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Application Form
FY20 APPLICATION FOR COMMUNITY PRESERVATION
FUNDING
Submit one (1) unbound original and nine (9) copies to:
Rockland Community Preservation Committee
Name of Applicant/Applicant Organization (and co-applicant, if applicable)
Name of Property Owner, if different from applicant
(a signed affidavit from the Property Owner may be requested)
Contact Name
Signature of Authorized Representative of Applicant
Mailing Address
Daytime Phone, City, State, Zip
Project Name
Email
Address of Proposal (or assessors parcel ID)
Category (check all that apply):
community housing historic resources open space recreation
CPA funding requested: $ _________________________
Total cost of proposed project: $ ___________________
Rockland RCPC Application Form Page 1
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Project Description: Answer the following questions in the order listed below. Refer to
Guidelines for CPA Funding Requests while completing this application. Applications
will be returned as incomplete if all information is not provided. Include supporting
materials, as necessary.
1. Goals: What are the goals of the proposed project? First, explain the
relationship of those goals to those of the Community Preservation Act (see
Addendum #1 below for information on the RCPA's goals). Second, explain how
the project advances the goals of Rockland's most recent open space, land use,
affordable housing and historic preservation planning documents.
2. Community Need and Public Benefit: Why is this project needed? How does
it benefit the public? Consider the following: people who will directly benefit
from the completed project; resources that will be protected because of this
project.
3. Timeline: What is the schedule for project implementation? Include a timeline
for all milestones.
4. Success Factors: How will the success of this project be measured? Be as
specific as possible.
5. Credentials: How will the experience of the applicant(s) and any contractors
contribute to the successful implementation of this project?
6. Other Funding: What additional funding sources are available, committed, or
under active consideration? Include copies of commitment letters or rejection
letters and describe any other attempts to secure funding for this project.
7. Maintenance: If ongoing maintenance is required to protect the CPA
investment in your project, how will it be funded in the future?
Attachments:
Budget: Applicants must provide accurate and detailed estimates of the total
budget for the project and how CPA funds will be spent. All items of expenditure
must be clearly identified. Distinguish between hard and soft costs and
contingencies. Applicants must provide accurate and detailed estimates from
potential suppliers. Projects that require deed restrictions or other legal oversight
should include these estimated expenses in their proposed budget. The CCPC
reserves the right to augment or adjust projected budgets for estimates associated
with legal or other professional fees.
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Community Support: Include any relevant letters of support for the project
including demonstration of other funding sources.
Historic preservation projects: Please provide additional detailed project
information as required in Addendum #2 Supplemental Information for
Historic Preservation Projects.
Digital Photography: Please be prepared to submit digital images of the project
to the CCPC Administrator for use in the Town Meeting presentation. Images will
be requested once project is recommended for funding.
ADDENDUM #1: COMMUNITY PRESERVATION ACT and TOWN of Rockland
GOALS and SELECTION CRITERIA
Rockland Community Preservation Act Goals
CPA provides a special funding source that is dedicated to community preservation needs
related to community housing, historic resources, open space, and recreation. The CPA
goals are to:
o Acquire, Create, and Preserve Open Space
o Acquire, Create, and Preserve Land for Recreational Use (plus Rehabilitate or
Restore Land for Recreational Use)
o Acquire, Rehabilitate, Restore, and Preserve Historic Resources
o Acquire, Create, Preserve, and Support Community Housing(plus Rehabilitate
Community Housing if the Community Housing was acquired or created with
CPA funds)
Town of Rockland Goals
The RCPC will evaluate all eligible CPA funding proposals keeping in mind the relevant
goals stated in Rockland's most recent planning documents. Higher priority will be
granted to projects that:
o serve more than one community preservation principle;
o are supported by one or more relevant town committees
o leverage multiple funding sources;
o preserve a threatened resource;
o allow or promote public access (if applicable);
o can be completed at a reasonable cost;
o are consistent with preservation program priorities. (i.e. will not divert funding
from higher priority project(s)
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ADDENDUM #2: SUPPLEMENTAL INFORMATION FOR HISTORIC
PRESERVATION PROJECTS (required for proposals submitted under the CPA
Historic Resources category)
Project Evaluation
Community Preservation Act (CPA) funds can be used for the acquisition, restoration,
rehabilitation, and preservation of historic resources. The RCPA defines an historic
resource as a 'building, structure, vessel, real property, document or artifact that is listed
on the state Register of Historic Places or determined by the local Historical Commission
to be significant in the history, archeology, architecture or culture of the town'. Before
consideration, the CCPC will determine whether or not the proposal is eligible for CPA
historic preservation funds.
Please check all that apply below; this information will assist the CCPC in its evaluation.
o Property is individually listed on the State or National Register of Historic Places
(applicant must provide documentation from the State or National Register)
o Property has been determined by the Rockland Historical Commission to be
significant in the history, culture, architecture or archeology of the town of
Rockland (applicant must provide documentation to this effect from the
Rockland Historical Commission)
o Property is located within a National Register Historic District and is considered
a
'contributing structure' (applicant must provide documentation supporting the
'contributing structure' status).
o Property is located within a Historic District
Secretary of the Interior's Standards for the Treatment of Historic Properties
Historic preservation projects are required to comply with the 'Secretary of the Interior's
Standards for the Treatment of Historic Properties'. The CCPC will review project plans
for compliance with the Secretary's Standards. Applicants must provide complete
construction drawings and specifications to the CCPC for review before construction
funds will be disbursed. CPA funds may also be used for design costs; design plans
produced with CPA funds shall also be consistent with the Secretary's Standards. The
Secretary of the Interior's Standards are published by the National Park Service and may
be accessed online at: http://www.nps.gov/history/hps/tps/standguide/.
I, the undersigned, understand that CPA funded historic preservation projects are required
to comply with the 'Secretary of the Interior's Standards for the Treatment of Historic
Properties'
X _________________________________________________________
Applicant's signature
______________________________
Date
Rockland RCPC Application Form Page 4
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signature
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Deed restrictions
The CPA requires an historic preservation deed restriction as a condition of funding for
historic preservation projects, if the historic resource is being acquired by the town.
Supplemental Information required for Historic Resources funding proposals
Unless waived by the CCPC, this information is required in addition to the information
requested in the funding application. If you would like to request a waiver, please submit
your request in writing with your application
Please provide detailed project information, as applicable:
Building preservation, restoration, or rehabilitation projects:
o Provide a copy of construction plans including both existing conditions and
proposed alterations, and specifications including description of existing and
proposed materials. In certain circumstances, photographic documentation may
satisfy the requirement for existing conditions documentation.
o Provide a statement explaining how the project will comply with the 'Standards
for Rehabilitation' published in the 'Secretary of the Interior's Standards for the
Treatment of Historic Properties'.
Landscape preservation, restoration, or rehabilitation projects:
o Provide a copy of project plans, including existing conditions and proposed
alterations, and project specifications, including a description of existing and
proposed materials, plus any additional supporting information demonstrating
need for preservation, restoration, or rehabilitation. In certain circumstances,
photographic documentation may satisfy the requirement for existing conditions
documentation.
o Provide a statement explaining how the project will comply with the 'Standards
for Rehabilitation' published in the 'Secretary of the Interior's Standards for the
Treatment of Historic Properties' and the 'Guidelines for the Treatment of Cultural
Landscapes'.
Design services for the preservation, restoration, or rehabilitation of a landscape or
building:
o Provide a statement explaining the need for design services related to
preservation, restoration, or rehabilitation.
o Provide credentials for architect/designer (specifically addressing historic
preservation experience).
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