May 28

Exactly as extracted, unformatted — for checking against the original. The readable version is easier to read.

Queen Anne's County
BUILDING PERMIT No.: BR25{4{363
Department of Planning and Zoning
110 Vincit St, Suite 104 Date of Applicationt O1l3Ol2O25
Centreville, MD 21617
410.758-4088
BUILDING PERMIT
BUILDING LOCATION 101 EARLE BRANCH RD PRoPERTY owNERs: HORNE. CHARLES
WLLIAMS, VIRGINIA
CENTREVILLE
101 EARLE BRANCH RD
CENTREVILLE, MD 21617
TAX ACCOUNT 1803021 1 81
SUBDIVISION WOODSTREAM II HOME PHONE: (410) 490-1352
CRITICAL AREA NO ACREAGE 3,11 APPLICANT:
OO35
TAX MAP GRID OO13 PARCEL 0154
SECTION
BLOCK LOT 1
ZONED NC.2 FRONTAGE DEPTH STAKEO: M YES tr NO ! W|LL CALL
EXISTING USE RESIDENCE F EES
ZONING $55,00 BOCA FEE $63.04
PROPOSED USE ADDITION TO RESIDENCE
REVISED PROPOSED USE
CONSTRUCTION VALUE $l O,OOO,OO
CONTRACTORS NAME LICENSE # PHONE# PERMIT#
MHIC A LEVEL ABOVE BUILDERS MHIC.74796 (41Ol,924-0944
529 LIBERTY RD. FEOERALSBURG. MD 21632
DEscRlPrloN oF woRK: CONSTRUCT ADDITION TO EXISTING SFD OF A 20'X 4', 32' X 10', & 20'X 10'
IRREGULAR SHAPED DECK WITH 4'X 4' LANDING AND STEPS TO GRADE AROUND EXISTING ABOVE
GROUND POOL (224-07-031 s)
BUILDING OESCRIPTION DIMENSIONS (IN SOUARE FEET) cONSTRUcTION TYPE: WOOD FRAME
UNFIN. BASEMENT: FIN BASEMENT, # BEDROOMS: f BATHROOMS:
FIRST FLOOR: sEcor,lD FLooR ROAD TYPE: SPRINKLER:
THIRD FLOOR: FOURTH FLOOR WATER TYPE: PRIVATE SEWER TYPE: PRIVATE
GARAGE: CARPORT: HEATING SYSTEM: CENTRAL AIR:
DECK: 616.00 PORCH: FIREPLACE:
OTHER:
TOTAL FLOOR AREA: 6'16
The undersigned hereby @rtilies and agrees as follows: ('l ) That he/she is authorized to make this application; (2) lhat tlle info.mation is correcli
(3) that he/she will comply with all regulations of Oueen Anne's County which are applicable thereto; (4) that he/she will pe.form no work on the
above referenced property nol specilic€lly described in this applicEtion; (5) that he/she grants County Officials the nghl to enler onto this property
tor lhe purpose of inspecting the work permitted and posting notices.
NOTE: Soparats olectrlcal and plumbing permits aro requlr€dl A pe.mlt undor whlch no work has commgnced wlthln slx months
aftg. lgguance shall orplro. A ps]mit under which worft coftmonc65 wlthln glx montha shall be consldercd if conslruclion ls
contlnuous.
