The URL can be used to link to this page

Home My WebLink About03-10 Comments from other Depts17J w Bequest For Site Plan Comments Frederick County Ins ec� tions Department ail to: Frederick County Inspections Dept. Attn: Building Official 107 North Kent Street Winchester, VA 22601 (540) 665 -5650 RECEIVED �f Hand deliver to: 107 N. Kent Street, Suite 200 North Building, 2"" Floor Winchester, VA (540) 665 -5650 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one (1) copy of the site plan with this sheet. M Applicant's Name: 2 70✓t �i c e J C Peru / /a b SGT Address: Phone Number: 1110— Y74/ -90 29 / Location of property: 3) 7 E yt /Zl✓o .10i ke �,/l11 C,/.a l r? — inspections Department's Comments: Inspections Dept. use only ;Date: received Date revision received Date approved Z �� J/d Incomplete Incomplete / Dite:reviewed Date nevi Slgnmure aot Date .Signature and Date (revision) 16 k TO 39Vd 2890819009 6Z:5T 0TOZAIVZ0 H 0 Ll Structure shall comply with The Virginia Uniform Statewide Building Code and Section 312, use group U (Utility and Miscellaneous) of The International Building Code 2006. Site plans shows an antenna to existing tower and a new shelter. Structural plans submitted for permit application shall be sealed by a Va. Licensed Design Professional for antenna attachment. Please note the requirements in Chapter 17 Special Inspections for this type structure, soils, concrete, bolts, etc. ZB 39Vd Z8908L9009 6Z :Si 0t0Z /4Z /Z0 From:LIFESAFE 0312010 10:58 #483 P.001 1001 • I �iCBx, t Frederick `PwOtlC3eY rEen afid R£r4L'e .. Department < . t`J�i7Ce or the Fire e Pxfi YS e I P @era R�'!r ° @2i5r Control number Date received Date reviewed Date Revised SP10 -0002 219/2010 2!12/2010 Project Name Applicant Verizon wireless / Izaak Walton SCE for Verizon Wireless C/O Andrew Martin Address City State Zip Applicant Phone 9000 Junction Drive Annapolis Junction MD 20701 410- 474 -9081 Type Application Tax ID Number Fire District Rescue District Site Plan " 77 -A -68 21 21 Current Zoning RA Election District 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 /AWmay Width Special Hazards Not Identified Adequate No Emergency Vehicle Access Comments Access Comments Additional Comments PLAN'S APPJR OV D FIRE hua�SWA"'iL, FAMED ;�,, c 1tg4 Plan Approval Recommended Reviewed By Signature Yes S. Mark Showers / Title VDOT Land Use Permit =89193 - Approval - Verizon Wireless Private Entrance - 50/... Page 1 of 1 From: Funkhouser, Rhonda < Rhonda. Fu nkhouser @VDOT.Virg in ia. gov> To: Andrew Martin <amartin @sceeng.com>, Melissa Reese <mmreese @comcast.net> Cc: Hoffman, Gregory < Gregory .Hoffman @VDOT.Virginia.gov>, Ingram, Lloyd < Lloyd .Ingram @VDOT.virginia.gov>, cperkins @co.frederick.va.us Date: Friday, April 02, 2010 01:55 pm Subject: VDOT Land Use Permit #855 -9193 - Approval - Verizon Wireless Private Entrance - 50/17, Frederick Co. Attachments: U 855- 9193.pdf (1M8) 6 2010.3.17_ Izaccwalton _ZDs_with_Entrance.pdf (2MB) Attached is your approved Land Use Permit #855 -9193 and plans to the installation of a private entrance at the subject location. «855- 9193.pdf>> <<2010.3.17_ Izaccwalton _ZDs_with_Entrance.pdf>> Please ensure a copy of the approved permit assembly is kept at the job site whenever working within the right -of -way. I would also like to remind you of the need to erect and maintain proper traffic control in accordance with our Virginia Work Area Protection Manual and the Manual of Uniform Traffic Control Devices. You are required to contact Greg Hoffman at (540) 535 -1824 at least 48 hours in advance of the start