OWNER ON RECORD NAME CONSTRUCTION VALUE CAM PECOMETH FIRE MARSHAL FEE PARK FEE NEW BUILDING SCHOOL FEE STAKED BEDROOMS 0 BATHROOMS

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1 one SC O PERMIT B9 659 W it 6 i Coursevall Drive DATE OF APPLICATION I Centreville MD BUILDING LOCATION PROPERTY OWNERS NAME CENTREVILLE TRUSTEES OF THE PENINSULA METHODIST CHURCH INC DOVER DE 99 TAX MAP 2 GRID PARCEL 3 ACREAGE 56 OWNER ON RECORD NAME ZONED FRONTAGE DEPTH 25 CAM PECOMETH FIRE MARSHAL FEE PARK FEE PROPOSED USE ZONING FEE 55 BUILDING FEE NEW BUILDING FIRE FEE 45 2 ROY KIRBY SONS INC CLARKVIEW RD STE 3 BALTIMORE MD 229 P INDER SERVICE PN JOHN W TIEDER INC E 278 PINDER SERVICE CO INC HM24 CONSTRUCT A NEW CONFERENCE CENTER 58 X 26 OVERALL TO INCLUDE DINING ROOM OFFICES KITCHEN RECEPTION AREA MEETING ROOMS AND ES WOODFRAME UNFIN BASEMENT FIN BASEMENT IMPROVEMENTS FIRST FLOOR SECOND FLOOR 3699 BEDROOMS BATHROOMS 4 GARAGE CARPORT ROAD ENTRANCES DECK EIER TYPE 766 WELL WATE OTHER FIREPLACE n No GEO THERM ENTRAL AIR YES TOTAL FLOOR AREA 4465 SPRINKLER SYSTEM xik X YFS WIDTH ROADTYPE COUNTY THE UNDERSIGNED HEREBY CERTIFIES AND AGREES AS FOLLOWS THAT SHE IS AUTHORIZED TO MAKE THIS APPLICATION 2 THAT THE INFORMATION IS CORRECT 3 THAT SHE WILLCOMPLY WITH ALL REGULATIONS OF QUEEN ANNE S COUNTY WHICH ARE APPLICABLE THERETO 4 THAT SHE WILL PERFORM NO WORK ON THE ABOVE REFERENCED PROPERTY NOT SPECIFICALLY DESCRIBE IN THIS APPLICATION 5 THAT SHE GRANT S COUNTY OFFICIALS THE RIGHT TO ENTER ONTO THIS PROPERTY FOR THE PURPOSE OF INSPECTING THE WORK PERMITTED AND POSTING NOTICES CCESSORY STRUCTURE STRUCTURE BUILDING ill L3 L i FLD PL ZN JK s F ZONING Sh g7 PLUMBI G 2 Io r 4 S SEDIMENT 2 d oy Sio AD SANITATION D Li S 5 Al PUB SEW TK y k G9 SHA REAR FT REAR FT SIDE ST FT SIDE ST FT MAX HGHT FT MAX HGHT FT CU 42 APPROVED 74 6 CP C QUEEN ANNE S COUNTY FIRE MARSHAL THIS ENCLOSED STATED NO INSPECTION STAMPED PLANS ARE ON SITE INSPECTION CALL EXT 44 BACKFLOW CG4 27 OBF5 9 SW MGT K f X O tti k ENTRANCE TK SdOK ELECTRICAL E FIRE MARSHALJTL I I Ail 7 iv ATE APPROVED ADMINISTRATOR