Conditions:
OSHA AND MOSHA REGULATIONS REOUIRE THAT EACH JOBSITE HAVE TOILET FACILITIES PROVIDEO
OFFICE USE ONLY
MINIMUM YARD REQUIREMENTS APPROVALS:
ACCESSORY STRUCTURE PRINCIPLE STRUCTURE BUILOINGIib 05t19t2025 FLOODPLAINZONE N/A
FRONT FT FRONT 35 FT zoNrNG \N\6 ost19t2025 PLUMBING N/A
SIDE FT SIDE 20 FT SEOIMENT PUB.SEWER N/A
REAR REAR
SIDE S H T G R H E T E T F F T T SIDE S H T G R H E T ET 5 3 0 5 F F T T H SH rs A ToRrc S E .W T . . J M T G R T A . N CE N N / / A A
MAX. FT MAX. 40 FT MECHANICAL FIRE MARSHAL N/A
ELECTRICAL N/A BACKFLOW IVA
EN)
FOOD SERVICE ENV. HEALTH sEprc o5/20l2o2sJ
ENV- HEALTH WELL
- ?e-75 lilw^
,1
OATE APPROVED ADMI I.IISTRATOR APPROVAL:

Queen Anne's County
Department of Planning and Zoning BUILOING PERMIT No.: BR25.04-0321
110 Vincit St, Suite 104 Oate of Application | 0411612025
Centreville, MD 21617
410-758-4088
BUILDING PERMIT
BUILDTNG LOCATTON 1 t 0 SA\ JMILL CT PROPERTY OWNERS: SURREY REAL ESTATE
GRASONVILLE DEVFI OPMENT LLC
HAII". PHIL
'
rAx AccouNT 1805009529 846 RITCHIE HIGHWAY SUITE 1
SEVERNA PARK MD 21146
suBDtvtstoN
HOME PHONE: (4431 254-4793
CRITICAL AREA NO ACREAGE 8,83
O58I APPLICANT:
TAX MAP GRID OO12 PARCEL 0395
SECTION
BLOCK LOT
ZONED CS. NC-20 FRONTAGE DEPTH STAKED: E YES EI NO E WILLCALL
EXISTING USE RESIDENCE FE ES
ZONING $55 OO DEMOLITION $50.00
PROPOSED USE DEMOLITION PERMIT FEE
REVISED PROPOSED USE
CONSTRUCTION VALUE $1.OOO.OO
CONTNACTORS NAME LICENSE PHONE# PERMIT#
'
O\^JNER OWNER QACl OOO
DESCRIPTION oF WORK: OEMO EXISTING SFD ANo SHED
BUILOING DESCRIPTION DIMENSIONS {IN SQUARE FEET) CONSTRUCTION TYPE: DEN4O
UNFIN. BASEMENT] FIN BASEMENT: f BEDROOMS: # BATHROOMS:
FIRST FLOOR: SECONO FLOOR ROAD TYPE: SPRINKLER:
THIRD FLOOR: FOURTH FLOOR WATER TYPE: PRIVATE SEWER TYPE: PUBLIC
GARAGE: CARPORT: HEATING SYSTEM: CENTRAL AIR:
DECK: PORCH: FIREPLACE:
OTHERi
TOTAL FLOOR AREA:
The undersigned hereby certifies and agrees as follows: ('l ) Thal he/she is authorized to make thrs application; 12) lhal the informalaon is conecl:
(3) that he/she Wll comply with all regulations of Queen Anne's Counly which are applic.ble lherelo; (4) that he/she will perfom no work on tr€
above referenced property nol specifically described in this application: (5) thal he/she granls County O(icials the right to enter onto this property
for the purpose of jnspecling lhe work permilted and postir.g nolices
NOTE: Separate oloctrical and plumbing p6rmlls aro roquiredl A pormit undorwhlch no work has commencod wllhln slx months
atter issuancq shall explao. A pormlt und6r whlch work commence6 wlthln sh months shall bo considorod l, construction is
continuous.
Conditions:
OSHA ANO MOSHA REGULATIONS REQUIRE THAT EACH JOBSITE HAVE TOILET FACILITIES PROVIDED. IMPACT FEE CREOIT
OFFICE USE ONLY
MINIMUM YARO REQUIREMENTS APPROVALSI
ACCESSORY STRUCTURE PRINCIPLE STRUCTURE eu,,-o,"ctlD 05112no25 FLOODPLAIN ZONE N/A
FRONT FT FRONT FT ZO*,,.rCJM 05t13t2025 PLUI\]IBING N/A
S R I E O A S E R T REET F F T T S R I E D A S E R T REET F F T T S xr E s D r I o M n E r N c T $! N 05 /A 122t2025 P S, U W B , .s [/ E G W T ER . ?t N o / s A ruzozs
