HomeMy WebLinkAboutARB201400010 Application 2014-01-29Albemarle County
Planning Application
Community Development Department
401 McIntire Road Charlottesville, VA 22902-4596
Voice : (434) 296-5832 Fax : (434) 972-4126
PARCEL / OWNER INFORMATION
TMP Owner(s):
Application #
PROPERTY INFORMATION
Legal Description
Magisterial Dist.Land Use Primary
Current AFD Current Zoning Primary
APPLICATION INFORMATION
Street Address 1193 CROZET AVE CROZET, 22932 Entered By
Application Type
Project
Received DateReceived Date FinalSubmittal DateTotal Fees
Closing File Date Submittal Date FinalTotal Paid
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
APPLICANT / CONTACT INFORMATION
Signature of Contractor or Authorized Agent Date
056A2-01-00-020A0
ALEXANDER, MICHAEL BARB201400010
ACREAGE
White Hall Office
Not in A/F District Downtown Crozet District
Todd Shifflett
Architectural Review Board 01/29/2014
Piedmont Pediatrics - Sign
01/28/14 120
120
Type Sub Applicati Comment
SIGN
ContactType Name Address CityState Zip Phone PhoneCell
Owner/Applicant ALEXANDER, MICHAEL B2109 MORRIS ROADCHARLOTTESVILL22903-17
Primary Contact CAROL BOERSMA OR GENEVIEVE BLAIR900 RIO EAST COURT, SUITE CHARLOTTESVILL229014349757777
Application and %.hecklist for Sign Peri
r
A/.
Part A: Applicant and Parcel Information
Project Name: Piedmont Pediatrics, a Division of Anchor Healthcarep8hess: 1193 Crozet Avenue, Crozet, VA 22932
Tax map and parcel(s):
056A2- 01- 00 -020A0 Zoning: Downtown Crozet District
Contact Person (Who should we call /write concerning this project ?): Carol Boersma, MD or Genevieve Blair, Practice Manager
Address 900 Rio East Court, Suite A City Charlottesville State VA Zip 22901
� (q�� 4 975 -7777 cboersma @piedmontpediatrics.NET or
Daytime Phone 1 ` -T ) Fax # (�4) 975 -7774 E -mail gblair @p iedmontpediatrics.NET
Owner of Record: Michael B. Alexander
Address 2109 Morris Road city Charlottesville State VA Zip22903 -1722
Daytime Phone (_) Fax # U E -mail
Contractor Name/Business Name: Piedmont Pediatrics, a Division of Anchor Healthcare, PLC
Address 900 Rio East Court, Suite A City Charlottesville State VA Zip 22901
43 975 -7777 gblair @piedmontpediatrics.net or
Daytime Phone (� Fax # ( 434) 975 -7774 E -mail
Part B: Determining application requirements and fees
1. Sign Permit —Please indicate which sign type you are applying for:
❑ Freestanding or Monument Sign: $85.60
❑ If a footing is required, an additional fee is required: $30.60
Wall Sign (Including property, awning, fuel pump canopy signs): $85.60
❑ Sign Refacing: $55.00
2.
Electrical Permit — Will the sign be illuminated?
❑
Yes (Illuminated signs require an electrical permit and an electrical schematic.)
$45.90
No
$ 0.00
3.
ARB Review — Will the permanent sign(s) be constructed in an Entrance Corridor?
(See the Entrance Corridor map in the Sign Permit Application packet for a list of Entrance Corridors)
Yes ('This sign will be constructed in an Entrance Corridor and it does not meet the conditions of a
$120.00
Comprehensive Sign Review. See ARB requirements next pages.)
❑
Yes (This sign will be constructed in an Entrance Corridor and it does meet the conditions ofa
Waive Fee
Comprehensive Sign Review. See ARB requirements next pages)
❑
No (This sign will not be constructed in an Entrance Corridor)
$ 0.00
FEE TOTAL (Please add all the amounts checked in sections I — 3):
$ �.Q�'• b
FOR OFFICE USES ONLY BP# � I y r 0-6 ARB# P61 -( -' V
Fee Amount $ Zb5. cbb Date Paid 1 2$-14 By t Reece' t # q Check # I q� By
,� n,/ /►
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
01/05/2011 Page 1 of 4
Part C: Submittal Items Required
Note: Submittal packages must contain 4 collated copies of all information unless otherwise indicated. Additional submittal
materials may be required if review by the Architectural Review Board is necessary. Applicants will be notified if additional
materials or ARB review are required.
SECTION 1: FREESTANDING, SUBDIVISION OR DIRECTORY SIGNS
A. Submittal Requirements
❑ Site plan or latest approved plat showing, to scale, the proposed location of the sign(s) with dimensions.
❑ Distance from the sign to the property lines and/or edge of the VDOT right -of -way.
❑ A footing/foundation diagram showing how the base or pole will be anchored in the ground.
❑ If the sign will be located in an easement, a letter of approval from the easement holder will be required.
❑ A to -scale color illustration of the proposed sign showing
❑ Dimensions of the sign, including overall height from the ground; cabinet size, length, width and depth; base
size, etc. (Be sure to also include these dimensions on the diagrams provided in the Sign Permit Application packet.)
❑ Proposed lettering and/or graphics in their proposed location.
