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Summerhouse Architectural Guidelines - charette | architects

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Builder or Landscape Contractor Qualification Form<br />

(Note: Once approved as a Builder or Landscape Contractor for one home, this form is not required for future homes.)<br />

COMPANY NAME: ___________________________________________License #:_____________<br />

QUALIFIER NAME: __________________________________________License #: ____________<br />

COMPANY LICENSE TYPE: __________________COMPANY LICENSE LIMIT: ____________<br />

TOTAL HEATED SPACE OF PROPOSED HOME: ________________ SF<br />

TOTAL VALUE OF SUMMERHOUSE HOME INCL. UTILITIES AND FINISHES: ________<br />

AND/OR VALUE OF LANDSCAPE PLANNED: _____________<br />

CONTACT NAME AND PHYSICAL ADDRESS OF THE MOST RECENT THREE PROJECTS YOU<br />

COMPLETED OF SIMILAR SCOPE AND VALUE TO THE HOME PROPOSED.<br />

HOME NUMBER ONE:<br />

1. Contact: _________________________________________<br />

2. Telephone: _______________________________________<br />

3. Physical Address: __________________________________<br />

4. Total Heated Space: ________________________________<br />

5. Year Completed: ___________________________________<br />

6. Number of months under construction: ________________<br />

7. Total value of the home: _____________________________<br />

HOME NUMBER TWO:<br />

8. Contact: _________________________________________<br />

9. Telephone: _______________________________________<br />

10. Physical Address: __________________________________<br />

11. Total Heated Space: ________________________________<br />

12. Year Completed: ___________________________________<br />

13. Number of months under construction: ________________<br />

14. Total value of the home: _____________________________<br />

HOME NUMBER THREE:<br />

15. Contact: _________________________________________<br />

16. Telephone: _______________________________________<br />

17. Physical Address: __________________________________<br />

18. Total Heated Space: ________________________________<br />

19. Year Completed: ___________________________________<br />

20. Number of months under construction: ________________<br />

21. Total value of the home: _____________________________<br />

SIGNATURE ACKNOWLEDGES THAT CURRENT EDITION OF GUIDELINES HAVE<br />

BEEN READ AND ARE FULLY UNDERSTOOD.<br />

ATTESTED TO: (Print) ___________________________________ Title: ____________________<br />

Signature: _____________________________________ Date: _______________________<br />

SCAN AND SUBMIT FORM AND REQUIRED DOCMENTS BY E-MAIL to ARC@<strong>charette</strong><strong>architects</strong>.com<br />

CONCURRENTLY SEND $75.00 ONE TIME FEE TO: Charette Architects, PO Box 481000 Charlotte, NC 28269<br />

INCLUDE THE ORIGINAL COPY OF THIS FORM WITH PAYMENT<br />

SUMMERHOUSE ON EVERETT BAY<br />

<strong>Architectural</strong> <strong>Guidelines</strong> – May 1, 2012 Edition<br />

Page 35 of 39

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