SIDE HGHT FT SIDE HGHT FT SHA N/A ENTRANCE TVA
MAX. FT MAX. FT
MECHANICAL N/A FIRE I\4ARSHAL N/A
ELECTRICAL N/A BACKFLOW N/A
FOOD SERVICE ENV. HEALTH sEPTrc orr4l2o25JENl
ENV. HEALTH WELL
-45 Wr*^y
DATE APPROVED: AOMINISTRATOR APPROVAL

Queen Anne's County
Department of Planning and Zoning BUILOING PERMIT No.: BR24-01.00,12
110 Vincit St, Suite 104 Date of Applicatlont 0112212024
Centreville, MD 21617
410.7584088
BUILDING PERMIT
BUILDING LOCATION 1302 ROMANCOKE RD PROPERTY OWNERS: STEWART, LEANNE & CHERYL
STEVENSVILLE 1 302 ROMANCOKE RD
STEVENSVILLE. MD 21666
TAX ACCOUNT 1804055098
SUBDIVISION MATAPEAKE ESTATES HOME PHONE: (443) 871-8408
YES
CRITICAL AREA ACREAGE 2,25 APPLICANT:
0063 OOO2
TAX MAP GRID PARCEL 0102
sEcTloN BLOCK C LOT 40
ZONED NC-20 FRONTAGE DEPTH STAKED: E YES EI NO E WILL CALL
EXISTING USE RESIDENCE FEES
ZONING S55 OO BOCA FEE $163.20
PROPOSED USE ACCESSORY STRUCTURE
REVISED PROPOSED USE
CONSTRUCTION VALUE $50,OOO.OO
CONTRACTORS NAI,IE LICENSE # PHONE# PERMIT#
MHIC FETTERVILLE SALES MHIC-114243 (800) 331-1875
245 FETTERVILLE RD, EAST EARL, PA 17519
DESCRIPTIoN OF WORK: CONSTRUCT 34' X 60' POLE BUILDING
BUILDING DESCRIPTION DIMENSIONS (IN SQUARE FEET} CONSTRUCTION TYPE: WOOD FRAME
UNFIN. BASEMENT: FIN BASEMENT: # BEOROOMS: # BATHROOMS:
FIRST FLOOR: SECOND FLOOR ROAD TYPE: SPRINKLER:
THIRD FLOOR: FOURTH FLOOR WATER TYPE: PRIVATE SEWER TYPE: PRIVATE
GARAGE: CARPORT: HEATING SYSTEM: CENTRAL AIR:
DECK: PORCH: FIREPLACE:
OTHERi 2040
TOTAL FLOOR AREA: 2,040
The undersigned hereby certifies and agrees as follor,i6: (1 ) That he/slE is authorized lo make thas application; (2) lhat the information is conect;
(3) thal he/she will comply wilh all regulalions of Oueen Anne's County wf ch are applicable lhereto: (4) lhat he/she will f,erfom no woft on the
above relerenced property not specificalty described in lhis applicalion; (5) thai he/she grants County Officials the right to ente. onto lhis propedy
for the purpose ot inspecting the work permited and posting nolices.
NOTE: S€parate electrlcaland plumbing psrmlt! a.e roguirgdl A pormit underwhich no worl has commoncod within six months
aftor Esuancg shall oxpirs. A permit undorwtrlch rvork comm€ncos within six months shall bs corcld€r€d it congtruction is
contlnuouS.
condltions: EXISTIN6 SHED T0 BE REMOVED PRIOR TO CERTIFICATE OF OCCUPANCy.
DO NOT INHIBIT EXISTING DRAINAGE PATTERNS, '' ALL BUILDINGS OTHER THAN THE PRINCIPLE BUILDING SHALL NOT COVER AN
AREA OF THE LOT GREATER THAN 800/6 OF THAT COVERED BY THE EXISTING PRINCIPLE BUILDING. ANY ELECTRICAL VI/ORK ADDEO
TO THIS STRUCTURE WLL REQUIRE AN APPROVED OUEEN ANNE'S COUNTY ELECTRICAL PERMIT AND AN INSPECTION BY THE
MIDOLE DEPARTMENT INSPECTION AGENCY, OSHA AND MOSHA REGULATIONS REQUIRE THAT EACH JOBSITE HAVE TOILET
FACILITIES PROVIDED,
OFFICE USE ONLY
MINIMUM YARD REQUIREMENTS aPPROVAlt
P
ACCESSORY STRUCTURE PRINCIPLE STRUCTURE AUILDING.I I () uBol2021 FLOODPLAINZONE N/A
FRONT FT FRONT FT zoNtNG t\n 05t1412025 PLUMBING N/A
SIDE SIDE
3 FT FT SEDIMENT PUB, SE\^/ERI\(- 040712025
REA S R T REET 3 FT REA S R T REET FT HISTORIC N/A s w. Mcr.vll\ utfit?025
