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SITE 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).
Site Plan Package
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)
Frederick County Sanitation Authority
Department of Planning and Development
Inspections Department
Frederick County Engineer (Public Works)
Frederick County Fire Marshal
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)
County Health Department
City of Winchester
Town of Stephens City
Town of Middletown
Airport Authority
Soil & Water Conservation District
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COUNTY OF FREDERICK, VIRGI M
DEPARTMENT OF INSPECTION
Caller l`� 1 oL/n1G- Time Called Date Called
Phone No. Time Requested Date Requested
\
Received ByDate of Inspection
PERMIT HOLDER NAME
RT. NO. Lot No. SEC. No. SUBDIVISION
STREET NAME
DIRECTIONS BUILDING NO.
PLUMBING NO.
ELECTRICAL NO.
MECHANICAL NO.
SIGN NO.
DISTRICT
PERMIT FOR:
Type of Inspection
Residential Commercial
Footers Setbacks: FR BK L R
Slab Draintile Gas Fire -up Final Electrical
Water Service Framing Final Mechanical /
Sewer Rough Electric Final Site Plan
Rough Plumbing Rough Mechanical Final Building Fire Marshall
Groundworks Gas Piping/Test Final Plumbing Special/Complaint
Other:
Time In: ( C) Temperature Cut in No.
Time Out: 3 Weather SJNA�
Results: Approved Rejected
Comments: l�►'1tl�J -1-. 1 �, S VFi� LT-::-rm
i'(ac-"K1J(- L) 0Ln � Si3C af- 1��1(��JC��%i l 1 1�i� F-
AA-
Signature
Date
COUNTY OF FREDERICK, VIRG�
DEPARTMENT OF INSPECTION
Caller Time Called
Phone No. Time Requested
Received By
PERMIT HOLDER NAME __
RT. NO. Lot No
STREET NAME
DIRECTIONS
PERMIT FOR:
Type of Inspection
Residential
Footers
Slab _
Water
Sewer
Rough Plumbing
Groundworks
Other:
Time In:
Time Out:
SEC. No.
Setbacks: FR
Draintile
Service
Rough Electric
Rough Mechanical
Gas Piping/Test
Temperature
_ Weather
0
Date Called
Date Requested
Date of Inspection --
SUBDIVISION
DISTRICT
Commercial
BK
Gas Fire -up
Framing
Final
Final Building
Final Plumbing
BUILDING NO. _
PLUMBING NO.
ELECTRICAL NO.
MECHANICAL NO. -
SIGN NO.
L R
Final Electrical
Final Mechanical
Site Plan
Fire Marshall -_
Special/Complaint
Cut in No.
Results: Approved V Rejected
Comments: 1__ �:� i�rN- ,,lr
Signature / - Date
6 46j__1_
COUNTY of FREDERICK
Department of'Planning and Development
540/ 665-5651
FAX: 540/678-0682
June 13, 1997
Eva and Garris Poling
212 Whitacre Road
Winchester, Virginia 22637
RE: Site Plan Approval - Poling Site Plan (Antique Shop)
Site Plan #021-97 Zoned: RA w/CUP #014-96
Dear Mr. and Mrs. Poling:
This letter is to inform you that the Frederick County Planning Department administratively approved
site plan #021-97 on June 13, 1997. This site plan was required as a condition of Conditional Use
Permit 4014-96.
This minor site plan consists of a 1,826 square -foot building to be used as an antique shop. In
addition to the proposed building, there will be 5 parking spaces within a double prime -and -seal
parking area. One of the parking spaces shall satisfy ADA requirements for handicap parking,
stripping, and signage. All parking spaces will be delineated and provided with concrete wheel stops.
The owner/employees of the antique shop will be parking at the Poling residence.
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 note that the parking area should
be constructed to reflect the design approved on this site plan. Please contact this office to schedule
an on -site inspection once all improvements are complete.
107 North Kent Street o Winchester, Virginia 22601-5000
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Page 2
Poling Site Plan
Site Plan Approval
June 13, 1997
Please contact me if I may answer any questions regarding this letter.
Sincerely,
Eric R. Lawrence
Planner II
Enclosure
ERL\bah
cc: Robert Pease, Ebert & Associates
Steve Melnikoff, Virginia Department of Transportation
Roy Jennings, Frederick County Real Estate
U:\ERIC\C OMMON\SITEPLAN\POLING.APIZ
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SITE PLAN APPLICATION
Department of Planning and Development Use only. �] r�
I :,see sop►ication received "�d " Application #a { F
_ Complete. Date of acceptance
Incomplete. Date of return_
Project Title: 1 o_ L14 � S ( T c— PL4i
Location of Property Zk Z �N �T�� fLOP-b.
(street address) ��o A ZZCo3^1
Property Owner: E\/A N\- Po u 0"
Address: 'Z_- L-L- R o r* n
G6AJt . 1a 2263-7
Telephone: �S 40 g88 3 Z63
Applicant/Agent E-kE cnT qrA n Arc V\' V,s
Address '�� 1�Fs7- S%rEk-►
W -1 c H-y-, T 2. VA ZZ G O t
Telephone:
5. Designer:
Address:
Telephone:
Contact:
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It this an original oevised site plan?
Total acreage of parcel to be developed:
Total acreage of parcel:
Property Information:
Property Identification Number:
Current Zoning:
Present Use:
Proposed Use:
Adjoining Property Use(s)
Adjoining Property Identification Number(s)
Magisterial District(s)
Original Revised
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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:
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Ebert and Associates
A H. Aubrey Hawkins Associates, Ltd. Company
LAND SURVEYING LAND PLANNING DEVELOPMENT
(ItoIg1
TRANSMITTAL SHEET
TO:• FROM (2=P-K" akC&
SUBJECT: _
PURPOSE:
[ FOR INFORMATION
[ FOR REVIEW AND COMMENT
FOR APPROVAL
L FOR REVISION
[] YOUR REQUEST
[] PLEASE RETURN BY
REMARKS: _
_f}S_ '1>1Z GvLtcli>
WE ARE SENDING HEREWITH:
AGENCY COMMENTS
BOND UNIT PRICE LIST
COMMENT RESPONSE LETTER
;CORRESPONDENCE
DEVELOPMENT CONTROL FORM
DRAINAGE COMPS
DATE
FEE
FEE CALCULATION SHEET
PRINTS 1(1;)
[;
QUALITY CON1 HOL FORM
C
REPRODUCIBLES
[�
SITE DEVELOPMENT FEE
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SPECIFICATIONS
SUMMARY LETTER
OTHER Soo
35 WEST BOSCAWEN STREET • WINCHESTER, VIRGINIA 22601-4740
540-667-3233 • FAX 540-667-9188 • TOLL FREE 1-800-755-7320
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