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APPLICATION FOR CHANGE WITHIN THE CHARLOTTE AMALIE HISTORIC & ARCHITECTURAL CONTROL DISTRICT St. Thomas/St. John Historic Preservation Committee Department of Planning and Natural Resources Fort Christian National Historic Landmark Site 5064 Forts Straede 1 Charlotte Amalie, VI 00802 Tel: (340)776-8605 DISTRICT: Charlotte Amalie [ ] Zoning _______ Approx. date of bldg.:_______________ Physical Address of Changes (NOT Mailing Address):____________________________________________ Use: ( ) Commercial ( ) Residential ( ) Combined Other:________________________ Federally Funded [ ] Yes [ ] No Enterprise Zone [ ] Yes [ ] No Historic Tax Credit [ ] Yes [ ] No PLEASE PRINT Applicant’s Name:__________________________________________________________________________ (Applicant is the person presenting the application at the meeting) Business Name, if Applicable: ______________________________________________________________ Applicant’s Mailing Address: ______________________________________________________________ ______________________________________________________________ Telephone Number: __________________________Fax:_____________________ Property Owner’s Name:_________________________________ TYPE OF CHANGE(S) APPLIED FOR: 1. [ ] Erection of sign/relocation/addition 9. [ ] Porches, roof & balconies, alterations and addition 2. [ ] New paint color/change/repaint 10. [ ] Installation of lighting fixtures/change/addition 3. [ ] Repair of rubble masonry walls 11. [ ] Air-conditioning & other mechanical systems 4. [ ] Cleaning and repair of brick walls 12. [ ] Landscaping or other site improvements 5. [ ] Cleaning and repair of stone structural 13. [ ] Building additions elements or walls 14. [ ] New construction 6. [ ] Alterations of wood structural elements 15. [ ] Significant interior changes or exterior wood sheathing 16. [ ] Demolition (partial or full) 7. [ ] Alterations of windows and/or doors 17. [ ] Waiver of off-street parking 8. [ ] Cleaning, repair or addition of 18. [ ] Other_______________________________________ architectural metals, including protective grillwork _______________________________________ Describe work planned in detail below (Use additional sheets, if necessary). Include one (1) set of photographs of building, showing its principal street façade, and three (3) sets of drawings or other graphic documentation (Application – Page 2) PROPERTY OWNER’S AUTHORIZATION – Copy of deed, lease or sufficient proof of legal interest is required by the applicant for application to be processed. I certify that I am the owner of the aforementioned property and that I authorize the proposed changes previously noted and all of the information provided is correct and work will be done in accordance with the St. Thomas/St. John Historic Preservation Committee’s approval. _________________________________ ______________________________ Signature of Property Owner Date _____________________________________ Print Name Property Owner’s Mailing Address: ________________________________________________________ _________________________________________________________ Property Owner’s Telephone Number: ___________________________Fax ________________________ NOTE: APPLICATIONS MUST BE SUBMITTED TWO (2) WEEKS PRIOR TO MEETING DATE. Meetings are held on the second Tuesday of each month, unless otherwise announced. ALL DOCUMENTS SUBMITTED AS A CONDITION OF AN APPLICATION TO THE HISTORIC PRESERVATION COMMITTEE SHALL BECOME THE PROPERTY OF THE HISTORIC PRESERVATION COMMITTEE AND SHALL NOT BE RETURNED. AN APPLICATION IS NOT CONSIDERED COMPLETE UNTIL ALL DOCUMENTS ARE SUBMITTED. APPLICANT MUST BE PRESENT AT MEETING. APPLICANT’S SIGNATURE: ________________________________ DATE: ____________________ Person presenting application at meeting Rev. 01/2019