HomeMy WebLinkAboutARB202200032 Application 2022-03-28Architectural Review Board Application
Part A: Applicant, Contact and Parcel Information
CHIPOTLE - HOLLYMEAD TOWN CENTER
Protect Name,
03200-00-00-04300
Tax map and arcel s : Physical Street Address:
109 Community Street
Contact Person: Ryan Perkins, P.E.
Business Name: Klmley-Hom
Address 1700 Willow Lawn Drive, Suite 200 City Richmond
State VA Zip 23230
Daytime Phone 804 673-3882 Fax # I E-mail
ryan.perkins@kimley-horn.com
Own r of Record, NEW MARKET - HOLLYMEADLLC
Address 3284 NORTHSIDE PARKWAY STE 515 city ATLANTA
State GA zip 30327
Daytime Phone N Fax # E-mail
Part B: Review Type and Fees - *Application FEE + Technology Surcharge $4%
Select Review Type TOTAL FEE + surcharge
Review by the Architectural Review Board
Conceptual Plan/Advisory Review $559.52 ($538.00 + $21.52) *
Preliminary/Initial Review of a Site Development Plan $559.52 ($538.00 + $21.52) *
V/ Final Review of a Site Development Plan $1230.32 ($1183 + $47.32) per review
Major Amendment $276.64 ($266.00 + $10.64)
Building Permit Review $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: BP#
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) *
Fee Amount $ Date Paid By who? Receipt # Check # By
County of Albemarle Dept of Community Development, 401 McIntire Rd, Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
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Part C: Description of Proposal
Describe your proposal. Attach a separate sheet if more space is needed.
Re -development of a vacant building along Seminole Trail to construct a Chipotle with associated drive-thru and
parking improvements.
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.albemorle.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 I 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.
I 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: owner/owners representative/contract purchaser
Printed name, Title
Date
n---LB- 2'L
Daytime phone number of Signatory
H Cq-WQ-0-767
1N2021 Page 2 of 2
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