Request for Architectural Change - Townhouses of Derby

Architectural Change Request Form

APPLICATION FOR APPROVAL OF ARCHITECTURAL CHANGE IN THE TOWNHOUSE OF DERBY, PHASE I, INC. Please note: We recommend you also obtain a Building Permit from the Town of Evans Building & Zoning Department if that is required. A copy of this form will be sent to your email address.

Unit Owner*
First Last
Property Location*
Owner's Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Nature of Proposed alteration, replacement or repair:
Proposed Starting Date
MM slash DD slash YYYY
Proposed Completion Date
MM slash DD slash YYYY
Work to be performed by (if known):
Contractor Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contractor Phone
List of Materials to be used (be specific):
Submitted Drawings
Drop files here or

Accepted file types: pdf, jpg, jpeg, doc, Max. file size: 20 MB, Max. files: 5.
Please furnish a copy of the drawings, plan(s) and cross-section view(s) done to scale showing, where necessary, the width, length and height of the proposed changes.

Architectural Guidelines

Printable Architectural Change Approval Request Form