Walden Ridge Certificate of Appropriateness Application

Walden Ridge Certificate of Appropriateness Application

Incomplete applications will be rejected
Walden Ridge Overlay District Information
Property Type*

ResidentialCommercialProperty PlattedProperty Not Platted
Parcel(s) or Tax ID#*
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Total Acres*
Proposed Work*

Exterior AlterationRelocationAdditionNew ConstructionDemolition (in part or whole)Other
If other, please describe:*
Applicant / Primary Contact Information
Name of Applicant*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Name, If Applicable*
Best Contact Phone Number*
Fax Number*
Email*
example@example.com
Is the applicant / primary contact the property owner?*

YesNo
Property Owner Information
Property Owner Name*

First NameLast Name
Property Owner Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Owner Phone Number*
Please enter a valid phone number.
Property Owner Email*
example@example.com
Is the applicant / primary contact the owners agent / representative?*

YesNo
Owners Agent / Representative's Information
Owners Agent / Representative's Name*

First NameLast Name
Owners Agent / Representative's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owners Agent / Representative's Phone Number*
Please enter a valid phone number.
Owners Agent / Representative's Email*
example@example.com
By signing this application, I certify that the above information is correct and complete to the best of my knowledge and grant staff access to the indicated property to perform work related to this request. I agree to provide any additional information necessary for this application as requested by the Planning Department or Walden Ridge Overlay District Committee.

The application, including all information, must be filed no later than 4:30 p.m. on the 15th of each month at Harriman City Hall; 408 North Roane Street; or by emailing application to james.emile@cityofharriman.net.

By signing below, I acknowledge that I have read, understand, and agree to comply with the Walden Ridge Overlay District Development Guidelines linked herein.
Signature of Applicant*

Clear
Date*

MonthDayYear
Date
Work / Information

Attach a complete description of the following information for each category of work proposed. All information which is submitted with an application must be retained by the Walden Ridge Overlay District at Harriman City Hall.
Exterior Alteration or Repair and Guideline Demand (Check each work item for which approval is requested)*

Security grillesShuttersArchitectural featureAwning or CanopyParking lotPorchSatellite dishCurb CutDeckSidewalksDoor Material changesSidingFenceSignsGutteringMechanical System UnitLight FixtureSolar CollectorsRoofRetaining WallWindowsMasonry (cleaning, tuckpointing, or painting)Other (Please explain per Section 2 below)
List and describe in detail all work to be done for each item checked. Include: Sketches, photographs, specifications, manufacturer's illustrations, or other descriptions of proposed changes to the building’s exterior.
Upload documentation below
Upload additional documentation here.

Sketches, photographs, manufacturer's illustrations, etc
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New Construction: descriptions of site plan, distances, elevations, materials, site improvements, etc.
Upload documentation below
Upload additional documentation here.

Site plan with measured distances. Elevation drawings of each façade and specifications showing exterior appearance. Samples or other descriptions of materials. Drawings of site improvements (e.g., fences, sidewalks, lighting, decks).
Cancelof
Demolition of Structure: Describe structure's condition, reason for demolition, and proposed reuse.
Upload documentation below
Upload additional documentation here.

Include photos of current condition and/or drawings of new structure and landscaping.
Cancelof
Relocation of Structure: Explain what will be moved. Description of impacted features (e.g., foundations, vegetation).
Upload documentation below
Upload additional documentation here.

Include site plan of proposed location and photographs if coming from outside district.
Cancelof
I, first name* last name* understand that this form serves as an application only. Submission does not constitute approval of your request. A member of our office will contact you to confirm receipt of your application and provide information regarding the next steps.
Should be Empty:

Walden Ridge Certificate of Appropriateness Application

Applicant / Primary Contact Information

Property Owner Information

Owners Agent / Representative's Information

Work / Information