL FRONT EDGE BASE PLATE 61/2' 4' 612' FACING DRIVE THRU LANE BASE PLATE scale: 1 1/2- = P Aubree Perry Brian Sowtler 7-O'DIA ALL ANCHORS 10-20-21 TO BE 4' 4' . - �F BY B.C. BY G.G. 10-22-21 BS / 11-15-21 BS/ 11-23-21 BS I ANCHOR 1 I BOLT I b (TYP. 1 OF 4) r- BASE OUTLINE CONDUIT I STUB -UP 3' I I I I ' �. T T As Noted ABOVE j FOOTING I `— r I I I —� 1 I a T — T '� — �— — — --J L---- J 2021/Starbucks/Locations/ Cherloaesvllla VA/21 d7]59/ SO Charlottesville VA 21-59759 DRIVE LANE FACE THIS SIDE EST CUENr SLSTAL LkKDL0A0 BOLT PATTERN (TOP VIEW) vrt �nervr ai n:c ow.wxms msxow.eor¢mua mm�xiuux c r�l:, si,au9 wr 11 nc: s •:;n ares .mr .......... I��:LII19:t1xx�l4>vllll�lllu:IGxWY16 sua: 11Z= P-0' UnOerrmlle� '.OL " taea�amn mr. MENU BOARD STEEL KIT - INSTALL ONLY SBC-AB-MB NOW -All steel shall be A36 Galvanized or SBC-ABT-MB A304 Stainless Steel Qty. 1 © FRONT ELEVATION r - 10 1/2" SIDE ELEVATION STEEL MOUNTING BASE PLATE .• WELDED TO STEEL POST tO NOT DIPPED t'+ GALVANIZED LEVELING NUTS (4) REQUIRED NON. STRUCTURAL BASE COVER 1e NATURAL GRADE OR _ ENGINEERED FILL - - 8' MIN. 1150:9"MIN.I - - O CONDUIT oa °' (X L) rn LONG GALVANIZED m ANCHOR BOLTS; 4" LL 3' MIN. PROJECTION ABOVE FOOTING 4 a� TIES WITHIN t7 FIRSTS"THEN FIRS TIES AT 12' O.C.. (8) e6 VERTICAL BAR 2'-a- SPACED EVENLY 2 6" AROUND PERIMETER DUL DIA. DT 5-PANEL MENU BOARD GROUND FOOTING s 3/e" =1'-(" 6 TEMPLATE stile: 1-= V r-c r 4 r 3/4' STEEL BASE PLATE 5" 2" 2" 2" 2" 6" r ANCHOR BOLT 8' X 4' (TYP I OF 4) X0.1875" STEEL n TUBE t POST WELDED 21/2'SQUARE TO BASE = --O o X 1/4" PLATE PLATE WASHER (TYP.1 OF 4)) FRONTEGE FACING DDRIVE 7I 5 2' �>`- �� FOR MOUNTING THRU LANE mP-) BASE PLATE scale: 1 1/2-= 1' 2.fol r.r r-r car$un m"p r.•owE F(Io1NG _ - I -F- •HLNg13 roeE er o.a WG.0 � I J FlIotREaGE / I FFw VE SqE tl- BOLT PATTERN (TOP VIEW) scale'. 1' = 1 I ffbTAAr]rr`^' v6 �l4 xiLLSIM MrOF. WUFrmu[Xls!L> :. rwxaxxw wwxA�l=rvA'�nhr�.rem Starbucks 65465 2231 Seminole Lane CharloXesville VA 229ol Aubree Perry Brian Sowder 10-20-21 As Noted 2021/Starbuck5/Locations/ Charlobesville VA/21-5T 591 SB Charlottesville VA 21-57159 Ut51GN JYhCIFIUAI IUN5 ACCtF ItU 9Y: m® UnEerwnlerr INEO taoorelorlee Inc FEATHER BANNER KITS S13C-FF-DS-810 Oly 2 SIDE - A SIDE - B Scale!11 = 1•(11a17 Paper) SPECIFICATIONS A feather banners with double faced graphics rn xL."I In .eIaFNY4LEunmr •e Starbucks 6SIAS 2231 Seminole lane Charlottesville VA 22901 Aubree Perry Brian Sowder • a• 10-20-21 As Noted 2021/Starbucks/Locations/ Charlottesville VN21-5P159/ SB Charlottesville VA 21-57759 n"l,I'n, o -ii wrro L myths r', 9V1LgA(S al I".ululni'Or m1 ill mI n nucnn.Ieoam.wwe unaelwrllmr SEMIM u1n.lorles lnt. TEMPORARY BANNER Oly.2 SBC-BNR-NO-48 O o° O 8'-0- O NOW TM OPEN le: 3/4' = 1' (11x17 Paper) BANNER: MATERIAL: WHITE BANNER W/ GROMMETS GRAPHICS - 3M 3630-76 HOLLY GREEN M15YSOC ]M MW°0 ML]O11Y ]Y ]0b�d PMS WNIrE O�M..rm�S]S�ftO; PMS NBC NA JR6LMFTEJ MM40 ' GROMMETS: EQUALLY SPACED APPROX. 18* -A INTERVALS #H l yr nswuvu ows. eeeexw]suxMe] w.Au�ewnMan.<mm Starbucks 65465 2231 Seminole Lane Charlottesville VA 22901 AObree Perry Brian Sowtler P •• 10-20-21 As Noted 2021 /S W Ie ucks/Loratlons/ CM1atloaesville VA/21-Sn59/ SB Charlottesville VA 21.5n59 rasnrxr arnGnMNlN6 is la 9ox]LMC[FRe1 F a111 n' ➢.f ; LwGE m N1.0, "A'pu. urna: ai.o IS a es ee Ay ov �swwc is uo-.o lin .it,ii i 13 oz Banner Material Undemtten, with Grommets S❑eentodm ft. d� �i Jil SJI�:e 1�'J JiJt f Service Authority Sw,*q,bConw,r ing ACSA Building Permit Pre -Application Review Proper Permit Documentation Submitted by Applicant: YES FVI RWSA Approval Granted: YES ❑ RWSA Comments Attached: YES ❑ ACSA Jurisdictional Area Designation: Water and Sewer ACSA Utility Connection(s) Approval (if applicable): Sewer Connection Fee Special Conditions (if applicable): Backflow Requirements (if applicable): Sewer Discharge Permit Requirements (if applicable): Comments: PA-ACSA20220157 ACSA Application Number: NO ❑ NO ❑ N/A 7 N/A Wl This document must be submitted at the time of Building Permit application to the County of Albemarle. Any revisions to the scope of work approved under this ACSA Building Permit Pre -Application requires a revision submittal to the ACSA for re -approval, prior