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Home My WebLink About016-96 Dawson Investments - Back Creek - BackfileSITE PLAN CHECKLIST The checklist below indicates all the information that needs to be submitted as part of the site plan application. All required information must be submitted prior to the final approval of any site plan. The Department of Planning and Development will review the application to ensure that it is complete. If any portion is not included or complete, the site plan application will not be accepted and returned to the applicant(s). ite Plan Packaae 1. One set of approved comment sheets are required from the following review agencies prior to final site plan approval. It is recommended that applicants contact the Department of Planning and Development to determine which review agencies are relevant to their site plan application. Virginia Department of Transportation (VDOT) County Health Department Public wo► KS Frederick County Sanitation Authority ✓ City of Winchester Department of Planning and Development Town of Stephens City VInspections Department Town of Middletown Frederick County Engineer (Public Works) Airport Authority J� Frederick County Fire Marshal Soil & Water Conservation District Department of Parks and Recreation 2. One copy of the Site Plan application 3. Five Copies of the Final Site Plan for approval 4. One reproducible copy of the Site Plan (if required) 5. A 35mm slide of the Site Plan (if required) 9 Oa,,e , & lf,,,,� -K Art �Ijpata)pin" � 4pta" fyu-hl'll� a�pj- RIX, Received From Address p For u oil AMT OF IL ACCOUN 7DUE W AMT PAIC, BALANCE ti Date 0024879 r% CHECK MONEY- /I I ' ' By COUNTY of FREDERICK Department of Planning and Development 540/665-5651 FAX: 540/ 678-0682 April 3, 1996 Bruce Dawson Dawson Investments 110-A Industrial Drive Winchester, Virginia 22602 RE: Proposed Addition Dawson Investments Site Plan #016-96 Dear Bruce: This letter is to inform you that the Frederick County Planning Department administratively approved the proposed building addition, site plan #016-96. This site plan involves the construction of a 6,250 square foot addition to the existing 41,920 square foot building. Attached are two copies of the approved plan. This will enable you to provide your contractor with an approved copy, and maintain a copy for your records. Please have the contractor contact this office to schedule an on -site inspection once all improvements are complete. Please contact me if I may answer any questions regarding this letter. Sincerely, Eric R. Lawrence Planner I Enclosure cc: Margaret B. Douglas, Back Creek District Supervisor John Nash, Patton Harris Rust & Associates T. Roy Jennings, Frederick County Real Estate 107 North Kent Street • Winchester, Virginia 22601-5000 SITE PLAN APPLICATION Department of Planning and Development Use only. Date application received ' " g_q6 Application # Qfb Its tD Complete. Dale of acceptance mr-omplete. Date of return. 1. Project Title: Dawson Investments Building Expansion 2. Location of Property 110-A Industrial Drive (street address) Winchester, VA 22602 3. Property Owner: Dawson Investments Address: 110-A Industrial Drive Winchester, VA 22602 Telephone: _ (540) 869-1150 4. Applicant/Agent Dawson Investments Address 110-A Industrial Drive Winchester, VA 22602 Telephone: (540) 869-1150 5. Designer: Patton Harris Rust & Associates, pc (PHR&A) Address: 100 S. Main Street Bridgewater,VA 22812 5 6 7 8 9 Telephone: ( 540) 828-2616 < Mr. John Hash 1996 1 Contact: � otpor. of Q 0 l 6. Is this an original or revised site plan? Original Revised X 7a. Total acreage of parcel to be developed: 11.0 Acres 7b. Total acreage of parcel. 11.0 Acres 8. Property Information: a) Property Identification Number: 75-((A)) Parcel 1A b) Current Zoning: M1 c) Present Use: r,i ght- Industrial d) Proposed Use: Light Industrial e) Adjoining Property Use(s) Vacant f) Adjoining Property Identification Number(s) 75 ((A) )1 B, 75 ((A) )1 , 63((A))60, 63 ((6)) 2 g) Magisterial District(s) Back Creek 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: % 7 D 0 1A opt �hf �Q11) e CII FFJ Ul N ate\? C�J 0-) OCIE / -P rn 0 > (A �O -� 00 C(4 o o ' J 6 9 if /0 CA ch 0 0 1t \ Patton Ilarri, Rual R AsoriaU,, pr I•;uginr�•r'. IL I �w �- �� 100 Smith Main Stl Sill vvol.n, 11 1 ( PO li(i\ 16 Plainlrr.s k\ Irii water Virginia 22812 'al ( 1wapr 5 III 82i,-6137 li•l: 5III 828-2616 Grp leQ rh ti- - Id 7 )JI-xi k- k241\4 "bt WI), `I'RANS1,11`I" A1, Dcwvjs014sub - u M A.NTITY FILE NO. DATE, DESCRIPTION nnay � N qpn_c' Mow d (4, OVA \O'I'I:ti - ` T (t60i�k_ol -Rf wa 'I•IiA\S\II'ITED f1 Ilerewilli o Undvi. Separalc Cocci AIA' 1'1•;1i1A1, I Originals f ] I'holocopirs [-] Samples (1 Sprriliralion, CI Shop Urawins u ,i\Iti•lur Ozalid Prints Invoice U Si•pia I'l HPOSE 1:) \pprocal I-i )our (Jsi• I:1 Yonr File", I7 Pivasr RrUn•n Correrti•d Prints ❑ Plva'v Submit Ri•cisvd Prints lira 1 IUD Itl II CI I: FEB ?