Brighton Knoll ARC Form

BRIGHTON KNOLL BRIGHTON KNOLL HOMEOWNERS ASSN., INC.
5702 Kirkpatrick Way
Indianapolis, IN 46220
317-570-4358

HOMEOWNER REQUEST FOR CHANGE FORM
Name *

First Name Last Name
Phone *
Address *
Lot # *
Email *
example@example.com
Briefly describe the proposed change: *
Will there be changes or modifications in basic utility services or accommodate the proposed change?

Please indicate.
Electric *

Yes No
Telephone *

Yes No
Gas *

Yes No
Water *

Yes No
Sewage *

Yes No
TV Cable *

Yes No
Exterior Walls *

Yes No
Patio Fencing *

Yes No
Patio Slab *

Yes No
Sidewalks *

Yes No
Pavements *

Yes No
Other
Please list below the major construction materials, which will be used in this project. Be as specific as possible. (Exterior materials must conform to those used on the original building or be sufficiently compatible). Example: Concrete, Wood, Paint... *
Will the proposed project extend beyond your property line? *

Yes No
Please provide the name of the affected homeowner below.
Please provide the address of the affected homeowner below.
Would any part of the proposed improvement extend into any Common Area, Utility, Drainage or Sewer Easement, Landscape Easement, Landscape Preservation Easement *

Yes No
EASEMENT AND UTILITY ACCESS WAIVER
This document is an acknowledgement that I,   First Name   Last Name   ,
the owner of the property located at   Street Address of the Brighton Knoll subdivision will be installing an improvement that could possibly extend into a Common Area, Utility, Drainage or Sewer Easement, Landscape Easement, Landscape Preservation Easement or Lake Easement or possibly could block access to utility meters or equipment. I will accept full responsibility of any cost to remove and/or replace this improvement if the utility company, association or the developer requires access to any such area.

Homeowners Signature   Signature*   Date   Date*
Project File Uploads

If the proposed project is an addition or alteration that would change the structural appearance of your residence, please attach the following information:

Plot plan indicating the location and dimension of the project.
Blueprints or working drawings indicating all necessary dimensions and elevations.
Color swatches/chips of the paint(s) and/or stain(s) to be used.
If available, a photograph or drawing of a similar completed project.
Building Permits (See Noblesville Building Permits)

File Upload *

Cancel of
Project Schedule:
The project will be done by: *

Homeowner Contractor(s) Both
Contractor Name
Please indicate the approximate time needed to complete this project, subsequent to the committee approval *

Month Day Year
Date
Please check and adhere to any local, city and government ordinances to ensure compliance with city code, zoning, and permit requests (if needed Any questions please feel free to contact Kirkpatrick Management (317) 570-4358
Will a building permit be required for approval? (See Noblesville Permit Guide) *

NOTE : CONSTRUCTION PLANS, DRAWINGS, OR A PHOTOGRAPH OF A SIMILAR PROJECT/IMPROVEMENT ALONG WITH A PLOT PLAN INDICATING THE LOCATION AND DIMENSIONS OF THE PROPOSED IMPROVEMENT MUST BE INCLUDED WITH ANY ARCHITECTURAL CHANGE REQUEST. THIS REQUEST FORM WILL BE RETURNED TO YOU WITHOUT APPROVAL IF A PLOT PLAN IS NOT INCLUDED.

NOTE: All submitted materials shall remain the property of the Association. You may wish to make a copy for your personal records.
I hereby acknowledge that I have read and understand the DECLARATIONS OF COVENANTS AND RESTRICTIONS.

Homeowner's Signature Signature*

Will there be changes or modifications in basic utility services or accommodate the proposed change?

EASEMENT AND UTILITY ACCESS WAIVER

Project File Uploads

Project Schedule: