Design Review Request/Architectural Control Committee Improvement Request


HAVEN Community Management
350 Interlocken Blvd., Suite 350
Broomfield, CO 80021

Phone:  303.530.0700  

Date Received:    ________________________
Date Sent to CMTE:   ______________________
Date Received from CMTE: _________________

Please complete this form and submit electronically any supporting documentation of the proposed modification(s).  

Approval or disapproval notice will be given with the guidelines established in the current Guidelines.

Name: *
Address: *
City, State, Zip Code: *
Email: *
Phone (Day/Evening/Cell): *
Mailing Address if Different Than That of Proposed Improvement(s):
My Request Involves the Following Type of Improvement:
Enter "Other" here:

Describe Improvements: (Include paint chips, building materials, landscape plans, fence layout, and other plans or brochures for patios, decks, windows, doors, etc.   Also include relevant measurements for fencing, decks, patios, etc.)
Upload your supporting attachments here:
Planned Completion Date:
Open the calendar popup.

By submitting this Design Review Request Form and electronically signing by entering my name in the box below, I understand that I must receive approval from the Architectural Review Committee (ARC) in order to proceed. I understand that ARC approval does not constitute approval of the local building department and that I may be required to obtain a building permit. I agree to follow all Town of Superior and Boulder County guidelines and requirements.  I agree to complete improvements promptly after receiving approval. I understand that my improvements must be completed per approved specifications or ARC approval is withdrawn.  I also understand that I shall maintain proper slope and drainage when installing landscape or building improvements.
Homeowner(s) Signature: *
Date Submitted:
Open the calendar popup.

Please remember to get any permits that may be required for your improvement from the City/County before construction begins.

Do Not Complete Below This Line - Contents are for ARC Action Only

_____ Approved as Submitted

_____ Approved Subject to the Following Requirements:


_____ Disapproved:


Architectural Control Committee Member:  _________________________________________________  Date:  __________________________