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ARB201300168 Application 2013-11-11
Albemarle CoL ,r,�y Community Development Department 401'1ntire Road Charlottesville,VA 22902-4596 dt Planning Application :(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 05600-00-00-017A0 Owner(s): COUNTY OF ALBEMARLE SCHOOL BOARD HENLEY& Application # ARB201300168 BROWNSVILLE ELEM SCHOOL PROPERTY INFORMATION Legal Description ACREAGE PARCEL B HENLEY&BROWNSVILLE SCHOOLS Magisterial Dist. White Hall Land Use Primary Public Current AFD Not in A/F District Current Zoning Primary R1 Residential APPLICATION INFORMATION Street Address 5880 ROCKFISH GAP TPKE CROZET, 22932 Entered By Todd Shifflett Application Type Architectural Review Board 11/11/2013 Project (Brownsville Elementary Baseball Field Dugouts Received Date 11/05/13 Received Date Final Submittal Date 11/25/13 Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Sub Apphcati Cotnmen County-wid+a ML r. mendr+ ent 11;/15f i .,Wµ�wW.w..:4. wwWWww wW...w:� 'APPLICANT/ CONTACT INFORMATION ContactType<1 Name Address 1. CityState f Zp ] ;Phone, PhoneCell Owner/Applbcant `COUNTY OF ALEMARLIr SCHOOL HOAR: 401 Nf IN?IRE-1 t AtD 'CHARLQ.TESVILL 21901 Primary Contact MONTIE BREEDEN OFD Signature of Contractor or Authorized Agent Date 1 Architectural Review Board Application ®?�� //K.ItiID�, Part A: Applicant, Contact and Parcel Information I�1"oWt SVIL. e Project Name: 1'5,4's c j3 0 P1 L—l.d h u ti ou T'S S8-7 (-2.aclL1 IsH Tax map and parcel(s): °9'6°-a o0 °1`" °CIAO Physical Street Address: /C' 1.1- 1-1"1`)r 1(4•. Ga�P .Zoe-7 o•=• Contact Person: r1 t}Tt 17— Business Name: F-T-PI v°(3 1-'1` I I—hi t^ �.��l� s $ Address lC o1 NTI r`L PP • City ' State VA Zip 1-Z1 01- Daytime Phone( )X 3`x'2 3 Fax#( ) 111 1 E-mail H F' L - €N Q e Ct3 4-) S Loco — Lo 1 + t-k -E e��J t-1T� Se 1�v ov r3 0'0 1`Ap e:75 Owner of Record: �vIS Fn�o I �.t �O'v t� 1-1.1 V I rZ. h I N IA Address +°1 H I NTI f t t l7, City C,V State VA Zip 2-21 07- Daytime Phone( ) 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 4 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 I of 2 OVER--* Part C:Description or Proposal Describe your proposal.Attach a separate sheet if necessary. • c� °t S T r-L' ti 6 T"-r›. C 1'1 Part D: Applicant Agreement Applicant must read and sign 2 1"'I'"0 .o�r� A.S �� lz,�,o re-t'S ( 1�t.-7.•=7 • Each application package must cont.'n(8) olded 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 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 r-1 =rt`T'I 1"• 13 f rJ X 2 2 3 °% s r`'. iv 0 . r—t c t tt-. (, c ) (4.3 mot-) 4 LP - c ©1 4' 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—+