of construction to arrange for any necessary inspections. Once the work has been completed, please advise this office so a final inspection can be performed. If you have any questions concerning the permit requirements or during construction, do not hesitate to call /email. Rhonda FUni2 O"52V VirL3Lwia Depavtvmvnt of Tvansportptlon trand Developn,ent 14031 old VnUeIJ. PI.2e edCvLb"rg, vi-(g,vuA 22824 P'novLe #f (540)84 -5602 Fax #v (540)984 -5603 http:/ /maii.sceeng.coinledgeclesklcgi- bin/ viewmail. exe° id= 0103S3cc9bde4cO825df,iSe7ccSa... 4/5/2010 • Commonwealth of Virginia Department of Transportation Land Use Permit 0 Permit No. 855 -9193 i � Revision No. 1 1 Status Active Application No. Payment Method Check Total Payment Amount $100.00 Effective Date April 2, 2010 Expiration Date September 29, 2010 Reinstatement Date Revision Date April 02, 2010 Permittee Information: Your Job # Verizon Wireless Private Entrance Surety & Account Receivable Information: Owner E886598 -1d, Herman Ashby Agent 521170360 -1.1, D & H Builders Name Cash Duke Greg A. Whidey, Acting Commissioner Address Herman Ashby Duke Address D & H Builders Surety Type Cash 41 Hidden Valley Cove 7001 Van Ousen Road Surety Acct 43871 Shepherdstown, WV 25443 Laurel, MD 20707 Amount 5,000.00 Contact Ashby Duke Contact Melissa M. Reese Obligation Amt. 5,000.00 Phone # (304)876 -6758 Phone # (301)317.5777 Surety Holder Agent described under this permit, the permittee shall contact the following office in writing to Fax # (301)953 -2749 24 Hr. # (301)814 -0132 Acct. Recv. # AUTHORIZATION: In compliance with your application, permission is hereby given insofar as the Commonwealth Transportation Board has the right, power, and authority under sections 33.1 - 12(3); 33.1 - 197; 33.1 - 198 of the Code of Virginia as amended, to grant by Special Agreement and /or by Land Use Permit for you to perform the work and or activity(s) described below: County/Cityrrown Frederick Co. Highway Route(s) 50117 From Route 644, East Parkins Mill Road To Route -, CaponValley Road Installation of a paved PEA entrance per attached plans and special provisions. Regular Permit Fee $0.00 1 $100.00 Applicant has complied with Section Code 56- 265.15 affidavit is attached. O YES7 Not Applicable TERMS: Applicable as stated within the Land Use Permit Manual (current edition) and /or as per approved plan(s) andlor regulatory instructions and /or agreements attached hereto. THIS PERMIT IS NOT VALID WITHOUT THE FOLLOWING ATTACHMENTS: Approved Site Plans, Special Provisions - General COMMONWEALTH TRANSPORTATION BOARD �i Call before dig Greg A. Whidey, Acting Commissioner you Allow the required time for marking ' I° By: {7 ' �� "- 4/2/2010 Respect and protect the marks /flags Lloyd A. Ingram G Excavate - Call Miss Utility carefully 811 Final Inspection Requirements: Upon completion of the work described under this permit, the permittee shall contact the following office in writing to request inspection. Edinburg Residency (540)984 -5600 14031 Old Valley Pike Edinburg, VA 22824 Permit No.: 855 -9193, Revision No.: 1 Land Use Permit VD0773 Web Site: mva.vdotvirginia.gov 0 Commonwealth of Virginia Department of Transportation 6/2008 .w LUP -A LAND USE PERNUT Application APPLICATION is hmtby mode for permit w shown on the acoompm)ing pLw or Sketch ad as described below. Said aceivity(s) will be done under and in accerdmce with the rules and regulations of ee- Commonwealth Traaspormdon Board of Vurinia in ao far as said rules we applicable dtercm and any amt between the panties herein before mi --trod to. Where