City of Hickory
PO Box 398
Hickory, NC 28603
Phone: (828) 323-7422
Email: planning@hickorync.gov
Historic Preservation Commission
Revised: February 2019 Page 1 of 2
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
Property Address:
Property Owner:
Applicant:
Mailing Address:
Daytime Telephone Number:
Email Address:
All applications must include a detailed, written description of the project which specifies
changes proposed with reasoning. Proposed exterior alterations or additions will require
elevation drawings. A site plan is required to show the location of existing and proposed
property improvements. Use the checklist below to indicate materials submitted.
1. Detailed written description of the project (see next page).
2. Elevation drawings of proposed work (sealed by a design professional as required).
3. Photographs of existing conditions.
4. Site plan (sealed by a licensed surveyor or design professional as required) showing
existing and proposed property improvements.
All major work applications and required materials must be submitted to the Planning
Department by the last working day of the month in order to be heard at the next
meeting of the Historic Preservation Commission. Commission meetings are typically
held on the fourth Tuesday of each month at 5:30 pm. The applicant or their attorney
must be present at the meeting. If this application is submitted by anyone other than the
property owner, notarized written permission of the property owner must be provided.
An application fee will be charged for all major work applications and payment must be
included in order to be deemed a complete application.
Note: An approved Certificate of Appropriateness application must meet the standards
of the Commission’s Design Review Guidelines. However, it may or may not meet the
Secretary of Interior Standards for Rehabilitation and may disqualify a property for
National Register designation.
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Revised: February 2019 Page 2 of 2
WRITTEN DESCRIPTION:
Describe in great detail the activity for which you are seeking a Certificate of
Appropriateness. Specify the types of materials and dimensions to be used,
reasoning/justification for the design, materials, etc., as well as, an estimated timeline.
Projects will be reviewed for congruence with the Design Review Guidelines (available
on the Commission’s webpage).
Applicant Signature: Date:
If approved, the Certificate will expire if the project does not commence within one year
after its issuance. Time extensions will be considered on a case by case basis.
RETURN COMPLETED APPLICATIONS TO ONE OF THE FOLLOWING:
Physical Address: Hickory City Hall, Planning Department, 76 N Center Street, Hickory,
NC 28601
Mailing Address: City of Hickory, Attn: Historic Preservation Staff, PO Box 398, Hickory,
NC 28603
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