-96 THU 16:51 WINCHESTER TOOL&MACHINE 54086949ee Request For Site Plan Comments Frederick County Sanitation Authority. P.O3, LI `r ` L 1.�.. Mlil to: �� Hand deliver to: Frederick County Sanitation Authority �� 199 Front Royal Pike Atten: Engineer Director h Winchester, VA P.O. Box 618 Pc�� (703) 665-5690 Winchester, VA 22604 (7C3) 665 - 5690 Please fill out the information a4r urately as possible in order to assist the agency with their review. Please attach t,rlo copies of your site plan with this sheet, Applicant's name: Dawson Investments Address: 110-A Industrial Drive Winchester,VA 22602 Phone number, 540-869-1150 Name of development and/or description of the request: _ Dawson Investments Building Expansion Location of developrnent: Fast side of State Route 651 , south of the Route - 37 Bypass. ` Frederick County Sanitation Authority's Comments: ZZ16Y !Sani:aticn Authority use crily ii3'3 if.'Gel1,'� (�� Y � . l'�.alc' ,?,'�S(Cn �'Cr' �E.� t7a�E 3r�](�1•"� li � r ill.;i'.C'd - haiC� �L•:./IP',�• 'i, C{<glnc t'.:re and C.a, r? � / 'f� f� Si�rwture and isionj Request For Site Plan Comments City of Winchester fit; I,:-;� —71990 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one copy of your site plan with this sheet. Applicant's name: Dawson Investments Address: 100-A Industrial Drive Winchester, VA 22602 Phone number: (540) 869-1150 Name of development and/or description of the request: Dawson Investments Building Expansion Location of development: East side of State Route 651 , south of the Route 37 Bypass. City of Winchester's Comments: "4 Winchester Planning Dept. use only Date received Date revision received Date ar )rove+ Inccinplete Incomplete Date reviewed Cate reviewed Sig'hature and Date Sicnature'and Date (revision) • • Request For Site Plan Comments Frederick County Inspections Department Mail to: Frederick County Inspections Dept. Atten: Building Official P.O. Box 601 Winchester, VA 22604 (703) 665 - E650 Hand deliver to:-''' 107 N. Kent Street Fourth Flccr Wlncnester, Vr. (/ 03) 665-H-50 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one copy of your site plan with this sheet. Applicant's name Address Phone number: Dawson Investments 110-A Industrial Drive Winchester, VA 22602 tcilils-11*•1Sif 1.Yi Name of develcpment and/or description of the request: Dawson Investments Building Expansion Location of development: East side of State Route 651 , south of the Route 37 Bypass. S Inspections Department's Comments: ADA parking appears okay. Questions: 1) ADA access to bldg. from parking; 2) need Use Group information on existing & nea additions; 3) square footage of existing bldg. & location of fire,oalls; 4) NOTE: USBC requirement for asbestos inspection; 5) NOTE: ADA 20 percent rules for renovations & additions llnspections Dept. use only Date received Date revievied ,Signature and Date K- Signature and Cater{revision)_ Date revision received Date accroved Incomplete D,ato roviewed a • • Request For Site Plan Comments Frederick County Engineerirlq Department JArl Mail to: �> (/� Hand del iver4o'-,j . i � i►�.. Frederick County Engineering Dept. f`:; ` 107 N. Kent Street"------J" Atten: Director of Engineering `�, Fourth Floor P.O. Box 601 Winchester, VA Winchester, VA 22604 (703) 665-5643 (703) 665 - 5643 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two copies of your site plan with this sheet. Applicant's name Address: Dawson Investments 110-A Industrial Drive Winchester, VA 22602 Phone number: 540-869-1150 Name of development and/or description of the request: Dawson Investments Building Expansion Location of development: East side of State Route 651, south of the Engineering Department's Comments: Vt&— at V)A{(s<Ukg-.5 En Ineerin9 beonh 1 . ,....:..:.. ....r :. Date received " "-''``:'>; ::.: :. "'Dale revision received :.Date 'a p proved . .. ..... ... . ::...:..... ...... .I �,.. ... Zz gn S�atureand Date. Sinature and Uate: revi >_�....