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Home My WebLink AboutARB202200042 Application 2022-04-13 , , Pfl2ozz - . ', 4, z J /'Z,, 80E1.� Application and Checklist for Sign Permit '4'� Part A: Applicant and Parcel Information Project Name: Sheetz, Route 29 &Airport Road Address: 3510 Seminole Trl, Charlottesville VA, 22911 Tax map and parcel(s): 03200-00-00-03900 Zoning: Cl Commercial Contact(Who should we call w/questions?)Name: John Maxwell Business Name: Sheetz, Inc Address 351 Sheetz Way City Claysburg State PA Zip 16625 Daytime Phone( ) 814-327-4622 Fax#( ) E-mail jwmaxwel@sheetz.com Contractor Name: Blair Signs Business Name: Blair Signs Address 5107 Kissell Avenue City Altoona State PA Zip 16601 Daytime Phone( ) 814-949-8287 Fax#( ) E-mail InfoOcb@blaircompanies.com Business Owner Name: Sheetz, Inc. Business Name: Sheetz, Inc. Address 5700 Sixth Avenue City Altoona State PA Zip 16602 Daytime Phone( ) 814-327-4622 Fax#( ) E-mail jwmaxwel@sheetz.com Part B: Determining application requirements and fees (includes 4% Technology Surcharge) NOTE: Fees are calculated PER SIGN. If you have 2 or more signs,fill out separate applications for each sign. 1. Sign Permit—Please indicate which sign type you are applying for: ❑ Freestanding or Monument Sign:1/1) $123.30 ElIf a footing is required,an additional fee is required: lip $54.06 01-02tr BuitO..A 1 ® Wall Sign(Including property,awning,fuel 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 clic) 2. Electrical Permit—Will the sign be illuminated? ❑ Yes (Illuminated signs require an electrical permit and an electrical schematic.) $73.14 Cr ® No $ 0.00 tiCII 3. ARB Review—Will the permanent sign(s)be constructed in an Entrance Corridor? (Go to https//www albemarle.org/govemmentJcommunity-development/advisorv-boards/architectural-review-board for more information) ❑ Yes (Review by Architectural Review Board See ARB requirements next pages.) $147.68 0 ® 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 cr4 FEE TOTAL(Please add all the amounts checked in sections 1—3): $258.50 cosi FOR OFFICE USE ONLY BP# ARB# Fee Amount$ Date Paid By whop Receipt# Check# By C144 County of Albemarle Community Development Department 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 tiviZI www.albemarle.org 08/2021 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. ❑ 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. ❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground. ❑ 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:Signs in the Entrance Corridors must conform to the Entrance Corridor Sign Guidelines and approved Comprehensive Sign Plans.Go to https://www.albemarle.org/government/community- 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.(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) 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 ® A drawing,to scale,showing dimensions of the sign(length,height,depth). 41 Elevation drawing(s)or modified photograph of the entire building,to scale and in color,showing ,':J 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.) 4] 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 https://www.albemarle.org/government/community- development/advisory-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 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. ❑ 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.org 08/2021 Page 3 of 4 SECTION 4:WORK VALUATION A. Work Valuation 15,000 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 cerufi,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 41,, /ill/1444f 4-8-2022 Signatur f person completing checklist Date John Maxwell/Engineering Permit Project Manap 814-327-4622 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.org 08/2021 Page 4 of 4 , , gsza,,.. Z ,,,,,,..;.,_. :„...c...,.. Application and Checklist for Sign Permit 't'' Part A: Applicant and Parcel Information Project Name: Sheetz, Route 29 &Airport Road Address: 3510 Seminole Trl, Charlottesville VA, 22911 Tax map and parcel(s): 03200-00-00-03900 Zoning: Cl Commercial Contact(Who should we call w/questions?)Name: John Maxwell Business Name: Sheetz, Inc. Address 351 Sheetz Way City Claysburg State PA zip 16625 Daytime Phone( ) 814-327-4622 Fax#( ) E-mail jwmaxwel@sheetz.com Contractor Name: Blair Signs Business Name: Blair Signs Address 5107 Kissel)Avenue City Altoona _State PA zip 16601 Daytime Phone( ) 814-949-8287 Fax#( ) E-mail InfoOeb@blaircompanies.com Business Owner Name: Sheetz, Inc. Business Name: Sheetz, Inc. Address 5700 Sixth Avenue City Altoona State PA zip 16602 Vill Daytime Phone( ) 814-327-4622 Fax#( ) E-mail jwmaxwel@sheetz.com t Part B: Determining application requirements and fees (includes 4% Technology Surcharge) NOTE: Fees are calculated PER SIGN. If you have 2 or more signs,fill out separate applications for each sign. Inso 1. Sign Permit—Please indicate which