CazHeritage Preservation Grant Application

Carl D. Stearns Preservation & Restoration Grant Application

Please review the grant guidelines (LINK) prior to submitting the application.

APPLICANT Name:*

Applicant address:*

Applicant email:*

Applicant Telephone #:*

PROJECT Name:*

Project Address:*

PROPERT OWNER Name:

(if different from applicant, written permission required)

Property Owner Address:

(if different from applicant's)

Property Owner Telephone and/or Email Address:

(if different from applicant's; best mode of contact)

Description of Project:*

(500 words maximum. Describe the existing condition; scope of work to be undertaken; materials and techniques to be used, if known; whether this project is self- contained or part of a larger preservation/restoration effort) NOTE: this viewing window can be resized by dragging the lower-right corner.0/500

Significance of Project:*

(500 words maximum. Describe why this work is important to the property’s historical and/or architectural integrity; how this specific project fits into your plan for historic preservation of the structure; and/or how this project advances the preservation of Cazenovia’s history, historical landscape, or material culture.) NOTE: this viewing window can be resized by dragging the lower-right corner.0/500

Total Budget Amount:*

Grant Amount Requested:*

Not to exceed $2500

Amount Contributed by Applicant/Owner:*

Targeted Completion Date:*

Contractor/Vendor/ Consultant Name(s):*

Contractor/Vendor/ Consultant Phone #s:*

FILE ATTACHMENT GUIDELINES:

Attach photo(s) of the existing feature(s) to be restored/preserved.
Attach photos of the exterior elevations (front, sides & back views of the structure).
Image files should be at least 1000 px in the largest dimension.
Ideal images are 1000-3000 px in each dimension (e.g., 2200 px X 1500 px).
Attach a detailed budget (i.e., labor, cost of materials to be used, etc.), showing my contribution and requested amount.
Please use one of these budget templates: Excel template Google Sheets template
Name files to help grant reviewers (e.g., north-east-corner.jpg, Project-XYZ-Budget.xlsx).
Acceptable file formats for images: jpg, jpeg, png, heic, pdf
Acceptable file formats for budget: xls, xlsx, pdf
File size cannot exceed 5 MB each.

File Upload*

Limit - 8 files 5 MB each to include image files of restoration project needs and a detailed budget

If awarded the grant, the applicant agrees to allow Cazenovia Heritage to use the images of the proposed project and/or elevations in award publicity or future promotion.*

YESNO

Check all that apply:*

I have attached image file(s) of the project features to be restored/preserved.I have attached image files of the property's elevations (front, sides & back views)I have attached a detailed budget by expense item (i.e., labor, cost of materials to be used, etc.), showing my contribution and requested amount.If awarded, I understand and agree that I will provide a completed W-9 IRS form and receipts in order to receive the funds.