HomeMy WebLinkAboutARB201600048 Application 2016-04-04 IT, Albemarle olinty Community Development Departa
401 McIntire Road Charlottesville,VA 22902-4!
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New Voice : (434)296-5832 Fax:(434)972-4
Planning Application
PARCEL / OWNER INFORMATION
TMP 03200-00-00-04100 Owner(s): LTD HOLLYMEAD LIC
Application # ARB201600048
PROPERTY INFORMATION
Legal Description ACREAGE CS
Magisterial Dist 1Rio Land Use Primary Open
Current AFD Not in A/F District v Current Zoning Primary Planned Development Mixed Commercial
_ . . _
[APPLICATION INFORMATION
Street Address
Entered
Judy Martin [
Application Type ir Architectural Review Board
14/4/2016
Project s
taybridge Suites @ Hollymeade
Received Date 04/04/16 Received Date Final submittal Date 04/04/16 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Application Comment
Conceptual Site Development Plan
APPLICANT/ CONTACT INFORMATION
ContactType I Name Address CityState Zip Phone PITOneCf
Owner/Applicant LTD HOLLYMEAD LLC 1564 CROSSWAYS BLVD CHESAPEAKE VA 23320
Primary Contact NEIL BHATT/NBJ ARCHITECTURE 11537-B NUCKOLS ROAD GLEN ALLEN, VA. 23059 4342739811
Owner/Applicant NEEL DESAI/cOMPANY-LTD HOSPITALITY C/O IABURNAM hOTEL PATNER 1564 CROSSWAY 23330
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Signature of Contractor or Authorized Agent Date
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Architecturaleview Board Applicalion .,coo
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Part A: Applicant, Contact and Parcel Information
Project Name: 5rAclailD .S0(TES a -NILLY 1i-(�'() “Ad
Tax map and parcel(s): b 3260—Cb0 Physical Street Address: M P,Ek(Amer) 61-14) -e-
LAt.)12E L PP,24 CANE,
Contact Person: NE-I L- hi"(AT T
Business Name: NPT fk 12-c
Address I 1 37— Yo) MUC is o L_S g.D. City = 4 L =N ALLEN State+ _ VA- Zip 23051
3 0 51
Daytime Phone(t '() 2-73 41 8-11 Fax#(9`1) 2 Z 3 ,,1 -1c3 25 E-mail 1/1 h 'F3"� t.(a c..vv`(Q IJP
Owner of Record: N li E L DESA ` Ce0 iv PA-N)y" LTH ns P)"ALUT�')
Address c/o LA BO P.A A Ff D`rLt- PTA)Fitp`ys C31 E3 A Pr Ace E✓ State V A Zip 2.3 331;
I56¢ CSO SS w A 5 p,Lv'D
Daytime Phone( ) 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 1 of 2
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Part C: Description of Proposal
Describe your proposal.Attach a separate sheet if necessary.
F'(l.etars � .n-, r a�C' ?W J E/ C-T E L S C I° (/P T(0 , «
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.
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Signature of owner, owner's representative Date
or contract purchaser
Aifs vMA- AS.;DaAT&, 94)4 2-73 1 )
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
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