sign type you are applying for: ❑ Freestanding or Monument Sign: $123.30 ❑ If a footing is required,an additional fee is required: $54.06 COWI Wall Sign(Including property,awning,fuel 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 • I three wall signs will be assessed. a.m. ❑ Sign Refacing: Ini $85.60 O2. Electrical Permit—Will the sign be illuminated? ® Yes (Illuminated signs require an electrical permit and an electrical schematic.) $73.14 ' ❑ No $ 0.00 3. ARB Review—Will the permanent sign(s) be constructed in an Entrance Corridor? N (Go to https//wwcw albemarle.org/govemmenticommunit -devclopinent/advisory-boards/architectural-review-board for more information) ❑ Yes (Review by Architectural Review Board. See ARB requirements next pages.) $147.68 N ® Yes (Review by ARB Staff See ARB requirements next pages. $135.20 0 ❑ Yes Resubmittal of a sign application $67.60 N ❑ 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): $331.64 iSaFOR OFFICE USE ONLY BP# ARB# Fee Amount$ 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.org 08/2021 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. ❑ 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. ❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground. ❑ 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) 0 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 https://www.albemarle.org/government/community- 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.(A11 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) 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 ® A drawing,to scale,showing dimensions of the sign(length,height,depth). WI Elevation drawing(s)or modified photograph of the entire building,to scale and in color,showing RC 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. Ft Entrance Corridor Requirements: Signs in the Entrance Corridors must conform to the Entrance Corridor Sign Guidelines and approved Comprehensive Sign Plans.Go to https://www.albemarle.org/government/community- development/advisory-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 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. • 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.org 08/2021 Page 3 of 4 • SECTION 4:WORK VALUATION A. Work Valuation 4,500 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 certffr 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 4-8-2022 Signature of person completing checklist Date John Maxwell/Engineering Permit Project Manap 814-327-4622 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.org 08/2021 Page 4 of 4 .. , AgE52022, .. do • • J= Cit411,40 Application and Checklist for Sign Permit '''�-� Part A: Applicant and Parcel Information Project Name: Sheetz, Route 29 &Airport Road Address: 3510 Seminole Trl, Charlottesville VA, 22911 Tax map and parcel(s): 03200-00-00-03900 Zoning: C1 Commercial Contact(who should we call w/questions?)Name: John Maxwell Business Name: Sheetz, Inc. Address 351 Sheetz Way Cii' Claysburg State PA Zip 16625 Daytime Phone( ) 814-327-4622 Fax#( ) E-mail jwmaxwel@sheetz.com Contractor Name: Blair Signs Business Name: Blair Signs Address 5107 Kissell Avenue City Altoona State PA Zip 16601 Daytime Phone( ) 814-949-8287 Fax#( ) E-mail InfoOcb@blaircompanies.com Business Owner Name: Sheetz, Inc. BusinessName: Sheetz, Inc. Address 5700 Sixth Avenue City Altoona State PA Zip 16602 Daytime Phone( ) 814-327-4622 Fax#( ) E-mail jwmaxwel@sheetz.com I Part B: Determining application requirements and fees (includes 4% Technology Surcharge) NOTE: Fees are calculated PER SIGN. If you have 2 or more signs,fill out separate applications for each sign. 01.5 1. Sign Permit—Please indicate which sign type you are applying for: C5 ❑ Freestanding or Monument Sign: $123.30 ❑ If a footing is required,an additional fee is required:0011) 1 LA%LW NSA $54.06 ® Wall Sign(Including property,awning,fuel pump canopy signs) Up to three wall signs per establishment may $123.30 Emma 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 illuminated?' ® Yes (Illuminated signs require an electrical permit and an electrical schematic) $73.14 ❑ No $ 0.00 crisi 3. ARB Review—Will the permanent sign(s)be constructed in an Entrance Corridor? (Go to https//www albemarle ora/govemment/community-development/advisorv-boards/architectural-review-board for more information) N ❑ Yes (Review by Architectural Review Board. See ARB requirements next pages.) $147.68 ® Yes (Review by ARB Staff See ARB requirements next pages $135.20 ❑ Yes Resubmittal of a sign application $67.60 N ❑ No (This sign will not be constructed in an Entrance Corridor) $0.00 QCFEE TOTAL(Please add all the amounts checked in sections 1—3): $331.64 FOR OFFICE USE ONLY BP# ARB# Fee Amount$ Date Paid By who9 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.org 082021 Page 1 of4 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. ❑ 