SCOPE OF WORK
FENCE
SIDING/TRIM
SIGNAGE
PARKING LOT
LANDSCAPING
MATURE TREE REMOVAL
WINDOWS/DOORS
ADDITION
ROOFING
ACCESSORY BUILDING
CHIMNEY
MISCELLANEOUS
ORDINARY MAINTENANCE
NEW CONSTRUCTION
OTHER
Application for
Historic District
Commission Review
City of Rockville
Department of Planning and Development Services
111 Maryland Avenue, Rockville, Maryland 20850
Phone: 240-314-8230 • Fax: 240-314-8210 • E-mail: history@rockvillemd.gov • Website: www.rockvillemd.gov
Type of Application: (check all that apply)
Certificate of Approval Courtesy Review Evaluation of Significance Demolition Proposed Tax Credit
Property Address Information: (please print clearly or type)
Address:
__________________________________________________________________________________________
Subdivision ____________________________ Lot(s) ___________________________ Block ______________________
Zoning ____________________ Tax Account(s) ________________ , _________________ , ____________________
Applicant Information:
Applicant Address
phone e-mail
Property Owner Address
phone email
Agent Address
phone e-mail
STAFF USE ONLY
Application Acceptance: Application Intake:
Application # _________________________________ OR Date Received _______________________________
Pre-Application _______________________________ Reviewed by ________________________________
Date Accepted ________________________________ Date of Checklist Review _______________________
Staff Contact _________________________________ Deemed Complete: Yes No
Project Description __________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
HDC
8/19
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SUBMITTAL PROCEDURES FOR
HISTORIC DISTRICT COMMISSION (HDC)
CERTIFICATE OF APPROVAL
Each applicant needs to be aware of the following facts about the processing of this application. After reading the following
information, please sign below to acknowledge your understanding.
1. PRE-APPLICATION MEETING
Apre-applicationmeetingwiththehistoricpreservationstaffisrecommendedpriortofilingallapplications.Pleasecallthe
preservationofficeat240-314-8230toscheduleameetingwithstaff.
2. COMPLIANCE WITH ADOPTED DOCUMENTS
Projects must be reviewed for compliance with the following documents:
• The Secretary of the Interior’s Standards for Rehabilitation: www.cr.nps.gov/hps/tps/standards/rehabilitation.htm
• City’s Technical Guides for Exterior Alterations, available at www.rockvillemd.gov form at the Department of Planning and
Development Services
TheHDC’sAdoptedArchitecturalDesignGuidelines:www.rockvillemd.gov
3. FILING LOCATION
ApplicationsmustbefiledwiththeCityofRockvillePlanningandDevelopmentServicesDepartmentat
111MarylandAvenue,Rockville,MD20850.Applicationswillnotbeaccepteduntiltheyaredeterminedtobecompleteby
City staff.
4. INSPECTION OF THE PROPERTY
Members of the Historic District Commission and City staff must be given the opportunity to physically inspect the subject
property to help them reach a decision on the application. This opportunity must be granted provided that reasonable notice
is given for said inspection.
5. HEARING/MEETING APPEARANCE
Once the application is complete, staff will set a tentative date for a public hearing by the Historic District Commission.
Meetings of the Commission are held on the third Thursday of the month, in the Mayor and Council Chambers at City Hall at
7:30p.m.Theapplicant,orarepresentativedesignatedbytheapplicant,shouldbepreparedtopresenthis/hercase before
the Historic District Commission. The applicant will have the opportunity to ask questions and respond to comments at the
public hearing. HDC decisions may be appealed to the Circuit Court of Montgomery County.
6. FILING DEADLINES
ApplicationsareduefiveweeksprecedingtheregularlyscheduledHDCmeeting.Ascheduleoffilingdeadlinesismain-
tained by the Planning Division, and posted on the city’s website at https://www.rockvillemd.gov/107/Historic-District-
Commission.
7. SIGN
A sign will be provided to you by City staff, which must be posted on the property announcing the public hearing by the His-
toricDistrictCommissionwhentheapplicationisfiled.AftertheHDCmeeting,thesignmustberemovedanddisposedof.
A letter of authorization from the owner must be submitted if this application is led by anyone other than the owner.
I hereby certify that I have the authority to make this application, that the application is complete and correct and that I have
read
andunderstandallproceduresforlingthisapplication.
_________________________________________________________________________________________________
Please Sign and Date
City of Rockville
Department of Planning and Development Services
HistoricPreservationOffice
111MarylandAve.•Rockville,MD20850-2364•240-314-8230
www.rockvillemd.gov
HDC
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ThefollowinginformationisrequiredaspartofthisapplicationforaCerticateofApprovalbytheHistoricDistrictCommission:
One(1)copyofeachitem,withamaximumsizeof11”x17”mustbeprovidedunlessotherwisenoted.Digitalcopiesmustalso
be provided. Please consult with staff as the required information and additional copies may vary with the particular project.
