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Home My WebLink AboutARB201300008 Application 2013-01-23 y ALy -- i rt Albemarle COL, ty Community Development Department In i 401 iviclntire Road Charlottesville, VA 22902 4596 ' Planning Application Voice : (434) 296-5832 Fax : (434) 972 -4126 PARCEL / OWNER INFORMATION TMP 04500 - - - 11000 Owner(s): FIRST GOLD LEAF LAND TRUST, M CLIFTON MCCLURE Application # ARB201300008 ETAL TRUSTEES PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. Rio Land Use Primary Residential -- Single - family (incl. modular homes) Current AFD Not in A/F District Current Zoning Primary Highway Commercial APPLICATION INFORMATION Street Address Entered By Todd Shifflett Application Type Architectural Review Board 01/23/2013 Project Northtown Phase II A - Gander Mountain Received Date 01/22/13 Received Date Final Submittal Date 01/22/13 Total Fees 1000 Closing File Date Submittal Date Final Total Paid 1000 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicati Comment Final Site Development Plan 01/22/13 APPLICANT / CONTACT INFORMATION ContactType Name ( Address CityState Zip Phone PhoneCell Owner /Applicant FIRST GOLD LEAF LAND TRUST, -M CLIFT , P 0 BOX 1333 CHARLOTTESVILL ; 22902 Primary Contact . d SCOTT COLLINS - COLLINS ENGINEERIN 200 GARRETT ST, SUITE K CHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized Agent Date 1pe ) /6 3 13 Architectural Review Board Application Part A: Applicant, Contact and Parcel Information Project Name: /v O,Z17'Wed /NW- g A - l!'/a'�'�� - 74i�✓ Tax map and parcel(s): t5 W NS -/// +' y5 Physical Street Address: 2o21 SEZ't'ie/woi4 744 L- Contact Person: 54.7 44-1-44 Business Name: 6Ltt,. 5 Address 1C 6 -/ ST SZi f AC IC City C (444.- or State L4 Zip ?V 2. Daytime Phone ( 217-3? / f Fax # ( ) E- mail ,rc.''7j l+cclvf- ZuelA r4id_A. Owner of Record: (/N f J) GWt.06v 2..A//214.4%, 14.5 ITT i4 oCCAi)4 / FACT GoiA ‘44C P. f MTAB, 3v� Address c1 �yYj Ci ty G ✓ State t I Zip 22.4/ Daytime Phonef? l) q75 — 33 3 y Fax # ( ) E -mail 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 Rezoning) No Fee Preliminary Review of a Site Development Plan No Fee Final Review of a Site Development Plan $1000.00 Amendment to an approved Certificate of Appropriateness $ 225.00 Building Permit Review $ 590.00 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 ONLYP# ARB# ��7/� � / /� Fee Amount $ / 0OC Date Paid 1- 22.15 By w ,1 t ceipt #�j ( 1 LOCheck # i)1 By 1) V6��1.-.J �11C,�1i � f County of Albemarle Dept of Community Development, 401 McIntire Rd, Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 11/2010 Page 1 of 2 OVER —. Part C: Description of Proposal Describe your proposal. Attach a separate sheet if necessary. S i 7)1- / F° A 95, w o Sr- & ••• X- A.-74w /3'I Q',4 v,•• "N Sa -7ir L . 4(.. bi 744 A-04.1010,..,... i)m.66" ?I/a /).14.7 Part D: Applicant Agreement Applicant must read and sign • Each application package must contain (8) folded copies of all plans and documents being submitted. Only (1) set of building material samples is required. 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. • 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. 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. *See submittal requirements below. I also certify that the information provided on this application and accom anying information is accurate, true, and correct to the best of my knowledge, and that the attached plans cont in all information required by the appropriate checklist. /-22-/ Signature of owner, owner's representative Date or contract purchaser 4 rdr 4 . PF 434- z47 Printed name, Title Daytime phone number of Signatory *Ownership Information: • If ownership of the property is in the name of any type of legal entity or organization including, but not limited to, the name of a corporation, partnership or association, or in the name of a trust, or in a fictitious 4 name, a document acceptable to the County must be submitted certifying that the person signing above has the authority to do so. • If the applicant is a contract purchaser, a document acceptable to the County must be submitted containing the owner's written consent to the application. • If the applicant is the agent of the owner, a document acceptable to the County must be submitted that is evidence of the existence and scope of the agency. Attach the owner's written consent. 11/2010 Page 2 of 2 OVER —