Appendix B-1
NEW CONSTRUCTION AND/OR ALTERATION APPLICATION
Applicant - check one:  Single Family  Condominium or commercial
AUTHORITY: COVENANTS Section 6.01 (a)
“No exterior construction, alteration, addition, or erection of any nature whatsoever, including, without limitation,
buildings, walls, fences, sewage systems, water systems, excavations, structures, alterations to grade or anything
used for habitation, shall be commenced, placed, erected, altered or maintained upon any Lot, Cluster House site
or Condominium site, except as is approved in accordance with this Section. No such exterior construction,
alteration, addition or erection shall be made unless and until the plans and specifications showing the nature, kind,
shape, height, materials, exterior colors and location shall have been submitted in writing to and approved in
writing by the Association’s Review Board as established from time to time by the Association’s governing
documents or its designee. The Review Board shall promulgate written guidelines and standards, which guidelines
and standards shall form the basis of any Review Board decision or determination under this section.” For further
information or explanations, see “The Landowners' Guide, Construction, Landscaping, and Painting in the QLLA
Community”.
LANDOWNER NAME:_________________________________________QLLA LOT #: ________________
(E-911) STREETADDRESS: _________________________________________________________________
LOCATION OF SIGN DISPLAYING LOT # OR STREET ADDRESS_______________________________
NOTE: YOUR LOT NUMBER OR STREET NUMBER MUST BE PROMINENTLY DISPLAYED ON THE PROPERTY OR
YOUR APPLICATION WILL BE CONSIDERED INCOMPLETE.
MAILING ADDRESS: _____________________________________________________________________
EMAIL ADDRESS: _____________________________________QLLA MEMBER #: __________________
PHONE (HOME): _________________ WORK: ___________________ QUECHEE: _________________
Please provide a general description of the proposed work. (Attach separate sheet if needed.)_________________
_________________________________________________________________________________________
_________________________________________________________________________________________
FUEL TANKS: Are there fuel tank/s located on the property?______ If yes please indicated type and describe
location including whether tank/s are inside, outside or buried: ________________________________________
_________________________________________________________________________________________
Project Architect, Engineer or designer: (If none, indicate.)
Name: _________________________________________________ Phone: ___________________________
Address: _________________________________________________________________________________
Contractor or builder who will do work:
Name: ____________________________________________________ Phone: _________________________
Address: _________________________________________________________________________________
Appendix B-2
As the RB will visit the site to review your application, please indicate the date when your project will be staked for
identification (if applicable): ______/______/______.
Proposed starting date: _____ /_____/_____ Allow at least three (3) weeks for review, site visit and written approval by the
RB before starting the construction. Construction must start within 12 months from date of approval. Construction start is
the date of pouring of concrete or laying of the foundation. Construction must be finished within 12 months from the date the
first concrete was poured for the project. An extension may be requested in writing.
Please note fees shall accompany application as follows:
New Construction (residence or condominium unit)
For Commercial buildings see Appendix E.
Major Alteration or Addition including addition of room(s), roof alterations or new garage
Minor Alteration or Addition including new or expanded decks, fences, sheds and windows
A/C units, Propane Tanks, signs and lampposts
$400.00
$200.00
$100.00
$ 25.00
The following must be submitted for Review Board review (Minor alterations may not require
submission of some items). All plans are required in both electronic and hard copy form:
For RB Use:
Copies of notification letters required to be sent to property abutters (See Guide Appendix A)
YES__ NO__
Site Plan*
YES__ NO__
Dimensioned floor plans noting square footage calculations for each floor.*
YES__ NO__
Elevation drawings of proposed project and/or improvement for all sides.*
YES__ NO__
*See Guide page 6 and 7.
Condominium Association approval (where applicable).
YES__ NO__
Copy of Town of Hartford Zoning and Planning Permits and any other required permits
(may be applied for concurrently with RB submittal, copies of applications required if so).
YES__ NO__
The following can be submitted during construction:
Samples of materials to be used and house and roof colors desired.
YES__ NO__
Proposed landscaping plan and timetable for implementation.
YES__ NO__
Exterior lighting plan plus manufacturer’s cuts of fixtures desired.
YES__ NO__
THE SIGNATURE BELOW ATTESTS TO THE ACCURACY OF PRESENTED MATERIAL AND ACKNOWLEDGES THE OBLIGATION TO FURTHER SUBMIT FOR APPROVAL ANY CHANGES IN ANY
MATTER LISTED ABOVE. APPLICANT ACKNOWLEDGES THAT THE PROJECT IS BEING BUILT ON
PROPERTY WITHIN THE QUECHEE LAKES DEVELOPMENT, WHICH PROPERTY IS SUBJECT TO THE
QLLA GOVERNING DOCUMENTS, LOCAL AND STATE REGULATIONS AND THE CONDITIONS OF
THE REVIEW BOARD APPROVAL.
The Contractor(s) selected for this application is on file with the RB as an “Authorized Contractor” ____YES ____
NO [If NO, the Contractor must take the appropriate actions to become Authorized before work can begin]
Landowner's Signature:

Date ______/______/_______
Yes please charge the requisite fee to my Club Membership Account #: __________________________
For RB Use:
Membership Status: __________________________________________________ Date ______/______/______
3268 Quechee Main Street PO Box 1301 Quechee, Vermont 05059
Telephone 802.299.2108 Email Review.Board@QuecheeClub.com Fax 802.295.1527
www.QuecheeClub.com