SIDE FT SIDE FT
MAX. HGHT " FT MAX. HGHT FT SHA ENTRANCE N/A
MECHANICAL FIRE MARSHAL N/A
ELECTRICAL BACKFLOW N/A
FOOD SERVICE ENV. HEALTH SEPTIC o1t31eo24 Y-V-
ENV. HEALTH WELL
llrry"L?5/r^^b'
-623:25
DATE APPROVEO ADMINISTRATOR APPROVAL

Queen Anne's County
rilit
Department of Planning and Zoning ZONING CERTIFIC ATE #t 225-04-0201
110 Vincit St, Suite 104
Centreville, MD 21617 Date of Applicationt 0412212025
410-758-4088
ZONING CERTIFICATE
TAX ACCOUNT # STREET AODRESS CITY I{AME
1806002978 32211 OUEEN ANNE HWY QUEEN ANNE
OWNER INFORMANON PROPERTY INFORMATION
OWNER: SHARAZ & SHAZAB INC TAX *tAP 0069 BLOCX PARCEL OO18
LOT SECTION ZONED SC
OWNER PO BOX 67 CRITICAL AREA NO ACREAGE 0.11
AOORESS OUEEN ANNE, MD 21657 suBotvtsloN
BUILDING VALUE
HO E PHONE: \410) 820-2281 WATER TYPE PRIVATE SEWER TYPE PRIVATE
APPLICANT INFORMATION PERMIT FEES
NAME: KEYSTONE NOVELTIES OISTRIBUTORS LLC ZONING FEE: $55.00 FM FEE
ELECTRICAL PERMIT #:
ADDRESSi 201 Seymour Sl
LANCASTER, PA ,17603 PLUi'tBlNG PERMIT T:
GAS PERiIIT *:
PHON E: 1717) 394-1078 STAKEO? tr] YES M NO trI WLL CALL
EXISTING USE: COiTMERCIAL PROPOSEO USE TEMPORARY TENT
MItIIIi,lUM YARD REQUIREiiE'{TS:
FT
FRONT: SIOE: FT REAR: FT SIOE STREET: FT HEIGHT: FT
WORK OESCRIPTION: TEI\,IPORARY 20'X 40'TENT FOR RETAIL SALES OF l\,lD LEGAL SPARKLER PRODUCTS.6I23nS -7t5125
AGENCY APPROVALS:
Name
Completed Oate
SEPTIC
ENV, HEALTH 05/16/2025 JEN
zoNrNG
05n 6/2025 WB
NOTE: Soparate olectrlcal and plumbing pormlt3 are roqulred prlor to permit boing Bsuod. Eloctriclan & Plumbo. must havo
Quegn Annq 9 County Liconsesl A psrmlt undor whlch no work ha3 commencad wlthin slx morthg alter bsuanco shall expire. A
permit uldor which work commence3 wlthin six months 3hall bq consldered valid it construction B contlnuous.
Condltlona:
THIS IS A TEMPORARY USE PERMIT AND W Ll-EXPIRE 12J3112025
h4q 5:2-3:Jg'
ADMINISTRATOR APPROVAL: DATEAPPRoVEo:

Queen Anne's County
Department of Planning and Zoning ZONING CERTIFICATE #: Z2O-02-006s
110 Vincit St, Suite 104
Centreville, MD 21617 Date of Applicationt 0211112025
410-758-4088
ZONING CERTIFICATE
*
TAX AGCOUNT STREET AODRESS ofi A E
1804070224 1 508 NORMAN RD CHESTER
OWNER INFORi'ATION PROPERTY INFORMANO}I
OWNER: CIOTOLA, ANTHONY & DELORES TAX MAP 0064 BLOCK PARCEL 0271
LOT 11 SECnO 9 zoNEo Nc-20
OWNER 1508 NORMAN RD CRITICAL AREA YES ACREAGE 0.72
ADORESS CHESTER, MD 21619 SUBOIVISION MARLING FARMS
BUILDING VALUE $3,800 OO
HOME PHONE: (443) 618-7245
WATER TYPE PRIVATE SEWER TYPE PRIVATE
APPLICANT INFORMATION PERIItrIT FEES
NAi'E: ANTHONY & DELORES CIOTOLA ZONING FEE: S75 00 FM FEE:
*i
ELECTRICAL PERillT EZ25-02-0065
ADDRESS: '1508 Norman Rd
CHESTER, MD 21619 PLt ilBlNG PERillT *:
GAS PERi'IT f:
PHONE (443) 618-7245 STAKEO? EI YES tr NO E WLL CALL
EXISTING USE RESIDENCE PROPOSEO USE POOUSPA
MIMIMUlt'l YARO REOUIREMET{TS:
FRONT: FT S|DE: 3 FT REAR: 3 FT SIDE STREET: FT HEIGHT: FT
WORK DESCRIPTION: INSTALL 24,ROUND ABOVE GROUND POOL.
AGENCY APPROVALS:
Name
Compteted Date
ELECTRTCAL
05i212025 CORN E-1680
SEPTIC
ENV, HEALTH 0901/2025 CS
s.w. MGT.
