Architectural Change Mail to: Tanbark Community Association, Inc., 7525 Maplecrest Rd PMB# 211, Fort Wayne, IN 46835-1897 or E-mail: [email protected] Name___________________________________________________________ Address____________________________________________ Telephone ______________________________ Briefly Describe the proposed change or addition: Will there be changes or modification in basic utility services or existing structures to accommodate the proposed change? Please indicate below yes/no: Electric _________ Exterior Walls _________ Telephone _________ Patio Fencing _________ Gas _________ Patio Slab _________ Water _________ Sidewalks _________ Sewage _________ Pavement _________ TV Cable _________ Please list below the major construction materials which will be used in this project. Be as specific as possible. Exterior materials must conform to those used on the original building or be sufficiently compatible. If the proposed project is an addition or alteration that would change the structural appearance of your residence, please attach the following information. a. Plot plan indicating the location and dimensions of the project. b. Blueprints or working drawings indicating all necessary dimensions and elevations. c. If available, a photograph or drawing of a similar completed project. d. Please project to the best of your ability the project schedule: a. The project will be done by: Homeowner __or Contractor ___ Name: _________________________________________________________ Address: ____________________________________________________ Phone: ________________________ Address: ______________________________________________________ Please indicate the approximate time needed to complete the project, subsequent to the Association’s approval: ________________ Please indicate any building permits that will be required. ___________ ___________________________________________________________________ PLEASE NOTE: All submitted materials shall remain the property of the Association. YOU MAY WISH TO MAKE A COPY FOR YOUR PERSONAL RECORDS. I hereby acknowledge that I have read and understand the Architectural Standards set forth by the Association, as well as the Declaration of Covenants and Restrictions and the By Laws of the Association. Homeowner’s Signature________________________________________________ Date: _______________________
Architectural Control Committee Action: ___________ Approved as submitted ___________________Deferred ___________ Additional information required ________________________________________________________________________ ________________________________________________________________________ ___________ Denied Comments: ______________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Signed: ___________________________________ Date:________________________ Committee Chairperson