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Home My WebLink AboutARB201600003 Application 2016-01-05 Albemarle Co„.. 'tY • Planning Application - _ IPARCEL / OWNER INFORMATION _._._._.... ........ . ...... 056E0-00-00-00100 MARTHA JEFFERSON HOSPITAL Application g ARB201 600003 PROPERTY INFORMATION ACREAGE TRACT 1 WESTERN RIDGE BUSINESS PARK _ Et. White Hall a •' se P-,rar.. Office �F:. Not in A/F District Prt^..yr, Light Industry APPLICATION INFORMATION Architectural Review Board ""'((e " i' Martha Jefferson Hospital Crozet - Signs = . 01/04/16 - _ :,_F,. 129 Sul--r,.tai. .ate r a, a 129 • SUB APPLICATION(5) Type .SubAppi+cato Sign(Certificate of Appropriateness) 01/04/16 APPLICANT / CONTACT INFORMATION . . Name Address City,Statc_, , Zip „re ....3' _--'3 " T.'. C '" -.'E:, 1144 E=ST j z.Fzp.E-_eEET I/ /6 u 1L/t, Application and Checklist for Sign Permit Part A: Applicant and Parcel Information r/ fvrldait Project Name: Crozet-SMJH Rebrand ress: 1646 Park Ridge Drive, Crozet, VA 22932 Tax map and parcel(s): 056E0-00-00-00100 Zoning: Light Industry Contact Person(Who should we call/write concerning this project?): Tanya Rutherford/Gropen, Inc. Address 1144 East Market Street City Charlottesville State VA Zip 22902 Daytime Phone(434) 295-1924, Ext 100 Fax#(434) 295-1926 E-mail trutherford @gropen.com Owner of Record: Martha Jefferson Hospital Address PO Box 2606 City Charlottesville State VA Zip 22902 Daytime Phone(434) 654-7038 Fax#( ) E-mail MRSPATZ @sentara.com Contractor Name/Business Name: Gropen Inc. Address 1144 East Market Street City Charlottesville State VA Zip 22902 Daytime Phone(434) 295-1924 Fax#(434) 295-1926 E-mail tutherford@gropen.com Part B: Determining application requirements and fees 1. Sign Permit—Please indicate which sign type you are applying for: Freestanding or Monument Sign: „, $91.64 `, ❑ If a footing is required,an additional fee is required: '132-364- 0 Wall Sign (Including property,awning,fuel pump canopy signs): $91.64 ❑ Sign Refacing: $59.00 2. Electrical Permit— Will the sign be illuminated? ❑ Yes (Illuminated signs require an electrical permit and an electrical schematic.) $48.96 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 c$129.00 Comprehensive Sign Review. See ARB requirements next pages.) ❑ 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): $220.64 FOR OFFICE USE ONLY BP# ARB# p Q Fee Amount$ 22.0 •1D 4 Date Paid I /4'/1(p By who? 6in��t, Receipt# 102'15 Check# 32599 By_ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 11/1/2015 Page 1 of 4 Part C: Submittal Items Required Note:Submittal packages must contain 4 collated copies()fall inftnation 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. WI 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. ros%, dl.i recd 61f'i ' NA ❑ 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. NA ❑ Freestanding signs are required to have footing inspections. (scheduled by applicant) NA ❑ 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) 11/1/2015 Page 2 of4 • . 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 r9 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: A, ❑ Electrical permit 14V(, ❑ 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 11/1/2015 Page 3 of4 A. Work Valuation $2000.00 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. 1 hereby cert i,b)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 !lI: . „t December 17, 2015 Signature of perso%ompleting checklist Date Tanya Rutherford, Project Manager 434-295-1924, Ext. 100 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 11/1/2015 Page 4 of 4 + a w Sign Diagrams • • • Sign Dimensions Si • Sign Dimensions 9 n Height Sign Height Distance to property line ► or edge of right-of-way Distance to property line 23.5 sq. ft. or edge of right-of-way Sign Height= Sign Height= 47" Sign Dimensions= Sign Dimensions=47"H x 72"L Pole-Mounted Sign—Diagram 1 (Generally not acceptable in the ECs) Monument Sign—Diagram 2 • Sign Height Sign Dimensions 6.5 sq.ft. • ► 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 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, W. Ridge Bus Park-MJH Rebrand Wall Pediment Signs [County application name and number] was provided to Martha Jefferson Hospital the owner of record of Tax Map [name(s)of the record owners of the parcel] and Parcel Number 056E0-00-00-00100 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 X E-Mailing a copy of the application to Martha Jefferson Hospital ) A.Log, [Name of the record owner if the