Village of Calumet Historic District Commission
340 6th St.--Calumet, Michigan 49913
Telephone (906) 337-1713
calumethdc@gmail.com
Revised 2/13/2019 and Accepted 02/20/2019
APPLICATION FOR PROJECT REVIEW
(PLEASE PRINT CLEARLY - See instructions on reverse side)
Property Address:
YEAR BUILT________
Work to be done by Owner
Licensed Contractor:
_______________________________________________________________
Proposed Work: _________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Use additional sheets to describe work if necessary
_____ This property has at least one working smoke detector for each dwelling unit.
(Owner or applicant’s initials) (Required) * see back
This project will require a building permit.
This project will not require a building permit.
Referred to the Historic District Commission for review at a monthly hearing.
Applicant's Signature:_______________________________________ Date: ____/_____/_____
Owner's Signature: ________________________________________ Date: ____/_____/_____
(if different)
==============================================================================================
-For Historic District Coordinator's Use Only-
Case Number: _______________________ Date Received: _____/______/______
Complete application [ ] Yes [ ] No
Actions Needed ________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Fee Paid $20: _____/______/______ Completed application: _____/______/______
Coordinator Review Date: _____/______/______ [ ] Approve [ ] Denied [ ] Forward to HDC
Coordinator Signature: __________________________________________________________
COMMENTS: __________________________________________________________________
_____________________________________________________________________________
Referred to Historic District Commission for hearing*: _____/_________/________
Certificate of Appropriateness Issued or Denied: _____/_________/____________
Notice to Proceed: _____/______/_______ Comments________________________________
Hearing Date: _____/_________/______ Projection Completion Date: ____/______/_____
Final Project Review by: _____________________________________________________
_________________________________________________________
Applicant: __________________________________________
Mailing Add._________________________________________
Phone: (___)___________ Email _______________________
Owner:_____________________________________________
Mailing Add. ________________________________________
Phone: (___)____________ Email _______________________
Application Checklist:
[ ] Drawings 11x17 or
smaller with dimensions
[ ] Materials list
[ ] Site plan including
north arrow
[ ] Other
[ ] $20 - Application fee
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Village of Calumet Historic District Commission
340 6th St.--Calumet, Michigan 49913
Telephone (906) 337-1713
calumethdc@gmail.com
Revised 2/13/2019 and Accepted 02/20/2019
Historic District Commission - APPLICATION FOR PROJECT
REVIEW -
Filling out the application instructions and tips
PLEASE PRINT.
Property address: street address of the property
Applicant: Owner or the owner’s contractor. Owner: Legal owner of property
Mailing Address: Applicant’s street address including City, State, and Zip Code.
Mailing Address: Owner’s street address including City, State, and Zip Code.
Phone: Specify home or work
Contractor Name of contractor if this project requires a building permit or check ( ) work to be
done by owner
Proposed Work: What work do you plan to do? Please be as specific as possible including a complete
description of the part of the structure where work will be done.
(Remember: Always apply for and obtain yourCertificate of Appropriateness BEFORE you
purchase materials for your project.)
Example #1: Rather than “Replace window.”
SayReplace lower sash of the left window in the front of the building on the first floor with a wooden
sash to match the original.” Also state the reason you need to replace rather than repair the sash. (“Sash
severely damaged by football.”)
Example #2: Instead of New door
Say “Install new wooden door matching original design and materials on back of house to fit original
opening in width and height.” And include a drawing or photo of the proposed door perhaps from a sales
flyer or an order sheet. Specify the measurements of the width and height of the original opening.
Example #3: Rather than:Replace roof.”
Say ”Replace roof with compatible historic roofing materials, keeping the same roofing style according to
the local design guidelines.”
These are relatively simple examples.
Measurements are very important and may be part of the drawing
Drawings should be black or dark blue ink on white paper
Electronic submissions are encouraged.
A COMPLETE APPLICATION includes:
This application
Drawings as needed
Specifications of materials
Payment of a $20 application fee in addition to any required building permits
Name of the contractor if this project requires a building permit Or indicate ( ) owner
* [ ] Please initial to verify this property has at least one working smoke detector for each
dwelling unit. This is REQUIRED by state law or the application will be considered incomplete.
Emergency repairs: If damage occurs to a structure in a historic district, which requires emergency repairs, steps
may be taken to secure the structure without the approval of the commission or the coordinator. Cover damaged
windows or holes in a roof with tarps or wood to prevent further damage. Support dangling or loose elements or
remove and store them. Notify the Coordinator of the damage to the structure on the first weekday available after the
damage occurs and the coordinator will visit the structure as well as arranging a site visit by commission members to
approve repairs if necessary. THIS WILL BE DONE AS QUICKLY AS POSSIBLE IN ORDER TO
FACILITATE REPAIRS OF THE STRUCTURE IN A TIMELY MANNER.
If you have questions about completing this application for project review, please email the
Historic District Coordinator at calumethdc@gmail.com
.