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Home My WebLink AboutARB202200047 Application 2022-05-16Architectural Review Board Application�� Part A: Applicant, Contact and Parcel Information Project Name: Forest Lakes Self -Storage Tax map and parcel(s): 046B4-00-00-00300 Physical Street Address: N/A Contact Person: Rachel Moon Business Name: Shimp Engineering, P.C. Address 912 E High Street City Charlottesville State VA zip 22902 Daytime Phone C_) 434-227-5140 Fax # C__) E-mail rachel@shimp-engineering.com OwnerofRecord: JA-ZAN LIMITED PARTNERSHIP Address P O BOX 9035 City CHARLOTTESVILLE State VA zip 22911 Daytime Phone C__) (434) 220-5685 Fax # C__) (434) 220-5687 E-mail aenglish@woodsrogers.com Part B: Review Type and Fee Select review type Review by the Architectural Review Board Conceptual Plan/Advisory Review (for a Special Use Permit or a No Fee Rezoning) X Preliminary/Initial Review of a Site Development Plan No Fee Final Review of a Site Development Plan $1075.00 Amendment to an approved Certificate of Appropriateness $ 242.00 Building Permit Review $ 634.00 County -wide Certificate of Appropriateness Structures 750' or more from the EC, no taller than 5 stories No Fee Structures located behind a structure that fronts the EC No Fee Personal wireless service facilities No Fee Fencing or Equipment or Lighting No Fee Additions to ARB-approved buildings No Fee Minor amendments to site or architectural plans No Fee Building permits where the change is 50% or less of the altered elevation No Fee NOTE: For SIGNS, use the combined APPLICATION AND CHEKLIST FOR SIGNS. FOR OFFICE USE ONLY BP# ARB# 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 102015 PW 1 oft OVER , Part C: Description of Proposal Describe your proposal. Attach a separate sheet if more space is needed. attached narrative 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 APB checklists are available at www.albemarle.om 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/owner's representative/contract purchaser /12W Printed name, Tide Rachel Moon, Planner Date 05/16/2022 Daytime phone number of Signatory 434-227-5140 7/1/2021 Page 2 of OVER