HomeMy WebLinkAboutARB201600028 Application 2016-03-07 Albemarle Community Development Department
401 McIntire Road Charlottesville,VA229 -4596
Voice 1)296-5832 Fax:(434)972-4126
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PARCEL/ OWNER INFORMATION
TMP 06200-W-00-06700 Owner(s): CHAPMAN GROVE BAPTIST CHURCH
Application# ARB20216000128
PROPERTY INFORMATION
Legal Description I
Magisterial Dist. Rivanna Land Use Primary Semi-public11,1
Current AFD Not in A/F DistrictCurrent Zoning Primary Rur l AromasPI 040
APPLICATION INFORMATION
Street Address 2064 STONY POINT RD CHARLOTTESVILLE,22911 Entered By
Emily Lantz J
Application Type Architectural Review Board Z., 3 7 2016
Project Chapman Grove Baptist Church- Amendment
Received Date 03/03/116 Received Date Final Submittal Date 03/07/16 Total Fees 242
Closing File Date Submittal Date Final Total Paid 242
Revision Number
Comments
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SUB APPLICATION(s)
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APPLICANT I CONTACT INFORMATION
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Primary 's STEPHEN VON STORCH P.0.BOX 1332 CHARLOTTESVILL 2.2902 434962690?.
Signature of Contractor or Authorized Agent Date
Architectural Re iew Board Application
Part A: Applicant, Contact and Parcel Information
Project Name: Chapman Grove Baptist Church-Prior ARB 2000.0053
Tax map and parcel(s): 06200000006700 Physical Street Address: 2064 Stony Point Road
Contact Person: Stephen von Storch
Business Name: Stoneking/von Storch Architects
Address PO Box 1332 City Charlottesville State VA Zip 22902
�r. Daytime Phone( ) 434-962-6902 Fax#( ) NA E-mail svonstorch@s-vs.com
Owner of Record: Chapman Grove Baptist Church
41.
Address 2064 Stony Point Road City Charlottesville State VA Zip 22911
Daytime Phone( ) 434-806-3859(c) Fax#( ) na E-mail Gddent@yahoo.com
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Part B: Review Type and Fee
Select review type
Review by the Architectural Review Board
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Conceptual Plan/Advisory Review(for a Special Use Permit or a No Fee
Rezoning)
000 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
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County-wide Certificate of Appropriateness
AirStructures 750'or more from the EC,no taller than 5 stories No Fee
Structures located behind a structure that fronts the EC No Fee
*r Personal wireless service facilities No Fee
Fencing or Equipment or Lighting No Fee
00 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.
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FOR OFFICE USE ONLY BP# ARB#
Fee Amount s co Date Paid3"3-AJ Byy A y7 it�t Y f Receipt# I Check# ByI /IN i
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County of Albemarle Dept of Community Development,401 McIntire Rd,C arlottesville,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.
see attached
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.
40, • 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
"fi,, 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
`P 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 co t . all information required by the appropriate checklist.
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r MI/ A 3.1.2016
Signature of owner,owner's representative Date
or contract purchaser
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,,. Stephen von Storch-Architect 434-962-6902
err Printed name,Title Daytime phone number of Signatory
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*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
r0, the authority to do so.
44. • If the applicant is a contract purchaser, a document acceptable to the County must be submitted containing
40, 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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