Architectural Change Request

Lot Number

Last Name

First Name

Address

E-mail

Phone

The information below MUST be provided for your application to be considered:

1. Description of planned improvement:

2. Supporting data information including: pictures or drawings of proposed improvements with dimensions, descriptions and plans. Number of attachments uploaded:

3. Plot plan showing location and size of proposed improvement on lot. (Please include this as an attachment here.)

4. Contractor:
Phone:
Address:

5. Estimated construction dates: (please enter dates as shown: 4 digit year - 2 digit month - 2 digit day separated by dashes)
Start (YYYY-MM-DD): Completed (YYYY-MM-DD):

By checking the box below and entering owner's name, owner certifies:

a. Compliance with all applicable Louisville Metro building codes and zoning requirements

b. Permission is granted to the Copperfield Board of Directors and its agents to enter property to inspect site and/or work.

c. Project and contractor will comply with all applicable Copperfield Deed Restrictions and Policies.

I agree to the above terms:

NOTE: When approval is granted, you will have 120 days to complete the changes.

Upload up to 3 attachments. (Each attachment can be up to 4 MB in size.)