HOA Architectural Modification Request Template — Free 2026

ARCHITECTURAL REVIEW COMMITTEE (ARC) APPLICATION

Submitted by: [Your Full Name] Property Address: [Your Address] City, State ZIP: [City, State ZIP] Phone: [Phone Number] Email: [Email Address] Date Submitted: [Today's Date] HOA Name: [HOA Name]

SECTION 1 — MODIFICATION DETAILS

Type of Modification: [e.g., Fence installation / Solar panel installation / Room addition / Deck construction / Exterior paint / Landscaping change / Outbuilding / Other]

Detailed Description: [Describe the modification in detail — what you are adding, changing, or building. Be specific about design, purpose, and scope. 2–4 sentences minimum.]

Example: "I am requesting approval to install a 6-foot wood privacy fence along the rear property line (north side only), spanning approximately 45 linear feet from the back corner of my home to the rear property line. The fence will be constructed of cedar with a natural stain finish matching the existing fence at 114 Oak Court."

SECTION 2 — SPECIFICATIONS

Materials: [Specific materials — e.g., "Cedar wood, dog-ear picket style"]

Color / Finish: [Color name and manufacturer if applicable — e.g., "Natural cedar stain, Olympic Maximum brand, Cedar Naturaltone #SC-01"]

Dimensions:

• Height: [e.g., 6 feet]
• Length / Width: [e.g., 45 linear feet]
• Total area (if applicable): [e.g., 200 sq ft]

Location on property: [Describe placement — e.g., "North rear property line, beginning at northeast corner of home"]

Diagram / Plan: [Check one]

• [ ] Attached (recommended — include site plan sketch)
• [ ] Available upon request

SECTION 3 — COMPLIANCE STATEMENT

I believe this modification complies with community standards for the following reasons:

1. Style consistency: [e.g., "The fence style and height match the approved fence at 114 Oak Court and several other properties in the community"]

2. CC&R compliance: [e.g., "This modification complies with CC&R §6.3 which permits privacy fences up to 6 feet in the rear yard"]

3. Neighbor impact: [e.g., "The fence will not obstruct any neighbor's view or access and has been discussed with adjacent neighbors at 112 and 116 Oak Court, who have no objections"]

4. HOA standards: [Reference any HOA design guidelines your modification follows]

SECTION 4 — PROJECT TIMELINE

Proposed start date: [Date] Proposed completion date: [Date] Duration: [e.g., "3 days"]

Will work occur on weekends? [ ] Yes [ ] No

Hours of work: [e.g., "8 AM – 5 PM weekdays only"]

SECTION 5 — CONTRACTOR INFORMATION

Company name: [Contractor name or "Self / Owner"] License number: [Contractor license # or "N/A — owner installation"] Insurance: [ ] Yes — Certificate available [ ] Self-installed Contact: [Phone / Email]

SECTION 6 — PERMITS

Is a building permit required? [ ] Yes [ ] No [ ] Unknown

Permit status: [ ] Already obtained — Permit #: ______ [ ] Will obtain before construction begins [ ] Not required per [city/county]

SECTION 7 — ATTACHMENTS

Please check all attachments included:

• [ ] Site plan / property diagram showing location
• [ ] Photographs of proposed location (current condition)
• [ ] Product specifications / brochure
• [ ] Color/material samples (available upon request)
• [ ] Contractor license and insurance certificate
• [ ] Building permit (if already obtained)
• [ ] Photos of similar approved modifications in community (if applicable)

HOMEOWNER CERTIFICATION:

I certify that the information provided in this application is accurate and complete. I agree to comply with all conditions of approval, complete the modification as described, and restore the area if approval is not obtained or if modifications differ from the approved plan.

Signature: _________________________ Date: -------------

Printed Name: _________________________