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Home My WebLink AboutARB201300027 Application 2013-02-26 ciao. Albemarle Co L ., ty Community Development Department 40iIrcIntire Road Charlottesville, VA 22902 4596 s:_ Planning Application Voice : (434) 296 -5832 Fax : (434) 972 -4126 (PARCEL / OWNER INFORMATION TMPI 05560-00 -00 -00100 Owner(s): Application # ARB201300027 7EFFRIES II LLC PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. White Hall Land Use Primary COmmerCial 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 102/26/2013 Project IRE -STORE 'N STATION Received Date 02/25/13 Received Date Final I I Submittal Date 03/04/13 Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Type ( Sub Applicati 1 Comment 1 • Minor Amendment 03/04/13 (APPLICANT / CONTACT INFORMATION ContactType I Name Address ! CityState I Zip Phone 1 PhoneCell Owner /Appttcant =JEFFRIES 11 LLC =PO BOX 930 [ CROZE7' VA !2i932 Primary Contact 30 HIGGINS - PROJECT DEVELOPMENT L 2564 MT. TORREY ROAD LYNDHURST, VA 22952 4343260334 Signature of Contractor or Authorized Agent Date Architectural review Board Applicatio Part A: Applicant, Contact and Parcel Information Project Name: A �'. S iTte S! /T / l Tax map and parcel(s): �� " / Physical Street Address: L/ C k �'? r Contact Person: A .4./ Business Name: , L eve - ., m e-!l/� !�-� (-- Address , ..) / t1 / !J� 9 ` City2- 1/6e/'1 a4 j State 4- Zip Daytime Phone ( l 3) / J 2 -033 ax # ( ) ( +U E mail /27t Sc % / 69 r of, Owner of Record: Address P /J / � � C t-' �r ,rr G 2 L 7 City C - �C lty Stat :' l Zip �- `— `7 �' Daytime Phone (.3 ✓ 3 �'� G 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 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 11/2010 Page 1 of 2 OVER Part C: Description of Proposal Describe your proposal. Attach /r a separate sheet if necessary. }— ` / p, p ��< �� 51 . 1� �� Cam- ki Y 4 -1 �( l3 ZZ X U� c A4.6 — 1 e - cea(),_-<- 47 -4u_ett-Oi - r14 2474 a.l l ized,c.- ) 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. 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. ° - 2--2 ( 3 Signature of owner, is representative Date or contract purchaser 0 1-44)11. du 32—‘ -c 33 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. 11/2010 Page 2 of 2 OVER —*