ARCHITECTURAL REQUEST FORM

SUBMIT TO LCM PROPERTY MANAGEMENT VIA GATE STAFF

CHOA Architectural Request Form

Submit Architectural Request Form to: Coventry Homeowners Association
c/o LCM Property Management, Inc., 1776 S. Jackson St. Suite 530 Denver, CO 80210
Phone: 303-221-1117 Fax: 303-991-1136
Application may also be left with the Gate Attendant


Date Received: _________________________ Recorded Date:

Approved Date: _________________________ OR Denial Date:




Name of Applicant __________________________________
Home & Work Phone
________________/_______________

Address ___________________________________________ *Building permit applied for? __________ Yes __________ No

Proposed Improvement ___________________________________________________________________________________
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Planned Starting Date _____________________________ Planned Completion Date __________________________________

For architectural improvements please submit a copy of your proposed plans including:

1. Details: Description of product, materials and colors.

2. Paint samples (if colors differ from the original).

3. Catalogue Cut Sheets showing product and product specifications.

4. Name, address, and phone numbers of applicant's contractor.

5. Any additional information which the Committee deems necessary

6. *Building Permit must be on file with ACC prior to start of construction



COMPLIANCE STATEMENT

I, the undersigned, do, agree that if any request is approved, I will install the above within the approved time period, according to the plans, specifications and descriptions submitted with this request. I am aware that any variation from the approved request could result in an order to remove the non-complying item, or to modify it to comply with the approved request. I understand that I am responsible for any damages caused by the installation of the above, and that I will require appropriate insurance from any contractor I hire to perform the work. I am also aware that the approval of my request by the ACC Committee in no way supersedes permits required by the County Building Department or any other government agency. I agree not to start any improvements prior to receiving approval. I have read and understand the Governing Documents of the Coventry Association as it relates to this application. I agree not to post any vendor signage on my property before, during or after completion of work.

Signed __________________________________________________________ Date ___________________________________


ACC ACTION TAKEN

____ APPROVED AS SUBMITTED ____ APPROVED AS AMENDED BELOW

____ DISAPPROVED FOR REASON (S) NOTED BELOW _____ DEFERRED TO OWNERS ASSOCIATION BOARD
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Signed ___________________________________________________________ Date __________________________________

Signed Date