APPLICATION FORM
APPLICATION DEADLINE: Applications must be submitted by 5:00pm June 10, 2023. To be considered a complete application, all the questions must be answered.
Project Name, Location & Contact Information
Project Name
Project Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant
First Name
Last Name
Please check all boxes that describe the applicant
Governmental - State
Nonprofit TAX-EXEMPT 501c3
Endangered Places Program Affiliate
Governmental - Municipal/County
Colorado Main Street Community
Private Property Owner
Applicant Information
Applicant Contact
First Name
Last Name
Applicant Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Project Information
Project Summary (150 words max)
National Register Status
Individually listed
Determined eligible for listing (if eligible, it must be officially listed by the end of the grant period)
Contributing Building
A request has been submitted for a determination of eligibility (the resource must be listed by the end of the grant period)
Not Listed
Unsure
Check Certified Local Districts here: http://www.historycolorado.org/certified-local-districts. Check Individually Listed Resources here: http://www.historycolorado.org/national-state-register-listed-properties
Compliance with Standards
To be eligible for grant funds, your project must comply with the Secretary of the Interior's Standards for the Treatment of Historic Properties. Standards may be accessed here: https://www.nps.gov/orgs/1739/index.htm.
Will your project comply with the Secretary of the Interior's Standards?
Yes
No
Unsure
Covenant/Easement Requirement
To be eligible for grant funds there is a covenant and/or easement requirement depending on the amount of the award funds.
There is already an existing easement on the building
Yes, I understand and am willing to meet the requirement
No, I am not willing to meet this requirement
Project Budget
Grant Request Amount
$10,000 to $50,000
$50,001 to $150,000
Project Completion Date
Yes, my project will be completed by July 1, 2025
No, my project will NOT be completed by July 1, 2025
Please select your project type (s)
Roof Replacement or Repair
Structural Repairs
Window Restoration or Repair
Foundation Work
Facade Restoration or Repair
Other
Please confirm that work on your project has not yet begun.
I confirm that work has NOT started
Work has already started
Total Project Cost
Grant Amount Requested
Amount of Available Match: Please note a 25% match on the grant award is required. Match is defined as the money the owner will have to put toward the grant project.
Is Match Available and In-Hand
Yes
No
Unsure
Do you plan on using in-kind for part of the match? Please note in-kind is defined as work that will be invoiced by a qualified contractor.
Yes
No
Unsure
If yes, what % of match will be in-kind?
Do you plan to apply for State or Federal Historic Preservation Tax Credits?
Yes
No
Unsure
Are you aware that Colorado has a 20-25% tax credit program designed to encourage the renovation and re-use of older buildings? This allows for a 20-25% state tax credit for the rehabilitation of historic, owner-occupied residences and a 20-25% tax credit for the rehabilitation of historic buildings use for income producing properties. Would you like more information on Colorado's Historic Preservation Tax Credit Program?
Yes
No
Do you plan on applying for other grants to support your proposed project?
Yes
No
Unsure
Preservation Ethic: Please describe your community's preservation ethic to the best of your knowledge (put N/A if you are not aware). Use this space to provide information on how historic preservation is seen locally, is it generally supported by the public, etc.?
(500 words max)
0/500
Project Significance & Community Impact
Historic Resource Description: Describe the historic resource and why is is important at the national, state, tribal and local level.
(500 words max)
0/500
Location: Describe the location of the historic resource and its placement within the community.
(500 words max)
0/500
Rural Community Impact: Discuss how the project helps support the history of the rural community and its completion will enhance the lives of future generations.
(1000 words max)
0/1000
Economic Development Impact: Describe how the project will bring new or increased economic development activity to your community.
(500 words max)
0/500
Description of Restoration/Preservation Work: Please provide a description of the rehabilitation/restoration work that will be done and how the grant funds will be used to accomplish this work. Discuss how the project will meet the Secretary of the Interior's Standards. Have any engineering or architectural plans been developed to date? Have you received any project cost estimates? If so, please describe.
(1500 words max)
0/1500
Ownership: Who currently owns the building and are they in support of this grant application?
(500 words max)
0/500
BIPOC: Does this building (in its history or current ownership or use) have connections to marginalized voices of history? For example, Black, Indigenous or People of Color? If so, please tell us more.
(500 words max)
0/500
Funding: Has this project received other funding? Are there plans to apply for funding in the future? If so, please list.
(500 words max)
0/500
Public Benefit
Describe the potential public impact of this project if funded. Please only add information not previously discussed.
(1000 words max)
0/1000
Please describe how funding this project could affect historic preservation awareness and sentiment in your community.
(1000 words max)
0/1000
Does the project include any energy efficiency upgrades? If so, please describe.
(500 words max)
0/500
If energy efficiency upgrades will occur, how will the upgrades relate to the overall preservation of the building?
(500 words max)
0/500
Methodology
Project Team: Please describe who will be managing the grant if awarded and their qualifications. Please also talk about proposed contractors and their experience working with historic buildings.
(1000 words max)
0/1000
Timeline: Please provide a timeline for completing the project. The work outlined must be started after the notice of funding and will require federal review of the project once completed.
Urgency: Please describe why this project should be funded and discuss the urgency of funding.
(500 words max)
0/500
Budget Narrative: Describe the steps that have been taken to determine the project budget and ensure its accuracy. Please note any anticipated challenges.
(500 words max)
0/500
Project Partners and Supporters
Project Partners. Please check all that apply.
The building is in a Colorado Main Street Community
The building is in a Creative District Community
The building is listed as one of Colorado's Most Endangered Places
The building has received a State Historical Fund grant(s)
The building has or will be applying for State or Federal Historic Preservation Tax Credits
Other
If other, please describe.
Please provide information on organizations and/or individuals that have expressed interest or are providing support with the proposed project. Provide names, mailing addresses, emails and contact numbers. Please describe their involvement/interest in the project.
Are you familiar with the work of Colorado Preservation, Inc.?
Yes
No
Unsure
Have you ever attended Colorado Preservation Inc.'s Saving Places Conference.
Yes
No
Unsure
Attachments
Plans: Engineering plans, architectural plans, and/or cost estimates.
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Photographs: Attach historic and current photographs of the building. Make sure to include context photos that show the property as it sits on the street and details of the work that needs to be completed.
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Qualifications: Please attached any resumes and/or relevant information about contractors, architects, project managers, etc. who will be working on the project.
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Letters of Support: Provide at lease three (3) letters of support for the proposed project.
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Project Budget: Fill out the Project Budget fields below. For each new line click the "+ Add Row" button. If other funding has been secured please attach a sheet breaking down total awarded funds.
*
Other Funding.
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Protection Requirement
Please note that depending on the grant award amount a protection covenant or easement will be required (unless one already exists on the property). Grant awards less than $50,000 will require a 5-year preservation agreement (not recorded with the deed) and awards over $50,000 require a 10-year preservation covenant/easement (recorded with the deed). If the property is currently protected by a perpetual or other preservation covenant/easement that meet or exceeds the requirements of this grant program as determined by the NPS, no additional duration or restrictions are necessary.
Checking this box authorizes that you are award of this requirement for grant funds and approve the restriction. Please note, not checking this box will disqualify your application.
I understand the required restrictions and agree to their terms and conditions.
I do not agree to the terms and conditions required.
Submit
Typing your name acts as your official signature. Your name certifies that you have personally reviewed this application and that the information presented is complete and accurate.
First Name
Last Name
Should be Empty: