CITY OF GAINESVILLE APPLICATION CHECKLIST DESIGNATION REQUEST FOR AN INDIVIDUAL LANDMARK

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APPLICATION CHECKLIST DESIGNATION REQUEST FOR AN INDIVIDUAL LANDMARK General Information: Pre-conference with Community Development Department Staff Application Form (completed, with Owner Authorization form(s) signed) Scheduled Appointment with Community Development Department Staff to Submit Complete Application Supporting Documents Required for Submittal: Boundary Survey/Plat: Prepared by a registered land surveyor depicting at a minimum the property boundary lines, all existing structures, minimum building setback lines, right-of-way and other streets, street names, utility lines and easements, wells, and all other man-made and natural features located on site. Legal Description with metes and bounds corresponding with boundary survey/plat (electronic copy in Word format) Copy of recorded deed showing current owner(s) List of current occupants (residents and/or businesses), including name and mailing address Written Statements (page 4 of this application packet): (Statements can be typed or written on form, or typed on separate sheet. Additional sheets may be attached.) 1. Statement of Significance: Briefly describe the historic, architectural, and/or cultural significance of the proposed landmark. Define why the landmark is important to the community. Does the landmark represent one or more periods, styles or types of architecture typical of one or more eras in history? Does the landmark exhibit a significant historical, architectural, cultural or environmental character and/or value to the community? 2. Description of Proposed Individual Landmark: Describe the historical, architectural, cultural or aesthetic character of the site summarizing the characterdefining features as a whole. Describe the location and setting, including physical context and relationship to the neighborhood. Describe the structure s shape, building materials, and exterior features specifying the design or pattern of decorative ornament and the arrangement of architectural elements. Describe other features on the site such as outbuildings, decorative fences, fountains or landscape treatments that may add to the significance or historic character. Describe additions/alterations and non-historic features. 3. History of Proposed Individual Landmark: Describe the history of the landmark and its associations with important persons, groups, events, or historical trends; and explain the importance of such persons or events to local, regional, or national history. Identify and discuss the period of significance. Provide details about the circumstances of construction. 4. Statement of Justification: Identify which of the designation criteria the landmark demonstrates, and provide a statement of how the site meets said criteria. Justify the boundary of the proposed landmark, including any reference to National Register listing if applicable. Do the boundaries follow the property lines, streets, streams and/or other like boundaries? Do the boundaries follow those of a National Register landmark listing? Photographs: 1. Provide one clear set of 4x6 sized recent photographs and one CD with digital images (unless included in one of the phases of the Historic Resources Structural Survey). 2. Photographs can be black and white or color. Polaroids will NOT be accepted. 3. Photographs should provide a comprehensive visual representation of the proposed landmark and depict the environmental surroundings. At a minimum, provide photographs of all buildings and other structures depicting all sides; and photos of the site as a whole to show the setting. 4. Photographs must be labeled with: common or historic name, site address, photographer s name, date of photo, and view/direction (e.g. the front façade or south elevation). Other: (e.g. historic photographs; interview notes; etc.)

Overview of Designation Process Applicant Makes Application Comm. Dev. Department Administers Historic Preservation Commission Hears and Recommends City Council Hears and Decides (Reapplication Unrestricted) Denial Approval Option: Appeal to Court COA and Permitting

APPLICATION FOR HISTORIC PRESERVATION ACTIONS DESIGNATION REQUEST FOR AN INDIVIDUAL LANDMARK FOR STAFF USE ONLY: Complete Application Filed: Historic Preservation Commission Meeting: Application Taken By: Tentative City Council Meeting (s) First Reading Second Reading : Attach the name, address, phone number and email of additional contact person(s) or preparer. Attach the name, address, phone number, email and signature of additional property owners. Applicant Name Address City/State/Zip Phone Fax Email Status (owner, resident, etc.) Property Owner Name Address City/State/Zip Phone Fax Email General Information (Attach additional sheets if necessary) Common Name(s): Historic Name(s): Location/Address: Tax Parcel Number: Ward No: Period of Significance: Size: Present Use(s): Historic Use(s): Number and Type (residential or commercial building, accessory structures, etc.) of Existing Structure(s): Historical and Architectural Information (Attach additional sheets if necessary) Construction : Architectural Style: Building Type: Structure Been Moved: Yes No Unknown From where: Structure Altered: Source: Yes No Unknown Source: Describe (when and by whom): Page 1 of 5 pages

Supporting Documents Required for Submittal (Review the attached document checklist) Boundary survey/plat Legal description with metes and bounds describing the physical boundary of the site Copy of recorded deed showing current owner List of current occupants (residents and/or businesses) and mailing addresses Photographs of all buildings and other structures, and entire site with labels as per Section 9-23-2-3(a)(5) Written statements (page 6 of this application) Provide copies of pertinent sources of information, including a summary of interviews. In researching the history of the property(ies), check records at the local library, church, tax assessor s office, historical society and county courthouse. Interviews with local historians may also yield information. Label all published sources with the author s name, name of the publisher, date and place of publication, and page number(s). In the case of unpublished manuscripts, provide the author s name as well as the name and page number(s) of the particular document. Applicant Certification: By signing, the undersigned certifies that he/she has read and understands the submittal requirements outlined; and that he/she understands that omission of any listed item may cause delay in processing the application; and that an application will not be scheduled for public hearing until said application is signed and dated by Staff as complete. I (We), the undersigned, acknowledge that the information supplied in this application is complete and accurate to the best of my (our) knowledge. Further, I (We), the undersigned, fully acknowledge and understand the effect of local historic designation and the necessity of obtaining a Certificate of Appropriateness for any material changes to the exterior appearance of a site or structure. Applicant(s) Signature Preparer Application WITHDRAWAL Notification: I (We) hereby withdraw the above application. Signature Page 2 of 5 pages

