HomeMy WebLinkAboutARB202200083 Application 2022-09-20Architectural Review Board Application
Part A: Applicant, Contact and Parcel Information
Forest Lakes Self -Storage
PrWect Name,
046134-00-00-00300
Tax map and parcef(s):
N/A
Physical Street Address:
Contact Person: Rachel Moon
Business Name: Shimp Engineering, P.C.
Address 912 E High Street city
Charlottesville State VA Zip 22902
Daytime Phone (434) 227-5140 F�#(
E-nmii rachel@shimp-engineering.com
Owner of Record: JA-ZAN LIMITED PARTNERSHIP
Address P 0 BOX 9035 city
CHARLOTTESVILLE State VA Zip 22911
Daytime Phone (434) 220-5685 E�#(
E-maii aenglish@woodsrogers.com
IPart B: Review Type and Fees - *Application FEE + Technology Surcharge $4% 1
Select Review Type
Review by the Architectural Review Board
Conceptual Plan/Advisory Review
Prelitninary/Initial Review of a Site Development Plan
Final Review of a Site Development Plan
Major Amendment
Building Permit Review
County -wide Certificate of Appropriateness
Structures 750' or more from the EC, no taller than 5 stories
TOTAL FEE + surcharge
$559.52 ($538.00 + $21.52) *
$559.52 ($538.00 + $21.52) *
$1230.32 ($1183 + $47.32) per review
$276.64 ($266.00 + $10.64) *
$725.92 ($698 + $27.92) per review
$559.52
Structures located behind a structure that fronts the EC
$559.52
Personal wireless service facilities
$559.52
Fencing or Equipment or Lighting
$279.76
Additions to ARB-approved buildings
$559.52
Minor amendments to site or architectural plans
$559.52
Building permits where change is 50% or less of altered elevation
$559.52
FOR OFFICE USE ONLY: BP#
($538.00 + $21.52) *
($538.00 + $21.52) *
($538.00 + $21.52) *
($269.00 + $10.76) *
($538.00 + $21.52) *
($538.00 + $21.52) *
($538.00 + $21.52) *
Fee Amount $ Date Paid _ By who? Receipt 4 — Check 4 — — By
County of Albeinaric Dept of Counnunity Devc1opintnt, 401 McIntire Rd, Churlottcwfflc� VA 22902 Voice: (434) 2%-5832 F=: (434) 972-4126
7/1=1 P,� I f2
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Part C: Description of Proposal
Describe your proposal. Attach a separate sheet if more space is needed.
attached narrative
I Part D: Applicant Agreement I
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 wiviv.albemarleom 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 Date
lie N
Printed name, Tide
Rachel Moon
09119/2022
Daytime phone number of Signatory
434-227-5140
7/1/2021 PW 2 of 2
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