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Home My WebLink About10-05 Comments09/28/2006 13:24 FAX 540 667 4190 BILL BROY REQUEST FOR CONDITIONAL USE PERMIT COMMENTS Virginia Department of Transportation Attn: Resident Engineer 1.4031 Old Valley Pike Edinburg, Virginia 22824 (540) 984-5600 U002 The local office of the Transportation Department is located at 2275 Northwestern Pike in Winchester if you prefer to hand deliver this form - Applicant's name, address and phone number: t7W lel 4-.1e Name of development and/or description of the request: XIGAI DI✓ �Ge t U.flci Y P�,� Location: rho?;,- Va. ,Yt; Va. Dept. of Transportation Comments: 17 Jam, - - --- ----.----._.. -1 —li. . [All DP QjdQeUon ine DrMerry a permit may have to be applied for through our District Office in Staunton. You may do so by contacting Mr. Larry Curry at (540) 332-9098. VDOT Signature and Date: (NOTICE o RESIDENT ENGINEER*PLEASE RETURN THISFO RM TO APPLICANT.) ` NOTICE TO 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. locatio other pertinent information. n map and all 09/28/2006 13:22 FAX 540 667 4190 BILL BROY Q002 REQUEST FOR CONDITIONAL USE PERMIT COMMENTS Virginia Department of Transportation Attn: Resident Engineer 14031 Old Vallev Pike Edinburg, Virginia 22824 (540) 984-5600 The local office of the Transportation Department is located at 2275 Northwestern Pike in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: tt I -a/ Name of development and/or description of the request: Location: J6 ' 4/9LL_ Z;y eei,& Va. Dept. of Transportation Comments: in accorZIance with Hit: laws of the Eomrmonweait4 of t ,ion can hp placed on the right -of --Way ro a permit may have to be applied for through our District Office in Staunton. You may do so by contacting Mr. Larry Curry at (540) 332-9099. VDOT Signature and Date: (NOTICE TO RESIDENT ENGINEER*PLEASE RETURN THIS FORM TO APPLICANT.) NOTICE TO 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. Received Time Sep, 2S. 1:20PM REQUEST FOR CONDITIONAL USE PERMIT COMMENTS Virginia Department of Transportation Attn: Resident Engineer 14031 Old Valley Pike Edinburg, Virginia 22824 (540) 984-5600 The local office of the Transportation Department is located at 2275 Northwestern Pike in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: Name of development and/or description of the request: _S/GAI 6I1 �lr> S UAcr L`Y /.tit Location: Va. Dept. of Transportation Comments: ncc laced on the - -)May Prinr to P ection on private propertya permit may have to be applied for through our District Office in Staunton. You may do so by contacting Mr. Larry Curry at (540) 332-9098. VDOT Signature and Date:.<r ! j ? ,�;r� (, . �, - // 7 c - (NOTICE TO RESIDENT ENGINEER*PLEASE RETURN THIS FORINT TO APPLICANT.) NOTICE TO 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. COMMONWEALTH OF VIRGINIA OA -105A APPLICATION FOR OUTDOOR ADVERTISING PERMIT Revised 10/17/03 To the DEPARTMENT OF TRANSPORTATION Date: aw - ASSET MANAGEMENT DIVISION 1401 East Broad Street Richmond, Virginia 23219 Application is hereby made IN TRIPLICATE (3) for a permit to erect and maintain an advertising sign as located and described hereinafter, and in accordance with the provisions of the Outdoor Advertising Act (Sec. 33.1-351 through Sec. 33.1-381 of the Code of Virginia (1950), as amended). Make check payable to TREASURER OF VIRGINIA. Location: Route No. �� , in / %� CountylMunicipality situated miles (North, EW.) of;. �::,��/ �;r d/j 5,16/1A '/Z o County,CCO or town limits, or other nearest location), and on real property owned by -�- p ,!Zed' Y with WRITTEN CONSENT as indicated below. Property Owner's Phone EVIDENCE OF CONSENT TO ERECT AND DISPLAY ADVERTISING STRUCTURE OR ADVERTISEMENT (Sec. 33.1-361) J(Only Section I or II is to be filled out with this application) Sec. I - Dated at ;- AI ;;E ' (,� �' city/state) Date &AA/u'•��- CI �' Acknowledgement is hereby made by the undersigned owner or his authorized agent of the property on which it is proposed to erect the sign described on this application, giving written consent to the applicant to erect and maintain said advertising signs. a (Owner) WITNESS �� .d' a n SIGNATURE C -yV (Agent) (USE WHEN APPLICANT HAS LEASE ON FILE) Sec. II Dated at (city/state) Date This applicant has in his files written evidence of the consent of the property owner, to erect the proposed sign as the location described in this application. SIGNATURE The above subscribed and sworn to before me this day of 20 My commission expires Notary Public DESCRIPTION Size: LengthA� ft.; Width porw ft.; AREA 1,W square ft. V-1'1- / The sign has faces. Advertises /Zal_ -'Ave, ,ST �' S illuminated ❑ Non -illuminated FEES:** Inspection $_ JPermit $ FOR USE IN ZONED COUNTIES/MUNICIPALITIES: ,+ Zoning Classification Date Zoned Name of Co. or Firm: f,,tliLe--i'4� �J,ol'�'!�Y Approval Date Federal Identification Number: Signed: (Owner/Agent) Zoning Administrator Address: �'�/ l�/ /✓. �lr/cxiL`s�'�' f.� County/Municipality �- This structure is owned by 1,1,;,4 e_, � � L /1'/IF61 Phone: (FOR OFFICE USE ONLY) Locality Route M.P. Application No. Permit No. Latitude Inspected By Date " Longitude **See Reverse side. Fees must be submitted with application. NOTE: Read conditions on reverse side. This Permit issued by Order of the Commissioner Per Date Roadside Management Section DID: Check No.: Amt.: CSC 1101001-021320-,110049 _. e5) '15:1 '"ahs_ 24 A C VI I ilii T N l r�i' m,� ua -ae k�Yv pl"V F� � 'Co.t`t'e .