AUTHORIZATION OF PROPERTY OWNER For an individual site with multiple property owners, please duplicate this form and have each property owner complete his/her portion and provide a notarized signature. Attach each authorization form with the application. Although not required by law, it is strongly encouraged that owner authorization to file this application is obtained. I swear that I am the owner of the property which is the subject matter of this application, as shown in the records of Hall County, Georgia. I, the undersigned, am aware that my signature grants permission to the Gainesville Historic Preservation Commission, City Council, and Community Development Department Staff to visit my property during the review of this designation request. OWNER INFORMATION CERTIFICATION Name of Owner Owner s Address Owner s Phone No. Signature of Owner NOTE: The following section is not required if the owner and the applicant are the same. I (We) authorize the person named below to act as the applicant in the pursuit of historic designation of my (our) property or properties. APPLICANT INFORMATION CERTIFICATION Name of Applicant Applicant s Address Applicant s Phone No. Signature of Applicant NOTARY PUBLIC CERTIFICATION Personally appeared before me Applicant s Signature who swears that the information contained in this authorization is true and correct to the best of his or her knowledge and belief. Notary Public Page 3 of 5 pages

WRITTEN STATEMENTS Please address the following in regards to this request. Refer to the application instructions for detailed directions on how to answer the following questions. Attach additional sheet, if necessary. 1) Statement of Significance: Briefly describe the historic, architectural, and/or cultural significance of the individual site(s). Define why the site is important to the community and how it fits into the surrounding area. 2) Description of the Proposed District or Individual Site(s): Describe the site/structure and its surroundings. The description should address the style, construction, interior design, landscaping and surroundings; where appropriate. Briefly describe the exterior character of the structure(s) including as much of the following information as possible: exterior materials, roof type and materials, number of chimneys and materials; number of porches, location and materials; and number and type of windows. 3) History of the Proposed District or Individual Site(s): Briefly outline the history of the site/structure, defining how it is associated with important persons, significant events or patterns of history. 4) Statement of Justification: Justify the boundary of the individual site, including any reference to National Register boundary if applicable. Identify and discuss which of the criteria outlined in Section 9-23-2-6(b)(1) of the Gainesville Unified Land Development Code is satisfied. Page 4 of 5 pages

PUBLIC NOTICE REQUIREMENTS NOTE: This form is to be given to the applicant after it has been read and the Applicant s Certification section of Page 2 of this application has been signed. City of Gainesville Unified Land Development Code Section 9-23-2-4 requires public notice be given on all designation applications as follows: 1. A legal advertisement shall be published at least three times in the local newspaper no less than ten (10) days and no more than twenty (20) days prior to the date of each public hearing. (This requirement is performed by the Community Development Department staff.) 2. A written notice of the public hearing shall be sent via United States Mail to the last-known property owner and current occupant of the property no less than ten (10) days and no more than twenty (20) days prior to the public hearing. (This requirement is performed by the Community Development Department staff.) REQUIREMENTS FOR CERTIFICATE OF APPROPRIATENESS AND MAINTENANCE OF HISTORIC PROPERTIES City of Gainesville Unified Land Development Code Section 9-8-8-7 requires that a Certificate of Appropriateness be obtained from the Gainesville Historic Preservation Commission, or the Community Development Department Director for minor work projects, prior to obtaining a permit for altering the exterior appearance of any structure located within a local historic district or located upon a site that has been locally designated as historic. 1. An application for a Certificate of Appropriateness and all required supporting documents must be filed with the Community Development Department prior to the stated submission deadline date. 2. The Gainesville Historic Preservation Commission shall hold a public hearing on said application for Certificate of Appropriateness within forty-five (45) days of receipt of a complete application, as determined by the Community Development Department staff. Following the public hearing, the Commission shall approve the request as proposed, approve it with modifications, or deny the request. Failure of the Commission to hold a public hearing and act upon the request within the said forty-five (45) days shall constitute approval of the Certificate of Appropriateness. A Certificate of Appropriateness, if granted, shall expire unless construction is commenced within six (6) months of the date of issuance. A Certificate of Appropriateness shall be issued for a period of eighteen (18) months and is renewable upon a showing of cause. If the Commission denies the request for a Certificate of Appropriateness, no building permit shall be issued in those cases in which a material change would require the issuance of a building permit. 3. Any person adversely affected by any determination made by the Commission relative to the issuance or denial of a Certificate of Appropriateness may appeal such determination to City Council. The City Council may approve, modify or deny the determination made by the Commission if City Council finds that the determination is unfounded by the provisions of this Ordinance and are contrary to applicable law. Any such application shall include the reasons why the determination or decision is unsupported by the provisions of the Ordinance and are contrary to applicable law. Any such appeal must be filed within fifteen (l5) days after notification is sent of the determination. Appeals of a decision of the City Council may be taken to a court of competent jurisdiction in the manner provided by law. City of Gainesville Unified Land Development Code Section 9-8-8-8 discusses ordinary maintenance of historic properties, whether individually designated as such or located within a local historic district. In said Section and in Section 9-8-8-9, provisions for failure to provide ordinary maintenance and undue hardship are addressed. Page 5 of 5 pages