record owner is a person; tt 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 December 17, 2015 to the following address: Date PO Box 2606, Charlottesville,VA 22902 [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 App ` t Tanya Rutherford Print Applicant Name December 17, 2015 Date pF AL Application and Checklist for Sign Permit 1) nA Part A: Applicant and Parcel Information Project Name: Crozet-SMJH Rebrand Wall Pediment Sig Address: 1646 Park Ridge Drive, Crozet, VA 22932 Tax map and parcel(s): 056E0-00-00-00100 Zoning: Light Industry Contact Person(Who should we call/write concerning this project?): Tanya Rutherford/Gropen, Inc. Address 1144 East Market Street city Charlottesville State VA Zip 22902 Daytime Phone(434) 295-1924, Ext.100 Fax#(434) 295-1926 E-mail tutherford@gropen.com Owner of Record: Martha Jefferson Hospital Address PO Box 2606 city Charlottesville State VA Zip 22902 Daytime Phone(434) 654-7038 Fax#( ) E-mail MRSPATZ @sentara.com Contractor Name/Business Name: Gropen Inc. Address 1144 East Market Street city Charlottesville State VA Zip 22902 Daytime Phone(434) 295-1924 Fax it(434) 295-1926 E-mail tutherford@gropen.com Part B: Determining application requirements and fees 1. Sign Permit—Please indicate which sign type you are applying for: ❑ Freestanding or Monument Sign: $91.64 ❑ If a footing is required,an additional fee is required: $32.64 g Wall Sign(Including property,awning,fuel pump canopy signs): ?( 2- $91.64 ❑ Sign Refacing: $59.00 2. Electrical Permit—Will the sign be illuminated? ❑ Yes (Illuminated signs require an electrical permit and an electrical schematic.) $48.96 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 condtions of a $129.00 Comprehensive Sign Review. See ARB requirements next pages.) gLi,w.J 44)/ "46 4re',� —Fr ❑ 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): $183.28 FOR OFFICE USE ONLY BP# ARB# Fee Amount$ 83' 28 Date Paid I/`f )(p By who?°'P,-P` �( � Y 1 C Receipt eceit#�Q27S�1 Check#3Z(pGO By �J"�' County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434) 972-4126 11/1/2015 Page 1 of4 Nose 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. ❑ D• istance 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.) PI(f\ ❑ 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. (A11 four corners of the sign must be marked with stakes that are easily visible to all inspectors.) Iv p ❑ A preliminary zoning inspection must be completed to verify the location of the sign before the permit can be `r 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) 11/1/2015 Page 2 of4 Nome Nue 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 NA ❑ Wall and projecting signs are required to have electrical inspections if illuminated. (Scheduled by applicant) WI 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 /A" ❑ 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 11/1/2015 Page 3 of4 • . or `err A. Work Valuation $1,000.00 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 cert 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 1�.a•_ ,t ' December 17, 2015 Signature of persIlls checklist ■ Date Tanya Rutherford, Project Manager 434-295-1924, Ext. 100 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 11/1/2015 Page 4 of 4 Nome Sign Diagrams • • • Sign Dimensions Sign • Sign Dimensions 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 (Generally not acceptable in the ECs) Monument Sign—Diagram 2 • Sign Sign Dimensions Height 6.5 sq.ft. • Building Frontage Building Frontage= 9 Sign Height= 20' Sign Dimensions=19.5" H x 48"w Wall Sign—Diagram 3 If multiple wall signs are proposed, list dimensions here: Sign 2 Height= 20' Sign 4 Height= Sign 2 Dimensions= 19.5" H x 48"w/6.5 sq. ft. Sign 4 Dimensions= Sign 3 Height= Sign 5 Height= Sign 3 Dimensions= Sign 5 Dimensions= Sign Diagrams revised 7/2009— 1 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, W. Ridge Bus Park-MJH Rebrand Wall Pediment Signs [County application name and number] was provided to Martha Jefferson Hospital the owner of record of Tax Map [name(s)of the record owners of the parcel] and Parcel Number 056E0-00-00-00100 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 X E- Mailing a copy of the application to Martha Jefferson Hospital [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 December 17, 2015 to the following address: Date PO Box 2606, Charlottesville, VA 22902 [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 A Vcant Tanya Rutherford Print Applicant Name December 17, 2015 Date