STANDARD ARCHITECTURAL MODIFICATION FORM (SAM Form)
(Revised) May 2009
Property Owner(s):_____________________________________________________________
Property Address:______________________________________________________________
Telephone: Home:_________________________________ Work:_______________________
Date Received by Community Manager:_________________ Date Letter Sent to Owner:__________________
In accordance with Article XI, Sections 1(a), (b), of the By-Laws for the Chestnut Woods Condominium Association, I am hereby requesting written approval for the following:
*( ) Deck (Max. size, 10’D x 18’ W) *( ) Patio (Max. size, 10’D x 18’W)
( ) Landscaping (no deeper than 18”) *( ) Fence (Max. 6 ft., Min. 4’) Wood or
*( ) Shed (Max. size 8’ x 10’) White Vinyl (No combinations)
( ) Storm Door (Alum-white, black, brown) **( ) Change of Color Scheme
( ) Trim (Aluminum, vinyl – white only) ( ) Light Fixture
( ) Other ____________________________
Description of change:
Colors:_________________________________________________________________
Materials (include grade or quality):
_______________________________________________________________________
Type of Plantings:
_______________________________________________________________________
Dimensions:_____________________________________________________________
For all alterations or structures, i.e. decks, fences, replacement windows, awnings, doors, roofs, gardens, etc., please attach a separate detailed drawing which meets the condominium standards. Photographs may be helpful. It is the responsibility of each individual condominium owner to secure the proper permits from Baltimore County before starting work.
Contractor Name______________________________________________________________
Address _______________________________________________________________
Telephone___________________ MHIC Lic #___________ Permit # _____________
Date to Begin______________________Date of Completion _____________________
*Diagrams/Dimensions/Plot Plans REQUIRED. Baltimore County Permit REQUIRED
**Paint chip/color Code/Address of Color Scheme Example REQUIRED
Mail to:
Joanne Frallicciardi, CMCA® Community Manager
Community Association Management, LLC
P. O. Box 579
Stevenson, MD 21153
FOR OFFICE USE ONLY
Approval ________________________________ Approval Date ________________
Approval/With Conditions ___________________ Date________________________
Denial____________________________________Date________________________
Authorized Signature____________________________________________________