ARB202200101 Application 2022-11-16DocuSign Envelope ID: 191984C2-8AEB-4715-980E-17545ABD053C
Architectural Review Board
Amendment to a Site Development Plan
Submittal Requirements Checklist
Part A: Applicant Contact and Parcel Information
Project name: McDonald's ARB #
Tax map and parcel #: 07800-00-00-004AO
Physical street address (if assigned): 1294 STONY POINT RD CHARLOTTESVILLE, VA 22911
Location of property (landmarks, intersections, or other):
Contact person: Commun-ET LLC
Business name:
Address: 100 M Street SE Suite 620 City: Washington State: DC Zip: 20003
Daytime phone: 2024213884 Fax: Email: permitting@commun-et.com
Part B: Revisions to a CofA / Amendment to a SDP Requirements Checklist
Important Note: Submittal packages must contain (8) collated copies of all information unless otherwise
indicated.
A. Written description of the proposal
0 Provide a description of the revised/amended proposal. Identify all proposed changes from the
previously approved submittal.
❑ Provide a revised materials list if any of the building materials or material color(s) have changed.
B. Site plan showing the following (drawn to the scale of 1 "=20', clearly legible and folded):
0 Show all proposed changes to the previously approved plan including site layout, landscaping,
lighting, and all site features, with changed features clouded and clearly identified on the plan.
R1 Sheet number, total number of sheets, date of the drawing, date and description of the latest revision, and
contact information for the firm preparing the drawings in the title block on all drawings.
❑ Provide the original plan and existing conditions.
C. Appearance of the building(s) (architectural elevations, co/or perspective sketches, site sections):
❑ Dimensioned architectural elevations of the proposed building(s) showing all changes to the
previously approved building(s) design. Elevations must be drawn to a minimum scale of
1/16"=V-0". A larger scale may be required. Include a building materials schedule and key on the
elevation drawings.
❑ One set of all building materials / colors if changed from the previously approved submittal.
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Revised 7128110
DocuSign Envelope ID: 191984C2-8AEB-4715-980E-17545ABD053C
D. Additional material
❑ The applicant is welcome to submit any additional material that will make the revision to a certificate
of appropriateness/amendment to a site development plan review more productive. Drawings or
other submittal items that clarify topography, visibility, utilities, landscaping, or other unique or
unusual conditions are welcome.
Part C: 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 if the building materials have changed. 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.
• All information in this checklist is required, unless specifically waived by the ARB, prior to processing
a revision to a certificate of appropriateness / amendment to a site development plan review by the
ARB. Additional submittal materials may be required, depending on the proposal.
• Only complete application packages will be scheduled for ARB review. The application package is not
complete without this checklist, completed, signed, and included with the required submittal materials
indicated on the checklist.
In representing the above referenced firm submitting this application for review, I hereby state that the
information provided in this application, and all accompanying information, is accurate, true and correct to
the best of my knowledge, and that the attached plans contain all information required by this checklist.
CDocuSignetl by:
Ldttff
Signature of person completing checklist
Date
10/20/2022
steve kellett Area Construction Manager 8644942491
Printed Name / Title
Daytime phone number of Signatory
County of Albemarle Department of Planning and Community Development
401 McIntire Road, Charlottesville, VA 22902-4596
(434) 296-5832 Tel, (434) 972-4126 Fax
www.albemarie.org
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Revised 7128110