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HomeMy WebLinkAboutARB201700026 Application 2017-03-28Albemarle r-3unty Planning Application TmPLq6qo0-0lD-00-078=A0 Application # F -AR820.17000=26 Community Development Departa 401 McIntire Road Charlottesville, VA 229024 Voice: (434%296-5832 Fax - (434; 972-4- COUNTY OF ALBEMARLE SCHOOL BOARD ALBEMARLE HIGH SC Legal Descriptior i ACREAGE ALBEMARLEj3ACjCjouETrjGREER fragisterial Dist. Jack Jouett El Lard Lse Primary Office Current AFD Not in A/F Disterct Fj CLrFert ZorirgPrimar; Rural Areas [APPLICATION INFORMATIRO—N Street Address 190 LAMBS LN cHARLoTrESVILLE, 22901 Ertered Applicaticn Type Architectural Review Board Judy Marbrt t JV2W20177 Pru.md [AHS -Metal Panel Replacernent/wftKlows - Ph. 2 Received Date Final Submittal Date 04/03/17 Total Fees Received DateF63/ 28i 17 Closing File Date Subrnfttal Date Fir.al I Total Paid Revision Number "— Comments Legal Ad IMAM APIPUILA-HUN County -wide Building Permit 1APPLICANT I CONTACT INFOR14ATION OwnerAp pl i cant COUNTY 7F AL e BIA R LE s C�;_d b -L _2� Primary Contact WORTIE BREED EN/FES-PMD 04103/17 CHARLOTTESWILL z 22W7- 401 FOCINTIRE ROAD HARLOTrESVILL 22932 Signature of Contractor or Authorized Agent7a Date Architectural Review Board Application Part A; Applicant, Contact and Parcel Information Project Name: 74t+C, Tax map and parcel(s): Physical Street Address: F4 `tom rL,/-a V V 1 to tz-r Contact Person: I` 'f o t4—V t i` PF;' fz- r--Pl�)%4J Business Name: �+ L A t., lam,,, G T' `( , Address +Z' ] City - State Zip �"'y--r �6I"Z,%h r"t'�✓R-��r7�'r/ 2. � �l�l3t;'Mp@i.�, Daytime Phone L_) Fax # C__) E-mail Owner of Record: A V'r3 • G T -r 1�v r31. 11. S Ct-4 l Address -4-- (� G 1•r7't r- L. f7"p City State Zip Daytime Phone Fax # C_, E-mail Part B: Review Type and Fee Select review type 'm 1 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 r"' 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# Fee Amount $ Date Paid By who? ARB# Receipt # _Check # By County of Albemarle Dept of Community Development, 401 McIntire ltd, Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-41.26 101208 Page I oft OVER Part C: Description of Proposal Describe your proposal. Attach a separate sheet if necessary. I�sVS t t4 —r E: l4A r-4 Gtr V a Ciff " r- <=,F C1 `� is 1~ e- rye,•—j P f"T' 1`" 1 -z 1^.. .a f'- tG- z=%. 5 c> vz 13 --, I v2 i t i- O `F ff-t: " ew Wo r" k-- W , vL, -a-c.-i -rote r��l•nnN �.t-�--a /vva t- -e 1--- C.C- �/�� , L�c , Part D: Applicant Agreement Applicant must read and sign T—TIZA 'Q 8 1 <n, HTt t-iJ.n-roi-4 0 -E--t -j- l G �'-1.d ,-� I N Each application package must contain 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. 0 1 ON �110 Signature of owner, owner's representative or contract purchaser Printed name, Title 'v rte• g Date (-I-��+D c- c, & 1 �- 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 sco a of the agency. Attach the owner's written consent. .r4 11/2010 Page 2 of 2 OVER --'.