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E I III :"_ Albemarle County Community Development Department
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Q 401 McIntire Road Charlottesville, VA 22902 -4596
Planning Application Voice : (434) 296 -5832 Fax : (434) 972 -4126
PARCEL / OWNER INFORMATION
TMP 061W0- 03- 00 -019A0 Owner(s):
ALBEMARLE PLACE EAAP LLC
Application # ARB201300058
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL B STONEFIELD
Magisterial Dist. Jack Jouett Land Use Primary Commercial
Current AFD Not in A/F District Current Zoning Primary Neighborhood Model District
APPLICATION INFORMATION
Street Address 2020 BOND ST CHARLOTTESVILLE, 22901 Entered By
Jennifer Durrer
Application Type Architectural Review Board 105/17/2013
Project ORVIS
Received Date 05/16/13 Received Date Final Submittal Date 05/20/13 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
__
Type Sub Applicati Comment
County -wide Minor Amendment 05/20/13
!APPLICANT / CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhoneCell
Owner /Applicant ' iALBEMARLE PLACE EAAP LLC ; 0 BOX 528 COLUMBIA SC 129202
Primary Contact SANDI LEAMON 178 CONSERVATION WAY SUNDERLAND, V 05250 8477077452
Signature of Contractor or Authorized Agent Date
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Architectural Review Board Application
Part A: Applicant, Contact and Parcel Information
Project Name: OM 5 0 5 O P5 RT STO►.le IFtt:i.V
2 Bow 6T•
Tax map and parcel(s): Physical Street Address: ST G 1 10
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Contact Person: SAIJ121 LEAMO/J OF 124CA SOLUTIOtJ5,11.1G O+J 13E(AALV 0F:
Business Name:I °fay t5. GO •
Address L7S CON6842-klAT1 WAY City Suf•Joe .e.AIJ D State UT Zip 0'250
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Daytime Phone (`' 101 1452 Fax # ( (ill Lite: E -mail St ea m42r1 1 I lea • C 0w,
Owner of Record: tPENS LIMN R. PARTVer.514I P A BCMA 12 LG kA.GE AAp
Address 1200 W ISG N N
O S I AVE # 4
City 13 eTH(35DA► State !"lam Zip 2 ° 8 14 )
Daytime Phone ( l ) 3 �1 t • 313 Go Fax # '-O I ) ( 0 5 2 3 5 8 8 E -mail G ' r� °� �° M 5 .00 V1N
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 51000.00
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
J 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) 972 -4126
11 Page 1 oft
OVER —+
Part C: Description of Proposal
Describe your proposal. Attach a separate sheet if necessary.
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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.
1 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. 1 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 of owner, owner's representative Date
or contract purchaser
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
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.
P� GW`-�S r e eLeAK- 443.1 U t I /2010 Page 2 of 2
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d i Lea cry
- 8 4 '1o . -) 45
°f d er Architectural Review Board
(or, .
, . . i i Checklist of Submittal Requirements
� -�- COUNTY -WIDE CERTIFICATE OF APPROPRIATENESS
Minor amendments to site or architectural plans
Part A: Applicant Contact and Parcel Information
Project name: ORU t S @ SNOPS A Gib 1.1EFIeL.17
Contact person: S AIJ Ot L — 12G,(„& Soc.CTTI o►•S 1 — $c17.10"1• 1t-t 52
Part B: Submittal Requirements
Note: Submittal packages must contain 2 collated and folded copies of all information unless otherwise stated.
A. Written description of the proposal
1 [t) Provide a description of the proposed work.
2 g Explain how the proposal is compatible with the surrounding area and the Entrance Corridor.
B. For Minor Site Plan Amendments, provide a plan showing the approved site condition and the
following (drawn to the scale of 1"=20', clearly legible):
1 ❑ Location and identification of all proposed changes, including new site features and features to be
demolished such as but not limited to:
a ❑ parking, travelways, walkways
b ❑ mechanical equipment, trash containers, loading and service areas. and associated
screening
c ❑ proposed grading changes drawn with contour intervals of 5 -feet or less
d ❑ proposed utilities and easements or changes to utilities and easements, identify easement
type and extent
e ❑ changes to stormwater management facilities
f ❑ retaining walls with top and bottom elevations, maximum wall heights, proposed materials.
and material and color samples
g ❑ changes to site lighting (see the lighting checklist)
h ❑ existing landscaping and changes to landscaping, including landscaping to be removed
with location, size and species; proposed landscaping with a landscape schedule
indicating plant species with common and botanical names, quantity, size at planting, and
symbol used; location and height of above - ground utilities and associated easements, and
location of below - ground utilities and associated easements; tree protection fencing and
limits of work on the landscape, grading and E &S plans.
C. For Minor Amendments to Architectural Plans, provide the following:
1 Ef Dimensioned architectural elevations of the existing condition and the proposed changes.
Elevations must be drawn to the scale of 1/8 "= 1' -0 ". Include a building materials schedule
and key on the elevation drawings.
2 Lc One set of material and color samples for all proposed materials.
3 ❑ A floor plan adequate to show exterior walls, windows and doors.
Revised 6/10/10 — 1
OVER'
D. Additional material
1 ❑ Sheet number, total number of sheets, date of the drawing, date and description of the latest revision,
and contact information for the firm preparing the drawings in the title block on all drawings. For
revised drawings, clearly identify revisions made.
2 E Labeled, color 8-W x 11" photos of the site as seen from both directions on the Entrance
Corridor.
3 ❑ Any additional material that will make review more productive. Clarification of topography,
visibility. utilities, landscaping, or other unique or unusual conditions is welcome.
• Each application package must contain 2 folded and collated copies of all plans and documents being
submitted. Only 1 set of building material samples is required. All submittal items, including samples,
become the property of Albemarle County. Applicants should maintain duplicate copies for their own
use.
• All information in this checklist is required before review begins. Additional submittal materials may be
required, depending on the proposal.
In representing the above referenced firm submitting this application for review. I hereby state that the
information provided in this application, and all accompanying information, is accurate, true and correct to
the best of my knowledge, and that the attached plans contain all information required by this checklist.
1 3•t.
Signature of person completing checklist Date
�_� `fi - 1 1 — iC "1 - #5Z
Printed Name / Title Daytime phone number of Signatory
County of Albemarle Department of Community Development
401 McIntire Road. Charlottesville, VA 22902 -4596; (434) 296 -5832 Tel, (434) 972 -4126 Fax www.albemarle.orq
Revised 6/10/10 — 2
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