Lakepointe Townhomes Hoa Architectural Control Committee (Acc) Change Request Form

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Lakepointe Townhomes HOA Architectural Control Committee (ACC) Change Request Form
Name of Applicant: ________________________ Address: __________________________________ ______
Phone:
) ____________(
_____________ Describe proposed improvement: __________________
(Home
Work)
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____________________________________________________________________________
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Continued on Pg. 2? Check Box
ACC APPLICATION MUST INCLUDE:
____________________________________________________________________________
1. Description of work (i.e., new windows (white with 6x6 grids), windowsill capping, vinyl siding etc. Include drawings, photo and material samples.
2. For exterior re-siding work attach vinyl / wood material color samples including several shades lighter and darker than “approved color”.
3. Refer to “Lakepointe Approved Color Chart” document to determine your approved house paint color for siding, shutters, trim, and doors.
4. Refer to “Lakepointe ACC Guidelines” document for all approved/allowable exterior repairs/modifications.
Applicant Hereby Warrants that Applicant Shall Assume Full Responsibility For:
1. All landscaping, grading, and/or drainage issues relating to said improvements
2. Obtaining all required State or County approvals relating to said improvements and comply with all applicable State and County ordinances
3. Any damage to adjoining property, common Area or injury to third persons associated with improvement
4. Work is not to begin until homeowner receives a formal approval letter from Sequoia Property Management Company.
5. Homeowner accepts full liability for any unapproved / premature improvements and may be required to remove unapproved improvements.
6. All work must be completed 60 days after work begins. ACC approval good for 12 months from approval date.
__________________________________________________
__________________________
Signature of Applicant
Date
Architectural Control Committee (ACC) review/approval (Section below)
Date Application Rec’d by ACC: _____________________
Request Approved Subject To: _________________________________________________________________
__________________________________________________________________________________________
Request Disapproved Due To: _________________________________________________________________
__________________________________________________________________________________________
____________________/_______
______________________/______
Approved:
Disapproved:
Signature-ACC Member / Date
Signature-ACC Member / Date
Submit ACC Application To: GHA Management, ATTENTION: Brian Heisler, 3020 Hamaker Court, Suite 300, Fairfax, VA 22031. Homeowners
are to submit their ACC change request forms directly to GHA Management for processing no later than the 3rd Monday of every month. ACC
application review and formal letter of response by GHA Management to the applicant will be completed within 30 days from ACC’s receipt of
Page 1
this application.
(February 2010 form version)

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