HomeMy Public PortalAboutCertificate of Appropriateness (COA) Application PLANNING DEPARTMENT CERTIFICATE OF APPROPRIATENESS (COA) APPLICATION APPLICANT: PROPERTY INFORMATION: CURRENT TENANT (OR BUSINESS NAME) ADDRESS PIN USE ZONING DESIGNATION STATUS: Landmark District: Contributing Dis trict: Non-Contributing District Name:_____________________________ APPLICANT INFORMATION: PRIMARY CONTACT RELATIONSHIP (OWNER, LESSEE, AGENT, ETC.) MAILING ADDRESS PHONE # FAX # E-MAIL ADDRESS OTHER APPLICANTS & INTERESTED PARTIES: RELATIONSHIP NAME COMPAN Y MAILING ADDRESS PHONE # Owner Contractor Contractor Contractor Contractor Architect Agent/ Attorney SCOPE OF WORK (Check ALL that apply): Reconstruction of Missing Features: ____________________ Repair of Deteriorated Elements: ______________________ Removal of Substitute Siding Replacement of Deteriorated Elements: _________________ Removal of Non-Original Features: _____________________ Cleaning, tuckpointing, scaping or painting (circle all applicable) Restoration of Original Details: ________________________ Other: ____________________________________________ Updated 6/18/2009
VILLAGE OF PLAINFIELD PAGE # 2 OF 3 COA APPLICATION Updated 6/18/2009 I hereby affirm that I have full legal capacity to authorize the filing of this application and that all information and exhibits herewith submitted are true and correct to th e best of my knowledge. The owner invites Village representatives to make all reasonable inspections, investigations and take pictures of the subject property during the processing period of this request. I authorize the use of any pictures involving this project by the Village of Plainfield. I understand that the Village has the right and discretion to approve or deny any projec t or portions thereof. SIGNATURE OF APPLICANT DATE SIGNATURE OF OWNER, REQUIRED IF NOT APPLICANT DATE GENERAL COA APPLICATION REQUIREMENTS: Schedule a pre-application meeting with Planning Staff at (815) 439-2824 prior to filling out the application. Pre-application meeting with Planning Staff. (S taff Initials _______ Date __________) One (1) original completed COA application form. Historic photograph (photocopy is acceptable) of the building(s) to be improved, if available. Check with the Plainfield Historical Society, 23836 W . Main St., Plainfield, IL 60544. Phone number is (815) 436-4073. Current photograph(s) of building(s) and particular area(s) to be enhanced. Submit in digital format (TIF, GIF, or JPEGs are acceptable formats & photographs should be saved individually) Brief narrative description of the project. This should include a description of the building’s current status and the area(s) to be repaired/restored, proposed work to be performed, and the general methodologies to be employed (i.e. chem ical cleaning, painting, window replacement, etc.) Please m ake sure the narrative provides a thorough description. Existing and proposed service/use of the building. Completed building permit application. (If applicable) Thirty (30) sets of drawings of the proposed work (to scale). Work scope additional requirements are outlined on the next page. (If applicable) • Reduced copies (11x17) are preferred; ho wever, they must be scaled and legible. • Architectural renderings not required, but encouraged in order to provide a good understandi ng of the proposed finished produc t. • Drawings may not be necessary for projec ts such as tuck pointing or painting. One (1) electronic copy of the drawings. (If applicable) Acceptable formats include PDF, TIF, GIF or JPEGs. (PDF format is preferred.) Site plans are to be submitted in the acceptabl e format listed AND as AutoCAD DWG or GIS Shapefile format.
VILLAGE OF PLAINFIELD PAGE # 3 OF 3 COA APPLICATION Updated 6/18/2009 ADDITIONAL REQUIREMENTS BASED ON WORK SCOPE (IF APPLICABLE) CONSTRUCTION: Detailed site plan showing: • Existing and proposed structures • Adjoining streets, alleys and private drives • Required yards and setbacks Scaled drawings • Elevations, showing all proposed materials • Floor plans with sizes and types of interior spaces indicated • Construction details for roofs, walls, floor, foundation and details Material list with sample board. Specifications may also be requested. REPAIR, REPLACEMENT, REHABILITATION AND/OR INSTALLATION: Detailed site plan (if applicable) showing: • Existing structures • Adjoining streets, alleys and private drives • Required yards and setbacks • Location of proposed work Scaled drawings (for proposed work) • Elevations, showing all proposed materials • Construction details for roofs, walls, floor, foundation and details, where applicable Material list. Sample board may also be requested at pr e-application meeting, if proposed materials are different than the original. DEMOLITION: Reason for demolition If for structural damage or deterioration, submit a sealed a ffidavit of structural condition from an Illinois licensed structur al engineer. Detailed site plan showing: • Existing structures • Adjoining streets, alleys and private drives • Required yards and setbacks Current Valuation Demolition Cost Demolition Application Payment of appropriate fees: Demolition requests for designated landmarks & contributing structures in a district = $500.00