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HomeMy Public PortalAboutCertificate of Appropriateness 1 | P a g e Application # ___________________________ Fee: $ Date Paid_________________ Check # __________________ MAP_____________________ LOT______________________ CERTIFICATION OF APPROPRIATENESS PLEASE READ REVERSE SIDE FOR REQUIREMENTS NOTE: ALL FEES DOUBLED IF WORK IS STARTED BEFORE OBTAINING APPROVAL Address of Proposed Work___________________________________________________________________________________________________ Owner Name______________________________________________________________________________________ Owner Mailing Address__________________________________________________________________________ Owner Email______________________________________________________________________________________ Contractor Name_________________________________________________________________________________ Company Name __________________________________________________________________________________ Contractor Address__________________________________________________________________________________________________________ Contractor Email____________________________________________ Contractor Phone_______________________________________ Please check the categories that apply: Exterior Building Construction Building Type Exterior Building Structure  New Building  House  Paint  Fence  Addition  Garage  Solar Panels  Wall  Alteration  Commercial  Shed  Other  Other Briefly describe proposed work (and complete attached specification sheet): ______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________ ____________________________________________________________ Applicant Signature ======================================================================= This Certificate is hereby ___________________________ Date ________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ 2 | P a g e ADDRESS:___________________________________________________________________________________________________________ SPECIFICATION SHEET PLEASE COMPLETE ONLY THOSE PORTIONS WHICH APPLY TO YOUR APPLICATION Foundation Type____________________ Amount Visible____________________ (NOT TO EXCEED BETWEEN 12” OR 18”) Siding Type____________________ Amount Visible____________________ Exposure____________________ Color ____________________ Material_________________________ Trim ALL WINDOWS & DOORS TO BE TRIMMED WITH  1x4  1X5 Size of Corner Boards____________________ Color____________________ Material____________________ Rakes____________________ 1 st Member ____________________ 2 nd Member____________________ Depth of Overhang__________________ Windows-MUST PROVIDE SPEC SHEET Type____________________ Manufacturer__________________________ Grilles or True Divide____________________ Size____________________ Color____________________ Skylights Type____________________ Manufacturer_____________________________________ Size____________________ Color____________________ Roof Type____________________ Pitch____________________ Color_________________________ (7 PITCH MINIMUM) Height to Ridge ____________________ Style____________________ Fencing- ALL STOCKADE TYPE FENCING MUST HAVE “GOOD” SIDE FACING OUT Type____________________ Height____________________ Color____________________ Chimney Type____________________ Size____________________ Color_________________ Material_________________ Deck Color____________________ Material____________________ Railing Color____________________ Material____________________ Manufacturer_______________________ Shutters Color____________________ Material____________________ Garage Doors- MUST PROVIDE SPEC SHEET Size of Opening____________________ Style____________________ Material____________________ Color____________________ Manufacturer_________________________________ Gutters Type____________________ Color____________________ Material____________________ 3 | P a g e Storm Windows & Door- MUST PROVIDE SPEC SHEET Type____________________ Color____________________ Material____________________ Entry Door (Front & Side)- MUST PROVIDE SPEC SHEET Type____________________ Color____________________ Material____________________ Attic/Roof Vent Type (Gable Louver, Ridge Vent, etc.)_______________________________________________________________________ Landscaping Plans Please describe any Landscaping Plans_______________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Driveway Type__________________________________________________________________________________________________ Type of Steps _____________________________________________________________________________________________________________ Exterior Fuel Tank Screening _____________________________________________________________________________________________________________ Other _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ IMPORTANT: ALL FEES DOUBLED IS WORK IS STARTED BEFORE APPROVAL. IF CERTIFICATE IS APPROVED, APPROVAL IS SUBJECT TO THE 10 DAY APPEAL PERIOD PROVIDED IN THE ACT. This Certificate expires one year or upon the date of expiration of any Building Permit Issued, whichever expiration date shall be later. You must file an extension before the expiration date. **The Homeowner, Agent or Contractor must attend the hearing, failure to do so may result in denial of the application* 4 | P a g e WAIVER OF 45 DAY DETERMINATION OPTIONAL The applicant/authorized agent understands and agrees that the determination of the submitted application for a Certificate of Appropriateness may not be made within 45 days of the filing of such application. The applicant agrees to extend the time frame within which a determination is to be made as required by the Old King’s Highway Regional Historic District Act. Section 9- Meetings, Hearing, Time for Making Determinations “As soon as convenient after such public hearing; but in any event within forty five (45) days after the filing of application, or within such further time as the applicant shall allow in writing, the committee shall make a determination on the application.” (Page 11, Old King’s Highway Regional Historic District Bulletin) Applicant understands that the review of this application will be scheduled as soon as the situation allows. Applicant/Authorized Agent Name____________________________________________________________________ Applicant/Authorized Agent Signature_________________________________________________________________ Date_______________________ Property Location____________________________________________