04130/2025 KN
ZONING
04130/2025 JM
NOTE: Sgpajate sloctrlcal and plumblng pormlts a.9 rgqul.sd prior tg peimit boing issued. Eloctrician & Plumbsr must havg
Qu€sn Anne'3 County Licensost A pq]mh undg, whlch no work hrs commenced within llx months aftor l3guanca shalt €xplre. A
permit undgr whhh work commoncas within slr ,nonth! shall bo corEldered valid lf constructlon la contlnuous.
Condltlons:
OSHA ANO MOSHA REGULATIONS REOUIRE THAT EACH JOBSITE HAVE TOILET FACILITIES PROVIOED,
DO NOT INHIBIT EXISTING DRAINAGE PATTERNS.
S\^44 . MUST FOLLOWAPPROVED STORI\4WATER MANAGEI/ENT PLAN
EXCESS SOIL MUST BE REMOVED OR O\^iNER WLL BE REOUIRED TO OBTAIN A SEDIMENT CONTROL PERMIT
5-48-&,
ADMINISTRATOR APPROVAL: DATE APPROVEO:

Queen Anne's County
Department of Planning and Zoning ZONING CERTIFICATE #: 225-03-0098
110 Vincit St, Suite 104
Centreville, MD 21617 Date of Applicationt O3lO7l2O25
410-7s84088
ZONING CERTIFICATE
TAX ACCOUT{T # STREET ADORESS clw AME
1404024141 128 N LAKE OR STEVENSVILLE
OWNER INFORMATION PROPERTY INFORflIATION
OWNER QUANTE, PATRICK & JENNIFER TAX MAP 0076 BLOCK L PARCEL OO14
LOT 5 SECTION ZONED NC.1
OWNER 39657 GOLOEN SPRINGS CT CRITICAL AREA YES ACREAGE O 34
AODRESS HAMILTON. VA 20158 SUBDIVISION TOWER GARDENS
BUILOING VALUE 53,5OO OO
HOIT|E PHONE: (703) 369-275S WATER TYPE PRIVATE SEWER TYPE PUBLIC
APPLICAT{T I NFORIIIATIO t{ PERMIT FEES
NAME: PATRICK & JENNIFER OUANTE ZONING FEE: S55 00 FM FEE
ELECTRICAL PERMIT*:
ADORESS: 39657 Golden Springs Ct
HAMILTON, VA 20158 PLUMBING PERMIT #:
GAS PERi'IT #:
PHONEI (703) 969,2759 STAKEO? EI YES D NO D W|LL CALL
EXISTING USE: RESIDENCE PROPOSEO USE: ACCESSORY STRUCTURE <200SF
NiIMIMUM YARD REOUIREMENTS:
FT
FRONTT 35 SIOE: 3 FT REAR: 100 FT SIDE STREET: FT HEIGHT:20 FT
WORK DESCRIPTION: INSTALL 10'X 12'SHED OVER EXISTING LOT COVERAGE
AGENCY APPROVALS:
Name
Compleled Date
SEPTIC
ENV. HEALTH 03/2012025 CS
ZONE
FLOOOPLATN 03/18/2025 KN
REVIEW
HOA 031&2025 MP
MGT,
S.W. O3l/18/2O25 KN
zoNrNG
o5t15DO25MO
NOTE: Soparato olectrlcal and plumblng ponfilt3 are .equired prlor to pormlt belng lssued, Eloctrician I Plumbo nuat havo
Ouoen Anno'8 County Llcgnsost A pgrmlt underwhlch nowork ha! commoncod within six months atter llsuance shall explre. A
permlt undgr whlch work commoncaa wlthin 3lx months shall bo conoldered valld lf constructlon b contlnuoua.
