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Alber ar e Cot �'-'
Planning Application
PARCEL OWNER INFORMATION
C O32OO-00-00-O42A0 =<.z^r-°(°is ROUTE 29 LLC
Application# ARB2OI 5000 S
PROPERTY INFORMATION
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APPLICATION INFORMATION
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APPLICANT I CONTACT INFORMATION
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Application and Checklist for Sign Permit
A: Applicant and Parcel Information }�
Project Name: DO m Address: T Lit
Tax map and parcel(s): 83ZODOa OOO Liz A Zoning: 2•Zci!/r
Contact Person(Who should we call/write concerning this project?)): i(.Q.-.)'�" i-k7.�"ti
Address 7,>zc (tO 1t4.8 t>aszsl $M Zoc7 City 6, .iuo'4- v i fl..4 State t7 Zip 22ciO l
Daytime Phone( l)a 42. — /5'6,o Fax#( ) E-mail 14.4 ate pneg_Ac.ci._ naxA5 ck COM
Owner of Record: ao144_ kci C.Z C--
Address PO gaX City C.VNCaQ...0 ll1 tit State vA— Zip 2.25(95
Daytime Phone( ) Fax#( ) E-mail
Contractor Name/Business Name: NQr•t&.C c Co s eC:(_L",3
Address Z 6 I S /'c>` rr)0 Q+J4C &, RO City 67/06-✓ State 1/4. Zip 2252 7'
Daytime Phone( ) Fax#( ) 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: tn')r`'-J G` +.Di $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.)
($1 Yes (This sign will be constructed in an Entrance Corridor and it does meet the conditions of a 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 1—3): $ M
FOR OFFICE USE ONLY BP# (� ARB# `` }
Fee Amount$ 55w Date Paid b-2-1 15 By who? t 4 eipt# It�0432Check#' r u tp By_ ae2
VY1 r ‘111
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:
o 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.)
o 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.
o Provide accurate physical samples of all colors proposed,preferably in the material proposed. (Paint chips that
accurately reflect the proposed colors are acceptable.)
o Provide a site plan showing proposed landscaping around the sign,including botanical names and planting sizes.
o 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 of4
Nimoe
Sign Diagrams
•
•
4 Sign Dimensions
4 Sign Dimensions
Sign
Height Sign
Height
►
Distance to property line ►
or edge of right-of-way Distance to property line
or edge of right-of-way
Sign Height=
Sign Height=
Sign Dimensions=
Sign Dimensions=
Pole-Mounted Sign—Diagram 1 Monument Sign—Diagram 2
(Generally not acceptable in the ECs)
•
Sign Sign Dimensions
Height
• ►
Building Frontage
Building Frontage=
Sign Height=
Sign Dimensions=
Wall Sign—Diagram 3
If multiple wall signs are proposed, list dimensions here:
Sign 2 Height= Sign 4 Height=
Sign 2 Dimensions= Sign 4 Dimensions=
Sign 3 Height= Sign 5 Height=
Sign 3 Dimensions= Sign 5 Dimensions=
Sign Diagrams revised 7/2009— 1
F � •.r®
Part D: Applicant Agreement
Applicant must read and sign
Each application package must contain 4 folded copies of all plans and documents being submitted. Only 1 set of
material/color samples is required. 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.
I hereby certin,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
Signature of person completing checklist Date
K NcxIZI.-iS portL)ck.tOa rr.ittr3 jRQ 4/3c+
Printed Name/Title Daytime phone number of Signatory
County of Albemarle Department of Community Development
401 McIntire Road,North Wing,Charlottesville,VA 22902-4596
(434)296-5832 Tel,(434)972-4126 Fax
www.albemarle.org
01/05/2011 Page 4 of 4
Noe Name
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
❑ 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:
o Indication of sign type(channel letters,cabinet,panel,etc.).
o 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.
o 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,
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
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.
I certify that notice of the application,
[County application name and number]
was provided to .+ v L LL- the owner of record of Tax Map
[name(s)of the record owners of the parcel] .
and Parcel Number 03' c►•oa• .7�a A- by delivering a copy of the application in the
manner identified below:
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]
on
Date
L./Mailing a copy of the application to R T 2 9 L L C
[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 6 c2 G/' -2 01S- to the following address:
Date
[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 pplicant
/('2,/titv y /44�-�/S
Print Applicant Name
Date