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. ❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground. El A to-scale color illustration of the proposed sign showing El 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. El Entrance Corridor Requirements: Signs in the Entrance Corridors must conform to the Entrance Corridor Sign Guidelines and approved Comprehensive Sign Plans.Go to https://www.albemarle.org/government/community- 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. (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) 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 ® 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: Signs in the Entrance Corridors must conform to the Entrance Corridor Sign Guidelines and approved Comprehensive Sign Plans.Go to https://www.albemarle.org/government/community- development/advisory-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 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. ❑ 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.org 08/2021 Page 3 of 4 SECTION 4:WORK VALUATION A. Work Valuation $ 2,000 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 4-8-2022 Signature of person completing checklist Date John Maxwell/Engineering Permit Project Manap 814-327-4622 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.org 08/2021 Page 4 of 4 . , AgB2.olzo , z y Application and Checklist for Sign Permit {f->"-- Part A: Applicant and Parcel Information Project Name: Sheetz, Route 29 &Airport Road Address: 3510 Seminole Tri, Charlottesville VA, 22911 Tax map and parcel(s): 03200-00-00-03900 zoning: C1 Commercial Contact(Who should we call w/questions?)Name: John Maxwell Business Name: Sheetz, Inc. Address 351 Sheetz Way City Claysburg State PA Zip 16625 Daytime Phone( ) 814-327-4622 Fax#( ) E-mail jwmaxwel@sheetz.com Contractor Name: Blair Signs Business Name: Blair Signs Address 5107 Kissel)Avenue City Altoona State PA Zip 16601 Daytime Phone( ) 814-949-8287 Fax#( ) E-mail InfoOcb@blaircompanies.com Business Owner Name: Sheetz, Inc. Business Name: Sheetz, Inc. v) Address 5700 Sixth Avenue City Altoona State PA Zip 16602 ' Daytime Phone( ) 814-327-4622 Fax#( ) E-mail jwmaxwel@sheetz.com Part B: Determining application requirements and fees (includes 4% Technology Surcharge) NOTE: Fees are calculated PER SIGN. If you have 2 or more signs,fill out separate applications for each sign. 1. Sign Permit—Please indicate which sign type you are applying for: `.i Freestanding or Monument Sign: $123.30 ElIf a footing is required,an additional fee is required: $54.06 ^a El Wall Sign(Including property,awning,fuel 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. 0 El Sign Refacing: $85.60 2. Electrical Permit—Will the sign be illuminated? ' ® Yes (Illuminated signs require an electrical permit and an electrical schematic.) $73.14 El No $ 0.00 c� 3. ARB Review—Will the permanent sign(s)be constructed in an Entrance Corridor? N (Go to hays//www albemarle orp/Qovemment/community-develovment/advisorv-boards/architectural-review-board for more information) ❑ Yes (Review by Architectural Review Board See ARB requirements next pages.) $147.68 ® Yes (Review by ARB Staff See ARB requirements next pages. $135.20 ElYes Resubmittal of a sign application $67.60 El No (This sign will not be constructed in an Entrance Corridor) $0.00 134S1FEE TOTAL(Please add all the amounts checked in sections 1—3): $331.64 FOR OFFICE USE ONLY BP# ARB# Fee Amount$ 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.org 082021 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. E 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. E A footing/foundation diagram showing how the base or pole will be anchored in the ground. E A to-scale color illustration of the proposed sign showing E 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.) E 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 https://www.albemarle.org/government/community- 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.(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) 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 ❑ 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 El 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: Signs in the Entrance Corridors must conform to the Entrance Corridor Sign Guidelines and approved Comprehensive Sign Plans.Go to https://www.albemarle.ora/sovemment/community- development/advisory-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 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. • 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.org 08/2021 Page 3 of 4 SECTION 4:WORK VALUATION A. Work Valuation $ 60,000 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 4-8-2022 Signature of person completing checklist Date John Maxwell/Engineering Permit Project Manap 814-327-4622 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.org 08/2021 Page 4 of 4