to a Building Permit revision application to the County of Albemarle. This Pre -Application becomes null and void if application for a Building Permit is not commenced within 6 months of the approval date. Application Review Status: Approved: 7 Denied: ❑ Alemder J. Morr1J04, TE, smior Civil uggiaer Authorized ACSA Signature 2/9/2022 Date Last Revised: September 16, 2021 From: bounce+webmaster=sewiceauthorityoraRb atomimites net on behalf of Albemarle County Service Authority To: Locate g; tina(&mcbridesions.com Subject: ACSA Building Permit Pre -Application Submittal for 045B1-05-0A-01100 Date: Monday, February 7, 2022 10:53:16 AM 'CAUTION: This email originated from outside the ACSA. Do not click links or open attachments unless you recognize the sender and know the content is safe. Date: February 7,2022 Applicant Name: Tina Mahone - I. H. McBride Sign Company Contact Person: Tina Mahone Contact Phone: Contact Email: Applicant Address: Address of Proposed Work (Tax Map and Parcel below if no assigned address): Tax Map and Parcel: Initial Or Revised Submittal: Submittal Type: Water Supply: Sewage Disposal: Irrigation System Proposed: FOG Device Proposed (if applicable): Total Number of Floors With Plumbing (including habitable areas above the upper floor) Description of Work: 434-847-4151 tina@mcbridesigns.com P. O. Box 622 Lynchburg, Virginia 24502 2231 Seminole Lane Charlottesville, Virginia 22901 045BI-05-OA-01100 Initial S - Sign Public Public TBD IIIIeT7 Install A Digital Order Screen And A Pre -Menu Board For Starbucks At 2231 Seminole Lane In Charlottesville, VA 2/7/22, 9:38 AM ACSA Building Permit Pre -Application Form — Albemarle County Service Authority Albemarle County Service, Serving ♦Conserving Menu Home > ACSA Building Permit Pre -Application Form ACSA Building Permit Pre - Application Form Date: Ia - - a� Applicant Name: Contact Person: Contact Phone: * Contact Email: * �na Mc.62 cC�Q sites. COM Privacy & Cookies: This site uses cookies. By continuing to use this website, you agree to their use. To find out more, including how to control cookies, see here: Cookie Policy Close and accept ns https://serviceauthority.org/building-permit-pre-application-form/ 1/4 2/7/22, 9:38 AM ACSA Building Permit Pre -Application Form — Albemarle County Service Authority City State/Province Zip/Postal Address of Proposed Work (Tax Map and Parcel below if no assigned faddress): 1�- i SR1Y1Lnuit, �2. aa3 ��O -uylll 2 - H ag-40 I 1 city State/Province Zip/Postal Tax Map and Parcel: * Initial Or Revised Submittal: Prior Pre -Application Number for Revised Submittals: Submittal Type: {SeFect-@rre� Description if OTHER: l Related SDP/SUB/SP (if applicable): Privacy & Cookies: This site uses cookies. By continuing to use this website, you agree to their use. To find out more, including how to control cookies, see here: Cookie Pollcv Close and accept ns I https://se"iceauthority.org/building-permit-pre-application-form/ 2/4 2/7/22, 9:38 AM ACSA Building Permit Pre -Application Form —Albemarle County Service Authority Sewage Disposal: * Irrigation System Proposed: * FOG Device Proposed (if applicable): * Total Number of Floors With Plumbing (including habitable areas above the upper floor) * Description of Work: SR.�.rr�o I La e /.� C �o e s ✓ll % 1/� Comments: Supporting Documentation Submission Instructions After submitting this form, please e-mail supporting documents (Plans, stakeout surveys, etc.) to locators@serviceauthority.org. Please place "Pre-App Documents" and the "Address of Work or Tax Map and Parcel Niimhpr" in the auhiprt line Thank vnn Privacy & Cookies: This site uses cookies. By continuing to use this website, you agree to their use. To find out more, including how to control cookies, see here: Cookie Polic . Close and accept ns https://sewiceauthority.org/building-permit-pre-application-form/ 3/4 217/22, 9:38 AM ACSA Building Permit Pre -Application Form — Albemarle County Service Authority Privacy & Cookies: This site uses cookies. By continuing to use this website, you agree to their use. To find out more, including how to control cookies, see here: Cookie Policy Close and accept ns https://seNiceauthority.orgtbuilding-permit-pre-application-form/ 4/4