Application # ______

BRISTOL HARBOUR VILLAGE ASSOCIATION

ENVIRONMENTAL COMMITTEE

REQUEST FOR ARCHITECTURAL DESIGN APPROVAL

PART I

Name of Applicant ____________________________________ Date _____________

(Please print-signature requested below)

Address ____________________________________________

City _______________________ State _____ Zip _________

Home Phone _____________ Business Phone _____________

Request Relates to:

New Construction or Addition

(Requires completion of Part I & Part II)

Exterior Alteration

(Complete Part I only)

Other (explain briefly)

Estimated Build Completion Date _______________________

(Note: Allow sufficient time for Committee action)

Location of Construction or Alteration

for which request is submitted: ____________________________________________

(Lot Number or Street Address)

Data submitted herewith: (Note: All data submitted will be retained by the Committee)

Construction Drawings and Specs

Site Plan

Architectural Renderings

Building Permit-Town of South Bristol

I HAVE READ THE ARCHICTECTURAL GUIDELINES AND WILL COMPLY.

Applicant’s Signature _______________________________ Date _____________

---------------------------------------------------------------------------------------------------------

The Environmental Committee acknowledges your request. The Committee will respond to the request within sixty (60) days after receipt of all information deemed necessary (in the Committee’s opinion) to properly grant approval or disapproval.

Acknowledgement Date: __________ Chairman _______________________________

*All work must be completed within 12 months from approval date.

9/01

Application # ______

BRISTOL HARBOUR VILLAGE ASSOCIATION

ENVIRONMENTAL COMMITTEE

REQUEST FOR ARCHITECTURAL DESIGN APPROVAL

PART II

Please complete the following where applicable.

Square Footage: Living __________ square feet

Other (Please specify garage, __________ square feet

decks, etc.) __________ square feet

__________ square feet

__________ square feet

__________ square feet

TOTAL __________ square feet

Name and Address of Builder:

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

Phone #: ____________________________________________

Set Backs (in feet): Front __________ feet

Rear __________ feet

Side #1 __________ feet

Side #2 __________ feet

Maximum Height of Structure: __________ feet

Exterior Material/Finish:

Siding Material _____________________

Color _____________________

Roof Material _____________________

Color _____________________

Exterior Lighting:

Type _____________________

Location _____________________

Landscaping:

Type Location

__________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________

Tree Removal:

Describe below or submit as part of site plan the area involving the removal of trees:

__________________________________________________________________ __________________________________________________________________ __________________________________________________________________

Additional Comments:

__________________________________________________________________ __________________________________________________________________ __________________________________________________________________

__________________________________________________________________

Applicant’s Signature _________________________________ Date _____________

Builder’s Signature _________________________________ Date _____________