Fillable REHABILITATED HISTORIC PROPERTY APPLICATION (Richland County Gov)

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REHABILITATED HISTORIC PROPERTY APPLICATION (Richland County Gov)

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SOUTH CAROLINA DEPARTMENT OF ARCHIVES AND HISTORY
STATE HISTORIC PRESERVATION OFFICE
REHABILITATED HISTORIC PROPERTY APPLICATION
PART A - PRELIMINARY REVIEW FORM
This application is used by the Department to review rehabilitation work on historic properties, in accordance with South Carolina 1976 Code
Section 4-9-195(D), 5-21-140, and pertinent regulations. A separate application should be submitted for each historic building, unless they were
functionally-related during the historic period, in which case they can be submitted as a historic complex. Applications must include attachments as
listed below to be considered complete. Submit application to Local Property Tax Review, State Historic Preservation Office, SC Department of
Archives and History, 8301 Parklane Road, Columbia, SC 29223. For additional information, call: 803-896-6174.or see:
https://shpo.sc.gov/historic-preservation/programs/tax-incentives/local-property-tax
1. PROPERTY INFORMATION
Historic Name of Property (if known)___________________________________________________________
Address_________________________________________________________________________________
City ______________________________________, South Carolina (ZIP)____________________________
Use: ____Owner-occupied, or ____ Income-producing
Estimated project start date_____________________ Estimated project completion date_________________
Estimated project costs $_______________________
Has an application for federal Investment Tax Credits been filed for this property? ____Yes ____No
2. HISTORIC DESIGNATION
The property must have been designated "historic" by the local government allowing this incentive. A letter or
other notice from that local government stating that this property has been designated must be attached.
Significance:
Construction Date:__________ Describe major alterations or additions (give dates):_____________________
_______________________________________________________________________________________
________________________________________________________________________________________
Give BRIEF overview of the history of the building:________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
3. ATTACHMENTS
The following information is needed to process your application. Incomplete applications will unnecessarily
delay the Department's review of your project. Please send complete information with the initial submission:
____ Notice of historic designation by the local governing body;
____ An original signed and completed application;
____ Location map showing where the building is located;
____ Photographs clearly showing not only the areas to be rehabilitated, but also overall views of the building;
____ Sketched or architectural floor plans of pre-rehabilitation conditions; and
____ Sketched or architectural floor plans of the proposed work.
4. OWNER INFORMATION
Name________________________________________ Signature__________________________________
Address______________________________________ Date_____________________________________
_____________________________________________ Daytime Telephone__________________________
STATE HISTORIC PRESERVATION OFFICE USE ONLY
____ The work as described in this application and attachments appears to meet the Standards for Rehabilitation and
would receive final approval if completed as described.
____ The work as described in this application and attachments would meet the Standards for Rehabilitation if the Special
Conditions on the attached sheet are met.
____ The work as described in this application and attachments does not appear to meet the Standards for Rehabilitation
and is not approved for this property. The attached sheet describes the specific problems with the proposed work.
__________________________________________________ ___________________________________
Archives and History Authorized Signature Date
____ See attached sheets
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SOUTH CAROLINA DEPARTMENT OF ARCHIVES AND HISTORY
STATE HISTORIC PRESERVATION OFFICE
REHABILITATED HISTORIC PROPERTY APPLICATION
PART A - CONTINUED
5. DESCRIPTION OF PROPOSED WORK
Use the spaces below to describe the proposed work. Architectural features would include items such as: roof;
exterior brick or siding; windows; doors; site/landscape features; entrance hall; main stair; parlors;
fireplaces/mantles; floors/walls/ceilings; mechanical/ electrical/plumbing; etc.
Architectural feature_______________________
Approximate date of feature_________________
Describe feature and its condition
Photograph No._________ Drawing No._________
Describe work and impact on feature
Architectural feature_______________________
Approximate date of feature_________________
Describe feature and its condition
Photograph No._________ Drawing No._________
Describe work and impact on feature
Architectural feature_______________________
Approximate date of feature_________________
Describe feature and its condition
Photograph No._________ Drawing No._________
Describe work and impact on feature
Architectural feature_______________________
Approximate date of feature_________________
Describe feature and its condition
Photograph No._________ Drawing No._________
Describe work and impact on feature
SOUTH CAROLINA DEPARTMENT OF ARCHIVES AND HISTORY
STATE HISTORIC PRESERVATION OFFICE
REHABILITATED HISTORIC PROPERTY APPLICATION
PART A - CONTINUED
5. DESCRIPTION OF PROPOSED WORK (Continued):
(Please feel free to make copies of this sheet. Use as many spaces as necessary to fully describe your
project.)
Architectural feature_______________________
Approximate date of feature_________________
Describe feature and its condition
Photograph No._________ Drawing No._________
Describe work and impact on feature
Architectural feature_______________________