applicable agreements may be amched sad made a part of the permit asumbly mcirdin6 acy cost responsbicties covering work under pe:ffit Applicant agrees to mu.aam week: in a maulerasapproved upon i6 complctioa Applicantalw herby agtasand isbowdand held tapomibkto the m ocrioraay and an damages to hey other msallatiotssnireadymplacensa nsWr ofwork wviced by rnwdng permit Applipvts to whom permin are iss:ed shall at a¢ times wvnmify and save lemom the Commonwplds Tmnsporation Baud members ofthe Board, the Commonwealth and an Commonwealth employccs, agents, and mEces, from responsibility, damage, or liability arisiag from dr cxacia of the privileges granted in such permit m the extent allowed by law. In consideration of the imranee ofa permit the applicant agrees m waive for inelC successors in interest or assigns my entitlements c may otherwise have or have he+eafier under the Uniform Relocation and Asistta Act of 1972 as amended in event the Department or its sncenser,. ehwss m exerdse its adaowledged right to demand or an. the removal ofany or all 6cn¢es, personality ofwbamver and or description that may here dex be located, should thin application be apprevce. TYPE OR PRINT CLEARLY ID number: 6 6 S Contact Name: Driver's license ors� (Tax Owner Name: 4MCP+ k1J A E -mail Addr". tfJCr./000 /\/� Address: Ii l.rJ ` - +"C.�- Phone Number: ( 7 C ) �� . G City: "0.. 't�Stat�+_Zip Code %`-1 Emergency Number:(_) - Fax Number: (_) - Driver's license or Tax�Itn number: - c.eJ (p 0 Contact Name: �(FLLSS,A 144 Agent Name: � R ��C//� l�S E -mail Address: �+(.t�Rfr�_S� e— nn-- Address:[ UAI-1_yxfSF —i1 Vl� Phone Number:(y-2C2L) 347_- J L7 City:r,A' -(.C, SWAP Zip Code,'o /O% Emergency Number:( 3of ) fie& �T Fax Number: (AQ I)�- Permit Term Requested Fees Enclosed$ t%I 0; Check Number Coupon Numbers) Moncy Order Other E 'mated cost of work to be performed on VDOT Right of Way Surety Tnformation: Company Name �r The Surety posted by Owner ( ) or Agent W [S'urety Amount of Surety S J [ 6z 0 - r Obligation Amounts Check: Ate Bond # ILC Surety Refunds paid to Owner () or Agent (;azj $ [ [Corporate Surety ( J Resolution ]Waived [ [ Ordinance [ ° IF SURETY IS BY CHECK OR MONEY ORDER- THEN SS# OR TAX ID# IS REQUIRED" Applicant M1 r ided proof ofthe follo ins re uiremente in : erardonee ere defined in Cade ofl,ininia s ,firm 2:11 "1.1. (1) The utility company los registered as an opmtar with the appmpnate, notification center. (2) Attached is a nouriud affidavit. that the udlity owner Ives nodfled the co=,rcul and rceidc=Lul developer. owner of comeaerial or multifamily real estate, or loco: go'crameet mtides with a property interest in any parcel of land located adjacent he the property over, whmh the lard use is being requested that applicedoa for the permit has been mad.. plans. Location- Tax Map Number 7 / - 4 - 6 S Applicant Job No. Geographicall y ' Co ty / TOWV / City of it ✓ig c h nf7, On Highway Route and/or Name S 50 / Between Route St.Name� °a,/[i,'r H% // oac/ Latitude 3i. /nay Longitude -78.// 9 And Route St.Name�r q fro/ Ladrude3 -7-/34/9 Longtude-7fl. /2// [ IIF.APPLICABLE, I. AGREE T9'PAY THE FULL AL., Y�AND EXPENSES OF A STATE ASSIGNED DNSPECTOR IN CONJUNCTION WITH T jPRO , C0 ' ACCOLtiT RECEIVABLE NLINIBER. ) Signature of applicant Title J- -� Date �7 /G:- c.