WILDERNESS STREAMS ARCHITECTURAL CONTROL COMMITTEE
APPENDIX A: APPLICATION FORM FOR CONSTRUCTION/DEMOLITION
GENERAL INFORMATION:
1. Lot Owner(s) Name(s):_________________________________________
2. Lot Number: _____ Wilderness Streams Filing Number _____ I _____ II
3. Home Address: _______________________________________________
_______________________________________________
4. Telephone Number: ____________________ Cell: __________________
TYPE OF APPLICATION (Check all that apply)
___ Primary Dwelling ___ Tack House/Stable ___ Storage Building
___ Garage ___ Demolition of Existing Structure(s) ___ Fence
___ Other (Describe) _______________________________________________
SITE VISIT AND BUILDING LOCATION (Check to indicate completed)
___ Lot Staked (Lot corners, easements, building site, driveway path, trees to be
removed)
___ Plot plan attached with building location and driveway (Include distances
From lot lines and easements)
___ Plan reviewed in relation to Covenants (Particularly #5b and #9)
___ Other ________________________________________________________
BUILDING APPEARANCE AND CONSTRUCTION
Exterior Wall Material: ___ Log ___ Log Siding ___ Other: ______________
Exterior Wall Finish/Color: ___ Natural ___ Painted (Attach paint chip)
Exterior Trim Finish/Color: ___ Natural ___ Painted (Attach paint chip)
Foundation Wall Covering (No metal): ___ Stone ___ Painted (Attach paint chip)
___ Other (Describe) ____________________________________________
Roof Material: ___ Metal/Color _______________
___ Composite Shingle
Elevations: Attach scale drawings of all building elevations
Indicate maximum height
Building Size: __________ Attach scale drawings of building footprint and deck(s)
Square Footage: __________ Include building, basement and loft(s)
Exterior Lighting: Indicate location, wattage and number of exterior light fixtures
___________________________________________________________________________
YARD AND CORRAL FENCES (See Covenant #12)
Type of Fence: ___Yard ___ Corral ___ Replace Existing Fence ___ New Fence
Fence Location: Attach a scale drawing indicating size and location of fence in relation to the
primary dwelling or stable and the lot perimeters. (Include gates)
Fence Material: ___ Log: ___ Peeled ___ Unpeeled ___ Wire ___ Wood
Rail Diameter __________ Post Diameter __________
Fence Color: ___ Natural ___ Painted (Attach paint chip)
Gate Construction: ___ Log ___ Cut Lumber ___ Metal
Gate Color: ___ Natural ___ Painted (Attach paint chip)
OTHER STRUCTURES REQUIRING ACC APPROVAL (See Covenant #17 (j)
SATELLITE DISHES
Dish Location: If mounted to building _____ Attach elevation drawing to show dish location
If free standing _____ Attach plot plan showing dish location
Dish Size: _____ 18” Diameter _____ Other diameter in inches
Screening (For dishes larger than 18”):
_____ Attach a scale drawing of elevation views of dish and screening from neighboring lots and
Subdivision roads
_____ Attach details of screening materials and color to be used for long-term screening
FUEL TANK (PROPANE, BUTANE,ETC)
Size of Gas Tank ___ Gallons
Name of Gas Company: _________________________
Attach a scale drawing of elevation view of tank and how it will be screened from neighboring lots and
Subdivision roads
Attach details of screening materials for structure
Screening enclosure material: ___ Same as dwelling ___ Other (Describe)_______________
Screening enclosure color: ___ Same as dwelling ___ Other (Attach paint chip)
SOLAR PANELS & SOLAR ARRAYS
_____ Solar Panels
_____ Solar Arrays Name of Solar Company ________________
_____ Attach a scale drawing of location on site plan, including dimensions of panels/arrays and
maximum height.
_____ Attach details of how the panels/arrays will be screened from neighboring lots and Subdivision
roads
DOG KENNELS/RUNS AND OTHER STRUCTURES
_____ Dog kennel/run
_____ Other Structure (Describe in detail): __________________
_____ Attach a scale drawing of location on site plan, including dimensions and maximum height of
structure
_____ Attach details of how structure will be screened from neighboring lots and Subdivision roads
TEMPORARY HOUSING DURING CONSTRUCTION (See Covenant #8)
Type of Housing (i.e. Camper, Tent) _____________________________________________
Arrival Date: ____________________
Departure Date: ____________________
PLEASE HAVE ALL OWNERS SIGN THIS APPLICATION FORM
I/we have read the Wilderness Streams I or II Covenants and understand that approval by the
Architectural Control Committee of building plans and site requires compliance with the Covenants.
Further, I/we have read and agree to abide by Appendix B attached to this Application and to require my
Contractor to abide by Appendix B during construction. Moreover, I/we recognize that I/we are
responsible for the behavior of my/our Contractor while in the Subdivision.
Owner/Applicant Signature:
Owner/Applicant Signature:
______________________Date__________
______________________Date __________
Owner/Applicant Signature:
Owner/Applicant Signature
______________________Date__________
______________________Date__________
Please use additional paper for all drawings and attach to Application Form.
(ACC USE ONLY BELOW THIS LINE)
Date Application Received: _________________________________
Amount of Application Fee Received: _________________________
Date of Site Visit: _________________________________________
Date ACC Response Sent: __________________________________
APPLICATION DISPOSITION: ___ Accepted as Proposed
___ Denied (See below)
___ Accepted with the following modifications:
____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
ACC Signature
_______________________________________ Dated ____________________
ACC Signature
_______________________________________ Dated ____________________