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Home My WebLink AboutARB201500144 Application 2015-11-24 Community Development Departrr Albemarle (MI nty NIL 401 McIntire Road Charlottesville.VA 22902-4: 'law „ow, Voice:(434)296-5832 Fax:(434)972-4 Name Planning Application PARCEL/OWNER INFORMATION TMP 032A0-02-00-001A0 Owner(s): MARTHA JEFFERSON HOSPITAL Application # ARE1201500144 PROPERTY INFORMATION Legal Description ACREAGE TRACT 2 Magisterial Dist Rivanna Land Use Primary Office Current AFD Not in A/F District Current Zoning Primary Highway Commercial [APPLICATION INFORMATION Street Address 3263 PROFFIT RD CHARLOTTESVILLE, 22911 Entered Judy Martin Application Type Architectural Review Board 11124/2015 Project Martha Jefferson Outpaient Rooftop Ins. Received Date 11/23/15 Received Date Final Submittal Date 11/23/15 Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Type / 1 Sub Application Comment 016,40111ent , 1-11/2 /15 . APPLICANT/ CONTACT INFORMATION CcotactType Name I Address CityState Zip Phone PhoneCi Owner/Applicant MARTHA JEFFERSON HOSPITAL PO BOX 2606 CHARLOTTESVILL 22902 Primary Contact ADAM WORTH/COLONIAL WEBB 1977 SNOW POINT LANE CHARLOTTESVILL 22902 5407173431 New SENTARA MARTHA JEFFERSON HOSPITAL 500 MARTH JEFFERSON DRIVE CHARLOTTESVILL 22911 4346547013 Signature of Contractor or Authorized Agent 'Date Architectural Review Board Application Part A: Applicant, Contact and Parcel Information Project Name: Martha Jefferson Outpatient Rooftop Unit Installation Tax map and parcel(s): 32A_ 2 ,- I A Physical Street Address: 3263 Proffit Road Contact Person: Adam Worthy Business Name: ColonialWebb Address 1977 Snow Point Lane City Charlottesville State Va Zip 22902 Daytime Phone(540) 717-3431 Fax#( ) E-mail adam.worthy @colonialwebb.com Owner of Record: 5g41, 41A-114- /rr i ,tt-'.'tv'so:.t (117, � / Address 6—(X) /1i i//�'1/� ) t-ffihtt; /2°CityChAis414j w c State Zip 22 q/, Daytime Phone(1016661/-7013 Fax#(1(//C) 434.175'- ,)/,F:' E-mail b t1--i e )yl t,4-Arn,L;;►� 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 $590.00 County-wide Certificate of Appropriateness Structures 750' or more from the EC,no taller than 5 stories No Fee Structures located behind a structure that fronts the EC No Fee Personal wireless service facilities No Fee ✓ Fencing or Equipment or Lighting No Fee _ Additions to ARB-approved buildings No Fee Minor amendments to site or architectural plans No Fee Building permits where the change is 50%or less of the altered elevation No Fee NOTE: For SIGNS, use the combined APPLICATION AND CHEKLIST FOR SIGNS. FOR OFFICE USE ONLY BP# ARB# 16,M Fee Amount$ 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 of2 OVER Architectural Review Board Checklist of Submittal Requirements ~' COUNTY-WIDE CERTIFICATE OF APPROPRIATENESS New or replacement, rooftop-mounted or ground-mounted; equipment s , tas„v t'"- f e'�y k A,,. '+ t >y''i s,°5£ 'ta'g L..,fi ' hC' '+ ,•,wz"r ��•• a�rt `` -+ .. Project name: Martha Jefferson Outpatient Equipment Replacement Contact person: Adam Worthy 4" 4 .4 ,A?+.-d'" he ..,a'< �r� , ri:, 1€44 4,=z,. * :'s' .T!Vif x t ,z'�, , Note: Submittal packages must contain 2 collated &folded copies of all information unless otherwise stated. A. Written description of the proposal 1 0 Provide a general description of all proposed work. 2 0 Indicate equipment type: new or replacement. 3 RI Indicate the physical size of each piece of equipment. If platforms, curbs, etc. are used, identify them and provide their sizes. 4 0 Indicate anticipated visibility of the equipment from the EC street and describe the method by which it will be made not visible. 5 0 Explain how the proposal is compatible with the surrounding area and the Entrance Corridor. B. Site plan or sketch plan showing the following (drawn to the scale of 1"=20'and clearly legible): 1 0 Location of all proposed equipment to be installed. Show the location of the equipment in relation to the overall building. Show the building in relation to the Entrance Corridor street. Key the locations to the equipment type and size provided in "A"above. 2 0 Location of all existing equipment to be removed/replaced. Indicate the height of each piece. C. For roof-mounted equipment provide architectural drawings showing: 10 If replacement equipment will be visible from the EC, indicate the color of the equipment and provide a color sample or the corresponding Pantone color number. 2 0 Height of parapet walls and other architectural features that provide screening. 3 0 Site/building section showing the equipment and the features that provide screening as viewed from the Entrance Corridor. D. For ground-mounted equipment, provide a landscape plan showing the following (drawn to the scale of 1"=20'and clearly legible): 1 ❑ Existing landscaping to be removed, if any. Indicate the location, plant size, and species. 2 ❑ Proposed landscaping. Indicate location, plant size and species. 3 ❑ Location and height of above-ground utilities and associated easements, and location of below- ground utilities and associated easements. 4 ❑ If replacement equipment will be visible from the EC, indicate the color of the equipment and provide a color sample or the corresponding Pantone color number. Revised 6/10/10— 1 OVER ■ E. Additional material 1 ❑ Provide labeled, color 8'/2" x 11" photos of the site as seen from both directions on the Entrance Corridor. 2 ❑ Sheet number, total number of sheets, date of the drawing, date and description of the latest revision, and contact information for the firm preparing the drawings in the title block on all drawings. 3 ❑ Any additional material that will make the review more productive. Clarification of topography, visibility, utilities, landscaping, or other unique or unusual conditions is welcome. 4 ❑ The applicant may be asked to mark the location of the equipment in the field for staff's site visit. ,k 4 e, � ate`„o,: • Each application package must contain 2 folded and collated copies of all plans and documents being submitted. Only 1 set of building material samples is required. All submittal items, including samples, become the property of Albemarle County. Applicants should maintain duplicate copies for their own use. • All information in this checklist is required before review begins.Additional submittal materials may be required, depending on the proposal. In representing the above referenced firm submitting this application for review, I hereby state that the information provided in this application, and all accompanying information, is accurate, true and correct to the- t of my kn. midge, and that the attached plans contain all information required by this checklist. - 11/16/15 ignature of person completing checklist Date Adam Worthy/Sales Engineer 540-717-3431 Printed Name/Title Daytime phone number of Signatory County of Albemarle Department of Community Development 401 McIntire Road, Charlottesville,VA 22902-4596; (434)296-5832 Tel, (434)972-4126 Fax www.albemarle.orq Revised 6/10/10- 2 OVER ■