Dec 12

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ONEs co

PERMIT

J

B140711

e Queen Anne County 1 160 Coursevall Drive rI DATEOFAPPLICATION Centreville MD 21617 01205314 1706

BUILDING PERMIT

BUILDING LOCATION 00200 FRONT ST PROPERTY OWNERS NAME ADDRESS

CRUMPTON SULLIVAN GEORGE R MALI TE

TAXACCOUNT SEWER ACCOUNT

1807010613

SUBDIVISION CRITICAL AREA 189 POND CREEK LN

YESLDA EARLEVILLE MD 219192345

SECTION BLOCK LOT

HOME PHONE WORK PHONE

4102751644

TAX MAP GRID PARCEL ACREAGE OWNER ON RECORD NAME

005C 0011 0224 1 294

ZONED NC FRONTAGE DEPTH 460

EXISTING USE CONSTRUCTION VALUE 2200

RESIDENCE

PARK FEE 0 FIRE MARSHAL FEE 0

PROPOSED USE ZONING FEE 5050 BUILDING FEE 50 00

DEMOLITION SCHOOL FEE x0 FIRE FEE 0

BUILDER LICENSE TELEPHONE

OWNER

ADDRESS SASE AS ABOVE 4102751644

PLUMBER

ELECTRICIAN NA NA NA

MECHANICAL NA NA NA

SPRINKLER NA NA NA

NA NA NA

DESCRIPTION OF WORK STAKED

DEMOLISH EXISTING STT

BUILDING DESCRIPTION DIMENSIONS IN SQUARE FEET CONSTRUCTION TYPE OTHER

UNFIN BASEMENT FIN BASEMENT IMPROVEMENTS

FIRST FLOOR SECOND FLOOR BEDROOMS BATHROOMS

GARAGE CARPORT ROAD ENTRANCES WIDTH ROAD TYPE

DECK PORCH WATER TYPE WELL WATER SEWER TYPE SEPTIC

OTHER FIREPLACE NO HEATING SYSTEM NA CENTRAL AIR NA

THIRD FLOOR TOTAL FLOOR AREA 0 SPRINKLER SYSTEM NO

THEUNDERSIGNEDHEREBYCERTIFIESANDAGREESASFOLLOWS1THATHSHEEISAUTHORIZEDTOMAKETHISAPPLICATION 2THATTHEINFORMATION ISCORRECT 3THATHSHEEWILLCOMPLY WITHALLREGULATIONSOFQUEENASNNECOUNTYWHICHAREAPPLICABLETHERETO4THATHSHEEWILLPERFORMNOWORKONTHEABOVE REFERENCED PROPERTYNOTSPECIFICALLYDESCRIBEDIN THISAPPLICATION5THATHESHEGSRANTCOUNTYOFFICIALSTHERIGHTTOENTERONTOTHISPROPERTYFORTHEPURPOSEOFINSPECTINGTHEWORKPERMITTEDANDPOSTINGNOTICES

Separateelectrical mechanical and plumbing permitsarerequired Electricians Plumbers and HVACContractorsmusthaveQueenAsnne County Licenses NOTE Apermitunderwhich nowork hascommencedwithinsixmonthsafterissuanceshallexpire Apermitunderwhichwork commenceswithinsixmonths shallbeconsideredvalid ifconstructioniscontinuous

MINIMUM YARD REQUIREMENTS OFFICE USE ONLY

APPROVALS

kCCESSORY PRINCIPLE TRUCTURE STRUCTURE BUILDING eAG t 1

IM

FLD PL ZN

RONT FT FRONT FT ZONING C Cjqf N PLUMBING NA NA IDE FT SIDE FT SEDIMENT N SANITATION j1C4 O1S