�ZC/ 0 Signature of agent I '! Title P StD.0k Date 3-.2& -2C:o (IF BOTH APPLI AN 8' AGEN ARE N ED ABOVE —THEN SIGNATURE -TITLE -DATE OF BOTH ARE REQUIRED) All applicable items on this form must be completed before yora request can be considered Recheck infomtacon furnished to avoid delay. Prepayment Required - make Remittance payable to Trcuurer of Virginia, VDOT USE ONLY Receipt is hereby acleeowledged of CHECK-V _COUPON M.D. In The Amount of S ') i ni) — VDOT. Number Ip L� L UP -CB Revised 1110212009 0 U 2 '9 -- 9 COMMONWEALTH of VIRCjINIA DEPARTMENT OF TRANSPORTATION 14031 Old Valley Pike Edinburg, Virginia 22824 NOTICE TO PERMITTEE PLACING A CASH SURETY Ref: Project Name: lkagc VIJ�i ss - 1 �aG UV� rout ln2t'` Route .570'uPa CV,- County I understand if I should owe the IRS or the Commonwealth of Virginia money for any reason, that I may not receive a refund of the cash guarantee placed for land use permit surety unless the amount owed is less than the amount posted. Failure to complete the work described in the land use permit to VDOTrs satisfaction may result in the fo ture of the cash surety. S natur of Person S plying Ca hh Surety For company's representative) �I�ma N u /1�c�S soncC ae of Person /Business as it appears on check being provided for cash surety. Complete Mailing Address (Surety to be returned to address on �32I - S17-52-7-7 Phone # G01-31-7-6777 Fax # 5-1/703 CD Social Security # or Tax 1. D.# Date * *Required ** - Driver's License # not adequate. For VDOT Use Land Use Init # '` 5 x,, `^ °Q `.?.r 7: Check . JJ I f Amount S n L.1Hof t.; 4aiN1r DEPARTMENT OF TRANSPORTATION PoO.nC.J. vlc� xAlC:aL00'v VDOT Erosion & Sediment Control Contractor Certification In accordance with the Virginia Department of Transportation (VDOT) Road and Bridge Specification 107.14 (a), Special Provision 107D, all contractors performing regulated land disturbing activities within VDOT right -of -way must have an employee that has successfully completed the VDCT Erosion S- Sediment Control Contractor Certification training. Regulated land disturbing activities are defined as those activities that disturb "500 500 square feet or greater in Tidewater, Virginia (as defined in § 10.1- 2101 of the Code of Virginia) or 10.000 square feet or greater in all other areas of the State. The Departmen ±will require evidence of this certification with any Land Use Permit application that involves utility and /or commercial right of way improvement. NON - COMPLIANCE MAY RESULT IN PERMIT SUSPENSION &IOR A STOP WORK ORDER ApplicaatTroJect Contractor: -�)�t H t�UI�G/G� �._N L Route:\umber.__/.Z County: Residency:_ ) r(�-- As the Contractor jor -this project, I/13e herew acknowledge that an employee of this company itas succescful/r completed the D'DOT Erosion K Sediment Control Contractor Certification training and will be responsible jar insuring compliance with all applicable local, state and federal erosion: and sediment control . regulations during all land danirbatce activates. Work on this project involves less that 500 square feet of land disutrbance activities and therejorc is erenptufrona the requiem nt THIS DOCUilfENT MUSTACC03lPANY THE VDOT LAND USE PERLIIT APPLICATION 0 E Commonwealth of Virginia '` Department of Transportation a LAND USE P£RN'IIT 032010 Sp"inl Provision VDOT Work Zone Traffic Control Certification Verification In accordance with the Virginia Department of Transportation (VDOT) Road and Bridge Specification, Special Provision 105.14, beginning July 1, 2009, all activities performed under the auspices of VDOT Land Use Permit involving the installation, maintenance and removal of work zone traffic control devices must have at least one (1) person on -site who, at a minimum, is verified by VDOT in Basic Work "Lone Traffic Control. A person verified by VDOT in Intermediate Work Zone Traffic Control must be on -site to provide supervision during work zone adjustment or, changes to traffic control due to field conditions. These persons must have their verification card with them while on the project site. NO.N- COMPLIANCE AM Y RESULT IN PERMIT SUSPEt4SIOR' &lOR A STOP WORK ORDER 1, , stare that I will have at least one (1) person Stal is verifed by VDOT in Basic Work Zone Traffic control who will be responsible for the placement, maintenance and removal of work zone traffic control devices within the project limits in compliance mirk the permit requirements and conditions, the approved plaits, .,pecifrcations, the Virginia Work Area Protection Manual and the Manual of Uniform Traffic Control Devices. rt person verified by VDOT in Intermediate Work Zone Tra fc Control will be on -site to provide supervision during work. _one adjastnrents or changes to tryffrc control due to field conditions. These persons will provide evidence oftlrese verif;cations upon request from VDOT personnel. ,�Ti:e requested cavity does not,hrvo ve the installation, maintenance and removal of work r -one traffic rgpl d'm,ices anAther ore is erempt from this requirement, c& l 3 -x - 1c) Sipnure —� Date THIS D0CU3fF_NT MUST ACCOAfPANY THE VD0T L IND USE PER HT APPLICATION 0 E Commonwealth of ns orta LL>NnT Department of Transportation DIA LA"iD USE PERriIIT W2010 Special Provisions NOTICE OF PER1II Ci EE LLIBI TrY PermitteeAa_reement for Land Use Permit Issuance I the nndecsigatd applicaathereby zelmowledgo thatI am f illy copizant of all of the foUoaiagreguiremeats assaaatcd with the issuance of a VDOTLmd Usc Pcrmir. Route Number: County: Residency-. Any of the folloaicg provisions that luny apply, shall apply. 1. Permitree aces ptaace and use of a Vi emia Dgw*ne& ofTransponadon (VDOI) Land Use Permit is ptisa facie evideace that the pcmitteehas read and is fully coo-dizant of all regtdrzd permit provisions, applicable ttaf a eoattol pL--Ls and - associated ocosmsetion sumdards to be =played. ALL applicants to whom pcsraity ere isseed shall at all times indemnify and save b imless the Con=omveaUh Tmnsporuaion Board, members of the D'omd, the (Amman -=Uh, and all Comato each cmployeer, agents, and officers, from r sponability, damage, or liability.atising from the exercise of the privilegm granted in such pccmicto the extent allo% d by law. 2 Shepetxittceagreestosau: candvaryiaso: acceaer+ actstliabtliry# arpasoa21jetyandpraocc tydamagothu may arise frran the work performed tmdcparm: and/or from the op=6ca of permiacd aarrity -up to one millioc dollars (S 1.000, 000) mcb ocanzcoce to protect the Board members and the Dcpatrmmt's agents or employe sevca7w-frve thocsatd doll= (SiS,000) eat o=weace to protect the Bo d, the Depmanm a the CommonweaZrh is event of mil 3. Taepamittee assumes full rap onability fcr any and all (downsaeanfloodiag, aoson, siltation, at,) damages thatzaay never as aicmlt of Lie work paform��da this pewit Fmtbcsuom,theDepmatteat wiL in no way be rcTansibic for any damage to thefaclHty being placed as a result offrtmre maintenance a cac=ccua activities performed by the Depwtnent. 