�.�::..::;;.;::;�.::•�c.:.,,....: 0 �n�nnnn�annnnAnnt�nn�nrntt a��nnagnnnnran�nr-n�nA+n.Ane�nnAnnt�aan�len i4dEid1 I '111AL 4 12. VA C E RULE Dk3idilS� .'-!:°wfjn PRESIDENT VE 6=1;7l�[1_ VJI77C OolC. IStJ;7I�IP1�I—CO r.. if! E PR I. T1,47.�,�b^�7 VICE PRESIDENT SC6:dYY P. fi A7,1SOP4 SALES MANAGER IRIS Df�b;75f9P,1 PROJECT MANAGER FEE-29-,Pc THU 1 6 :50 I-1I HCHE TER T1D0L8.Pjr:iCH I HE 5 1 G'F)4 P.02 COUNTY OF FRi DERICK, VIRGINIA FIRE MARSHAIa'S OFFICE LAND DEVELOPMENT CONI'MENTS Control No.0129960049 Date Received 011696 Date Reviewed 012996 Applicant Dawson Investments Address 110-A Industrial Drive Winchester, Virginia 22602 Project Name Dawson Building Addition Phone No.869-1150 Type of ApplicationSite Plan Current ZoningM-1 Ist Due Fire Co. 11 Ist Due Rescue Co. I I Election DistrictBack Creek Tax I.D. No. RECUMMENDATIONS Autoratic Sprinkler SystemXX Residential Sprinkler System Automatic Fire AIarni SystenIXX Other REQUIREMENTS Emergency Vehicle Access Adequate XX Inadequate Not Identified Fire Lanes Required Yes XX No Coninients Posted Fire Lanes must be maintained at all liydratit and sianiese locations. Roudwity/Aisleway Widtlts Adequate XX Inadequate Not Identified Special Hazards Noted Yes No XX Comments Hydraut Locations Adequate XX liladequate Not Identified Siamese Location Adequate XX Inadequate Not Identified Additional Comments Attached? Yes No .YX Plan Approval Recommended? Yes XX No Signature <-r.r -- Title 1J�Jb JAN 2 �+ I January 22, 1996 Dawson Investments 110-A Industrial Drive Winchester, Virginia 22602 COUNTY of FREDIIRICK Department of Planning and Development 540/665-5651 FAX: 1401678-0082 r l.r �I;ii 1; JAN 2 9 rp-^ ! f. f RE: Preliminary Site Plan Review -- Dawson Investments Building Expansion I have had an opportunity to review the above referenced site plan. The following comments will need to be addressed in order for this office to proceed with administrative approval of this site plan. Please: 1) Provide the Property Identification Numbers (PIN) for the subject property, in addition to the adjoining properties. Also include the use and zoning for all adjacent properties. 2) Provide the location and dimensions of all required setbacks and yard areas. 3) Clarify the location of the sidewalks. 4) Note that no signs have been proposed on the site plan. If any signs are proposed, they should be indicated on this site plan. 5) Note that no outdoor lighting fixtures are proposed on the site plan. If any outdoor lighting fixtures are proposed, the site plan should reflect their location. 6) Provide the location for outdoor trash receptacles and dimensions of the structure required to enclose the receptacles. Also provide detailed drawings of the enclosure structures, and the latched gate system. The reviewed site plan indicates the location of dumpster pads; enclosure of the dumpster and trash receptacles is necessary to maintain debris control. 7) Provide the ground floor area and total floor area of all buildings with FAR calculations. 8) Provide the name and route number of existing streets adjacent to the site. Include the posted speed limits for these streets. 9) Provide the location and dimensions of all proposed and existing entrances from public right-of-ways. 10) Indicate the location of all utilities, including sewer and water lines with size of lines, mains, and laterals. 11) Provide the location and width of all easements, including access, utility, and drainage easements. 12) Provide the location and nature of fire lanes, fire hydrants, and all other facilities necessary to meet Fire Code requirements. 13) Provide calculations describing the required number of parking and loading spaces. The parking space calculations are base on 3 spaces per 4 employees. The loading 107 North Kent Street • Winchester, Virginia 22601-5000 Page 2 January 22, 1996 Dawson Investments space requirement is based on one space for each 40,000 square feet of floor area. The location of parking and loading spaces should not conflict with driveway lanes. 14) State the paved surface materials to be used and parking space demarcation. As required by the Zoning Ordinance, the driving lanes and parking spaces should be paved surfaces. Additionally, curb and gutter are also required on the site. Please include a statement addressing the use of these materials. 15) Provide the contour lines for all disturbed areas. 