CITY OF MADISON, INDIANA
P.A.C.E. Preservation & Community
Enhancement Grant Program
APPLICATION
APPLICATION CHECKLIST
All items on the checklist are required to submit your application. Incomplete applications will
not be considered for funding.
__________ Part A: Introduction
__________ Part B: Description of the Project (This description should include as much detail about
the project and the work that is to be conducted as possible)
__________ Project Schedule
__________ Attachment: Photographs of existing conditions of Property
__________ Attachment: Project Plans (Site plan, floor plans, elevations, etc.)
__________ Part C: Financial Elements
__________ Detailed Project Budget (This should list all materials and labor costs)
__________ Attachment: Copies of Construction Quotes for the project
__________ Part D: Required Supporting Documents (Attachments)
__________ Certificate of Appropriateness (COA) (If applicable)
__________ Proof of Property Insurance
__________ Proof of Ownership (Deed)
__________ Certificate of Incorporation (if organization/business)
__________ Unsafe Letter (Required for Dangerous Structures Grant)
RETURN COMPLETE APPLICATION TO:
City of Madison, Office of Planning and Preservation
101 W. Main Street, Madison, IN 47250
Make check ($10.00) payable to: City of Madison
For Staff use:
Process/Step
Date
Staff Initial
Applicant met with Preservation Coordinator at least 10 days prior to
filing deadline
Complete application received by the office by posted quarterly deadline
$10.00 application fee collected (Check made payable to: City of Madison)
CITY OF MADISON, INDIANA
P.A.C.E. Preservation & Community
Enhancement Grant Program
APPLICATION
Part A: Introduction
Applicant’s Name_______________________________________________________________
Owner or Business Name (If different than applicant)___________________________________
Mailing Address_________________________________________________________________
E-mail_____________________________________ Phone_________________________
Project Overview:
Property Physical Address________________________________________, Madison, IN 47250
Total Cost of Project: ________________ Amount of Grant Requested: ________________
Estimated Date of Completion of Work: ___________________________
____ Rehabilitation Grant ____ Dilapidated Structures Grant ____ Dangerous Buildings Grant
____ Downtown ____ Hilltop
Applicant must read and initial the following:
_____ I understand that the grant funds must be used only for the project described in this
application. The work must be completed within twelve (12) months of the date that the
grant is awarded. If a project is not completed the recipient(s) may request an extension
to the City of Madison Board of Works and Safety.
_____ I understand that a failure to complete any project may result in the City of Madison
placing a lien on the property in order to recover grant monies in the amount of monies
received by Recipient(s).
_____ I understand that if any plans to the project change or if the contractor changes, I must
notify the Preservation Coordinator.
_____ I understand that all property taxes must be current and that there cannot be any
current tax liens against the property or current litigation between the City of Madison
and the applicant. I understand that if one of these is not true, my application will not be
considered for funds.
I certify that I have read the P.A.C.E. Program Guidelines and that all required documents are
included in my final application packet.
________________________________________________ ________________
Applicant(s) Signature Date
click to sign
signature
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CITY OF MADISON, INDIANA
P.A.C.E. Preservation & Community
Enhancement Grant Program
APPLICATION
PART B: DESCRIPTION OF THE PROJECT
Please describe the project and the property’s current condition.
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Additional supporting information is attached.
CITY OF MADISON, INDIANA
P.A.C.E. Preservation & Community
Enhancement Grant Program
APPLICATION
PART B: DESCRIPTION OF THE PROJECT
DETAILED PROJECT SCHEDULE
Show how the project will be completed within a 12-month time period. If the project will take
longer than 12 months, please explain.
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Additional supporting information is attached.
CITY OF MADISON, INDIANA
P.A.C.E. Preservation & Community
Enhancement Grant Program
APPLICATION
PART C: FINANCIAL ELEMENTS
DETAILED PROJECT BUDGET WORKSHEET
List all major tasks necessary to complete the proposed Project, the total budget, and the
matching grant amount requested. The P.A.C.E. Grant Program funds materials and labor.
Please separate materials from labor.
Task
#
Total Task
Budget
Amount of
Grant Funds
(50% max)
$1,076
$538.00
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Additional supporting information is attached.