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ARB201500066 Application 2015-06-08
,:r,..•.:4-c:?.: Albemarle C©t '-y _.. ,'. 4.4, :1.' ter' Planning Application OWNER INFORMATION [PARCEL._._. 7 O ._._ .___.._-__..___._.._______ T'''''I 07600-00-00-05400 ,-_:,ti net(>i: GAMBIT LLC & SNOW PAWS LLC Application# ARB201 5©©066 !PROPERTY INFORMATION Lcgai De_:-:ct..,n !ACREAGE ...._._._ ._............^ .._.... .. ,., .....�... _ Ma:•:ter:a D st. Scottsville v i _ar..: J;e Prmar. Forest ° v -e^t 2..7C. Not in AJF District I Curre^t ^:r,Pr:mar, R10 Residential :.1 APPLICATION INFORMATION :street =j.Jre;, Enter?j 8' =cc€.c41.1On T,ag Architectural Review Board a rmOle Roth .A L.._ i b'S,Z015 Project Fifth Street Place oe:.> ..ed Date 06/08/15 i cecer:ed Date F:^a1 1 i =u:�^=tta: Date`06/08/15 , ?rtai ,"ees r_. 1000: Ciosina F■;g Date ? Suitta ate :-r, ;; T.;ai :,a,d i 1000' Re.,rao:r,':un-:ber. Legal.1j i .. e ;SUB APPLICATION{s) :___.._ _....___.... -T1 _._ .._.__..__...._ __l Sub 4plicatio Comment 1 Final Site Development Plan 06/08/15 ■ APPLICANT / CONTACT INFORMATION cntactT ress t,ityState �rp i Rorie <eCell C -RLOTTES.lII ":9_E- ..•—s-. ,:c=,c, mICw=E t•? ,:tt2EELL,E-_Miiior, PE-'L?. i..-i r1 574 __ S_"E _ _CHMOr':D _ S• 'S3 a ■ -.u'3'i`•_ C`! C'1CCaCLO(O- iJi'':Ciz?CAgent V 3L2 ■,„,; r.V.!- -Ig i( A bP f 6/7/ ` Architecturaeview Board Applican Part A: Applicant, Contact and Parcel Information Project Name: Fifth Street Place_ARB-2015-18 Tax map and parcel(s): TMP:76-54 &76-55 Physical Street Address: Contact Person: Michael M. Campbell Business Name: Dominion Realty Partners Address 101 N. 5th Street, Suite B City Richmond State VA Zip 23219 Daytime Phone( 804) 780-3877 Fax#(804) 225-0119 E-mail mcampbell @DRP-LLC.com Owner of Record: Dominion Realty Partners Address 101 N. 5th Street, Suite B City Richmond State VA Zip 23219 Daytime Phone( 804) 780-3877 Fax#(804) 225-0119 E-mail mcampbell @DRP-LLC.com 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 Pai -% By who. ' _IJ_ 'Receipt#10�Check# ti��JW By / ',� e' • 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 OVER—+ t t Part C: Description of Proposal Describe your proposal.Attach a separate sheet if necessary. Project description provided on supplimental page 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 information required by the appropriate checklist. i11111P"01111, June 8, 2015 Signature of owner, owner s resentative Date or contract purchaser Keith Whipple,.*T$* 434-295-8177 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 OVER—*