*. Lue Control number Date received Date reviewed Date Revised CUP05-00128 10/4/2006 10/4/2006 Project Name Applicant Commonwealth Business Center William E. Broy Address City State Zip Applicant Phone 309 Wemtworth Dr. Winchester VA 22601 540-667-4190 Type Application Tax ID Number Fire District Rescue District Conditional Use- Resubmit 63-A-84 11 11 Current Zoning Election District B-3 Recommendations Shawnee Automatic Sprinkler System Automatic Fire Alarm System Residential Sprinkler System No No No Other recommendation Emergency Vehicle Access Hydrant Location Fire Lane Required Not Identified Not Identified No Siamese Location Roadway/Aisleway Width Special Hazards Not Identified Not Identified No Emergency Vehicle Access Comments Access Comments Additional Comments Plan Approval Recommended Reviewed By Signature ^y/ Yes J. Neal Title Control number CUP05-0012 Project Name Commonwealth Business Center Address 309 Wentworth Dr. Type Application Conditional Use Current Zoning B-3 Automatic Sprinkler System No Other recommendation Emergency Vehicle Access Not Identified Siamese Location Not Identified Emergency Vehicle Access Comments Access Comments Additional Comments Frederick County Fire and Rescue Department Office of the Eire Marshal Ilan Review and Comments Date received 11/9/2005 City Winchester Tax ID Number 63-A-84 Date reviewed Date Revised 11/18/2005 Applicant William E. Broy State Zip VA 22601 Fire District 11 Recommendations Automatic Fire Alarm System No Requirements Hydrant Location Not Identified Roadway/Aisleway Width Not Identified Applicant Phone 540-667-4190 Rescue District 11 Election District Shawnee Residential Sprinkler System No Fire Lane Required No Special Hazards No Plan Approval Recommended Reviewed By Signature Yes John J. Bauserman Title P ,: NS?! P. rmfl� RECEIVED TUNI McECU11, RE��E T FOR CONDITIONAL USE PER�TTGOVNVET��lWM & kNSP Cr Frederick County Inspections Department Attn: Building Official 147 North Kent Street, Suite 200 Winchester, Virginia 22601 (540) 665-5450 The Frederick County Inspections Department is located at 107 North Kent Street, 2nd floor of the County Administration North Building in Winchester, if you prefer to hand deliver this review form. Applicant's name, addriess and phone number: Name of development and/or desgription of the request: a,r�, l /iA�L�Y ,viXty Location: Inspections Department C'ommPnt- Code Administrator Signature & Date: (NOTICE TO INSPECTIONS DEPTtf RM TO AP I' If"A 1 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. RECEIVED or Nov a 9 2.005 RICHQUEST FOR CONDITIONAL ITSE PERMIT COMMMENTOl181]CWORRK&INSP UIM REEEMNS Frederick County Inspections Department Attn: Building Official 107 North Kent Street, Suite 200 Winchester, Virginia 22501 (540) 665-5$50 The Frederick County Inspections Department is located at 107 North Kent Street, 2nd floor of the County Administration North Building in Winchester, if you prefer to hand deliver this review form. Applicant's name, addr, ss and phone number: Name of development and/or description of the request: Location: Insnections DonortmPnt %'nmmant• Code Administrator Signature & Date: (A (NOTICE TO INSPECTIONS DEPT*PLEAS RETUL THIS FORM TO NOTICE TO 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. CPAovlve SKC rc�l) 1n 0"4 -PK Sign shall comply with The Virginia Uniform Statewide Building Code and Section 312, use group U (Utility and Miscellaneous) of The International Building Code/2003. Structural plans submitted for permit application shall be sealed by a Va. Licensed Design Professional . ME VEST FOR!QONDMOML USE PEMKIT CORA TS Frederick County Sanitation Authority Attn: Engineer Director P.O. Boa 1577 Winchester, Virginia 22604 (540) 569-1061 The Frederick County Sanitation Authority is located at 315 Tasker Road in Stephens City, Virginia, if you prefer to hand deliver this review. Applicant's name, address and phone number: Name of development and/or description of the request: Location: Sanitation Authority Comments: Sanitation Authority Signature & Date: �!- (NOTICE TO SANITATION ALT' ORrry s� %'Ye' eye.✓ _- -,� , - " RETU" THIS FORM TO APPLICANT.) NOTICE TO APPLICANT Itis your responsibility to complete this form as accurately as possible in order to assist the agency with their review. Also, please attach a copy of your application form, location map and all other pertinent information. REQUEST FOR CONDITIONAL USE PERMIT COMMENTS Frederick County Sanitation Authority Attn: Engineer Director P.O. Boz 1877 Winchester, Virginia 22604 (540) 868-1061 The Frederick County Sanitation Authority is located at 315 Tasker Road in Stephens City, Virginia, if you prefer to hand deliver this review. Applicant's name, address and phone number: Name of development and/or description of the request: Location: -J/zY Sanitation Authority Comments: Sanitation Authority Signature & Date: —�RETURN (NOTICE TO SANITATION A ORITY THIS FORM TO APPLICANT'.) NOTICE TO 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 a copy of your application form, location ,nap and all other pertinent information.