2 J tnnese r e 6 Coursevall Drive DATE OF APPLICATION PERMIT B9 66 Centreville MD BUILDING LOCATION PROPERTY OWNERS NAME CENTREVILL TRUSTEES OF THE PENINSULA METHODIST CHURCH INC DOVER DE 99 TAX MAP GRID PARCEL ACREAGE 2 OWNER ON RECORD NAME ZONED FRONTAGE DEPTH i FIRE MARSHAL FEE CAMP PARFEE PECOMETH PROPOSED USE ZONING FEE BUILDING FEE NEW RTTIT TNG FIRE FEE i 85 8 ROY KIRBY SONS INC CLARKVIEW RD STE 3 BALTIMORE MD 229 BINDER SERVICE PN 353 JOHN W TIEDER INC E 278 PINDER SERVICE CO INC HM 24 CONSTRUCT A 2 STORY COTTAGE TO INCLUDE 2 GUEST ROOMS 2 LOUNGES AND A LAUNDRY ROOM ST FLR 52 X 7 OVERALL 2ND FLR 62 X 52 OVERALL COTTAGE UNFIN BASEMENT FIN BASEMENT WOODFRAME IMPROVEMENTS FIRST FLOOR SECOND FLOOR BEDROOMS 355 BATHROOMS 355 GARAGE CARPORT 2 ROAD 2 ENTRANCES WIDTH ROAD TYPE DECK SEWER WELL COUNTY OTHER FIREPLACE SEPT n ENTRAL AIR TOTAL FLOOR Ahi CE SPRINKLER WATMA SYSTEM YES 66 NO rhe UNDERSIGNED HEREBY CERTIFIES AND AGREES AS FOLLOWS THAT SHE IS AUTHORIZED TO MAKE THIS APPUCATION 2 THAT THE INFORMATION IS CORRECT 3 THAT SHE WILL COMPLY NITH ALL REGULATIONS OF QUEEN ANNE S COUNTY WHICH ARE APPLICABLE THERETO 4 THAT SHE WILL PERFORM NO WORK ON THE ABOVE REFERENCED PROPERTY NOT SPECIFICALLY DESCRIBED IN MIS APPLICATION 5 THAT SHE GRANTS COUNTY OFFICIALS THE RIGHT TO ENTER ONTO 48 PROPERTY FOR THEPURPOSE OF INSPECTING THE WORK PERMITTED AND POSING NOTICES CCESSORY ITRUCTURE STRUCTURE BUILDING LSi O IDE ST FT SIDE ST FT JIAX HGHT FT MAX HGHT FT CU 42 APPROVED 74 6 CP C QUEEN ANNE S COUNTY FIRE MARSHAL THIS ENCLOSED STATED NO INSPECTION STAMPED PLANS ARE ON SITE INSPECTION CALL EXT 44 site plan review not required per section b FLD PL ZN JK gfo ZONING J3t iiidc PLUMBING L Py Dn9 SEDIMENT Dy Sio SANITATION DC 279 S3Yto PUB SEW 7K ii X 9 SHA SW MGT 7k b UH C6 U N Lii6 ENTRANCE Cit chi ELECTRICAL E FIRE MARSHAL TL 7 IATE APPROVED el ADMINISTRATOR Cf A EvSuH t i i

3 NNNES p ww 6 PERMIT B9 66 r 6 Coursevall Drive Ni l DATE OF APPLICATION Centreville MD BUILDING LOCATION PROPERTY OWNERS NAME CENTREVILLE TRUSTEES OF THE PENINSULA METHODIST CHURCH INC DOVER DE 99 TAX MAP 2 GRID PARCEL 3 ACREAGE 56 OWNER ON RECORD NAME ZONED FRONTAGE CS DEPTH CAMP FIRE PECOMETH MARSHAL FEE PARK FE PROPOSED USE ZONING FEE BUILDING 55 FEE NEW BUILDING FIRE FEE 85 8 ROY KIRBY SONS INC CLARKVIEW RD STE 3 BALTIMORE MD 229 PINDER SERVICE PN 353 JOHN W TIEDER INC E 278 PINDER SERVICE CO INC HM 24 CONSTRUCT A 2 STORY COTTAGE TO INCLUDE 2 GUEST ROOMS 2 LOUNGES AND LAUNDRY ROOM ST FLR 52 X 7 OVERALL 2ND FLR 62 X 52 OVERALL COTTAGE 2 WOOD FRAME UNFIN BASEMENT FIN BASEMENT IMPROVEMENTS FIRST FLOOR SECOND