Architectural Approval Request Form

Chapel Creek Homeowners Architectural Approval Request Form

Today’s Date: _________________________________________

Name of Homeowners:_________________________________

Address: ____________________________________________

Telephone:  (Home) ____________________________________

                       (Cell) ____________________________________

Email: _______________________________________________

A copy of your lot plat should be attached.  Once changes have been approved by the CCHA, the homeowner MUST contact the Floyd County Building office to see if a building permit is required before changes/construction can begin.

Requested Improvements Please describe in detail and use additional pages, if needed: ________________________________________

____________________________________________________

For Architectural Committee Use:

Date Received: _______________________________________

–Plans approved as submitted.  No further changes can be made to the plans without additional approval by the CCHA Architectural Committee.    Need a copy of the lot plat.

–Need additional architectural details     Need clarification on details  

–Plans rejected because they do not meet CCHA Covenants and Restrictions

  –Other _____________________________________________________

Approved by Architectural Committee:

Date: _______________________________________________________

Signed: _____________________________________________________

             _____________________________________________________

             _____________________________________________________

PLEASE NOTE:   Architectural Committee Approval does not override Federal, State or Local laws/and or ordinances.

Return to:   CCHA Architectural Committee, 4510 Charlestown Road, Suite 400, PMB241, New Albany, IN 47150

                Include all forms, drawings and pertinent information.