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)

,Z- __ _

DESIGNATED PROPERTY:

Nmno ofH;"oric D;mrict ll1 ~

AddressofBuilding 3'S'Of!J~?E" AfutUe N& JJ.XJ+

OWNER:

Name G\i~ ~ Chri .s Ruaaku.c Address (if different) ---- --- ---- -------- ---------

Phone (Home) lo3-S.l.&--08'lP s- (Work)

EMAIL: \ fl,_\~ c:Jae_,.-@_ .1mtt-1 }. a:tfr'\

PERSON FILING APPLICATION, IF OTHER THAN OWNER:

Name

Address

Phone (Home)

Relationship to Applicant

PROJECT ARCHITECT/ENGINEERS/CONTRACTORS:

(Work)

~ -

P~SE OF APPLICATION:

/_ RReepair (change of materials)

_Demolition

~ration _ Addition Fence

_New construction _Relocation ___ Outbuildings

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

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OVERVIEW OF PROPOSED WORK (ATTACH ADDITIONAL SHEETS IF NECESSARY):

Description: We- {),14- (ef>ltU{~ 4w._ ul 6t\~ tj(?Mft-l ~ ~~~~lf-J-riv'~ \N -1~ (X VIM ?Mif d.rlv'LWttLf. We.- ttf£ (ifOl~~ Ulffi,, CeY/C~&e-l

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LETTER OF TRANSMITTAL

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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Application Checklist

In order to facilitate the review by the DRC and the HALRB, use the Application Checklist provided below, and please check all that apply.

General

Application Form (see Appendix D) Vicinity I Plat Plan Existing Condition Photographs

Site Plan h Outline of adjacent buildings ~ North Arrow I Names of

adjacent streets 'XJ Required zoning setbacks

_2S)_ Location I type of existing trees of 15" caliper or greater ,J /A

0A._ Location I type of new I replacement trees

Elevations

Elevations Scale (118" = 1' min) Existing versus new construction Dimensions of new work Height of floors and roof ridge

Windows

Type (e.g., double hung) Size (e.g., 30" wide x 42" high Style (e.g., 6 over 1)

Exterior Cladding

Type (e.g. , wood lap siding) Size (e.g., 6" weather) Trim Dimensions

L:\HAND _HP\COA \COA Application_2013.docn Revised December 2012

Miscellaneous

Historical Photos I Drawings County Arborist Report Perspective Drawings I Renderings Model

Floor Plans

Floor Plan Scale (1/8" = 1' min) North Arrow Existing versus new construction Dimensions of new and existing work Area of existing new work Section(s)

Drawing Details

Porch rail details (refer to standard) Wall Section Detail Eave Detail Other

Catalog Information (Samples and Specifications)

Doors and Windows Cladding I Siding Materials Roofing Materials Other

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