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Home My WebLink About038-93 White Hall United Meth. Ch. - Gainesboro District - Backfile* STAFF SITE PLAN CHECKLIST * This application is not complete if the following are not included: j 11. One set of comment sheets from the following agencies along with any marked copies of the plan; VDOT City of Winchester Sanitation Authority � Inspections Dept. ire Marshal County Engineer Airport Authority 1� q� 2. One copy of the Site Plan application. 3. Five copies of the Site Plan. 4. One reproducible copy of the Site Plan (if required). 5. One 35mm. slide of the Site Plan (if required). TRACKING Date J A 9 3 Application received. ! All necessary agency comments received. Fee Paid (amount $ Pef, RAC ). Town of Stephens City Town of Middletown Health Dept. Parks & Recreation Soil & Water Conservation Dist. Site Plan to Planning Commission via bi-monthly. % l=- _Y� ik - Site Plan heard by Planning Commission (if required). / ?-"-' Revisions received (if required). / 3 Date of approval. A Info added to SITE PLAN APPLICATION Complete the following application• DATE / - ? APPLICATION # 1. Development 2. Location of Property: Apple Pie Ridge Road at White Hall (by street name) 3. Property Owner: White Hall United Methodist Church Address: 3265 Apple Pie Ridge Road Winchester, Virginia 22603 Telephone: 4. Applicant/Agent: Herbert B. Taylor Address: 2592 Welltown Road Winchester, Virginia 22603 Telephone: 662-8997 (Work) ; 662-8956 (Home) 5. Designer: Ruckman Engineering Address: 20 East Piccadilly Street Winchester, Virginia 22601 Telephone: Contact: 6. Is this an original or revised Site Plan? Original Revised -5- 0 J 7. Total area of parcel to be developed: 8. Property Information: a) Property ID #: b) Current Zoning: c) Present Use: d) Proposed Use: e) Adjoining Property Zoning: f) Adjoining Property Use: g) Magisterial District: 22-A-54 RA Church Church RA RA Gainesboro N/A I have read the material included in this package and understand what is required by the Frederick County Planning Department. I also understand that all required material will be complete prior to the submission of my site plan. Signature: Date: /1 E • REQUEST FOR SITE PLAN COMMENTS Frederick -Winchester Health Department Attn: Sanitation Engineer P.O. Box 2056 Winchester, Virginia 22601 (703) 722-3480 The Frederick -Winchester Health Department is located at the intersection of Smithfield Avenue and Brick Kiln Road, if you prefer to hand deliver this review form Applicant's name, address and phone number: Herbert B. Taylor, 2592 Welltown Road, Winchester, Virginia 22603 662-8997 (Work); 662-8956 (Home) Name of development and/or description of the request: Small addition on old church Location: Apple Pie Ridge at White Hall Health Department Comments: J-S ,&I"i 6J,)1//6fi 1/Vt/I 6 P ± itAe"//'5'r 9 Health Signature and Date: Z�t/�� Zf _2eiazsi%? (NOTICE TO HEALTH DEPT. - 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 a copy of your plans and/or application form. -12- 0 REQUEST FOR SITE PLAN COMMENTS Frederick County Inspections Department Attn: Building Official P.O. Box 601 Winchester, Virginia 22601 (703) 665-5650 The Frederick County Inspections Department is located at 9 North Loudoun St., 2nd Floor of the Hammon Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: Herbert B. Taylor, 2592 Welltown Road, Winchester, Virginia 22603 662-8997 (Work); 662-8956 (Home) Name of development and/or description of the request: Small addition on old church Location: Apple Pie Ridge at White Hall Inspection Department Comments: Building shall comply with the Virginia Uniform Statewide Building Code and Section 302, Use Group A(Assembly) of the BOCA National Building Code/1990. Code Administrator Signature & Date: (NOTICE TO INSPECTIONS DEPT. *PLEASE TURN T I FORM TO L AN 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 plans and/or application form. -14- PLANS APPROVED =IRE MARSHAL, FREDERICK COUNTY • REQUEST FOR SITE PLAN COMMENTS Virginia Department of Transportation Attn: Resident Engineer P.O. Box 278 Edinburg, Virginia 22824-0278 (703) 984-4133 The local office of the Transportation Department is located at 1550 Commerce St. in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: Herbert B. Taylor, 2592 Welltown Road, Winchester, Virginia 22603 662-8997 (Work); 662-8956 (Home) Name of development and/or description of the request: Small addition on old church Location: Apple Pie Ridge at White Hall Va. Dept. of Transportation Comments: No objection to proposed on site iwrovements. VDOT Signature and Date: Z4 %ZAl /DAZ-A73 (NOTICE TO RESIDENT ENGINEER*PL ASE RETURN THIS FORM TO APPLIC T.) 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 three copies of your plans and/or application form. -10- REQUEST FOR SITE PLAN COMMENTS Frederick County Engineering Department Attn: Director of Engineering P.O. Box 601 Winchester, Virginia 22601 (703) 665-5643 The Frederick County Engineering Department is located at 9 North Loudoun St., 2nd Floor of the Hammon Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: Herbert B. Taylor, 2592 Welltown Road, Winchester, Virginia 22603 662-8997 (Work): 662-8956 (Home) Name of development and/or description of the request: Small addition on old church Location: Apple Pie Ridge at White Hall Engineers Comments: W f 1/ 6 VV OLS dA0 VM e�I.ACIA- I LA. 04- Engineers Signature & Date: ��) �%lm&& jg %iu� 1, 1 9 3.3 (NOTICE TO ENGINEERING DEPT. * LEAS RET`fJRN THI FOIX 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 copies of your plans and/or application form. -13- 0 0 ril 7 PEE \Q5. .0 PNO a3 `N ati � 50 0$ 1 3 ps, W I=o � ACR -� Mm ; 2.21 O oi�0 N Z M rn — 381.09 J ps'. o N 31` p61 05 E �I.Ps. TgTE 4MOERSON r; M 3 M LO v KING 0 In Z N 360 58' 5711 E 20.27 N RT. 739 — 50' R/W THOMAS A. SHOCKEY BOX 34A MT. EAU3 K"' WINCHESTE.R, VA 22C r NLTH Ir T!THJPI,IAS WSEY '= r (LIUU16E) No.� 1271 �qNO SURVEY ` ES I.P.S. - IRON PIN SET SURVEY of the land of 4- ip WHITE HALL METHODIST CHURCH Gainesboro Dist., Frederick Co., Va. Scale 1" = 100' July 20, 1987 SITE PLAN CHECKLIST The site plan application is not complete if the required information is not submitted. All required information must be obtained prior to the submission of this application. If any part of the required information is missing or not complete, the site plan application will not be accepted by the planning department. The applicant shall meet with the staff member in charge of site plan review when the application is ready for submission to insure that all required information is complete. SITE PLAN PACKAGE 1. One set of comment sheets from the following agencies along with any marked copies of the plan: VDOT City of Winchester Co. San. Auth. Inspections Dept. Fire Marshal - / Town of Middletown 1� County Engineer 4/ Co. Health Dept. Parks & Rec. Airport Authority Town of Stephens City Soil & Water Conser. Dist. 2. One copy of the Site Plan application 3. Four copies of the Site Plan 4. One reproducible copy of the Site Plan (if required) 5. A 35mm slide of the Site Plan (if required) -1-