HomeMy WebLinkAboutACR Application for 10536 Williamson Pkwy Room Addition WILLIAMSON RUN HOMEOWNERS ASSOCIATION
Architectural Change Request Form
Name:
Lot #: Purchase Date: ____________________
Address: _____________________________________, Carmel, IN 46033
Home Phone____________ Cell_____________Email Address: _______________
1.Briefly describe the proposed change:
2.Will there be changes or modifications in basic utility services or existing structures to accommodate the proposed
change? If so, please indicate:
YES NO YES NO
Electric Exterior Walls
Telephone Patio Facing
Gas Patio Slab
Water Sidewalks
Sewage Pavement
TV Cable Other (Describe)
3.Please list below the major construction materials and colors that will be used in this project. Be as specific as
possible (Exterior materials must conform to those used on the original building or be sufficiently compatible.)
4.Will any part of the proposed improvement extend beyond your property line?
YES NO
If yes, please provide the following information on the affected homeowner below.
Name: Lot #: Phone:
Address:
5.Would any part of the proposed improvement extend into any Common Area, Utility, Drainage or Sewer Easement,
Landscape Easement, Landscape Preservation Easement, or Lake Easement shown on the plot of your lot? YES
NO
6.If the proposed project is an addition or alteration that would change the structural appearance of your residence,
please attach the following information:
Approved JR Adams Sentry Mgt. 6/11/2021
A.Blueprints or working drawings indicating all dimensions and elevations.
B.If available, a photograph or drawing of a similar completed project.
7.Project Schedule:
A.The work will be performed by:
Homeowner
Contractor Name:
Both
B.Please indicate the approximate time needed to complete the project, subsequent to the committee approval:
C.When do you plan to start the work? ____________________________________
D.Please indicate any building permits that will be required:
Permit Obtained?
Permit Obtained?
Important Phone Number: Utility Number to call before digging 1-800-382-5544
Note:A plot plan indicating the location and dimensions of the proposed improvement must be included for
any architectural change request. This request form will be returned to you without approval if a plot plan is not
included.
Note:All submitted materials will be retained by the Association. You may wish to make a copy for your
personal records.
*********SIGNATURE REQUIRED********
I hereby acknowledge that I have read and understand the Architectural Control Procedures set forth in the Declaration of
Covenants, Conditions and Restrictions of Williamson Run Community Association.
Homeowners Signature:
Date:
*****Email, Mail or FAX To:Sentry Management, Inc.
8425 Keystone Crossing, Suite 108
Indianapolis, IN 46240
arcindy@sentrymgt.com