CHESTNUT WOODS CONDOMINIUM ASSOCIATION

STANDARD ARCHITECTURAL MODIFICATION FORM (SAM Form)

(Revised) September 2002

Property Owner(s):_____________________________________________________________

Property Address:______________________________________________________________

Telephone: Home:_________________________________ Work:_______________________

Date Received by TPSI:_________________ Date Letter Sent to Owner:__________________

In accordance with Article XI, Sections 1(a), (b), of the By-Laws for the Chestnut Woods Condominium Association, I am hereby requesting written approval for the following:

*( ) Deck (Max. size, 10’D x 18’ W) *( ) Patio (Max. size, 10’D x 18’W)

( ) Landscaping (no deeper than 18”) *( ) Fence (Max. 6 ft., Min. 4’) Wood or

*( ) Shed (Max. size 8’ x 10’) White Vinyl (No combinations)

( ) Storm Door (Alum-white, black, brown) **( ) Change of Color Scheme

( ) Trim (Aluminum, vinyl – white only) ( ) Light Fixture

( ) Other ____________________________

Description of change:

Colors:_________________________________________________________________

Materials (include grade or quality):

_______________________________________________________________________

Type of Plantings:

_______________________________________________________________________

Dimensions:_____________________________________________________________

For all alterations or structures, i.e. decks, fences, replacement windows, awnings, doors, roofs, gardens, etc., please attach a separate detailed drawing which meets the condominium standards. Photographs may be helpful. It is the responsibility of each individual condominium owner to secure the proper permits from Baltimore County before starting work.

Contractor Name______________________________________________________________

Address _______________________________________________________________

Telephone___________________ MHIC Lic #___________ Permit # _____________

Date to Begin______________________Date of Completion _____________________

*Diagrams/Dimensions/Plot Plans REQUIRED. Baltimore County Permit REQUIRED

**Paint chip/color Code/Address of Color Scheme Example REQUIRED

Approval ________________________________ Approval Date ________________

Approval/With Conditions ___________________ Date________________________

Denial____________________________________Date________________________

Authorized Signature____________________________________________________

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