HomeMy WebLinkAboutARB201300069 Application 2013-06-03 e",,,,14 Co lbemarle itl/ Community Development Department
°Wi ! 401clntire Road Charlottesville, VA 22902 -4596
Planning Application Voice : (434) 296 -5832 Fax : (434) 972 -4126
!PARCEL / OWNER INFORMATION
TMP 061W0- 02- 013-001A0 Owner(s):
3MC ENTERPRISE LLC
Application # ARB201300069
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL El
Magisterial Dist. Rio Land Use Primary Office
Current AFD Not in A/F District Current Zoning Primary C1 Commercial
APPLICATION INFORMATION
Street Address Entered By
Todd Shifflett
Application Type Architectural Review Board 106/03/2013
Project !Collins Medical Center
Received Date 05/31/13 Received Date Final I Submittal Date 06/03/13 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad
'SUB APPLICATION(s)
Type Sub Applicati Comment
County-wide Building Permit 06/03/13
!APPLICANT / CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhoneCell 1
Owner /Applicant I»ic ENTERPRISE LLC 1571 DUKE RD ` WAYNESBORO V 22980
Primary Contact STEVE HINTON - DESIGN VISION INC. 4593 STUARTS DRAFT HWY WAYNESBORO, V 22980 5409497766
Signature of Contractor or Authorized Agent Date
Albemarle County - ARB_Application_11 2010.pdf http : / /www.albemarle.org/upload/ images //forms_ce ? n \ t er r /departments...
Architectural Revi*,..; Board Application �t`t���( 'I " *--)
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Part A: Applicant, Contact and Parcel Information
Project Name: I l � 1 it CO1 an-k-ek
Tax map and parcel(s): G 1 tN , C S C I}f�, Z Physical Street Address:
,
Contact Person: (5+)4& R j t \ 1l ` -}-
Business Name: teS��r\ U }`fit (� {, ,,,!„ne 7 � � OO
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Address LISq. 3 S'}(/�. ` Ctx ( ; V \I
4ity Lf CD State cp.. Zip (.�.9
Daytime Phone (. O) QUq- `1j66 Fax # ) ( _ � = 5O E -mail t_ae.ke dD.. t'.510 1c.
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Owner ofRecoorrd: ri
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Address 97C (5 th City CV it' 1D State \)(3,, Zip 72' b
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Daytime Phone (,� tco �1 L —533 3j Fax (""") E -mail (jCUAi AS E6
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 S1000.00
Amendment to an approved Certificate of Appropriateness S 225.00
Building Permit Review S 590.00
1 Count}• -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 pennits where the change is 50% or less of the altered elevation No Fee
NOTE: For SIGNS, use the combined APPLICATION AND CIIEKLIST FOR SIGNS.
FOR OFFICE USE ONLY BPii ARB#
Fee Amount $ Date Paid By who? Receipt # Check* By
County of Albemarle Dept of Community Development, 401 McIntire Rd, Charlottesile, VA 22902 Voice: (434) 296 -5932 Fax: (434) 972 -4126
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Albemarle County - ARB_Application_1 1 20 1 0.pdf http : / /www.albemarle.org/upload/ images /forms_center /departments...
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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.
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 infonnation provided on this application
and accompanying information is accurate, true, and correct to the best of my knowledge, and that the attached
p is contain all ' formation required by the appropriate checklist.
\ \ \
Signatu o owner, owner's representative Date
or contract purchaser k VI- s�e�
Printed nune. Title Daytime phone number of Signatory
*Ownership Information:
• If ownership of the property is m 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
nave, a document acceptable to the County Hurst be submitted certifying that the person signing above has
the authority to do so.
• If the applicant is a contract purchaser, a docwneut acceptable to the Comity 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
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Albemarle County - ARB_Minor Amendment Checklist July201... http: / /www.albemarle.org/ upload / images /forms_center /departments...
ofd .NW'
-�; Architectural Review Board
Amendment to a Site Development Plan
Submittal Requirements Checklist
Part *: Applicant - Corrtact and 'arcei IAformmatikn
Project name: e.../4 NS Mel Cot& Certikel ARB# A? - B - Z( -c, 3
Tax map and parcel #: ( 1 L) I e-C..7 aft 2 t 3 1 Pc. f -+- k
Physical street address (if assigned):
Location of property (landmarks, intersections, or other):
Contact person: -- Qj jam+ \kt.n pcs
Business name: .454,51n 4)", c..
Address: 1.15q; ,'S\ uAc k j City: top e41,cyc p State: v' A. Zip: 27,c2
Ct ,
Daytime phone:6 'i •1766 Fax: jd,c - Email: Sktlle,,.e i ligiaf"t `Gat 'fi
Important Note. Submittal packages must contain (8) collated copies of all information unless otherwise
indicated.
A. Written description of the proposal
Z1 Provide a description of the revised /amended proposal. Identify all proposed changes from the
previously approved submittal.
Q( Provide a revised materials list if any of the building materials or material color(s) have changed.
B. Site plan showing the following (drawn to the scale of 1 " =20', clearly legible and folded):
Show all proposed changes to the previously approved plan including site layout, landscaping,
lighting, and all site features, with changed features clouded and clearly identified on the plan.
VI 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.
Provide the original plan and existing conditions.
C. Appearance of the building(s) (architectural elevations, color perspective sketches, site sections):
Dimensioned architectural elevations of the proposed building(s) showing all changes to the
previously approved building(s) design. Elevations must be drawn to a minimum scale of
1116 "= 1' -0 ". A larger scale may be required. Include a building materials schedule and key on the
elevation drawings.
Vf One set of all building materials / colors if changed from the previously approved submittal.
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Revised 7/28/10
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Albemarle County - ARB_Minor Amendment Checklist July_201... http: / /www.albemarle.org/ upload / images /forms_center /departments...
D. Additional material 11111 "NW
J' The applicant is welcome to submit any additional material that will make the revision to a certificate
of appropriateness /amendment to a site development plan review more productive. Drawings or
other submittal items that clarify topography, visibility, utilities, landscaping, or other unique or
unusual conditions are welcome.
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 if the building materials have changed. 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.
• All information in this checklist is required, unless specifically waived by the ARB, prior to processing
a revision to a certificate of appropriateness / amendment to a site development plan review by the
ARB. Additional submittal materials may be required, depending on the proposal.
• Only complete application packages will be scheduled for ARB review. The application package is not
complete without this checklist, completed, signed, and included with the required submittal materials
indicated on the checklist
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.
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Signatur- o person completing checklist Date
l-\;tJ \bw,WIA . sab c \4g -- 1 - )c,\ t ,
Printed N me / Title Daytime phone number of Signatory
County of Albemarle Department of Planning and Community Development
401 McIntire Road, Charlottesville, VA 22902 -4596
(434) 296 -5832 Tel, (434) 972 -4126 Fax
www.albemarle.orq
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Revised 7/28/10
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