Main Street Placemaking Assistance Form

Main Street Placemaking Assistance Form
Applicants, please work with your local Main Street Director to complete this form and gather “Required Support Materials”. Complete this form only after review and approval by local Design Committee.
Main Street Community*
Applicant Name:*

First NameLast Name
Is the applicant the building owner?*

YesNo
Applicant Email: *
example@example.com
Applicant Phone: *
Applicant Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Information
Building or Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Location:

AlleyParking lotParking spaceSidewalk
What is the historic name of building or property?*
What is the common name of building or property?*
Year Constructed:

What businesses currently occupy the building?

	Business Name
Business 1
Business 2
Business 3
Business 4
Business 5

Is the property listed on National Register, either individually or as part of a NTHP district?*

YesNo
Project Information
Describe how or what you would like us to help with:
What improvements have been made in the last 5 years? *
What improvements are you currently considering implementing?
Which of the following best describes the project?*

PedletParkletAlley activationPop-up parksPop-up shopsGathering spacesCrosswalk activationOverpass/under bridge activationOutdoor furniture/bike racksOutdoor marketsTemporary exterior activationTemporary interior activationADA compliance
Target Start Date:*

MonthDayYear
Date
Target Completion Date:*

MonthDayYear
Date
Project Budget
What is the funding status for the project?*

Funding not in placeUnsureUnder $5,000$5,000-20,000Over $20,000
What financial incentives are to be taken?

NoneLocal Incentives (matching grants, etc.)
For matching incentives or grants, what is the match amount?
Required Support Materials

Photos may be digital scans or good quality photo-copies.
Please provide a short narrative of the building or property history. This might include building owners, occupants, notable events or local/historic personalities associated with building.*
Historic Photos

Attach historic photographs from as many periods possible (minimum two) of the building, space or property. If known, include photo dates and credits. Historic photos are critical for buildings or property that have been substantially altered or portions have been obscured.

Attach current photographs of the building, space or property with at least one straight-on view of each exterior façade or side.

Important: Rename your images prior to upload so they include the building name and date and photo credit if known. Example: first-national-bank-1931-historical-society.jpg
Upload Multiple Historic Photos *

Browse Files
Upload up to 10 photos. Cancelof
Example Photos

Attach example imagery.
Upload Example Images

Browse Files

Cancelof
Current Photos

Attach current photographs of the building with at least one straight-on view of each exterior façade.
Upload Current Photo - Front*

Browse Files
Upload one image. Cancelof
Upload Current Photo - Right Side (if visible)

Browse Files
Upload one image. Cancelof
Upload Current Photo - Left Side (if visible)

Browse Files
Upload one image. Cancelof
Upload Current Photo - Back

Browse Files
Upload one image. Cancelof
Agreement
The Oklahoma Main Street Center (OMSC) provides this Design Assistance in official Oklahoma Main Street Communities. Recommendations comply with the Secretary of the Interior’s Standards for Rehabilitation, the Investment Tax Credit requirements, and the Oklahoma Design Guidelines. The average value of this type of service is $2,000.00, but is rendered at no cost to the building owner or community. Of course, it is not required that all advice provided by OMSP is followed, however given the value of this service, the undersigned Applicant affirms funding is in place and that all owner(s) and tenant(s) of building are planning to work on building.

Disclaimer: We are not providing structural advice, you should consult with a licensed structural engineer. The deliverables are intended to be schematic in nature and are not intended to be construction or permit documents. You will need to hire a licensed architect, if required.
Affirm
Signature:

Clear
Should be Empty:

Main Street Placemaking Assistance Form

Property Information

Project Information

Project Budget

Required Support Materials

Historic Photos

Example Photos

Current Photos

Agreement