16) Provide a landscaping plan describing location and types of plants to be used. 17) Clarify the total acreage for the site. The submitted site plan indicates total site acreages of 11 and 15 acres. Please correct this discrepancy. The site plan should show all existing and proposed conditions on the site. This includes existing buildings, parking spaces, and driving lanes; dimensions for each should be included. As discussed during the TRC meeting in December, access to this site and existing conditions are important elements when proposing site improvements. Please revise your site plan to address these comments, and the comments provided to you by the review agencies. You will also need to provide this office with the completed comment sheets from all required review agencies. The site plan application and the review fee must be submitted to this office prior to further site plan consideration. The review fee for this site plan is $1,150.00 ($1,000 plus $100.00/acre). The plan indicated a disturbed area of 1.5 acres; the review fee will be based on this disturbed acreage. Once all comments have been addressed, please resubmit one copy of the revised site plan to this department for final review. If the revised site plan satisfies all agency comments, we will request five copies of the final site plan, with the signed Professional Seal, and recommend the site plan for approval. Should you have any questions, feel free to contact me. Sincerely, Eric R. Lawrence Planner I Request For Site Plan Comments D �, Frederick County Engineering Department �, JAN �, 11996 Mail to: Hand deliverl&5-��'`T�' , Frederick County Engineering Dept. 107 N. Kent 8"ut ------- Atten: Director of Engineering Fourth Floor P.O. Box 601 Winchester, VA Winchester, VA 22604 (703) 665-5643 (703) 665 - 5643 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two copies of your site plan with this sheet. Applicant's name: Dawson Investments Address: 110-A Industrial Drive Winchester, VA 22602 Phone number: 540-869-1150 Name of development and/or description of the request: Dawson Investments Building Expansion Location of development: East side of State Route 651 , south of the Roue 37 Bypass_ o i. . t • .. _., n � I • • COUNTY of FREDERICK Department of Planning and Development 540/665-5651 FAX:540/678-0682 January 22, 1996 Dawson Investments 110-A Industrial Drive Winchester, Virginia 22602 RE: Preliminary Site Plan Review -- Dawson Investments Building Expansion I have had an opportunity to review the above referenced site plan. The following comments will need to be addressed in order for this office to proceed with administrative approval of this site plan. Please: 1) Provide the Property Identification Numbers (PIN) for the subject property, in addition to the adjoining properties. Also include the use and zoning for all adjacent properties. 2) Provide the location and dimensions of all required setbacks and yard areas. 3) Clarify the location of the sidewalks. 4) Note that no signs have been proposed on the site plan. If any signs are proposed, they should be indicated on this site plan. 5) Note that no outdoor lighting fixtures are proposed on the site plan. If any outdoor lighting fixtures are proposed, the site plan should reflect their location. 6) Provide the location for outdoor trash receptacles and dimensions of the structure required to enclose the receptacles. Also provide detailed drawings of the enclosure structures, and the latched gate system. The reviewed site plan indicates the location of dumpster pads; enclosure of the dumpster and trash receptacles is necessary to maintain debris control. 7) Provide the ground floor area and total floor area of all buildings with FAR calculations. 8) Provide the name and route number of existing streets adjacent to the site. Include the posted speed limits for these streets. 9) Provide the location and dimensions of all proposed and existing entrances from public right-of-ways. 10) Indicate the location of all utilities, including sewer and water lines with size of lines, mains, and laterals. 11) Provide the location and width of all easements, including access, utility, and drainage easements. 12) Provide the location and nature of fire lanes, fire hydrants, and all other facilities necessary to meet Fire Code requirements. 