1. SITE PLAN
A. Lot dimensions.
B. Buildinglocationwithindimensionsoflot(existingandproposed).
C. Dimensions and locations of drives, walks, fences, porches, patios, accessory buildings, planting areas, freestanding
signs(existingandproposed).
D. North arrow, date, and scale of plan.
2. LANDSCAPING PLAN(Requiredfortreeremoval,newconstructionandsubstantiallandscapeplansoralterations)
showing:
A. Plant placement
B. Plant spacing
C. Types/species
D. Number of each plant.
E. Height/spread at installation and at maturity.
Tree Removal Procedures
Applicantsmustapplyforbothhazardoustreeandnon-hazardousmaturetreeremovals.Staffmayapproveremovalof
hazardous,deadordyingtreeswitheitherareportfromtheCityForesteroracertiedarborist.Pleaserefertothead-
optedTechnicalGuidesforExteriorAlterations,#7,Landscaping.Forallothertreeremoval,theHDCmustreviewand
approve.
3. ARCHITECTURAL DRAWINGS(Requiredforstructuralalterations,additionsandnewconstructionandmustincludeoor
plans,elevationsandsectionswithnortharrow,date,scaleanddimensionsshowing):
A. Number of stories and building height G. Exterior stairs
B. Siding dimensions H. Chimney detail
C. Window/door
dimensions,detailsandspecications I. Signlocationandmaximumareaofallsigns
D.
Railing dimensions and details
E. Roof plan J. Renderings of completed proposal
F. Trim and architectural details
4. PHOTOGRAPHS–Digitalandprintphotographsofsubjectproperty(allviews)andareaaffected.Fornewconstruction,
submit photographs of surrounding buildings and environment.
5. PRODUCT INFORMATION
(Requiredforchangeofmaterial,structuralalterations,additions,andnewconstruction)
Productliterature(brochures,websiteinfo,etc.)withspecicationsorasampleofthecomposition,color,andtextureof
materials to be used including:
A.
Roof materials E. Gutters I. Patios
B.
Siding F. Drives J. Railings
C. Windows G. Walks K. Fences
D. Doors H. Flooring L. Signs
HDC
perArticle18oftheZoningOrdinance
City of Rockville
Department of Planning and Development Services
HistoricPreservationOffice
111MarylandAve.•Rockville,MD20850-2364•240-314-8230
www.rockvillemd.gov
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APPLICATION CHECKLIST
HISTORIC DISTRICT COMMISSION (HDC)
CERTIFICATE OF APPROVAL
Please complete this checklist and include it as part of the application submittal. Each item on the checklist must be contained in the
applicationpacket.Ifitemsaremissing,theapplicationcannotbeaccepted.Thischecklistmustbeincludedwiththesubmittalwhenling
with staff.
IMPORTANT NOTE: AN ACCEPTABLE AND COMPLETE HDC SUBMITTAL MAY INCLUDE OF THE FOLLOWING ITEMS
AnysubmittalpackageledwiththeHistoricPreservationOfcethatisdeemedincompletecannot be accepted and will be
returned to the applicant.
For Staff
Use Only
Submitted Received
Detailedsiteplannolargerthan11”x17”
Landscaping plan (required for tree removal, new construction and substantial
landscapeplansoralterations)
Architecturaldrawingsincludingoorplans,elevations,sectionsandrenderingof
completedproposalnolargerthan11”x17”
Photographsofareasaffected(print&digital)
Samplematerialsorbrochureswithmaterialsspecicationsifanychangefromoriginal
materials is proposed
Additional information as requested by Historic Preservation staff
Evaluation of Signicance
SeveraldigitalphotosarerequiredfortheEvaluationofSignicance:
Several photos of all sides of the house
Entire front of house with the yard
Entire rear of house with the yard
Each side of house
The garage and/or any out buildings
The entire front yard and the entire back yard.
A view of the buildings up and down the street, and across the street More photos are better than less
Also, please send the following information about the materials on the house and the garage:
Roof: Asphalt Shingle, metal, or slate?
Siding: Vinyl, aluminum, asbestos, or wood or wood substitute?
Windows: vinyl, aluminum, or wood?
Shutters: Vinyl or wood?
All Doors: Wood, aluminum, or steel?
All Storm doors: Vinyl or aluminum?
All Porch /deck railings: wood, vinyl, or metal?
AllPorch/deckoorandstepmaterials?
Garage /Shed or Other outbuildings materials?
Fences: Chain link, Vinyl or Wood?
Any additional information about property including history, old photos, previous owners, etc.
City of Rockville
Department of Planning and Development Services
HistoricPreserv
ationOffice
111MarylandAve.•Rockville,MD20850-2364•240-314-8230
www.rockvillemd.gov
HDC
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