ARLINGTON COUNTY, VIRGINIA HISTORICAL AFFAIRS AND LANDMARK REVIEW BOARD APPLICATION FOR CERTIFICATE OF APPROPRIATENESS DATE ... ;f I 3 RPC# ________ (TO BE COMPLETED BY STAFF) ,Z- __ _ DESIGNATED PROPERTY: Nmno ofH;"oric D;mrict ll1 AddressofBuilding AfutUe N& JJ.XJ+ OWNER: Name Chri .s R ua aku.c Address (if different) --- - -- - --- - ------- - ---- ----- Phone (Home) lo3- S.l.&-- 08'lP s- (Work) EMAIL: \ c:Jae_,.-@_ .1mtt-1 }. a:tfr'\ PERSON FILING APPLICATION, IF OTHER THAN OWNER: Name Address Phone (Home) Relationship to Appl icant PROJECT ARCHITECT/ENGINEERS/CONTRACTORS: (Work) OF APPLICATION: /_ RReepair (change of materials) _Demolition _ Addition Fence _New construction _Relocation ___ Outbuildings Tree Removal _ Grading _ Sign LOther Will an application related to this property go before any of the following? _Board of Zoning Appeals _Planning Commission _County Board _ Other (please specify) _ _.N ........... o.___ _____ _ Does the proposed work require a building permit? YES Is any demolition anticipated? i YES _NO , · bL. a eJ. . OVERVIEW OF PROPOSED WORK (ATTACH ADDITIONAL SHEETS IF NECESSARY): Description: We- {),14- 4w._ tj(?Mft-l (X VIM ?Mif d.rlv'LWttLf. We.- ttf£ Ulffi ,, (u!LSI(J''""'' d- tt I dtk. wails. u:Joble_/at-V?:0 RevisedDecember2012 dY\ n j\tt:\- dL. tr
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Ruaaku - Amazon Web Services · Revised December 2012 Miscellaneous Historical Photos I Drawings County Arborist Report Perspective Drawings I Renderings Model Floor Plans Floor Plan
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ARLINGTON COUNTY, VIRGINIA HISTORICAL AFFAIRS AND LANDMARK REVIEW BOARD APPLICATION FOR CERTIFICATE OF APPROPRIATENESS
DATE ~ ... ;f ~ I 3 ~~~----HD RPC# ________ ~ (TO BE COMPLETED BY STAFF)
Tree Removal _ Grading _ Sign LOther tiviv~ (~;n i4 ~i\ Will an application related to this property go before any of the following? _Board of Zoning Appeals
_Planning Commission _County Board _ Other (please specify) _ _.N ........... o.___ _____ _ Does the proposed work require a building permit? YES ~NO Is any demolition anticipated? i YES _NO
, · bL. a eJ. . CW~if~ ~~~~~~w~~~~w~\~\~~~fl~~~~~~.~~~~q-~~~~~~~~~
OVERVIEW OF PROPOSED WORK (ATTACH ADDITIONAL SHEETS IF NECESSARY):
Historical Affairs & Landmark Review Board c/o Historic Preservation Program 2100 Clarendon Boulevard, Suite 700 Arlington, VA 22201
Dear Review Board Members:
Enclosed is an application for a Certificate of Appropriateness and the following attachments:
Drawing(s)- Indicate scale on each drawing.
Site Plan I Plat
Elevation ~· tJ/fl..
Floor Plan N/A
Section cl/A Detail /
Photograph(s) - Please indicate number of photographs.
~ p~tS o~ p'no\-o S j Color \S (l'to\-o 5. -\-v W Black/White
Material Samples/Manufacturer's Catalog Cuts - Please describe all material exhibits.
'P~l-- Y i ~ O'l;ttu·ial.s ll~+. Uthtl~ CL£h ~M T~o --f>)oc. tMt_ lnducfd .
YOUR SIGNATURE BELOW CONFIRMS YOUR CONSENT TO THE FOLLOWING:
1. I understand that these materials will be placed in the Historic Preservation Program's building file for information about my property following the public hearing.
2. I understand it is my responsibility to inform my adjacent neighbors of my building and construction plans for this project.
3. I hereby grant permission to the County's Historic Preservation Code Inspector to enter my property during the application and construction phases of my project.
4. I hereby grant permission to the County's Historic Preservation Code Inspector to take photographs of my property, including the existing conditions, during the construction phase, and after the project is completed.
(Signed)
Date
L:\HAND_HP\COA\COAAppllcatioa_l013.docn: Revised December 2012
SUBMISSION REQUIREJ"ENTS
*=REQUIRED 0= MAY BE REQUIRED, CHECK WITH STAFF
PROJECT
NEW CONSTRUCTION
ADDITIONS
P ARTIAL!fOT AL DEMOLITION
DECKS/PORCHES
FENCES/WALLS
DRIVES/WALKS
ALTERATIONS
SIGNAGE
MAJOR LANDSCAPING/REGRADING
TREE REMOVAL
L:\HAND _IIP\COA\COA Application_2013.docn Revised December 2012
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