4. Teepermittoe agrees to move, tmovc, a`ae, a du.ge any man ell afon that intafacswi:h the ultimato corsavetion of [belwghway in a'ignmcut or grade at NO cost to ilteDeparbnea¢ tmlcs ochatiise stipulated aed aptocd to by theDeparw nt. S. The pamiace shall itmaodiately cor_ect nay situ atioc that may arx as a result of these activitica that the Diseia Admiaisaator's dcsigece deems bazardors to the utn' lice public. b. Any and ail higbar_y signs, r5ghtof- -any mzrkas, ca, dis oxbcd as a rcsuh ofwork paforned under this permit shall be aec ply rcvetby the panaare:m=ed -ztsly followiao the ask is the vicinity of the disturbed facility. The services of a cere5ed laud nnveyar with experience ir route sutvey".ag may be regairo3 ?. It sball be the p==6ucesrespocnbil`.ty to ob:aia eL \i and ALL aecmeay parrots thumay be rDgUa,d by any othw govetnmcat agmam ie_ 674 Army Corp_ of Enobic=t. Department of Envirn amenial Quality, Deparb� ofConservadon and - Recreation; etc. k� Mail to: Winchester Regional Airport Attn: Executive Director 491 Airport Road Winchester, VA 22602 (540) 869 -2422 • Request For Site Plan Comments Winchester Regional Airport Hand deliver to: 491 Airport Road (Route 645, off of Route 522 South) (540) 869 -2422 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one (1) copy of the site plan with this sheet. Applicant's Name: Address: Phone Number: of developynent and /or description of the, request: Location of property: 317 MYL 0I d Pl,'e Ucf' I#gdled V / cl 4L& rNatO� Winchester Regional Airport Comments: see Vp 4--S SO'r cOfYlmeI}- .r.!lS.LIL >.,.� Winchester Regional Airport use only Date received AI-5 6 AI-5 Date revision received Date approved�� (] Incomplete Incomplete _ Date rev ewed 41 K tl o Date reviewed Signature and Date S S o 0 Signature and Date (revision) 24 WINCH ESTER,RE61O'NAL AIRPORT 491 AIRPORT ROAD WINCHESTER, -VIRGINIA 226o2 (W) 662-57,86 March24, 20T0 Andrew Mailin 'Virginia 10, RSA ,Ltd, Oartnershlip d1b/a/ Veri;on, Wireless 9000 junction Drive Annapolis, Maryland 207101 Re: Site Plan ' bornmeni Co-Locate Antennas at 145' Izaak i" 'l Welton Paik ' S, Ile— h —Route e50 . Virginia - Shawnee 4 g I . - M I &gist6ri6l District Dear Mr. , Martin: We fiav6 reviewed r' , y , our . I Ire I q , u I e , s for site ... pi a,n-,.comments t6place antennas at 145' onan existing ,antenna,towe'r'(816323)located'6t.3175milIW6o6 Pike, Izaak Wafloh Park Site, owned byt,r,own Castle. Thahk you ior allowing.us the opportunity to review these plans. 'Should you have questions, - please . do not hesitat e- to contact "M'd- Serena R; Manuel E'xelcutive. Director 0 Candice Perkins 0 From: Funkhouser, Rhonda [ Rhonda .Funkhouser @VDOT.Virginia.gov] Sent: Friday, April 02, 2010 1:56 PM To: Andrew Martin; Melissa Reese Cc: Hoffman, Gregory; Ingram, Lloyd; Candice Perkins Subject: VDOT Land Use Permit #855 -9193 - Approval - Verizon Wireless Private Entrance - 50/17, Frederick Co. Attachments: 855- 9193.pdf; 2010.3.17_ Izaccwalton _ZDs_with_Entrance.pdf Attached is your approved Land Use Permit #855 -9193 and plans to the installation of a private entrance at the subject location. «855- 9193.pdf>> <<2010.3.17_ Izaccwalton _ZDs_with_Entrance.pdf>> Please ensure a copy of the approved permit assembly is kept at the job site whenever working within the right -of -way. I would also like to remind you of the need to erect and maintain proper traffic control in accordance with our Virginia Work Area Protection Manual and the Manual of Uniform Trdffl'C Control Devices You are required to contact Greg Hoffman at (540) 535 -1824 at least 48 hours in advance of the start of construction to arrange for any necessary inspections. Once the work has been completed, please advise this office so a final inspection can be performed. If you have any questions concerning the permit requirements or during construction, do not hesitate to call /email. Rhonda Funkhouser Virginia Department of Transportation Land Development 14031 Old Valley Pike Edinburg, Virginia 22824 Phone #(540) 984 -5602 Fax #(540) 984 -5607