13) Provide calculations describing the required number of parking and loading spaces. The parking space calculations are base on 3 spaces per 4 employees. The loading 107 North Kent Street - Winchester, Virginia 22601-5000 • Page 2 January 22, 1996 Dawson Investments space requirement is based on one space for each 40,000 square feet of floor area. The location of parking and loading spaces should not conflict with driveway lanes. 14) State the paved surface materials to be used and parking space demarcation. As required by the Zoning Ordinance, the driving lanes and parking spaces should be paved surfaces. Additionally, curb and gutter are also required on the site. Please include a statement addressing the use of these materials. 15) Provide the contour lines for all disturbed areas. 16) Provide a landscaping plan describing location and types of plants to be used. 17) Clarify the total acreage for the site. The submitted site plan indicates total site acreages of 11 and 15 acres. Please correct this discrepancy. The site plan should show all existing and proposed conditions on the site. This includes existing buildings, parking spaces, and driving lanes; dimensions for each should be included. As discussed during the TRC meeting in December, access to this site and existing conditions are important elements when proposing site improvements. Please revise your site plan to address these comments, and the comments provided to you by the review agencies. You will also need to provide this office with the completed comment sheets from all required review agencies. The site plan application and the review fee must be submitted to this office prior to further site plan consideration. The review fee for this site plan is $1,150.00 ($1,000 plus $100.00/acre). The plan indicated a disturbed area of 1.5 acres; the review fee will be based on this disturbed acreage. Once all comments have been addressed, please resubmit one copy of the revised site plan to this department for final review. If the revised site plan satisfies all agency comments, we will request five copies of the final site plan, with the signed Professional Seal, and recommend the site plan for approval. Should you have any questions, feel free to contact me. Sincerely, l Eric R. Lawrence Planner I COUNTY OF FREDERICK, VIRGINIA FIRE MARSHAL'S OFFICE LAND DEVELOPMENT COMMENTS Control No.0129960049 Date Received 011696 Date Reviewed 012996 Applicant Dawson Investments Address 110-A Industrial Drive Winchester, Virginia 22602 Project Name Dawson Building Addition Phone No. 869-1150 Type of ApplicationSite Plan Current Zoning M-1 1st Due Fire Co. I 1 1st Due Rescue Co. I I Election DistrictBack Creek Tax I.D. No. RECOMMENDATIONS Automatic Sprinkler SystemXX Residential Sprinkler System Automatic Fire Alarm SystenKX Other REQUIREMENTS Emergency Vehicle Access Adequate XX Inadequate Not Identified Fire Lanes Required Yes XX No Comments Posted Fire Lanes must be maintained at all hydrant and siamese locations. Roadway/Aisleway Widths Adequate XX Inadequate Not Identified Special Hazards Noted Yes No XX Comments Hydrant Locations Adequate XX Inadequate Not Identified Siamese Location Adequate XX Inadequate Not Identified Additional Comments Attached? Yes No XX Plan Approval Recommended? Yes XX No Signatur Site Plan Information Checklist The following information must be included on your site plan. If your site plan is incomplete or is missing information, it will not be reviewed and returned to you for revisions. Administrative Information Y N 1. Name of proposed development 2. Name, address, and phone number of owner. 3. Name, address, and phone number of developer. 4. Name, address, and phone number of designer. _Sic.64f,.b 5. 6. Certificate of surveyor, engineer, or architect. Date plan prepared and date of revisions. 7. A listing of all conditions placed on the site as a result of a 8. conditional use permit or conditional zoning approval. A "Approved space labeled by the Zoning Administrator" for the approval signature and date of approval. _ (^ 1Y� 9. A description of setbacks or conditions placed on the site as a result of a variance approval. (Reference the variance application number.) General Site Information Y N 10. Location map (scale 1:2000) 11. Magisterial District 12. Scale of site plan (not to exceed 1:50) 13. North Arrow 14. Zoning of site _ 15. Use, zoning, and Property Identification Number (PIN#) of all adjoining properties. This includes properties located across right-of-ways, streams, and railroad tracks. 