HomeMy WebLinkAboutARB201800094 Application 2018-06-25Albemarle Cour r
Planning Application
Commtnity Development Department
401 t,. ..ire Road Charlottesville,VA22992-4596
Voice: (434) 2.5E-5832 Fax: (434 972-4126
TMP1 U4500-lei)-00-11000 Owner(s): FIRST GOLD LEAF LAND TRUST
Application # AR,9201800
Legal Description /5115E3edicak Dd46►4/3$.new�parcelaeatedftompareaet45r11O �•_�� _... y.�s�_�_.,. -----_ ��.
Magisterial Dist. Rio + Land Use Primary UnasSigned j+�
Current #FD Not in A/F District +, Current Zoning Primary Highway Commercial +
APPLICATION INFORMATIDN
Street Address 435 GANDER DR CHARLOTTESVILLE, 22901 Entered By
�t
Application Type Architectural Review BJennifer Smith' +oard
Project BURN 600T CAMP — SIGN
Received Date 06/2� 5/18 Received Date Final I J Submittal Date 106f25/I� Total Fees
Closing Fine Date Submittal Date Finali Total Paid
Revision Number
Comments . Y
1
F
Legal Ad
]SUB
SIGN . 06/ 25 j t8
APPLICANT / CONTACT INFORMATION
Contactlyre Nacre _ _ _ _ dress #_ C_i 5i raml Ph+ e I P�oneCell
-rrAqm .nr FIRST GOLD LEAF LAND TRUST PO BOY 5548 . GHARLOTTES%ULL :.,2905
Signature of Contractor or Authorized Agent Date
Application and Checklist for Sign Permit 0
Part A: Applicant and Parcel Information
Project Name: Wd go-OiLCOW Address: ,?r
Tax map and parcel(.). OYS�'00 00-017 - 11660 Zoning:
Contact Person (Who should we call/write concerning this project?):
Address for 544oAt 9Kyf�41X 4 city (AgUiMeWW? staate"",®11A Zip Zggey
`% Daytime Phone ( .�q q%1—_14/Fax#L E-mailAI/4�A,rry4t,C�t�/`9:�eXlYAr,Cd4,
Owner of Record: PAR- 6,0411 kv. j )-?"
Address f0 9OX S-S-q8 city c� i��`ll� State V/4 Zip 2�®�
Daytime Phone (__) Fax # L_) E-mail
Contractor Name/Business Name: SgW OgaleA �,4AneQ e-a,✓ Ala e° �", V f
Address q67 SGb`Je,,f city 4 ffM, State V4 Zip
Daytime Phone dtlb q 71 - -7Yl}6 Fax #
Part B: Determining application requirements and fees
1. Sign Permit —Please indicate which sign type you are applying for:
❑ Freestanding or Monument Sign: $91.64
❑ If a footing is required, an additional fee is required: $32.64
X Wall Sign (Including property, awning, fuel pump canopy signs): $91.64
❑ Sign Refacing: $59.00
2. Electrical Permit -- Will the sign be illuminated?
Yes (Illuminated signs require an electrical permit and an electrical schematic.) $48.96
❑ No $ 0.00
3. ARB Review — Will the permanent signs) be constructed in an Entrance Corridor?
(See the Entrance Corridor map in the Sign Permit Application packet for a list of Entrance Corridors.)
❑ Yes (This sign will be constructed in an Entrance Corridor and it does not meet the conditions of a $129.00
Comprehensive Sign Review. See ARB requirements next pages)
Yes (This sign will be constructed in an Entrance Corridor and it does meet the conditions of a Waive Fee
Comprehensive Sign Review. See ARB requirements next pages.)
❑ No (This sign will not be constructed in an Entrance Corridor) $ 0.00
FEE TOTAL (Please add all the amounts checked in sections 1— 3): $
FOR OFFICE USE ONLY BP# gW �S — I5(A0',fZ> [] ARB# :' —!
Fee Amount $ /Ill Date Paid �• By who? �eeeipt # Check # By _
County of Albemarle
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page 1 of 4
A. Work Valuation $��d
Part D: Applicant Agreement
Applicant must read and sign
�,ach application package must contain 4 folded copies of all plans and documents being submitted. Only i set of
material/color samples is required. All submittal items become the property of Albemarle County. Applicants are
encouraged to maintain duplicate copies in their own files.
(the application package is not complete without this checklist, completed, signed, and included with the required
submittal materials indicated on the checklist
I hereby certify that the information provided on this application and accompanying information is accurate, true and
correct to the best of my knowledge and belief and contains all information required by these checklists
al; elf
Signature of person completing checklist Date
M� Plaw,✓e, V 3G1-'77/-
Printed Name / Title Daytime phone number of Signatory
County of Albemarle Department of Community Development
401 McIntire Road, North Wing, Charlottesville, VA 229024596
(434) 296-5832 Tel, (434) 972-4126 Fax
www.albemarle.ora
11/1/2015 Page 4 of 4
Sign Diagrams
S ign D in ensions
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H eight
Distance to p3npe3j ]ine
dredge ofright:ofway
Sign H eight=
S ijn D in ensbns =
Pole -Mounted Sign — Diagram 1
dG eneraly notacceptabs in the E C s )
Sfgn
S
H eight ign D Et enssns
10
Busing Fmntage
Builliig Fmntage
S ign H eight= l� V
Sign Dinensnns= ZB-fa/� g-7o`�-S�
Wall Sign — Diagram 3
Sign 2 H eight=
Sign 2 Din ensigns =
Sign 3 Height
Sign 3 Din ensibns =
S ign D h ensbns
S ign
H eight
Distance tD pmpexty ]ne
oredge ofxrght-ofway
S ign H eight=
S ign D in ensnns =
Monument Sign Diagram 2
If multiple wall signs are proposed, list dimensions here:
S ign 4 H eight=
S ign 4 D in ensibns =
Sign 5 H eight=
S ign 5 D in ensibns -
SsgnDngramsmvsed7/1009- 1
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application, 9 goo r- cdm�
[County application name and number]
was provided to t / F Y- 6-oa lz� 7/� 3l r the owner of record of Taal Map
[name(s) of the record owners of the parcel]
and Parcel Number D��-Oa -00 - O O - /D CO by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
/Mailing a copy of the application to rAo-crad I- i
7'��'-Gt.S`r
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the reci pient of the record and the red pient's title or
office for that entity]
on 06128lj"
Date
to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
�a
zi4:�
Signature of Applicant
Print Applicant Name
016 2- /
Date