Eureka
Springs Historic District Commission
APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
Address of
Property: ___________________________________________________________________
Name of
Applicant:
_____________________________________ Phone: ________________________
Address if not same
as above: ___________________________________________________________
Property Owner if
not applicant: _______________________________
Phone: ____________________ Address if not same as above:
___________________________________________________________
Proposed work:
_______________________________________________________________________
___________________________________________________________________________________
A
Certificate of Appropriateness is effective immediately upon issuance. Work
approved must be completed with 12 months of approval. Before expiration, you may apply for a 6
month extension. Any work done outside of the scope
of
the Certificate of Appropriateness renders it null and void.
I
hereby certify that I am the owner, agent of the owner, or other person in
control of the property and that the information given herein is true and that
I am authorized to obtain the Certificate of Appropriateness. I understand that
if the approved project is contrary to the requirements of City Municipal Code
or International Building Code, then violations must be corrected. Approval of
this application does not excuse the applicant, owner or agent from compliance
with any other applicable codes, ordinances or policies of the City of Eureka
Springs.
Penalties:
Violation
of the ordinance constitutes a misdemeanor, and violators upon being found guilty
shall be fined not less than $10 nor more than $500; each day that a violation
continues to exist shall constitute a separate offense. (reference Municipal
Code 11.28.11).
Applicant Signature:
_____________________________________________
Date: ________________
Owner Signature (for Level II & III)
________________________________________________________
The following documents are
required for approval (due by noon two days before meeting day):
_____
ALL APPLICATIONS: CURRENT COLOR PHOTOS of all 4 sides of property, noting work area(s)
_____ Signs: scale drawing or
illustration in color or with color chips; indicate materials. Also photo or
illustration
of supporting armature, and visual indication of sign
placement on property.
Level
II involving fences, driveways, walkways & retaining walls & ALL Level
III:
_____ Site Plan of the property at scale:
1inch = 20 feet. Must have location of
all structures and outside equipment. Indicate parking areas, driveways, walks,
etc.
_____
Certified Registered Survey
_____ Paint: Manufacturer’s chips or samples of actual
paint labeled and on paper. Indicate manufacturer’s
name and
color number AND placement on building.
_____
Roofing: Small sample
of shingle with manufacturer’s name and shingle color.
_____
Windows: Pictures or manufacturer’s brochure indicating material, size,
style and placement.
_____
Siding: Pictures or manufacturer’s brochure indicating material, size,
style and placement
_____
Exterior Doors: Pictures or manufacturer’s brochure indicating material,
size, style and placement
_____ New Construction: Please request a New
Construction Checklist
At a meeting of the Historic District
Commission on ____ / ____ / ____ this application is:
Approved ____
Denied ____ Deferred ____. Comments:
__________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Chairman
_________________________________ Secretary ________________________________