Approximate date of feature_________________
Describe feature and its condition
Photograph No._________ Drawing No._________
Describe work and impact on feature
Architectural feature_______________________
Approximate date of feature_________________
Describe feature and its condition
Photograph No._________ Drawing No._________
Describe work and impact on feature
Architectural feature_______________________
Approximate date of feature_________________
Describe feature and its condition
Photograph No._________ Drawing No._________
Describe work and impact on feature
SOUTH CAROLINA DEPARTMENT OF ARCHIVES AND HISTORY
STATE HISTORIC PRESERVATION OFFICE
REHABILITATED HISTORIC PROPERTY APPLICATION
PART A - AMENDMENT FORM
Use this form to propose changes in project work. Submit the completed and signed form to Local Property Tax Review, State Historic Preservation
Office, SC Department of Archives and History, 8301 Parklane Road, Columbia, SC 29223.
For additional information, call: 803-896-6174.or see:
https://shpo.sc.gov/historic-preservation/programs/tax-incentives/local-property-tax
Name of Property (as submitted on Part A form):
___________________________________________
Address___________________________________
City___________________________________, South Carolina (ZIP) ______________________
Describe changes in the project work:
OWNER INFORMATION
Name________________________________________ Signature__________________________________
Address______________________________________ Date_____________________________________
_____________________________________________ Daytime Telephone__________________________
STATE HISTORIC PRESERVATION OFFICE USE ONLY
____ The work as described in this amendment appears to meet the Standards for Rehabilitation and would receive final
approval if completed as described.
____ The work as described in this amendment would meet the Standards for Rehabilitation if the Special Conditions on
the attached sheet are met.
____ This work as described in this amendment does not appear to meet the Standards for Rehabilitation and is not
approved for this property. The attached sheet describes the specific problems with the proposed work.
_____________________________________________ ____________________________________________
Archives and History Authorized Signature Date
____ See attached sheets
SOUTH CAROLINA DEPARTMENT OF ARCHIVES AND HISTORY
STATE HISTORIC PRESERVATION OFFICE
REHABILITATED HISTORIC PROPERTY APPLICATION
PART B - FINAL REVIEW FORM
Use this form to request Final Approval for Rehabilitated Historic Properties. This form is designed to follow the Part A -Preliminary
Review Form, in which the owner describes the proposed rehabilitation work. Where the work is completed and Part A was not
previously submitted, Parts A and B must be submitted together. Submit to Local Property Tax Review, State Historic Preservation
Office, SC Department of Archives and History, 8301 Parklane Road, Columbia, SC 29223. For additional information, call: 803-896-
6174.or see:
https://shpo.sc.gov/historic-preservation/programs/tax-incentives/local-property-tax
1. PROPERTY INFORMATION
Historic name of property (if known)___________________________________________________________
Address________________________________________________________________________________
City________________________________________,South Carolina (ZIP)___________________________
Project completion date______________
Final project costs $___________________
2. ATTACHMENTS
The following information is needed to process your application. Incomplete applications will unnecessarily
delay the Department's review of your project. Please send complete information with the initial submission:
____ Part A of the Rehabilitated Historic Property Application must precede this form. If you have not already
submitted Part A, you must submit Parts A and B together.
____ A complete and signed Part B form;
____ Photographs, keyed to the rehabilitation plans of the exterior and the interior showing not only the areas
where rehabilitation was performed, but also overall views of the completed project.
3. OWNER INFORMATION
Name________________________________________ Signature___________________________________
Address______________________________________ Date______________________________________
_____________________________________________ Daytime Telephone___________________________
STATE HISTORIC PRESERVATION OFFICE USE ONLY
____ The completed work as documented in this application and attachments meets the Standards for Rehabilitation and
is approved for this property. This approval is one step in qualifying for the special property tax assessment for
Rehabilitated Historic Property. OWNERS SHOULD NOTE THAT the Department reserves the right to inspect the
property within the time period that is covered by this special tax assessment. Work that is not as it was represented in the
application and/or additional work that is not in conformance with the Standards for Rehabilitation may be cause for the
Department to rescind the approval. Work causing the approval to be rescinded would make the entire project ineligible
for the special tax assessment, and written notice of the rescinded approval shall be provided to the appropriate local
officials. Additional work on the property that is proposed after the Final Approval should be submitted on a Part A -
Amendment Form.
____ The completed work does not meet the Standards for Rehabilitation and is not approved for this property. The
attached sheet describes the specific problems with the proposed work.
______________________________________________________ ___________________________________
Archives and History Authorized Signature Date
____ See attached sheet
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REHABILITATED HISTORIC PROPERTY APPLICATION (Richland County Gov)

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Completed 19 May 2021

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