Lions Gate Homeowners Association

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ALTERATION REQUEST FORM

Owner’s Name (s):_________________________________________

Address: ________________________   Day Phone ___________

                                                                  Evening Phone ____________

 

INFORMATION:

 

The Executive Board for Lions Gate has legal authority over all Common Elements, which include all building exteriors and structural alterations to building interiors within the community.  The Executive Board has required that any proposed alteration to the Common Elements be submitted in writing before requests will be considered.  The Executive Board’s decision is final.

 

 

INSTRUCTIONS:

 

1.     Complete this form making certain that you understand and can comply with all portions prior to signing.

 

2.     On the attached sheet (s), prepare a sketch or written description of the proposal in sufficient detail to permit the Executive Board to render a decision.  Please have your sketch signed by the drawer.

 

3.     Please attach a copy of your contractor’s proposal to this form.

 

4.  Send the completed form, and all attachments to:

Janice Shearer

Grosse & Quade Management Company

762 E. Main Street

Lansdale, PA 19446

 

 

 

PROPOSED ALTERATION:

 

1.     Description:

 

 

  1. Location:

 

 

  1. Dimensions:

 

 

  1. Shape:

 

 

  1. Color:

 

 

  1. Materials:

 

 

  1. Drainage provisions (if applicable):

 

 

2.     Name and Address of contractor (where applicable):

 

 

3.     Statement by contractor of his insurance coverage and carrier (Liability, Workman’s Compensation, etc.) on attached sheet.

 

4.     Certification of owner’s insurance coverage (Liability and Fire) during and after completion (include name of insurance company and period of coverage).

 

 

5.     Sketch or photograph must be submitted.

 

 

6.     Any other pertinent information (attach additional sheets, if necessary).

 

 

AGREEMENT:  I (we) have read the requirements as outlined in the Alteration Request procedures and guidelines and this request form and, in the event that the above request is approved, I (we) agree to and shall abide by all of the following:

 

1.     That all expenses related to this work, including any resulting damage to the Common Elements or to other units is my responsibility and I (we) agree to save the Executive Board harmless from any and all liability which may result from any approval;

 

2.     That I (we) assume all related costs of maintenance and insurance connected with this work;

 

3.     That I (we) do permit members of the Executive Board and its appropriate agents to make reasonable inspections related to this proposal;

 

4.     That I (we) prior to the sale of this unit, will inform the future buyers of any maintenance responsibilities connected with this modification;

 

5.     That by signing this, I (we) have assumed all responsibility in assuring that any related state or local laws or building codes are being followed;

 

6.     That I (we) realize that no actual work can begin until I (we) receive a copy of the form approved by the Executive Board.

 

SIGNATURES:

 

Owner(s): ______________________________________________

 

Date: ________________________

 


Please use this space provided for your sketch.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARCHITECTURAL COMMITTEE:

 

Date Received: _______________    Date Reviewed: ______________

 

Action Taken:

 

 

 

Comments:

 

 

 

 

 

Signature of Committee Chairperson

 

 

EXECUTIVE BOARD:

 

Date Received: ________________    Date Reviewed: _____________

 

Action taken:

 

 

Comments:

 

 

 

 

 

Signature, Executive Board Member

 

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