Design Review Request/Architectural Control Committee Improvement Request


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

Phone:  303.530.0700     
*Internal Use Only
Date Received:    ________________________
Date Sent to ACC:   ______________________
Date Received from ACC: _________________

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:

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.)  For painting, please note that you must submit photos of the neighboring homes.  If going outside the pre-approved colors, note that you also need to submit paint chips.
Upload your supporting attachments here:
Planned Completion Date:
Open the calendar popup.

By submitting this Design Review Request form/Architectural Improvement 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 in order to proceed. I understand that  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 City and 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 I understand that my improvements must be completed per approved specifications or ARC approval is withdrawn.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.

Please Note: 
No advertising signs for contractors, landscapers, etc. are permitted.  The Design Review Committee has 30 days to reach a decision from the day they receive the Design Review/ACC Form.  Incomplete forms will not be reviewed until completed.
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:  __________________________