SCOPE OF WORK FORM
MINNESOTA HISTORICAL SOCIETY GRANTS OFFICE
The Scope of Work form is used to determine whether the proposed work meets the Secretary of the Interior’s Standards for the
Treatment of Historic Properties, a requirement of the grants program. The Standards are a set of established common sense
guidelines that consider the historic nature and character-defining features of buildings/structures when recommending treatments for
their preservation. The Standards state that deteriorated historic features shall be repaired whenever possible. Where the severity of
deterioration requires replacement, the new feature should match the old in design, composition, color, and texture, whenever possible.
INSTRUCTIONS FOR COMPLETING THE GRANTS OFFICE SCOPE OF WORK FORM:
DETAILED DESCRIPTION OF PRESERVATION WORK. A separate row should be used to describe each work item. In the left block,
identify the architectural feature requiring work and indicate whether the feature described is original to the building, was added at a
later date, or is new construction. Give the approximate date of the feature. Describe its physical condition. Indicate the photograph
or drawing numbers that show the feature described. Please include historic photos, if available. In the right block, explain in detail
the preservation work to be undertaken on the feature. List drawings, marked photographs, or catalog specification page numbers that
show the preservation work.
REQUIRED SUPPORTING DOCUMENTATION FOR COMMON PROJECT TYPES:
MASONRY
Photographs of existing masonry and mortar.
For Repointing: Mortar specifications. Existing mortar must be tested. Replacement mortar must match the historic mortar in
composition, texture, color, and joint profile.
For Cleaning: Technical specifications for product and method.
WINDOWS AND DOORS
Close-up/detail photographs and/or drawings of existing windows/doors and trim profile showing condition and configuration.
Manufacturer specification sheet for replacement window/door showing head, jamb, and sill details and section.
Must include information on elevation, muntins (if applicable), type of material (e.g. wood, aluminum), screens/storms, finish (e.g.
painted), and glass type (e.g. single-pane, low-e, thermo-pane).
HVAC REPLACEMENT AND FIRE SUPPRESSION SYSTEMS
Manufacturer specification sheet for new unit or system.
Plan of installation, including locations of equipment, piping, vents. Describe any elements that will be visible from inside or outside
of the building and any building features that must be altered to accommodate the new unit or system.
ROOFS
Photographs and documentation of existing roofing.
Manufacturer’s product description of replacement roofing (to include type of material, exposure).
RAMP INSTALLATION
Photograph of proposed location for ramp/lift.
Plan view and elevation drawing of ramp.
EXAMPLES:
NUMBER Architectural feature facade brick
Approximate date of feature: ca. 1880
Describe existing feature and its condition:
Hard pressed red brick with butter joints in good condition.
Mortar mostly sound, but deteriorated and missing around
downspout at east end of facade. Some graffiti at first floor.
Photo no. 3, 6 Drawing No. ________
NUMBER Architectural feature main staircase
Approx. date of feature: ca. 1880/unknown
Describe existing feature and its condition:
Original stair exists between 1st and 3rd floors. Some balusters
missing and treads worn. Later stair from 3rd to 8th floors.
Photo no. 9, 10 Drawing No. A-12
Describe work and impact on existing feature:
Selectively hand clean deteriorated joints. Test mortar and
repoint to match color, texture, strength, composition, and joint
width of the historic (see spec. p. 33-35); chemically clean graffiti
from 1st floor piers (see spec. p. 30-31.
Describe work and impact on existing feature:
Replace missing balusters with matching pieces. Sand painted
banisters and balusters and varnish. Replace treads as needed.
Sand and paint stairs. Retain later stair as is.
SCOPE OF WORK FORM
(continued page 2)
Property Name
Property Address
DETAILED DESCRIPTION OF WORK: Complete blocks below. See instructions on page 1. Date:__________________
No.
1
Architectural feature Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
2
Architectural feature
Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
3
Architectural feature Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
4
Architectural feature
Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
SCOPE OF WORK FORM
(continued-page 3)
Property Name
Property Address
Date: __________________
No.
5
Architectural feature
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
6
Architectural feature
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
7
Architectural feature
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
8
Architectural feature
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
SCOPE OF WORK FORM
(continued-page 4)
Property Name
Property Address
Date: __________________
No.
9
Architectural feature
Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
10
Architectural feature Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No. 11
Architectural feature
Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
12
Architectural feature Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
Scope of Work Form
(continued-page 5)
Property Address
Property Address
Date: __________________
No.
13
Architectural feature
Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
14
Architectural feature Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
15
Architectural feature
Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no
No.
16
Architectural feature Describe work and impact on existing feature:
Approximate date of feature
Describe existing feature and its condition:
Photo no.
Drawing no