APPLICATION FOR CERTIFICATE OF APPROPRIATENESS
APPLICATION FOR CERTIFICATE OF APPROPRIATENESS
West Bountiful City 550 N 800 W West Bountiful, UT 84087
Phone: (801) 292-4486 www.westbountiful.utah.gov
DATE: __________________ Name (Property owner):________________________________________________________________________ Address: _____________________________________________Builder: ________________________________ The proposal is for: New Construction _______ Extensive Rehabilitation: ______ See West Bountiful Municipal Code, Chapter 17.24 for guidelines and more detail Lot size: _________ Building size (incl. garage): ___________ (Cannot exceed 40% of lot) Height of House: ________ Architectural Style: (e.g., Victorian, Prairie, Temple/Greek Revival, Cottage) ______________________________________ Windows: (May be vinyl but cannot be horizontal sliders. Windows can be single-hung, double-hung or casement and must be consistent throughout the house and recessed one inch. Mullions must be three dimensional and protrude from the glass.)
___________________________________________________________________________________________ Siding, including brick and stone: ________________________________________________________________ Garage: (1-detached and located toward back of lot, 2-attached and flush to the house or extend up to 5 ft in front of the house if the garage is built to appear as part of the house and has side or back opening or, 3-attached with a front opening if the front of garage is set back at least 5 ft from the front of house. Garage and outbuildings will be subordinate to the house and conform to the style of home.)
___________________________________________________________________________________________ Garage doors, fretwork and trim: ________________________________________________________________ Colors: (Historically appropriate) ___________________________________________________________________ Additional Information: _______________________________________________________________________ ___________________________________________________________________________________________ The attached house plans and design plans are submitted to the West Bountiful Architectural Review Board for approval.
_______________________________________ Property Owner
FOR OFFICIAL USE ONLY
Application Fee ($150) Received:
Initial Architectural Board Review Date: _______________________ SEE REVERSE SIDE FOR COMMENTS/APPROVAL
Revised January 2013
ARCHITECTURAL BOARD REVIEW:
Review Date: The plans WERE ______ WERE NOT ______ approved with the following notations: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________
Review Date: The plans WERE ______ WERE NOT ______ approved with the following notations: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________
The Architectural Review Board finds that the attached Application meets the minimum requirements of the West Bountiful Historic District and recommends that a Building Permit be issued. Signatures:
Printed Names:
_______________________________________
William Nelson, Architect
_______________________________________
Ben White, Planning/Zoning Administrator
_______________________________________
Alan Malan, Chairman – Historic Preservation Commission
Revised January 2013
West Bountiful City 550 N 800 W West Bountiful, UT 84087
Phone: (801) 292-4486 www.westbountiful.utah.gov
DATE: __________________ Name (Property owner):________________________________________________________________________ Address: _____________________________________________Builder: ________________________________ The proposal is for: New Construction _______ Extensive Rehabilitation: ______ See West Bountiful Municipal Code, Chapter 17.24 for guidelines and more detail Lot size: _________ Building size (incl. garage): ___________ (Cannot exceed 40% of lot) Height of House: ________ Architectural Style: (e.g., Victorian, Prairie, Temple/Greek Revival, Cottage) ______________________________________ Windows: (May be vinyl but cannot be horizontal sliders. Windows can be single-hung, double-hung or casement and must be consistent throughout the house and recessed one inch. Mullions must be three dimensional and protrude from the glass.)
___________________________________________________________________________________________ Siding, including brick and stone: ________________________________________________________________ Garage: (1-detached and located toward back of lot, 2-attached and flush to the house or extend up to 5 ft in front of the house if the garage is built to appear as part of the house and has side or back opening or, 3-attached with a front opening if the front of garage is set back at least 5 ft from the front of house. Garage and outbuildings will be subordinate to the house and conform to the style of home.)
___________________________________________________________________________________________ Garage doors, fretwork and trim: ________________________________________________________________ Colors: (Historically appropriate) ___________________________________________________________________ Additional Information: _______________________________________________________________________ ___________________________________________________________________________________________ The attached house plans and design plans are submitted to the West Bountiful Architectural Review Board for approval.
_______________________________________ Property Owner
FOR OFFICIAL USE ONLY
Application Fee ($150) Received:
Initial Architectural Board Review Date: _______________________ SEE REVERSE SIDE FOR COMMENTS/APPROVAL
Revised January 2013
ARCHITECTURAL BOARD REVIEW:
Review Date: The plans WERE ______ WERE NOT ______ approved with the following notations: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________
Review Date: The plans WERE ______ WERE NOT ______ approved with the following notations: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________
The Architectural Review Board finds that the attached Application meets the minimum requirements of the West Bountiful Historic District and recommends that a Building Permit be issued. Signatures:
Printed Names:
_______________________________________
William Nelson, Architect
_______________________________________
Ben White, Planning/Zoning Administrator
_______________________________________
Alan Malan, Chairman – Historic Preservation Commission
Revised January 2013
