CERTIFICATE OF HISTORICAL APPROPRIATENESS

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CERTIFICATE OF HISTORICAL APPROPRIATENESS

West Bountiful City 550 N 800 W West Bountiful, UT 84087 Phone: (801) 292-4486 www.wbcity.org

DATE: __________________ Name (Builder): _________________________________________________________________________ Name (Property owner):___________________________________________________________________ Address: __________________________________________________ Lot Number: _______________ Phone(s): _____________________________________________________________________________ E-mail)s): _____________________________________________________________________________

The proposal is for: New Construction _____ Extensive Rehabilitation: _____ Accessory Building: _____ Architectural Style: _______________________________ Building Size: ____________ Height: _______

The attached house plans and design plans are submitted to the West Bountiful Architectural Review Board for approval. See West Bountiful Municipal Code, Chapter 17.24.110 for guidelines and more detail. An inspection will be done by the Board to coincide with the final building inspection to confirm no changes were made to the approved plans before occupancy will be given.

___________________________________ Builder

__________________________________________ Property Owner(s)

SEE REVERSE SIDE FOR COMMENTS/APPROVAL FOR OFFICIAL USE ONLY

Application Fee ($150) Received: Initial Architectural Review Board Review Date: __________________________ ARB Final Approval Date (see reverse side): _____________________________

Revised November 2013

CERTIFICATE OF HISTORIC APPROPRIATENESS Page 2

FINAL APPROVAL: Address: _____________________________________________________________________________ Architectural Style: ____________________________________________________________________________ Windows ________________________________________(Color)________________________________ Roof (including pitch): ____________________________________________________________________ Garage doors, fretwork and trim: _________________________________________________________ Siding (including brick and stone %): __________________________________________________________ Colors: (Primary) ________________________(Trim)____________________(Other)__________________ Additional Requirements: _______________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

The attached plans were approved on ___________________________ and the undersigned Architectural Review Board authorizes the City to issue a building permit for this home.

____________________________________________

Chad Turner, Architect

_____________________________________________ Alan Malan, Historic Preservation Commission _____________________________________________ Ben White, Zoning Administrator ---------------------------------------------------------------------------------------------------------------------------------------

A final inspection will be made by the Board to ensure the approved plans match the finished home before occupancy will be given. This inspection was completed on _________________ by _____________________________________ _____________________________________________________________________________________ Approved: ________

Denied: __________ (if denied, list required changes) ____________________

_____________________________________________________________________________________

Revised November 2013