Historic Preservation Commission: Application for Certificate of Appropriateness (Site Plan Review)

Town of Amherst Historic Preservation Commission

Certificate of Appropriateness (Site Plan Review)
Property Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Brief Description of Scope of Work
Is the applicant the property owner?

Yes No
Applicant Name

First Name Last Name
Applicant Telephone
Please enter a valid phone number.
Applicant Email
example@example.com
Applicant Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Property Owner Name *

First Name Last Name
Property Owner Telephone *
Please enter a valid phone number.
Property Owner Email *
example@example.com
Property Owner Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Architect or Contractor Name

First Name Last Name
Architect or Contractor Telephone
Please enter a valid phone number.
Architect or Contractor Email
example@example.com
Architect or Contractor Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Who is completing the work?

Owner Applicant (if different from owner) Contractor
File Upload: Detailed written description of all proposed work

This should include a description of all proposed additions and materials, demolitions, removals, design elements, and or new structures.
Cancel of
File Upload: Photographs *

Include overall elevation views and close-ups of all affected areas being modified
Cancel of
File Upload: Building Drawings

Must be stamped by a design professional
Cancel of
File Upload: Perspective Drawings/ renderings

Cancel of
File Upload: Site layout plan

Site plan with dimensions of proposed changes
Cancel of
File Upload: Additional Materials

Cancel of
Signature of Applicant *

Clear
Should be Empty:

Town of Amherst Historic Preservation Commission