Historical Architecture Review Board
City Hall. 340 North Washington Avenue. Scranton, PA 18503

APPLICATION FOR CERTIFICATE OF APPROPRIATENESS

Building address:

Street and number	City	State	Zip

Owner of building:

Owner’s address:

Street and number	City	State	Zip

Applicant:

Applicant’s address:

Street and number	City	State	Zip

Applicant’s Phone Number: _________________________ Email: _________________________________

Tax Identification #:

Note: Application form, photographs and required drawings and application fee are to be submitted to the City of Scranton’s Department of Licensing, Inspections and Permits (340 N Washington Ave, City Hall 4th floor, Scranton, PA 18503) no later than 12:00 noon on the first Monday of the month in order to be placed on the agenda for that month’s meeting. All information must be completed in full or it will be not be placed on the agenda or considered for approval, this application will be labeled invalid and will need to be refiled.

A BOND MAY BE REQUESTED AT THE RECOMMENDATION OF THE HARB FOR DEMOLITION APPLICATIONS. In the event of default of the approved Certificate of Appropriateness, the bond will be used for demolition completion, historical preservation, historical education, mitigation, construction, or otherwise deemed appropriate by the HARB.

1. PHOTOGRAPHS - Photographs of your building and neighboring buildings must accompany your application.
2. TYPE OF WORK PROPOSED – Check all that apply.
____ Trim and decorative woodwork ____ Siding and Masonry ____ Roofing, gutter and downspout ____ Windows, doors, and associated hardware ____ Storm windows and storm doors ____ Shutters and associated hardware	____ Skylights ____ Metal work ____ Light fixtures ____ Signs ____ Demolition ____ Painting ____ Other
3. DRAWINGS OF PROPOSED WORK – Required drawings must accompany your application. Please submit ten (10) copies of 8-1/2”x 11” or 11” x 17” drawings.
____ Alteration, Restoration, Renovation: Provide photos of the existing conditions and images along with scaled drawings to fully communicate the proposed changes. Include manufacturer’s information on new products to be installed (awnings, siding, trim, roofing, signage, windows, doors, hardware, etc.) Provide dimensions to communicate scale. Drawing should indicate which materials will be used and where they will be used. Provide material or color samples and photographs/drawings to communicate intended color-use.
____ New Addition: Provide photos of the existing conditions and images along with scaled drawings (elevations, floor plans, and sections) to fully communication the proposed scope of work. Include manufacturer’s information on new products to be installed (awnings, siding, trim, roofing, signage, windows, doors, hardware, etc.) Provide dimensions to communicate scale. Drawing should indicate which materials will be used and where they will be used. Provide material or color samples and photographs/drawings to communicate intended color-use. ____ New Building or Structure: Provide photos of the existing conditions and images along with scaled drawings (elevations, floor plans, and sections) to fully communication the proposed scope of work. Include manufacturer’s information on new products to be installed (awnings, siding, trim, roofing, signage, windows, doors, hardware, etc.) Provide dimensions to communicate scale. Drawing should indicate which materials will be used and where they will be used. Provide material or color samples and photographs/drawings to communicate intended color-use.
____ Demolition: Provide existing photos and historic images (if available) of the existing conditions. Provide drawings to fully communicate proposed use after demolition. Provide structural reports or other information that justify demolition.
____ Windows and Doors: Provide manufacturer’s information on new doors and windows to communicate the dimensions, materials, colors, profile, hardware and operability. ____ Signage – Provide the following: Photographs or elevation drawings showing existing conditions and proposed signage to depict approximate scale, materials, colors, and lettering. Material specifications and/or material samples. Information pertaining to the attachment method (diagrams, drawings, photos, details, samples, etc.) ____ Lighting – Provide lighting manufacturer specifications which indicate dimensions, materials, colors, lamping, and photometric information (if available)
DESCRIBE PROJECT – Describe any work checked in #2 and #3 above. Attach additional sheets as needed. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

BUILDING USE – Describe the current use and the proposed use of this property. Attach additional sheets as needed. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ITEMS 6-11 ONLY NEED TO BE COMPLETED FOR DEMOLITION APPLICATIONS. MARK N/A IF THIS IS NOT APPLICABLE TO YOUR PROJECT. PROCEED TO SECTION 12.

Demolition applications may attach additional sheets as necessary.

PROVIDE PROJECT SCHEDULE ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
PROVIDE HISTORICAL BACKGROUND – Year built, previous owners, use & occupants, Architect of Record, previous renovations. Etc. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ANTICIPATED IMPACTS TO THE SURROUNDING AREA – Historical, Architectural, lines of site, viewshed, financial, social ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
JUSTIFICATION FOR DEMOLITION ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ALTERNATIVES ANALYSIS – Alternative Locations _______________________________________________________________________________________________________________ Alternative-Use, Alterations, Renovation-Analysis ____________________________________________________________________________________________________________________ No Action Analysis ____________________________________________________________________________________________________________________
PROPOSED MITIGATION OF HISTORICAL AND ARCHITECTURAL LOSS ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ NOTE: An Application fee of $150.00 must accompany this form. Acceptable methods of payment are either a check made out to the City of Scranton or any major credit card given to the Licensing, Inspection & Permits Department or by calling 570-348-4193. Please note that this is for a HARB application.
APPLICANT’S SIGNATURE: ________________________________________________________ Date:_________________

DO NOT WRITE BELOW THIS LINE: FOR COMMISION USE ONLY

Presented at Commission Meeting on:______________________________________

Reviewed by: ____________________________________ Date: ___________________

Approved _________________ Not Approved ____________________

Commission Recommendations: ______________________________________________________________________________________________________________________________________________________________________________

Additional Comments: ______________________________________________________________________________________________________________________________________________________________________________

____________________________

Richard Leonori – HARB