HomeMy WebLinkAboutGN010.0 - 2 - HOA Approval Page_1
SHELBOURNE ESTATES ARCHITECTURAL CONTROL COMMITTEE
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ARCHITECTURAL APPROVAL APPLICATION
1. Date: 9/23/2020 Email: christopherhaas19@gmail.com
Owner’s Name: Chris and Jodie Haas
Current Street Address: 12947 Pontell Place
City, Zip: Carmel, 46074
Homesite Lot Number 8 Homesite Street Address: 12947 Pontell Place
Hm Phone: 317-696-9461 Wk Phone: Same Fax: None
2. ITEM(S) SUBMITTED FOR APPROVAL:
_________________ Deck
_________________ Landscaping
_________________ Fence
_________________ Addition
_________________ Repair/Replacement
__________15’ x 15’ Pavilian_ Other - Please describe:
________________________
____________________________________________
FOR ALL SUBMISSIONS THE FOLLOWING ATTACHMENTS ARE REQUIRED:
The builder at closing furnished you with a plot plan for your lot. On a copy, please draw the change in ____________________________________________ the
location of where the proposed improvement will be built.
Elevations and blueprints or working drawings indicating all dimensions.
If available, a photograph or drawing of a similar completed project or replica.
3. BRIEFLY DESCRIBE THE PROPOSED CHANGE: (Include type, dimensions, and finishes):
We are proposing to build an open air 15x15 single story pavilian. 7’ x 4” tall (Walls). Roof Peak = 13’ 4”.
Siding (hardie plank, trim (wood), gutters (6 in), and shingles (3d) to match the home in color and type.
_________________________________________________________________________________________
_
4. PLEASE LIST THE MAJOR CONSTRUCTION MATERIALS THAT WILL BE USED IN THIS PROJECT:
6x6 posts, concrete and paver or concrete foundation, 3d shingles, 6 in gutters, hardie plank siding external and
internal.
Please
Note!
_________________________________________________________________________________________
Requests for exterior color/materials changes MUST submit samples of color, paint, brick, etc. Exterior
materials must conform to the original construction or be sufficiently compatible. Please note that all
submitted materials would be retained by the Association. You may wish to make a copy for your
personal records.
5. WILL ANY PART OF THE PROPOSED IMPROVEMENT EXTEND BEYOND YOUR PROPERTY LINE?
_____________ Yes _____NO_________ No
If yes, signature and address of the affected homeowner must be provided below:
Signature: ____________ Printed: _Christopher D. Haas
Address: 12947 Pontell Place, Carmel, IN 46074
6. WOULD ANY PART OF THE PROPOSED IMPROVEMENT EXTEND INTO ANY COMMON AREA,
UTILITY, DRAINAGE OR SEWER EASEMENT, LANDSCAPE EASEMENT OR LAKE EASEMENT?
_____________ Yes _____ NO _________ No
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