ATHENS-CLARKE COUNTY
HISTORIC PRESERVATION COMMISSION
APPLICATION FOR CERTIFICATE OF APPROPRIATENESS
DESIGNATED PROPERTY
Today's Date:Address:
OWNER:
Name:
Phone:
Full Address:
If the person submitting the request is not the Property Owner but is acting as the agent for the request for a Certificate of Appropriateness, please fill out the following information and submit the attached Authorization by Property Owner
Authorized Agent
Name:
Phone:
Full Address:
PROPOSED WORK:
Please refer to the attached submittal criteria checklist to determine what is required for the project being proposed. It is in the interest of both the applicant and the Historic Preservation Commission that a clear descriptive submittal be received, and insufficient information will delay review of the application.
SIGNATURE OF APPLICANT:
for Planning Department use
DATE RECEIVED:
DATE REVIEWEDAPPROVED DENIED
DESCRIPTION OF PROPOSED WORK
DECLARATION OF OWNERSHIP
I swear that I am the owner of the property located at
(property address)
which is the subject matter of the attached application, as is shown in the records of Athens-Clarke County, Georgia.
Ownership meaning owning 51% or more of a property and further described below:
OWNERSHIP: An application for a Certificate of Appropriateness must be submitted by an individual with 51% or more ownership in fee simple of subject property being applied for, or his legal agent authorized in writing over the owner's signature
Signature of Owner
Date
AUTHORIZATION BY PROPERTY OWNER
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
ATHENS-CLARKE COUNTY, GEORGIA
I Swear that I am the owner of the property located at
which is the subject matter of the attached application, as is shown in the records of Athens-Clarke County, Georgia.
I authorize the person named below to act as applicant or agent in the pursuit of this Certificate of Appropriateness Application
Name of Applicant or Agent:
Address:
Signature of Owner:
Date:
HISTORIC PRESERVATION COMMISSION
CERTIFICATE OF APPROPRIATENESS CRITERIA CHECKLIST
Not all information listed below is required for each project. In order to save time and effort, please consult with Historic Preservation Planner prior to completing your application.
1. SIGNS: (Signs under 3 square feet do not require review by the Historic Preservation Commission)
Dimensional elevation identifying materials, colors (include samples), lettering style.
Description of lighting.
Designation of location (for facia or wall sign show how and where it will be attached; for freestanding sign show height measured from the existing and proposed grade clearance from grade.
Photographs of sign location from all directions and site plan with sign location and dimensions from property lines and dimensions from building(s) or structure(s) on lot.
2. REMODELING AND ADDITIONS:
Elevation drawing indicating proposed alterations. Minimum scale: 1/4" = 1'-0". (Architectural rendering may be required for major alterations. Please consult Historic Preservation Commission staff.) Make sure to include door and window design if altered. Manufacturer's catalog data may be used, if applicable.
Exterior material description.
Site plan showing dimensions of lot and location of existing building(s) or structure(s) on lot, location of additions, dimensions of existing structure and additions. (Show use of addition and location of windows and doors if applicable.)
Photograph or slide of existing conditions from all elevations.
Historic photographs should accompany any request to return a structure to an earlier historic appearance.
3. MATERIAL CHANGES:
Written description of area involved.
Color photographs or slides of areas involved and surrounding structures if applicable.
Sample or photo of materials involved. (Color samples optional.)
4. ACCESSORY USES:
Parking Areas:
Site plan showing layout, number of spaces, dimensions and location of screening and distance from all property lines.
Indicate height, design and materials of walls and fences; indicate type of vegetation. Include material samples if applicable.
Description of surface materials.
Fences and Walls:
Site plan showing location of fence / wall.
Sketch or photograph showing design of fence/wall, material and height.
Photograph or slide of area to be fenced/walled and adjacent buildings(s) or structure(s).
Walks, Satellite Dishes and Other Landscape Features:
Site plan showing location and layout.
Photograph or slide of area affected.
Description of materials and design.
5. DEMOLITION:
Document that a building classified as historic is incapable of earning an economic return on its value, as appraised by a qualified real estate appraiser.
Proposed use of site after demolition.
Color photograph or slide of structure to be demolished.
6. RELOCATION:
Photograph or slide of existing structure on existing site.
Photograph or slide of proposed site and map of location.
Reasons for request to move structure.
Information for relocations shall be the same as demolition (for the removal of a building or structure from a Historic District or Landmark) and new construction (for the relocation of a structure to a site within a Historic District or Landmark)
7. PARKS, MONUMENTS, FOUNTAINS:
Site plan showing location of monuments, dimensions, location of screening and plantings.
Indicate type of vegetation.
Surface materials of paths, seating areas.
Type of street furniture if applicable. (Manufacturer's catalog data may be used if applicable.)
8. NEW CONSTRUCTION:
Elevation drawings, minimum scale: 1/4" = 1'-0", showing all sides and dimensions. Elevation drawings to scale showing relationship to structures immediately adjacent.
Photograph or slide of proposed site and adjoining properties.
Site plan including building footprint and location of off-street parking showing setbacks. Include number of spaces, surface material, screening and all other information required under Parking Areas.
Site plan including building footprint, setbacks and other exterior features such as steps, doors, porches, windows and texture samples.
Material list including door and window styles, colors (optional) and texture samples.
Scale model indicating significant detail. (This may be required for major construction. Please consult Historic Preservation Commission staff.)
Any questions concerning application procedures should be directed to the staff of the Athens-Clarke County Historic Preservation Commission at the Athens-Clarke County Planning Department, 130 Dougherty Street, (706) 613-3515.