Conditions
ANY ELECTRICAL \ /'CRK ADDED TO THIS STRUCTURE WLL REQUIRE AN APPROVED QUEEN ANNE'S COUNTY ELECTRICAL PERMIT
AND AN INSPECTION BY THE MIDDLE DEPARTMENT INSPECTION AGENCY
OSHA AND MOSHA REGULATIONS REOUIRE THAT EACH JOBSITE HAVE TOILET FACILITIES PROVIDED
DO NOT INHIBIT EXISTING DRAINAGE PATTERNS
ALL EUILDINGS OTHER THAN THE PRINCIPLE BUILOING SHALL NOT COVER AN AREA OF THE LOT GREATER THAN 60% OF THAI
COVERED BY IHE EXISTING PRINCIPLE BUILDING,
5-n'ao
AD[,!INISTRATOR APPROVAL OATE APPROVED:

Queen Anne's County
Oepartment of Plannlng and Zoning ZONING CERTIFICATE #: 225{1-0003
110 Vincit St, Suite 104
Centreville, MD 21617 Date of Applicationt 0110312025
410-758-4088
ZONING CERTIFICATE
TAX ACCOUT'IT # STREET ADORESS CITY HAIUE
1804038762 1915 MAIN ST CHESTER
OWNER INFORI.tlATION PROPERTY INFORMATION
OWNER: SAFEWAY REALTY LLC TAX MAP OO57 BLOCK PARCEL OM3
LOT 1 SECTION ZONEO TC
OWNER C/O ALBERTSONS COMPANIES 250 E PARK CRITICAL AREA YES ACREAGE 7,37
ADORESS: CENTER BLVO suBDrvrsroN
BO|SE. TD 83706 BUILDING VALUE $1,2OO.OO
HOME PHONE: WATER TYPE PRIVATE SEWER TYPE PRIVATE
APPLICANT INFORITIATION PERMIT FEES
NAI$ E: MEALEY SIGNS ZONING FEE: $55.00 FM FEE:
f:
ELECTRICAL PERMIT EZ 25-01-0003
ADDRESS: 2 Wllow St
ANNAPOLIS. MD 21401 PLUi'lBlt{G PERlrlT*:
GAS PERITIIT #:
PHONE: (410) 266-6905 STAKED? tr YES EI NO E WLL CALL
EXISTING USE: COMMERCIAL PROPOSEO USE: WALL SIGN
Ml MllrlUM YARO REQU I REirEi.lTS :
FRONTI FT SIOE: FT REAR: FT SIOE STREET: FT HEIGHT: FT
WORK DESCRIPTION: INSTALL ILLUMINATED CHANNEL LETTERS 2,4,I, X 1O,66,OVERALL TO FRONT ELEVATION OF EXISTING BUILDING
SIGN MESSAGE = "FITNESS FORUM PHYSICAL THERAPY" &'LOGO', S|GN AREA = 25.7 SQFT.
AGEt{CY APPROVALS:
Name
Compteted Dale
ELECTRTCAL
04n6i2025 SCHWANTNGER E-802
ZONING
05t21t2025 JM
NOTE: Soparato oloctrlcal .nd plumbing pomlts aro requlrsd prior to permlt bolng issuod. Eloctrlclsn & Plumber must havo
Ouson Anns s County Llcenle3! A pormll under whlch no work has commenced wlthln sir months altor lssuance shall oxplrg. A
poamlt unde, whl€h worl commencos within slx monthS lhall be considerod valld It construction k contlnuous.
Condhlons:
OSHAAND MOSHA REGULATIONS REOUIRE THAT EACH JOBSITE HAVE TOILET FACILITIES PROVIOEO
FII.IAL ELECTRICA- INSPECNON REQUIREO
'23-e;
ADMINISTRATOR APPROVAL OATE APPROVEO

Queen Anne's County
Oepartment of Planning and Zoning BUILDING PERMIT No.: BC25.O3-OO3,I
110 Vincit St, Suite 104 Date ot Applicationt 0311312025
Centreville, MD 2'1617
4't0-7584088
BUILDING PERMIT
BUILDING LOCATION 224 SHADY FARM LN PROPERW OWNERS: KELBAUGH, JAMES
CENTREVILLE 2OO SHADY LANE FARM
CENTREVILLE, MO 2.I617
HOME PHONE:
TAX ACCOUNT 1803001229
APPLICANT: SITE LINK WRELESS
suBDrvlsroN
JAMES MARQUEZ
CRITICAL AREA NO ACREAGE 42,29 3620 Commerce Drive, Suite 707
MAP
TAX GRID PARCEL HALETHORP MD 21227
SECTION
BLOCX LOT
ZONED FRONTAGE DEPTH STAKED: E YES EI NO E WILLCALL
EXISTING USE TOWER FEES
ELECT. ADMIN. $10.00 ELECT. PERMIT $60.00
PROPOSED USE ANTENNA ZONING $55.00 COPIES AND $13.75