FLOOR BEDROOMS 355 BATHROOMS GARAGE 2 CARPORT ROAD ENTRANCES WIDTH ROAD TYPE DECK COUNTY WELL WAT E TYPE OTHER FIREPLACE HEATING SY ENTRAL AIR 7i I GEO THERM YES TOTAL FLOOR A EA SPRINKLER SYSTEM 66 NO rhe UNDERSIGNED HEREBY CERTIFIES AND AGREES AS FOLLOWS THAT SHE IS AUTHORIZED TO MAKE THIS APPUCATION 2 THAT THE INFORMATION CORRECT 3 THATHE SHE WILL COMPLY KITH ALL REGULATIONS OF QUEEN ANNE S COUNTY WHICH ARE APPLICABLE THERETO 4 THAT SHE WILL PERFORM NO WORK ON THE ABOVE REFERENCED PROPERTY NOTESPECIFICALLY DESCRIBED IN rhis APPLICATION 5 THAT SHE GRANT S COUNTY OFFICIALS THE RIGHT TO ENTER ONTO THIS PROPERTY FOR THE PURPOSE OF INSPECTING THE WORK PERMITTER AND POSTING NOTICES CCESSORY TRUCTURE STRUCTURE BUILDING ins salo ca FLD PL ZN JC ai ZONING 5 Sf c7 9 PLUMBING C6 47a L9P4k9 SEDIMENT 5 PrK 2 O 5OtY O SANITATION DC 4a to S3 ID PUB SEW 3 Jk k o9 SHA IDE ST FT SIDE ST FTNA SW MGT JK ki C6 4dC 4 4k5I dax HGHT FT MAX HGHT FT ENTRANCE 45 jk lkoi ELECTRICAL E FIRE MARSHAL JTL JiO CU 42 APPROVED 74 6 CP C QUEEN ANNE S COUNTY FIRE MARSHAL THIS ENCLOSED STATED NO INSPECTION STAMPED PLANS ARE ON SITE INSPECTION CALL EXT 44 SITE PLAN REVIEW NOT REQUIRED PER SECTION b t t ATE APPROVED 73 ADMINISTRATOR E V 5 8 V

4 tynes c PERMIT B 562 J G2 d 6 Coursevall Drive DATE OF APPLICATION r Centreville MD BUILDING LOCATION 22 UPLAND LN PROPERTY OWNERS NAME CENTREVILLE BOLIN CURTIS JOANN BECK FARM RD CENTREVILLE MD 267 HOLLINGSWORTH FARMS NO TAX MAP 37 GRID farcel 6ACREAGE 25 OWNER ON RECORD NAME ZONED AG FRONTAGE DEPTH VACANT LOT 25 FIRE MARSHAL FEE PARK FEE SEE NOTE PROPOSED USE SFD APT ZONING FEE 55 BUILDING FEE SEE NOTE FIRE FEE SEE NOTE BOLIN CURTIS JOANN OWNER BECK FARM RD CENTREVILLE MD CHRIS FAUVER PLUMBING PR3 DIXON ELECTRIC E 567 JOHNSON HEATING AIR HR 66 VRq CONSTRUCT A SINGLE STORY DWELLING 78 X 58 WITH 24 X 8 OFFSET IN FRONT 22 X 22 GARAGE CONSTRUCT A 5 X 5 SCREENED TO CONNECT 2ND GARAGE 5 X 3 WITH 8 X 8 BATHROOM WITH 2ND FLR IN LAW SUITE 5 X 3 OVER GARAGE UNFINISHED BASEMENT 4232 SF UNDER HOUSE ONLY WQDDFR AME UNFIN BASEMENT 4232 FIN BASEMENT IMPROVEMENTS FIRST FLOOR 4232 SECOND FLOOR 5 APT BEDROOMS 5 BATHROOMS 7 GARAGE 884 CARPORT ROAD ENTRANCES WIDTH 2 ROAD TYPE COUNTY DECK 25 WELL WATEEWER TYPE SEPT I C OTHER FIREPLACE NO HEAT PUMP CENTRAL AIR YES TOTAL FLOOR AREA 4348 SPRINKLER SYSTEM NO rhe UNDERSIGNED HEREBY