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BRISTOL HARBOUR VILLAGE ASSOCIATION
ENVIRONMENTAL COMMITTEE
REQUEST FOR ARCHITECTURAL DESIGN
APPROVAL PART I
Name of Applicant (Please Print) ___________________________Date________
Address_______________________________________________________________
Home Phone_____________________ Business Phone _____________________
Check One: _____ New Construction (Requires Parts I and II)
_____ Exterior Alteration (Part I only)
_____ Other (Explain briefly) ______________________________
______________________________________________________________________
Location of Construction or Alteration __________________________________
Estimated Completion Date: _________________ (can not exceed 13 months)
Information provided with this application: (to be retained by the EC)
_____ Site Plan
_____ Architectural Renderings
_____ Other (please explain) _______________________________
_____________________________________________________
Approval by the Environmental Committee will include review and indicate which of the following will be required.
_____ Name, address and phone number of Contractor.
_____ Insurance Certificate from an admitted insurance company providing Comprehensive General Liability (CGL) and Comprehensive
Automobile Liability Coverage (CAL) for the contractor, of not less than $1,000,000 and naming BHVA as an additional insured.
_____ Insurance Certificate proving Worker’s Compensation is in effect.
_____ Building Permit from the Town of South Bristol (Not required to be presented to the EC – but this is a legal obligation of the homeowner)
ALL work will be completed no later than 12 (twelve) months after approval. Unless extenuating circumstances exist that are approved by the EC, penalties for non-compliance will be applied in accordance with the Rules and Regulations of the Bristol Harbour Village Association.
I HAVE READ THE ARCHITECTURAL GUIDELINES AND AGREE TO COMPLY WITH THEM AS WELL AS THIS APPLICATION AS APPROVED.
Applicant’s Signature______________________________ Date _______________
The Environmental Committee acknowledges your request. The committee will respond within thirty (30) days after receipt of all information requested.
Chairman Signature ________________________________ Date ______________
BRISTOL HARBOUR VILLAGE ASSOCIATION
ENVIRONMENTAL COMMITTEE
REQUEST FOR ARCHITECTURAL DESIGN APPROVAL
PART II
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* THIS APPLICATION WILL NOT BE CONSIDERED UNLESS THE RESIDENTS IS CURRENTLY UP TO DATE WITH THEIR BHVA FEES
Please complete the following where applicable:
Square Footage: Living _______Square Feet
Other (Please specify _______Square Feet
garage, decks, etc.) _______Square Feet
_______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 the site plan the area involving removal of trees:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Additional Comments:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Applicant’s Signature____________________________ Date __________
Builder’s Signature ______________________________ Date __________
Bristol Harbour Village Association
30 Golfside Drive
Canandaigua, NY 14424