HomeMy WebLinkAboutARB202300034 Application 2023-04-04Architectural Review Board Application
Part A: Applicant, Contact and Parcel Information
Goodwill Pole Sign Reface
Protect Name,
07800-00-00-005CO 1311 Stony Point Road
Tax map and arcel s : Ph sical Street Address:
Sara Ross
Contact Person:
Business Name
Converge
Address 901 S Delphine Ave Suite 101 City Waynesboro state VA Zip 22980
Daytime Phone 540 946-0000 Fax # E-mail
sara@cnvrg.us
Tap Investments LLC
Owner of Record:
Address 2903 NORTH AUGUSTA STREET City Staunton State VA Zip 24401
Daytime Phone 540 597-9626 Fax # E-mail eW
mcrim@goodwillvalleys.com
Part B: Review Type and Fees - *Application FEE + Technology Surcharge $4%
Select Review Type TOTAL FEE + surcharge
Review by the Architectural Review Board
Conceptual Plan/Advisory Review $559.52 ($538.00 + $21.52)
Preliminary/Initial Review of a Site Development Plan $559.52 ($538.00 + $21.52)
Final Review of a Site Development Plan $1230.32 ($1183 + $47.32) per review
Major Amendment $276.64 ($266.00 + $10.64) *
Building Permit Review $725.92 ($698 + $27.92) per review
County -wide Certificate of Appropriateness
Structures 750' or more from the EC, no taller than 5 stories $559.52 ($538.00 + $21.52)
Structures located behind a structure that fronts the EC $559.52 ($538.00 + $21.52)
Personal wireless service facilities $559.52 ($538.00 + $21.52)
Fencing or Equipment or Lighting $279.76 ($269.00 + $10.76)
Additions to ARB-approved buildings $559.52 ($538.00 + $21.52)
Minor amendments to site or architectural plans $559.52 ($538.00 + $21.52) *
Building permits where change is 50% or less of altered elevation $559.52 ($538.00 + $21.52) *
FOR OFFICE USE ONLY: BP#
ARB#
Fee Amount S. Date Paid By who? Receipt # Check # By
County of Albemarle Dept of Community Development, 401 McIntire Rd, Charlottesvlae, VA 22902 Voice: (434) 296-5832 Fax: (434) 9774126
Maw] P., 1 .12
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Part C: Description of Proposal
Describe your proposal. Attach a separate sheet if more space is needed.
Part D: Applicant Agreement
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 ARB checklists are available at www.albentarle.ore 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
Printed name, Title
Sara Ross, Office Manager
Date
4/3/23
Daytime phone number of Signatory
540-779-0344
711=1 P., 2 of2
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