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HomeMy WebLinkAbout04-16 ApplicationSubmittal Deadline 5 0 EC 4 2015 P/C Meeting (11 BOS Meeting ; APPLICATION FOR CONDITIONAL USE PERMIT FREDERICK COUNTY, VIRGINIA 1. Applicant (check one): NAME: V W l N Property Owner Other as 4- ADDRESS: Rot Qr r TELEPHONE:'7t Yid 63r7 1 ck ( 0 P- sy o (!V a caL -cam, 2. Please list all owners, occupants, or parties in interest of the property: Dmcdd Wws4 V't cr, i tjo&4 0 The property is your roa " ileLse The property ha a ro d frontage of feet and a depth of J5CO feet and consists of acres. (Please be exact) The property is owned by as evidenced by deed om A- re , _ Y e (previous owner) recorded in deed book no. on pag , as recorded in the records of the Clerk of the Circuit Court, County of Frederick. 6. Property Identification Numb (P..N. Magisterial District Frmee Current Zoning 5 7. Adjoining Property: U E North East South 4 West 8. The ype of use proposed is (Sonsult,% ZQNfNG th the Pl_ nin Dept. before completing): t- n 9. It is proposed that the following buildings will be constructed: No 10. The following are all of the individuals, firms, or corporations owning property adjacent to both sides and rear and in front of (across street from) the property where the requested use will be conducted. (Continue on back if necessary.) These people will be notified by mail of this application: Name and Property Iden tjifcation Number Address Name Cl I Fie, e\4 1 ! Fru t re l VO, a 9 7 Property # A+ -o 410 Name L419N -t , urM rive; Property # 0-9,1.4 t Name ca m e- Q 17ral Oc e-n . / ER'h41 l F'C O 7 Property e n m Of-( Name "Q JIQi D (, C7 Q Property # Name Property # Name Property # Name Property # Coco 12. Additional comments, if any:r M JALIdLdd 4-0 wewd-ft hh, TI 0, e4 - bind.. c AIM 4r y °5 / i enivite ©c I c W rah Bea , W ld tip 4o W i?"S i I/ 1 W 4 1f0- C 5 CL I .Sl, WJ it My P 9406 I (we), the undersigned, do hereby respectfully make application and petition the governing body of Frederick County, Virginia to allow the use described in this application. I understand that the sign issued to me when this application is submitted must be placed at the front property line at least seven (7) days prior to the first public hearing and maintained so as to be visible until after the Board of Supervisors' public hearing. Your application for a Conditional Use Permit authorizes any member of the Frederick County Planning Commission, Board of Supervisors or Planning and Development Department to inspect your property where the proposed use will be conducted. Signature of Applicant Signature of Owner g )y r; 1 jr d ilr- G 7Owners' Mailing Address Owners' Telephone No. jy6— sa jK TO BE COMPLETED BY THE ZONING ADMINISTRATOR: USE CODE: RENEWAL DATE: d lid x x x Please use this page for your sketch of the property. Show proposed and /or existing structures on the property, including measurements to all property lines. X x ct x. xX x. X X X LL C x a a dog e AO nCp, Ga apls Sn' 1 4Z--, E* C c r• r „ ft kid 6[ M frr f+- cwcha* r, - C`', ``4 ti 10 t, b 7 G 201 1 l 66 77 ` 00 97 en 1301: 46 611 r — 70— P. 96 71111JER RIDGE I'ARFIS Deep Pine Ct- 1l8 12 4 r•ith 1 69 G i e )3 3- q• coon entlrn esrA;es 1 71 119 2 c1 us.• Sato Owl Ct G C7 ]4 Pro_rtY 120 G CY 16 15 1 ial 35 74 p- 34 73 73? F).. sure - itizig -Ct— 122 3s 33 t 2 3 Q1 arterhorse G 23 1m t nr. L 32 ana 12, p ----'_ 73A Blackberry u1 1 4 24 Woodpecker Lane 125 1 25 31 =8 d i G -- E 9 Court Cel ao 26 30 6: 64 U 1 2 SAI 29 3B 39` 63 MO 27A 20A i 67 e, 6•: Q h 126C \ 0 ` v20' Sawn 111 Court a- WN O 17'7(1 41 ood Earth 44 42 Property 86 1ZOC -- U) 1 43 a7 99 Lcigger Drive 45 I29G 1. \7 66 77 ` 00 97 en 1301: 46 611 r — 70— P. 96 t01 Deep Pine Ct- t, O qn 1 69 70 to 7s of c q• 102 1 71 9l c1 us.• Sato Owl Ct 31 76 Q Pro_rtY 74 104 73 73? F).. sure - itizig -Ct— iCH `O5 as II 1m t nr. 73A Blackberry u1 Grapevine Court 56 55A Lane 57 4 D t ye 53 1 55 2 SAI 49 48 GokffinCl1 Lane 6 ~) jfq ul IPF- OL. 1090 IW_ii rr 00 L,/ 5ub ind q i I 1f evi_sed 1 -71 WEST VIRGINIA SEPTIC TANK INSPECTION FORM l s/SL1li Lf/ I Name of Address Property lhf& 4?111xe 4qa X 44 vv Health Department Installation Permit No. DESCRIPTION & NUMBER OF UNITS SERVED Type Facility Served - No. Water Closets Lot Size - - -- Area suitable for sewage disposal installation sq -ft. Source of Water Supply No. Lavatories No. Bedrooms No. Showers or Tubs No. Baths No. Garbage Grinders No. Automatic Washers _ r_I____ SEPTIC TANK Material Length x Width x Depth cubic feet Liquid Depth ft. Liquid Capacity ;n gal. Distance to: