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Home My WebLink AboutARB201600060 Application 2016-05-04 � .� Albemarle Community Devela ment De artn -..k -o' "sty 401 McIntire Roars Charlottesville. A 22902-4: Planning Application .r.r %vo �.,,r Voice :(434)296-5832 Fax: (434)972-4 [-PARCEL / OWNER INFORMATION IMP 03260-00-00-000B1 Owner(s): ROUTE 29 BRIARWOOD LLC Application # ARB2011600060 PROPERTY INFORMATION Legal Description LOT 1 Magisterial Dist. RIO L_._..i Land Use Primary Unassigned Current AFD Not in A/F District 7;1 Current Zoning Primary ' Cl Commercial !APPLICATION INFORMATION v Street Address CHARLOTTESVILLE, 22911 — _ _ I Erterec Application Type Architectural Review Board ri jS/4/2 JudyMartin i 01 Protect Holtzman-29 Briarwood Shell Station Received Date 05/03/16 Received Date Final I — Submittal Date 05/09/16 Total Fees Closing File Date I Submittal Date Final Total Paid Revision Number Comments Legal Ad ;SUB APPLICATION(s) —W —_ — — F i-- Type Sub Application Comment ;Minor Amendment 05/09/16 i 'APPLICANT / CONTACT INFORMATION r LontactT -- ype T Naris Address CityState— —Zip Thie PhoneCt i a,nner,`Applicant ROUTE 29 BRIARWOOD LLC 5534 S MAIN STREET MT JACKSON VA 22842 ,Primary Contact JOHN GRADY/DEXTER MOOMAI'1 5534 i+4AIN STREET cMT. JACKSON, V.A. 22642 4345311118 fy Signature of Contractor or Authorized Agent Date 1 low %' Noir' wo Architectural Review Board Application 1. .114,* ' Part A: Applicant,Contact and Parcel Information &IonProject Name: \thk o.i - �� 6Ot I Tax map and parcel(s): 3Z/.7 — 13 I Physical Street Address: NA Contact Person: j VI Nr ,....-7,-04, 'J 1f- O wlQ..uJ Business Name: •Q� FA •V • 1/�1/iY"l►3DDl LLC._? Address 553' f Y gl tt 5.\-• City ` 4. O(4 '► State 1(.a• Zip ZZS4�Z Daytime Phone( )-63'- -II 1¶ Fax#( ) E-mail IJV 1-1_ IAhOO.GOON. Jtft 540.333 Z47 q - ` Owner of Record: �I OV��'d� � Kj y`igt(31OO s' -L-am ' il Address 6+534- Irlo iN S4'• City A• ACk5O1J State VO— Zip =42' Daytime Phone(540 •333 •271 l Fax#( ) E-mail 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 No Fee Rezoning) Preliminary/Initial Review of a Site Development Plan No Fee Final Review of a Site Development Plan $1075.00 Amendment to an approved Certificate of Appropriateness $242.00 Building Permit Review $634.00 County-wide Certificate of Appropriateness Structures 750'or more from the EC,no taller than 5 stories No Fee Structures located behind a structure that fronts the EC No Fee Personal wireless service facilities No Fee Fencing or Equipment or Lighting No Fee Additions to ARB-approved buildings No Fee Minor amendments to site or architectural plans No Fee Building permits where the change is 50%or less of the altered elevation No Fee NOTE: For SIGNS, use the combined APPLICATION AND CHEKLIST FOR SIGNS. FOR OFFICE USE ONLY BP# ARB# Fee Amount$ Date 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 10/2015 Page I of 2 OVER-a I Part C: Description of Proposal Describe your proposal.Attach a separate sheet if necessary. i +.0r i U(C_, \oO-S-e, o tJ CO\,v4Ms e _) 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 contai infor ation required by the appropriate checklist. CI 41271 1 Signature of owner, wner's repr entative Date or con acnact purchase o�n►a Cr �3J- 111 g 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---0