CERTIFIES AND AGREES AS FOLLOWS THAT SHE IS AUTHORIZED TO MAKE THIS APPLICATION 2 THAT THE INFORMATION IS CORRECT 3 THAT NE SHE WILL COMPLY NITH ALL REGULATIONS OF QUEEN ANNES COUNTY WHICH ARE APPLICABLE THERETO 4 THAT SHE WILL PERFORM NO WORK ON THE ABOVE REFERENCED PROPERTY NOT SPECIFICALLYDESCRIBED IN THIS APPLICATION 5 THAT SHE GRANTS COUNTY OFFICIALS THE RIGHT TO ENTER ONTO THIS PROPERTY FOR THE PURPOSE OF INSPECTING THE WOK PERMnTED AND PASTING NOTICES CCESSORY TRUCTURE STRUCTURE BUILDING IYJLS 6ii FLD PL ZN J L4 ZONING T e IC PLUMBING e6 4 tdp LL3I D 4 SEDIMENT 4 vi lo SANITATION W b JPiO s SA G 2 PUB SEW 9 cjo SHA 5 IDE ST FT SIDE ST FT NA SW MGT IV oitl C6 L miohgo D 4AX HGHT FT MAX HGHT FT ENTRANCE 4 J b l ELECTRICALE FIRE MARSHAL OWNER OR SELLER SIGNED OPTION NOT TO INSTALL SPRINKLER SYSTEM THE SCHOOL FIRE PARK LAND IMPACT FEES OF 2436 HAVE BEEN DEFERRED NO TEMPORARY OR FINAL OCCUPANCY CERTIFICATE WILL BE ISSUED UNTIL FEES HAVE BEEN PAID APT 24 UPLAND LANE ril P ATE APPROVED ADMINISTRATOR U Ev 5 8 I r

5 SNE s Ay 76 Coursevall Drive Centreville MD 267 Zoning Certificate Z 67 Date ZONING CERTIFICATE Building Location 3425 MCGINNES ROAD MILLINGTON Tax Acct 8 7U5399 Tax Card Acreage 25 Subdiv Lot 2 Block Sect Tax Map 6 Block 2 Parcel 2 Zone NC 7 Frontage Depth Owner s Name ERVIN NORMAN E GAIL L Mailing Address 3425 MCGINNES RD MILLINGTON MD City State Zip Code Existing Use RESIDENCE Home Work Proposed Use HOME OCCUPATION Building Value Type of Sewage Disposal Use Permit YES Critical Area NO Application Fee 3 Type of Water Supply Staked WF T WATER Proposed Work USE PERMIT FOR ANTIQUE SMILES LLC ASSISTED LIVING HOME FOR 3 PEOPLE 2 EMPLOYEES Minimum Yard Requirements Front Rear Side Side ST Height Approvals SHA NSA DPW ZONING Ale ENV V ELEC le2 l HEALTH 7l Applicants Name ERVIN NORMAN E GAIL L Phone MCGINNES RD MILLINGTON MD Address Comments MUST COMPLY WITH SECTION 8 56 COPY ATTACHED FIRE MARSHAL VIN 72 NOTE Separate electrical and plumbing permits are required Electrician 8 Plumber must have Oueen Anne s County Licenses A permit under which no work has commenced within six months atter issuance that expire A permit under which work commences within six months shall be considered valid if construction is continuous PrA This is to certify that this Zoning Certificate is granted this date Administrator 4