HomeMy WebLinkAboutARB202300006 Application 2023-01-11*82
Application and Checklist for Sign Permit
Part A: Applicant and Parcel Information
Project Name: Blended Well Events
Address; 1829 Seminole Trail, Charlottesville, VA 2290
Tax map and reels: DYS(a— o2-00-
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Contact (Who should we call w/ questions?) Name: Cori Fitahett
Business Name: American Made Signs
Address 407 Earhart Street Suite B
City Charlottesville
state VA Zip 22903
Daytime Phone(_) 434-971-7446
Fax #(_)
E-mail permits@americanmadesigns.con
Contractor Name: Brion Draper
Business Name:
American Made Signs
Address 407 Earhart Street Suite B
City Charlottesville
State VA Zip 22903
Daytime Phone(_) 434-971-7446
Fax #(_)
E-mail permits@americanmadesigns.con
Business Owner Name: Cid
Business Name:
Blended Well Events
Address 1829 Seminole Trail
City Charlottesville
State VA Zip 22903
Daytime Phone (_) 434-305-8083
Fax g t )
E-mail blendedwellpartyplanning(MgmaiLt
Part B: Determining application requirements and fees (includes 4% Technology Surcharge)
NOTE: Fees are calculated PER SIGN. A separate application is required for each sign, except for directional signs,
1.
Sign Permit — Please indicate which sign type you are applying for:
❑
Freestanding or Monument Sign:
$123.30
❑
If a footing is required, an additional fee is required:
$54.06
Wall Sign (Including property, awning, fuel pump canopy signs)
$123,30
❑
Sign Refacing:
$85.60
2.
Electrical Permit — Will the sign be illuminated?
❑
Yes (Illuminated signs require an electrical permit and an electrical schematic.)
$73.14
0
No
$ 0.00
3.
ARB Review — Wift the permanent sign(s) be constructed in an Entrance Corridor?
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for more information.)
❑
Yes This is a new sign application. See ARB requirements next pages.
$135.20
❑
Yes This is a submittal of revisions to an in -process application.
$ 67.60
0
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):
$
FOR OFFICE USE ONLY BP# ARBN
Fee Amount $ Date Paid By who? Receipt # Check p
By
County of Albemarle Community Development Department
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
www.albeinarle.ore 042022 Page 1 of
SECTION 4: WORK VALUATION
A. Work Valuation $
1000.00
Part D: Applicant Agreement
Applicant must read and sign
• Electronic submittals are preferred. If paper submittals are made, provide one copy. All submittal items become the
property of Albemarle County. Applicants are encouraged to maintain duplicate copies in their own files.
• The application package is not complete without this checklist, completed, signed, and included with the required
submittal materials indicated on the checklist
1 hereby certify that the information provided on this application and accompanying information is accurate, true and
correct to the best of my knowledge and belief and contains all information required by these checklists
N � 01 /06/2023
Signature of person completing checklist Date
Brion Draper- General Manager 434-971-7446
Printed Name / Title Daytime phone number of Signatory
County of Albemarle Community Development Department
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5532 Fax: (434) 972-4126
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