HomeMy WebLinkAboutARB201500016 Application 2015-02-02 Albemarle County Community Development Department
.°< 401 t„^'ntire Road Charlottesville,VA229O2-4596
° e:(434)296-5 Fax:(434)972-4126
..� 3' Planning Application time s.4.00
PARCEL/ OWNER INFORMATION
TMPI 04500-00-OO-17300 Owner(s): CMA PROPERTIES INC
Application# ARB2O150001 C3
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL A FORMER CREENFIELD MOBILE HOME
Magisterial Dist[Rio 7, Land Use Primary Residential-- Mobile home ATI
Current AFDot in A/F District F:I Current Zoning Primary i Residential 7
APPLICATION INFORMATION
Street Address Entered By
Emily Lantz _►
Application Type 1 Architectural Review Board
y
22015
Project ICMA Properties
Received Date 01/30/15 Received Date Final Submittal Date 02/02/15 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sir Appgicatio I Comment
APPLICANT /CONTACT INFORMATION
ContactType Name Ad&ess Ci State Zip 1 Phone 1 PhoneGell
or, CEIA PROPERTIES INC P 0 BOX 7823 I CHARLOTTESVILL 22906-
_.....::. .....::.. .......... .......;; .......:: .........�,: d .�: ,...,_: ....._: ......... .....:;,: ..........
Frinary Cmtact SCOTT COLLINS 200 GARRETT ST SUITE K CHARLOTTESVILL 22902 4342933719
•
Signature of Contractor or Authorized Agent Date
Architectural1eview Board Application
Part A: Applicant,CContact and Parcel Information
Project Name: (,/ilA Proper-1i es
Tax map and parcel(s): L - O)0"" _CO 17300 Physical Street Address: /t.D /LI y(rS I>rt.Ye.
Contact Person: (5CL /711- CO/6.4
(.0/Ct
Business Name: >2,5 ti�lgiiiiCe!'i if
Address O1/ (srYeW S f 5 a /e /1 City C/1tk/1)i>/f?SVi lie- State V Ci// Zip :226/0,27
Daytime Phone(434-) .L'1 -:37/q Fax#( ) E-mail 5Ct��� afit '' eng friteri y. !'W?
Owner of Record: " CiU4 Pre fer-h ej Jn c
,v I
Address Mt) l y(4- L)it Ye City L di l'l� t°S( /Ile State 1,"O Zip AZ�?c 2
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# 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 1 of 2
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Part C: Description of Proposal
Describe your proposal.Attach a separate sheet if necessary.
/ he iL( Ait (.111 e'Y is pro ' 'Sry1J -C -e yet c{
behind Sher currevf 4(w-fie,. this well taletu the ey ptcod - tier
ejyti41119 sa ies, Sci'v1ce ear 1-5 (tepco-.-m61 {-s .
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 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 i ormation required by the appropriate checklist.
-----_ 130/26/
Signature of owner,owner's representative Date
or contract purchaser
S'a?# �'Ili c 467 2t13 - :3 7/1
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
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