Dwelling Modification Form (R6) – Lake Country Property Owners Association

Resident dwelling construction approval request - A dwelling includes any porch, outbuilding and garage that is attached to it. A detached garage is considered part of the main dwelling.

Name*
First Last
Property Address*
Street Address Address Line 2
Do you live at a different address?*
- Yes
- No
Please enter the address at which you live
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Are you the owner of the property located at the above address?*
- Yes
- No
Email*
Phone*
General Description
If desired, you may provide a brief description of your project and/or what you with to accomplish. This may assist us in our review and/or help us to respond to any questions that may arise.
CONSTRUCTION REQUIREMENTS (ATTACHED TO YOUR PROPERTY)
1. The modification is not used for anything other than a single family residence.
2. The work of construction shall be prosecuted diligently until completion.
3. The modification erected on any plot shall present a good frontage to the street(s).
4. The location is at least 5 ft from the side and back property lines.
5. The location is at least 25 ft from the front property line.
6. The location is at least 25 ft from the side property line on side street.
7. The location is at least 10 ft from the greenbelt.
8. The location is at least 25 ft from Tract A (the golf course).
9. The location is not on an easement.
10. Dwelling width (including garage) will not occupy more than 80% of the lot width.
11. At least 60% of the exterior walls (less windows & doors) are brick, stone or comparable material.
12. The modification/addition, style, architecture, materials and colors will correspond to the main dwelling.
13. The siding material will be cement board, cedar or better.
14. Garage doors will not face the street. Very limited exceptions may be possible.
15. An enclosed garage shall not result in the residence giving the appearance of not having at least a two vehicle enclosed garage.
Required Documents (The application will not be processed without the following documents)
1. An accurate fully-dimensioned to scale drawing with all views of the modification will be provided
2. A complete set of material manufacturer/ specifications will be provided (including siding, eave, soffit, fascia…..)
3. A survey of your property will be provided that accurately shows to scale the footprint of your dwelling with proposed modification and the location of setback requirements from above that apply to your lot.
4. A copy of the City permit will be provided (including drawings and supporting specifications).
5. Images of your main dwelling and any other existing structures will be provided.
6. An Exterior Painting Approval Form will be provided.
7. A Roofing Approval Form will be provided.
Upload Required Documents here*
Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, pdf, Max. file size: 512 MB, Max. files: 10.
SIGNATURE SECTION:
By typing your Name and Date below you agree to comply with all of the above CONSTRUCTION REQUIREMENTS and will not proceed with any construction until you have received written approval from the Lake Country Property Owners Association Deed Restrictions Committee.
Name*
Type your full Name accepting agreement below
Date*
Type the Date in which you agree below