Please print out a copy of this application/checklist for your use. This is not an on-line form.
Charlotte Historic District Commission Application for a Certificate of Appropriateness
Address of Property: ______________________________________________________
Historic District: - Dilworth - Elizabeth - Fourth Ward - Plaza-Midwood - Wesley Heights
Tax Parcel Number: ______________________________________________________
Owner: ______________________________________________________
Address: _____________________________________________________________
Day Phone: __________________________________________________
Applicant: _____________________________________________________________
Address: ______________________________________________________________
Day Phone: __________________________________________________
Details of Proposed Project: ____________________________________
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Although attendance by applicants at Historic District Commission meetings is optional, it is STRONGLY ADVISED that applicants make every effort to attend. Failure to attend can result in the denial or delay of an application due to incomplete information.
I, the undersigned, certify that all information in this application and in any attachments is accurate to the best of my knowledge. Furthermore, I understand that, should the Charlotte Historic District Commission issue this Certificate of Appropriateness, that Certificate will be valid for a period of six months from the date of issuance. Failure to procure a building permit within that period will be considered as failure to comply with the Certificate and the Certificate will become invalid. If a building permit is not required, then the authorized work must be completed within six months. Certificates can be extended for six months by requesting an extension in writing prior to their expiration from Historic District Commission staff.
Applicant (date):_______________________________________________________
FOR OFFICE USE ONLY: DATE RECEIVED:____________________
RECEIVED BY:_______
Charlotte Historic District Commission
Application Requirements Checklist
Project Address: ______________________________________________
Proposed Work: ______________________________________________
Because of the many types of work the Historic District Commission must review, what is required to fully review a project varies widely. Based on a preliminary conversation, the items indicated below are required to support your proposed application for a Certificate of Appropriateness. Please provide the materials noted along with your application. If you have any questions, please contact the Historic District Commission office at 336-2302.
NOTE : FAILURE TO PROVIDE ALL REQUIRED MATERIALS BY THE APPLICABLE DEADLINE MAY RESULT IN A DELAY IN APPROVAL OF YOUR PROJECT
Administrative Approval Projects:
______Completed application
______Photographs of site and existing building
______Detailed plans showing both existing and proposed conditions
______Site plan with dimensions showing both existing and proposed conditions
______Additional information as indicated below
Commission Approval Projects:
______Completed application
______Photographs of site and existing building
______Detailed plans with showing both existing and new conditions (15 copies, folded to 82 x 11")
______Site plan with dimensions showing both existing and proposed conditions
______Completed adjacent property owners form
______Elevations and/or perspectives (15 copies, folded to 82 x 11")
______Landscaping plans indicating major plant materials
______Indication of tree removal if necessary
______Description of building materials
______Material samples
______Indication of any planned demolition
______Streetscape photographs
______If a project involves the reconstruction of an earlier feature, good documentation is required of the prior existence of that feature
______If a project involves replacing existing features, justification for replacement and a description and/or sample of the new material(s) must be furnished.
