CPA Historic Preservation Commission Request Form

CPA Historic Preservation Commission (HPC) Request Form

City of Somerville Community Preservation Act Fund
Submit this form no later than August 30, 2024.

Please send attachments via email to rcameron@somervillema.gov. Combine all required attachments into a single PDF or print and submit as a single unbound paper copy.
Project Name:
Project Location:
Applicant Name / Organization:
Contact Person:
Phone Number
Please enter a valid phone number.
Email
example@example.com
Is the resource in a Local Historic District and/or listed on the State Register of Historic Places? (you can check designation by looking it up in Somerville’s Local Historic District database or the Massachusetts Cultural Resource Information System)

YesNo
If no, has the Somerville Historic Preservation Commission previously made a determination that the resource is significant?

YesNo
If no, HPC must give a determination of historical significance for the project to be eligible for CPA funding. Please refer to the Guidelines for Determination of Historic Significance and answer the following questions:
How is this resource important to Somerville's History?
Please provide a brief description of the proposed project.
How does this resource meet the criteria for quality or integrity as described in the HPC Guidelines?
What community need is this trying to address and what level of planning has already been undertaken to inform the proposed project, including stakeholders engaged to date?
Please describe the scope of improvements proposed to be undertaken with CPA funds.
Please attach photos of the building or asset that this project would improve. Show the entire site, existing conditions of the elements that are proposed to be improved, and include any other relevant images.
What level of planning has already been undertaken to inform the proposed project?
Please attach any plans or assessments that have been prepared to date.
Has an architect, contractor, or historic preservation professional already been identified to carry out this project?
If so, please attach the qualifications of the professional(s) you have engaged with.
Please combine attachments into a single PDF and upload here or email to rcameron@somervillema.gov

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CPA Historic Preservation Commission (HPC) Request Form