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REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Virginia Department of Transportation
Mail to:
Virginia Department of Transportation
Attn: Resident Engineer
14031 Old Valley Pike
Edinburg, Virginia 22824
Hand deliver to:
Virginia Department of Transportation
Attn: Resident Engineer
2275 Northwestern Pike
Winchester, Virginia 22603
The local office of the Transportation Department is located at 2275 Northwestern Pike in
Winchester if you prefer to hand deliver this form.
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information.
Applicant's Name: l CbRVQ Telephone: 888'
Mailing Address: .57,S N • Vre,8e ft k e-
I VA'. ? -(Oi3
NaMe of development and /or description of the request:
l ( or_-h u nd S SZZ ` - mAe.s i t1 s Ec
j ' nt
Location of Property:
73 0 • re e ick i1.e.._
l n eS c, f l •Z.. 0 3
Virginia Department of Transportation Comments:
The application for a Con itiona se ermi or is
measurable impact on Route 522, the VDOT facility which would provide access to the
property. Existing entrance is a equa a or propose us .
expand in the future, the entrance may have to be upgraded to VDOT commercial
standards. Than you for allowing us t e oppo uni o co
VDOT Signature & Date: " Ad
Notice to VDOT - Please Return Form to Applicant
IN
0 *CEIVED
REQUEST FOR CONDITIONAL USE PERMIT COMMENTc FrederickPablfcWorks &
Frederick County Inspections Department
Mail to: Hand deliver to:
Frederick County Inspections Department Frederick County Inspections Department
107 North Kent Street, 2 Floor Attn: Building Official
Winchester, Virginia 22601 107 North Kent Street, 2nd Floor
540) 665 -5650 Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information.
Applicant's Name: u,t yt M b Telephone:
Mailing Address: 3 N • Vro e^r l 0 kt
Name of dev and /or description of 1bavAd57-1 —JJ to mi1f 5 \`^ Y
a6! Gj OM V-A .
Location of Property:
5738 N • Vc6 i
l Yl e5 T , A. - 22j003
Building Official's Comments:
Building Official's Signature & Date: y 7 Flo
Notice to Inspections De tment - Please Return This Form to the Applicant
u
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Area shall comply with The Virginia Existing Building Code, The Virginia Uniform Statewide
Building Code and section 311 — S- Storage Use Group of the International Building Code /2012.
Other Code that applies is ICC /ANSI A117.1 -09 Accessible and Usable Buildings and Facilities.
Conditional Use of partial area in existing garage. A change of use ermit is required. Please
submit a detailed floor plan with your permit that indicates the floorin, the existing garage
that will be used for business use.
Separation of garage area shall be maintained as required in IRC Section 302.5
Storage of flammable /combustible liquids shall be in accordance with T 307.1.1. Storage of
such liquids shall be in an approved storage container as required under International Fire
Code/National Fire Protection Agency for the type of liquid stored.
SASite Plan comments\2012 \cup STorage Furniture shop.docx
REQt'F_ST FOR CONDITIONAL USE.. PERMIT COMMENTS
Winchester- Frederick County Ilealth Department
Mail to:
I rc lcrick- \ \'ineltr ter Health Department
Ann: Sanitation Engineer
107 North Kent Sirect
Winchcsicr. Virginia 22001
540) 722 -3480
Ilantl deliver to:
Frederick - Winchester I lealth Department
ttn: Sanitation Engineer
107 North Kcm Street. Suite 201
Winchester. vin-ilia
Applicant: It is your responsibility to complete this 1i61-111 as accurately as possible in order to assisl tltr
agrncv ith Ihcir rc•ic. ; \Iso. please attach I ro (2) copies of your application tin-m, location map and
all other pertinent information.
Itplicant's Name:
Mailinc:Wdress: ` ,' '`_ __'_ --- 011i0C j., ,4.re 044or.
Nance ofclevelopnunt and /or description of the request:
location of Property:
Frederick - Winchester Health Department's Comments:
1/F /..roa7(01
h Si i1t'h nn f 1 bf n's;d *n-4 y4 1i''•r on /o_
t__r F_
catch Dept. Signature & Date:
Notice to Health Department - Please Return This Form to the Applicant
I— -
February 1, 2016
Mr. William Conley
5738 North Frederick Pike
Winchester, VA 22603
Dear Mr. Conley,
Please find attached the plan approval from the Fire Marshal's office regarding your
Conditional Use Permit applications. Please make sure you read the additional
comments.
If you have any questions please do not hesitate to call our office.
Best regards,
Barbara Johnson
Secretary
Attachment
Life Safety (540) 665 -6350 jbausermGfcva.us Fax (540) 678 -4739
i o .. FIRE AND RESCUE DEPARTMENT
OFFICE OF THE FIRE MARSHAL
1080 Coverstone Drive
Winchester, VA 22602
John J. Bauserman
Deputy Chief
Fire Marshal
Life Safety Division
February 1, 2016
Mr. William Conley
5738 North Frederick Pike
Winchester, VA 22603
Dear Mr. Conley,
Please find attached the plan approval from the Fire Marshal's office regarding your
Conditional Use Permit applications. Please make sure you read the additional
comments.
If you have any questions please do not hesitate to call our office.
Best regards,
Barbara Johnson
Secretary
Attachment
Life Safety (540) 665 -6350 jbausermGfcva.us Fax (540) 678 -4739
Date Received
1119/2016
0 •
Frederick County
Department of Fire and Rescue
Office of the Fire Marshal
1080 Coverstone Drive Winchester, VA 22602
540) 665 -6350 Fax: (540) 678 -4739 Email: fmoCiufcva. us
Plan Review & Comments
Plan /Permit Type Conditional Use Permit
Name William Conley
Address 5738 North Frederick PIKE Winchester
Project Name Furniture Repair Business
Applicant Name & Number
RE#
Permit Number
Emergency Vehicle Access: A(!7!! Inadequate N/A
Hydrant Location: Adequate Inadequate
Siamese Location: Adequate Inadequate
Fire Lanes Required: Yes No A)
Plan Approval Status Approve
Comments
Approved as long as 3 conditions are met.
1. at least 1 -51b ABC fire extinguisher be installed and tagged in the shed
2. there be at least 1 working smoke detector installed in the shed
3. that fire department access to the shed be maintained at all times
Signature:
9L G
Reviewed By: Kenneth Scott, Jr.
Title: T Tti-S
Date Reviewed
1/25/2016
VA 22603
RECx\
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SO
19
p16 •
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Frederick County Fire Marshal
Mail to:
Frederick County Fire Marshal
1800 Coverstone Drive
Winchester, Virginia 22602
540) 665 -6350
Hand deliver to:
Frederick County Fire & Rescue Dept.
Attn: Fire Marshal
Public Safety Building
1800 Coverstone Drive
Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location snap and
all other pertinent information.
0 Telephone: `t6 - bbt - g039
Applicant's Name: 11 1' I t(.1`(1 i'1`'_ p -
Mailing Address: ZJ''j
I" 'e-c1 0U6 - A -
Name of devplopment and /or cripti_on of the reque t:
lvi. 211 i'(1tS
Locatio`J .3
Pi op _ vgjk CY- l
Fire Marshal's Comments:
PLANS
FREDERICK
Fire Marshal's Signature & Date:
10
2 s / /,6
Notice to Fire Marshal - Please Return This Form to the Applicant
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