❑ Entrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor, also provide a color
illustration of the front and side elevations of the sign showing:
• If internally illuminated, indicate which areas of the sign are opaque and which are illuminated. Internally
illuminated cabinet signs must have opaque backgrounds. (Opaque materials don't allow light to pass through.
When lit only from behind, the color of an opaque material cannot be detected nor can objects be seen through it.)
• Identification of proposed materials and colors. Include standard color id numbers (Pantone, Benjamin Moore,
Acrylic, etc.) for all materials, text, graphics, base, faces, trim caps, returns, etc.
• Provide accurate physical samples of all colors proposed, preferably in the material proposed. (Paint chips that
accurately reflect the proposed colors are acceptable.)
• Provide a site plan showing proposed landscaping around the sign, including botanical names and planting sizes.
• Additional submittal materials may be required if review by the Architectural Review Board is necessary. (The
applicant will be notified if this requirement applies.)
B. Inspection Requirements for Freestanding, Subdivision or Directory Signs
❑ Applicant must mark the location of the property lines and the location of the sign with stakes in preparation for a
preliminary zoning inspection. (All four corners of the sign must be marked with stakes that are easily visible to all
inspectors.)
❑ A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be
issued.
❑ Freestanding signs are required to have footing inspections. (scheduled by applicant)
❑ Freestanding signs are required to have electrical inspections if illuminated. (scheduled by applicant)
❑ Freestanding signs are required to have final building and zoning inspections. (scheduled by applicant)
01/05/2011 Page 2 of 4
SECTION 2: WALL SIGNS
A. Submittal Requirements
A drawing, to scale, showing dimensions of the sign (length, height, depth).
[Elevation drawing(s) or modified photograph of the entire building, to scale and in color, showing
01"The sign location on the building, sign height above grade, and the length of building frontage. (Be sure to also
include these dimensions on the diagrams provided in Appendix B.)
[Sign lettering and /or graphics in their proposed location.
Entrance Corridor Requirements: If the sign is to be constructed in an Entrance Corridor also provide a color
illustration of the front and side elevations of the sign showing:
v/ Indication of sign type (channel letters, cabinet, panel, etc.).
,p- Indicate on the drawings the proposed materials and colors. Include standard color identification numbers
(Pantone, Benjamin Moore, Acrylic, etc.) for all materials, text, graphics, faces, trim caps, etc. For channel letter
signs, indicate on the drawing that the raceway color shall match the color of the wall to which the raceway is
attached.
0' Provide accurate physical samples of all colors proposed in the sign, preferably in the material proposed. (Paint
chips that accurately reflect the proposed colors are acceptable.)
o Location of proposed light fixtures and manufacturer cut sheets describing illumination type, intensity, style,
A< shielding, color, and height. All lighting must meet ordinance requirements as outlined in Section 4.17.
o For internally illuminated signs, indicate which areas of the sign are opaque and which are illuminated. (Opaque
materials don't allow light to pass through. When lit only from behind, the color of an opaque material cannot be
detected nor can objects be seen through it. Internally illuminated cabinets must have opaque backgrounds.)
B. Inspection Requirements for Wall or Projecting Signs
❑ Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant)
❑ Wall and projecting signs are required to have final building and zoning inspections. (Scheduled by applicant)
SECTION 3: ILLUMINATION REQUIREMENTS
A. If the proposed sign is to be illuminated, the applicant must provide the following:
❑ Electrical permit
❑ Electrical schematic
❑ The location of proposed light fixtures identified on a plan and /or elevation
❑ Manufacturer cut sheets describing illumination type, intensity, style, shielding, color, and height. All lighting must
meet ordinance requirements as outlined in Section 4.17 of the Zoning Ordinance.
SECTION 4: WORK VALUATION
A. Work Valuation $
01/05/2011 Page 3 of 4
Sign Diagrams
Sign Dimensions
Sign
Height
Distance to property line
or edge of right -of -way
Sign Height =
Sign Dimensions =
Pole- Mounted Sign — Diagram 1
(Generally not acceptable in the ECs)
Sign L Sign Dimensions
Height
Building Frontage
Building Frontage = 2q
Sign Height
Sign Dimensions =
Wall Sign — Diagram 3
Sign 2 Height =
Sign 2 Dimensions =
Sign 3 Height =
Sign 3 Dimensions =
Sign Dimensions
Sign
Height
F 10
Distance to property line
or edge of right -of -way
Sign Height =
Sign Dimensions =
Monument Sign — Diagram 2
If multiple wall signs are proposed, list dimensions here:
Sign 4 Height =
Sign 4 Dimensions =
Sign 5 Height =
Sign 5 Dimensions =
Sign Diagrams revised 7/2009 — 1
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
1 certify that notice of the application, Application for Sign Permit
[County application name and number]
was provided to Michael B. Alexander
[name(s) of the record owners of the parcel]
and Parcel Number 056A2- 01- 00 -020A0
manner identified below:
the owner of record of Tax Map
by delivering a copy of the application in the
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
Oil
Date
xx Mailing a copy of the application to
Michael B. Alexander
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on 1 1 1-1--7 11q to the following address:
Date
2109 Morris Road, Charlottesville, VA 22903 -1722
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Applicant
0AJT ( B0eVSY\A C4_ , LA t>
Print Applicant Name
1127/14
Date