16. Surveyed boundaries for all lots and parcels. l) General Site (con't) Y N 17. Acreage of all lots included in the plan. _ Z 18. The location and dimensions of all required setbacks and yard areas. 19. The location and type of all dwelling units. _ 20. Location and description of all recreation facilities. 21. Location of sidewalks and Eedestnan ways, 22. Location and area of common open space. 23. The location, height, and dimensions of all signs. 24. Location, height, and specifications of outdoor lighting fixtures. 25. Location and nature of outdoor storage areas. IT7A, (J eF 26. Location of outdoor trash receptacles and dimensions of structure (fencing, etc.) required to enclose receptacles. Building Information Y N 27. The height of all buildings and structures. 28. Location of all buildings, structures and uses. _ 29. The proposed use of each building, structure and area. 30. Ground floor area and total floor area of all buildings with FAR calculations for commercial and industrial zoning districts. Roads N ✓ 31. Name and number of existing and planned streets on and adjoining the site. 32. Location of existing and planned streets on and adjoining the ...�,L site. 33. Posted speed limit of existing adjacent roads. 34. Location and dimensions of all proposed entrances from public right-of-ways. • 0 35. Location of all entrances on adjoining roads within 200 feet of the proposed or existing entrance. 36. Dimensions, boundaries, width, pavement, and construction of planned roads. Utilities Y N 37. Location of all utilities, including sewer and water lines with the size of lines, mains, and laterals. 38, Location and width of all easements, including access, utility, and drainage easements. _ 39. Location and nature of fire lanes, fire hydrants, and all other facilities necessary to meet Fire Code requirements. Parkinq Y N 40. Calculations describing the required number of parking and loading spaces. I A't�c•r 41. Location and dimensions of all parking and loading spaces, driveways, parking aisles, curbing and other features to be used. 42. Location and dimension of all disabled parking spaces and ramps. Natural Features Y N 43. Existing and finished contour lines. '�IN°W MD r1 E 44. Location of steep slopes, woodlands, floodplains, wetlands, sinkholes, and other environmental features. 45. Location of streams and drainage ways. • Landscaping Y N 46. Landscaping plan describing location and types of plants to be used. 47. Location of required buffers and screening with cross sections or profiles. Erosion and Sediment Control Y N 48. A stormwater management plan with run off calculations and location and description of facilities to be used. 49. Soil erosion and sedimentation control plan describing the location and methods to be used to minimize erosion and sedimentation during development. 12 • 0. Request For Site Plan Comments Department of Planninq and Development Mail to: Hand deliver to: Department of Planning and Development 107 N. Kent Street Atten: County Planner Fourth Floor P.O. Box 601 Winchester, VA Winchester, VA 22604 (703) 665-5651 (703) 665 - 5651 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two copies of your site plan with this sheet. Applicant's name: Address: Dawson Investments 110-A Industrial Drive Winchester, VA 22602 Phone number: 540- 869-1150 Name of development and/or description of the request: Dawson Investments Building Expansion Location of development: East side of State Route 651, south of the Route 37 Bypass. Planning and Development's Comments: ,, ,f t, 14? . e. <l�' {' ; `lA . _ ..,^` 4 } V� COUNTY OF FREDERICK, VIRGINIA DEPARTMENT OF INSPECTIONS Caller 1"It Time Called ! L• I Date Called — Phone No. �j `�' y? �% Time Requested An Date Requested Received By Date of Inspection PERMIT HOLDER NAME FIT. NO. __ Lot No. - SEC. No. SUBDIVISION STREET NAME DIRECTIONS — BUILDING NO. PLUMBING NO. ELECTRICAL NO. MECHANICAL NO. cir"M tin DISTRICT 1 PERMIT FOR:uc Type of Inspection Residential _ __ Commercial _ Footers Setbacks: FR BK L Slab Draintile Gas Fire -up Water Service Framing Sewer Rough Electric Final Rough Plumbing Rough Mechanical Final Building Groundworks Gas Piping/Test Final Plumbing Other: _ Time In: 3" _ Temperature Time Out: ' y ____ Weather _ _ _ Results: Approved Comments: _ Rejected R Final Electrical Final Mechanical Site Plan Fire Marshall Special/Complaint Cut in No. I Signature T� �� — _ Date f / Z/ /