Mtsc
REVISED PROPOSEO USE ANTENNAS/TOW $75.00
ERS
coNSTRUCTTON VALUE $100.000.00
CONTRACTORS NAME LICENSE # PHONE# PERMIT#
GENERAL sBA NETWORK SERVTCES LLC MD-l736s788 (301)310-3173
8051 CONGRESS AVE. BOCA RATON, FL 33487
ELECTRICIAN ATIANTTC POWER & LrcHT CO., rNC E+893 (443) 231-5309 EC2543{031
DEscRlPrloN oF woRK: REMOVAL OF (6) ANTENNAS, (6) RRHS AT HEIGHT OF 1 93', (1) DISTRIBUTION BOX
ON TO\A/ER, ANO (1) DISTRIBUTION BOX ON EQUIPMENT FRAME AT GRADE, INSTALL (9) ANTENNAS, (6)
RRHS AT 194',, (1) DTSTRTBUTTON BOX ON TOWER, (1) DTSTRTBUTTON BOX ON FRAME AT GRADE, (1) 6X12
HYBRID CABLE, EXISTING CABLE SUPPORT AT GRADE TO BE REPLACE WTH 12" WIDE ICE BRIDGE,
EXISTING POST TO REMAIN, UPGRADE ANXILLARY EOUIPMENT AS NEEDED FOR VERIZON. ALL WORK ON
EXISTING TOWER WITH HEIGHT OF 199',
BUILDING DESCRIPTION DIMENSIONS (IN SQUARE FEET) CONSTRUCTION TYPE: OTHER
UNFIN. BASEMENT: FIN BASEMENT: # EEDROOMS: # BATHROOMS:
FIRST FLOORI SECOND FLOOR ROAO TYPE: SPRINKLER;
THIRD FLOOR: FOURTH FLOOR: WATER TYPE: PRIVATE SEWER TYPE: PRIVATE
GARAGE, CARPORT: HEATING SYSTEM: NONE CENTRAL AIR:
OECK: PORCH: FIREPLACE:
OTHER:
TOTAL FLOOR AREA:
The undersigned hereby cedifies and agrees as follows: ('l ) That he/she is aulhorized to make this application: 12) lhat the informalion is conect;
(3) that he/she will comply with all regulations of Queen Anne's County which are applicable lhereto; (4) that he/she will perform no wolk on lhe
above refe.enced prope.ty not specitically desc.ibed in this applicalion; (5) thal he/she grants County Offcials the right to enler onto this property
for the purpose of insp€ctjng the work permilled aM posting notices
I{OTE: Sopar.te eloctrlcal and plumbing pormlts aro requlredl A permll unde. wlrlch no wo.k has commonced wlthln 3lx mon*is
alt6r bsuance shall erplro. A pemlt undor wilch work commoncos wlthin six months shall ba consldo.od ll con3truclion is
contlnuouS.
Conditlons:
OSHA ANO MOSHA REGULATIONS REOUIRE THAT EACH JOBSITE HAVE TOILET FACILITIES PROVIOED, MUST COMPLY Wi BOA CASE
CU.1OOOO1 APPROVED 3/4/15 TOWER HEIGHT 199'
OFFICE USE ONLY
MINIMUM YARD REQUIREMENTS APPROVALS:
ACCESSORY STRUCTURE PRINCIPLE STRUCTURE BUTLDTNGtID 05t13t2025 FLOODPLAIN ZONE N/A
S F R R I E D O A E R N T F F T T S F R R I E D O A E R N T F F T T z SE o D N IM r E N NT G V l^ i4\ N 05 /A t14t2025 P PU L B. U S M E B \A IN /E G R N N / / A A
STREET FT SIDESTREET FT HISTORIC N/A S.W, MGT, N/A
SIDE HGHT FT HGHT FT SHA N/A ENTRANCE N/A
MAX. FT MAX. FT
MECHANICAL N/A FIRE MARSHAL N/A
ELECTRTCAL 0511312025 BACKFLOW N/A
SENIOR PLANNERD['5N5/2025 ENV HEALTH SEPTIC N/A
ENV, HEALTH WELL N/A
-L?',e x (1/@LQ
DArEAppRovED:----:5 Aomu{srRAroRApenovet:

jr
Queen Anne's County
Department of Planning and Zoning BUILDING PERMIT No.: BC25-04-00,14
110 Vincit St, Suite 104 Date of Application i 0410412025
,\o Centreville, MD 2'1617
410-75E4088
BUILDING PERMIT
BUILOING LOCATION 232 HATCHETT RD PROPERTY OWNERS: AMBERGER, JOSEPH
CENTREVILLE 4022 BONNIE BRAE CT
FREDERICKSBURG. MO 22407