Dwelling old Water Supply Nearest Property LineQ' SOIL ABSORPTION SYSTEM Type Drain Line Material ,2Z2 Trench Width Inches Trench Depth _ Inches Total Absorption area in Trench Bottom sq. ft. D Diameter of Drain Line Z//_ Inches Type Filter Media % / No. of Drain Lines _ Depth Filter Media Linder Drain Line In Length of Each Line /Q ,, fOD_ tuft - Depth Filter Media Over Drain Line g Distance of Disposal Field to: (a) Dwelling _VQ_ b) Water Supply j Q_ t (c) Nearest Property Line that An - i.on of the septic tank system standards eestablishedsbyothe West said system ( ETS DOES NOT MEET) the minimum Virginia e Department of Health. F( 4An itar e ian Date l SKETCH OF SYSTEM TO BE DRAWN ON BACK J and of this inspection report must be given to owner DOeNOT1DESTROY. Note: COPY filed in the Health Department files. PERMANENT RECORD I w 2(2412016 Shop Kwiksnature Tustin Polished Brass Universal Turn Lock Pr Your Store: Winchester, VA Kwikset Signature Tustin Polished Brass Universal Turn Lock Privacy Door Lever Item #: 380452 1 Model #: 97300 -723 0(1 Facebook Pinterest Twitter Google+ W Email Description 23.97 Door Lever at Lowes.com Parcel Shipping Sent by carriers like UPS, FedEx USPS, etc. Store Pickup LDaAJ 15 i-PUL Lowe's Truck Delivery Your order will be ready for delivery to you from your selected store. 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FREE Parcel Shipping Sent by carriers like UPS, FedEx, USPS, etc. Germ Guardian 3- $69.98 Speed 200 -sq ft HEPA Air Purifier 1 -Year Rough $9.97 Plumbing I nmi( F( ) " Replacement Plan On l y USI "y' ($50- $99.99) Facebook I 2 -Year Rough $11.97 1,r1l/ Plumbing PirHerest 1 j 1 ` ll /T Replacement Plan 50- $99.99) Twitter Google+ Email q I l t 71 N v Description 3 -Speed 200 -sq ft HEPA Air Purifier HEPA Filter captures up to 99.97% of airborne particles as small as .3 microns in size; also captures dust mites, debris, mold spores, plant pollens and pet dander The power of UV light works with filters to kill germs Removes odors and smoke particles from the air with activated carbon filter Kills airbom"" old spores and other allergens Processes the air in small to medium -sized rooms Quiet operation Specifications Maximum Coverage Area (Sq. Feet) 200 ETL Listed Yes HEPA Filter Yes Color/Finish Family Black Number of Speeds 3 Warranty 1 -year limited Control Type Mechanical Remote Control Included No Allergens removed Medium from air Room Size (Sq. Ft.) 101 to include 300) dust mites, AHAM Certified No debris, Type of Allergens Removed From Air mold ENERGY STAR Qualified No spores, Filter Monitor No plant pollens Ionizer No http:l/www.l(ywes.com /pd 618808- 68376- AC4010 ? Producd &- 50217737&Pi= 1&Ntt= hepa+air +purifiers 1/2 INVOICE DATE Michael and SoilWices • YNR o 57 40 General Wa3'fiington Drive . Invoice CUSTOMER PO Alexandria, VA 22312 465008DCMichael &Son Phone: (703) 658 -6000 Fax: (703) 914 -1793 S E R V I C E S VA 2701038423A MD 123872, DC 420211002808 lk'"*'R"°'"*%Cdow IF YOU CAN'T WE CAN - www.MichaelAndSon.com INVOICE DATE SERVICE DATE TERMS TECHNICIAN CUSTOMER PO 12/11/2013 12/11/2013 DUE ON RECEIPT Dwayne Day BILLING INFORMATION Margaret Burke 215 Fruit Orchard Dr Gore, VA 22637 Billing Phone #: cell 410- 302 -4920; ; Site Phone #: cell 410- 302 -4920; cell 571- 382 -0408; Reason For Call JOB SITE INFORMATION Margaret Burke 215 Fruit Orchard Dr Gore, VA 22637 Diagnosis i run line from t & p valve on heater to floor drain, and seal the lid to the sewer ejector crock. Invoice Notes 1 ran a line from the t & p valve on the water heater to the floor drain_. I also cleaned and caulked the lid to the sewer ejector pump, to make sure no sewer fumes gets out. I teste the sewer ejector pump, and it is running properly. I also offered a plumbing safety inspection. Item Information Qty I Unit Price Price Amount APPROVED REQUIRED I caulk lid to sewer ejector pit 1.00 $109.00 $109.00 $109.00 REQUIRED I run drain line from hwh t &p valve to floor drain. 1.00 $128.00 $128.00 $128.00 FUTURE RECOMMENDATION RECOMMENDED I Plumbing Safety Inspection 1.00 $0.00 $0.00 $0.00 Tu"d I lY.,e, iOGd6 MIf -#FA 1 d h rpvr S a xar I r l & n c re r - l fh f-1 / at'S W X5 Q ra1 n Cle°S 0 ! W1 tW (,tomsll C lS,o L ' ', CHECK [12641 $237.00 Customer Approval PAYMENT METHOD and AMOUNTS I acknowledge the satisfactory completion of the above work. Make All Checks Payable To Michael and Son Page 1 /2 Sub Total $237.00 Total $237.00 Paid Amount $237.00 Amount Due $0.00 12/11/2013 S uvow jw__O lq mt a 52 10 xi- a5":201& ti APR 2 5 2016 FREDERICK COUNTY 1ANNING AND DF=VFL.0)'mF -, .