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Home My WebLink AboutARB201500153 Application 2015-12-21 4,17;q4 Community Development Departn ‘/t Albemarle '0119ty 401 McIntire Road Charlottesville.VA 2292-4: Now -Noe sow" Voice:(434)296-5832 Fax:(434)972-4 Planning Application PARCEL/ OWNER INFORMATION TMP 05600-00-00-108A0 Owner(s): HERRING, JUDITH S Application # ARI3201500153 PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. White Hall V Land Use Primary Residential -- Single-family (incl. modular homes) . . Current AFD ' Not in A/F District Current Zoning Primary R1 Residential APPLICATION INFORMATION Street Address 5444 BROWNSVILLE RD CHARLOTTESVILLE, 22903 Entered . _ Judy Martin Application Type Architectural Review Board 112/21/2015 Project Adelaide Received Date 12/21/15 Received Date Final Submittal Date 12/21/15 Total Fees Closing File Date Submittal Date Final Total Paid I Revision Number Comments Legal Ad 'SUB APPLICATION(s) Type Sub Application Comment Conceptual Site Development Plan 12/21/15 APPLICANT/ CONTACT INFORMATION ContactType Name Address CityState Zip Phone I PhoneCt Owner/Applicant HERRING,JUDITH S 5111 BROWNSVILLE ROAD CHARLOTTESVILL 22903 Primary Contact JUSTIN SHIMP/SHIMP ENGINEERING PC 201 E. MAIN ST., STE. M CHARLOTTESVILL 22902 4342275140 Signature of Contractor or Authorized Agent Date J Architectural Review Board Application =c,:e10,0,tjet, J Part A: Applicant,Contact and Parcel Information Project Name: Adelaide Tax map and parcel(s): Tax Map 56 Parcels 108A&26A2 Physical Street Address: 5444 Brownsville Road Contact Person: Justin Shimp, PE Business Name: Shimp Engineering PC Address 201 E. Main Street Suite M City Charlottesville State VA Zip 22902 Daytime Phone( ) 227-5140 Fax#( ) E-mail Justin@Shimp-Engineering.com Owner of Record: Judith S. Herring Address 5444 Brownsville Road City Charlottesville State VA Zip 22903 Daytime Phone( ) Fax#( ) E-mail Part B: Review Type and Fee Select review type Review by the Architectural Review Board X 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 1 of 2 OVER—+ • NNW' NSW r..r Part C: Description of Proposal Describe your proposal.Attach a separate sheet if necessary. See attached Application Narrative. 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 i formation qu red by the appropriate checklist. 12/21/2015 Signature of owner,owner's representative Date or contract purchaser Kyle Redinger,Applicant/Contract Purchaser 804-482-1892 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—