City of Bethlehem, Pennsylvania

APPLICATION F R CERTIFICATE Of APPR PRIATENES (COA)

Building address 3D S hhii ft I’Q1Owner of building Phone

__________________________

Owner’s jJ & mailing address - I i’it .

Applicant -‘ Phone: - .‘- I O

Applicant’s jl & mailing address .. Jq ,t 54— ? /Streei and Number Ciiy Siau Zip Code

APPLICANT MUST A TTEND MEETING FOR CASE TO BE HEARD.USE THE CHECKLIST ON THE BACK Of THIS APPLICATION TO ENSURE YOUR SUBMISSIONIS

COMPLETE.

historic & Architectural Review Board - Application form, photographs, and drawings must be submitted by 12:00 Noon on thelast Wednesday oft/ic month in order to be placed on the agenda for the next meeting.

Souttt Bethlehem & Mount Aby Historic C’onsen’atio,t commission - Application farm, photographs, and drawings must beszthndtted b) 12:00 noon on the second Monday oft/me mnonth in order to be placed on the agenda for the next meeting.

1. PHOTOGR4PHS - Photographs of your building and neighboring buildings must accompany your application.

2. TYPE Of tVORK PROPOSED — Check all that apply. Please bring any samples or manufactures specifications forproducts you will use in this project.

Trim and decorative woodwork Skylights

Siding and Masonry Metal work

Roofing. gutter and downspout Light fixtures

Windows, doors, and associated hardware Signs

Storm windows and storm doors Demolition

Shutters and associated hardware Other

.$ Paint (Submit color chips — HARB only)

3. DRAWINGS OF PROPOSED WORK — Required drawings must accompany your application. Please submit ONE

ORIGINAL AND TEN (10k) COPIES Of DRA WINGS, PHOTOGRAPHS, APPLICATION FORM, AND ANYSPECIFYCA TIONS

Alteration. renovation, restoration (1/4 or 1/8’=l”O” scale drawings required IF walls or openings altered.)New addition (1/4” or l/$”=l’O” scale drawings: elevations, floor plans, site plan)

New building or structure (1/4” or l/$”=l ‘0” scale dratvings: elevations, floor plans. site plan)

Demolition, removal of building features or building(1/4” or 1!$”I’O” scale drawings: elevation of remaining siteand site plan)

A scale drawing, with an elevation view, is required for all sign submittals

4. DESCRIBE PROJECT — Describe any work checked in #2 and #3 above. Attach additional sheets as needed.t ‘“ ‘I L_ .

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5. APPLICANT’S SIGNATURE7—-

Describe Projects:

We would like to paint the following in Roycroft Pewter from Sherwin Williams historic collection:

• Side porch

• Side porch steps

• Foundation paint on front of the house

• Shutters

• Side porch railing

• Side porch and back doors

• Siding on back of house

• Rear deck and stairs

• Bilco in back of house

We would like to paint the following in Black:

• Front door

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