TAX ACCOUNT 1803000125
HOME PHONE: (571)931-1004
suBotvtsloN
APPLICANT: SITE LINK WRELESS
CRITICAL AREA NO ACREAGE 120,08
JAMES MARQUEZ
OO29
TAX MAP GRID OOOT PARCEL OO72 3620 Commerce Orive, Suite 707
SECTION
ALOCK LOT HALETHORP, MO 21227
ZONED AG FRONTAGE DEPTH STAKED: E YES M NO E] W|LL CALL
EXISTING USE TOWER FEES
ELECT. PERMIT $60.00 ELECT. ADMIN. $10.00
PROPOSED USE ANTENNA ZONING $55.00 COPIES AND $12.50
MISC
REVISED PROPOSED USE ANTENNAS/TOW $75.00
ERS
coNSTRUCTtON VALUE $90.000.00
CONTRACTORS NAME LICENSE # PHONE# PERMIT#
GENERAL SBA NETWORK SERVICES LLC MD.'l7365788 (301) 310-3173
8051 CONGRESS AVE, BOCA RATON, FL 33487
ELECTRICIAN ATLANTIC POWER & LIGHT CO., INC E+893 (443)231-5309 EC25-04-0044
DEscRlPrloN oF woRK: REMOVE (6) RRHS AT 190', (1) 60VP DISTRIBUTION BOX FROM TOWER, AND (1) 60VP
DISTRIBUTION BOX FROM TOWER AT GRADE, INSTALL (3) ANTENNAS, (6) RRHS AT 190" (1 ) 12OVP
DISTRIBUTION BOX ON TOWER, (1) l2OVP DISTRIBUTION BOX ON TOWER AT GRADE. AND (1)6X12 HYBRID
CABLE. EXISTING CABLE SUPPORTTO BE REPLACE WTH 12'ICE BRIDGE, EXISTING POSTTO REMAIN.
UPGRADE/MODIFY ANCILLARY EQUIPMENT FOR VERIZON, WORK ON EXISTING TOWER, HEIGHT 195'
BUILDING DESCRIPTION DIMENSIONS (IN SOUARE FEET) CONSTRUCTION TYPE: OTHER
UNFIN. BASEMENT: FIN BASEMENT: # BEDROOMS: # BATHROOMS:
FIRST FLOOR: SECOND FLOOR ROAD TYPE: SPRINKLER:
THIRD FLOOR: FOURTH FLOOR WATER TYPE: PRIVATE SEWER TYPE: PRIVATE
GARAGE: CARPORT: HEATING SYSTEMI NONE CENTRAL AIR:
DECK PORCH: FIREPLACE:
OTHER:
TOTAL FLOOR AREA
The undersigned hereby ce.tifies and agrees as follows: i'! ) That he/she is aulhorized to make this application; (2) thal the information is conect;
(3) that he/she will comply with all regulations of Oueen Anne's County which are applicable theretoi (4) that he/she will perform no work on lhe
above referenced property not specificalty desc.ibed in this applicationt (5) that he/she grants County Offcials the righl lo enler onto lhis property
for lhe pu.pose of inspecting lhe work permi ed and posling notices
NOTE; Sgparato sloctrical and plumbing pemits aro i6guiradl A permlt under whlch no work has commoncod wllhln sh months
aftor lasuance shall expire, A permlt under which work commoncG within sir monthg shall bg considorod i, constructlon 13
contlnuous.
Conditions:
MUST COMPLYWTH BOARO OF APPEALS CASE NUMBER CU.1OOOO6 APPROVED O2l27l2015, TOWER HEiGHT 195', OSHA AND
MOSHA REGULATIONS REOUIRE THAT EACH JOBSITE HAVE TOILET FACILITIES PROVIOED,
OFFICE USE ONLY
MINIMUM YARD REQUIREMENTS APPROVALS:
ACCESSORY STRUCTURE PRINCIPLE STRUCTURE ,r,,-o,*ntD 05t142025 FLOODPLAIN ZONE N/A
FRONT FT FRONT FT zoNrr.roW$ 05t1412025 PLUMBING IVA
SIDE SIDE
REAR FT REAR FT SEOIMENT PUB, SA/VER IVA
FT FT MGT-
STREET STREET HISTORIC S,W. I.I/A
SIDE HGHT FT SIDE HGHT FT SHA ENTRANCE N/A
MAX. FT MAX. FT
MECHANICAL FIRE MARSHAL N/A
ELECTRICAL 0/,t23t2025 BACKFLOW N/A
FOOD SERVICE ENV, HEALTH SEPTIC N/A
ENV. HEALTH WELL DS SENIOR PLANNER s/t5/2s
(,^,*E4"-;M)
5:231
DATEAPPR.VED: ADMINISTRATOR APPROVAL