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@ffi
trro S
ubm
it by
mai
l or
by
hand
to:
Syr
acus
e La
ndm
ark
Pre
serv
atio
n B
oard
City
Hal
I C
omm
ons,
Roo
m 5
1220
1 E
. W
ashi
ngto
n S
tree
tS
yrac
use,
NY
132
02
Ele
ctro
nic
subm
issl
ons
to:
SlP
B@
sy'g
ov.n
et
AP
PLI
CA
TIO
N
Pho
ne:
:15
il.W
ork
is p
ropo
sed
for
prop
erty
at
(add
ress
):
SY
RA
CU
SE
LAIV
DM
AR
KP
RE
SE
RV
AT
ION
BO
AR
D
Cer
tific
ate
of A
poro
oria
tene
ss A
pnlic
atio
n
Cas
e N
umbe
r:
App
lican
t's N
amel
is p
rope
rty
is:
indi
vidu
al P
rote
cted
Site
loca
ted
with
in a
Pre
serv
atio
n D
istr
ict
Thi
s ap
plic
atio
n is
for
the
follo
win
g (c
heck
as
man
y as
app
ropr
iate
; co
mpl
ete
only
the
par
ts
indi
cate
d w
ith e
ach
wor
k ite
m):
tr P
artia
l or
com
plet
e de
mol
ition
(C
ompl
ete
Par
t 1)
E A
ltera
tion
to t
extu
re o
r m
ater
ial c
ompo
sitio
n of
bui
ldin
g ex
terio
r (C
ompl
ete
Par
t2)
tr A
ltera
tion
to t
extu
re o
r m
ater
ial c
ompo
sitio
n of
bui
ldin
g in
terio
r (o
nlv
if in
terio
r is
desi
gnat
ed a
Pro
tect
ed S
ite;
Com
plet
e P
art
2)tr
Cha
nge
in c
olor
(C
ompl
ete
Par
t 3)
tr C
lean
ing
(Com
plet
e P
art
3)tr
Add
ition
to
exis
ting
build
ing
(Com
plet
e P
art
4)tr
New
bui
ldin
g co
nstr
uctio
n (C
ompl
ete
Par
t 4)
tr A
ltera
tion
to s
ite in
clud
ing
exca
vatio
n, c
hang
e in
land
con
tour
s, i
nsta
llatio
n of
pav
emen
t
for
park
ing
lots
, dr
ivew
ays,
or
side
wal
ks (
Com
plet
e P
art
5)tr
Dep
osit
of r
efus
e or
was
te m
ater
ial (
Com
plet
e P
art
5)tr
Cha
nge
in s
igna
ge o
r ad
vert
isin
g (C
ompl
ete
Par
t 6)
App
lican
t's S
iD
ate:
}3.\s
)o C
,O ?
-U
Ow
ner's
Sig
nD
ate:
S"t
.a-l\
o 3,
O3.
O
*Sub
mis
sion
of
this
of a
Cer
tific
ate
of A
ppro
pria
tene
ss d
oes
not
relie
ve t
he
appl
ican
t of
his
/her
res
pons
ibili
ties
in o
btai
ning
oth
er p
erm
its a
nd/o
r ap
prov
als
as p
resc
ribed
by
law
.
The
Syr
acus
e La
ndm
ark
Pre
serv
atio
n B
oard
use
s tlt
e U
nite
d S
tate
s S
ecre
tary
of
the
Inte
rior's
Sta
ndar
ds
as g
uide
lines
for
revi
ew o
f pro
posa
ls.
A c
opy
of th
ese
stan
dard
s is
ava
ilabl
e at
the
SLP
B ff
ice
or o
nlin
ear
http
s:/iw
ww
.nps
.gov
itps/
stan
da
.
512
City
HaU
Com
mon
s,20
l E
, W
ashi
ngto
n S
t, S
yrac
use,
New
Yor
k 13
202/
(315
) 44
8-81
08/S
lPB
@sy
rgov
.net
Th tr F
IIr.
@ffi
trro I.
App
lican
t'
SY
RA
CU
SE
LAN
DM
AR
KP
RE
SE
RI/A
TIO
I,{B
OA
RD
Cer
tific
ate
of A
ppro
nria
tene
ss A
nnlic
atio
n
Cas
e N
umbe
r:
WIN
DO
W S
UR
VE
Y F
OR
MR
equi
red
for
all
win
dow
rep
lace
men
t pr
ojec
ts
Add
ress
:
l+ T-
h Le
ad
E O
ther
Doe
s yo
ur p
rope
rfy
have
sto
rm w
indo
ws?
E-<
3lcc
\-e-
\tr
NoB
Yes
.Ifye
s,ty
pe(in
terio
rore
xter
ior)
andm
ater
ia1:
[V.
Pro
ject
Des
crip
tion
hope
to
addr
ess
with
the
rep
lace
men
t of
the
win
dow
s:
Pho
ne:
l.p o
'l* a
aq -
e&
15
II.W
ork
is p
ropo
sed
for
prop
erty
at Q
-Q-L
(3n
o-t
ilo
fa c
. eL
III.
Exi
stin
g W
indo
w D
escr
iptio
nY
ear
prop
erty
was
bui
lt lt
\ ?-
Are
the
win
dow
s or
igin
al t
o th
e pr
oper
ty?
tr Y
es
R N
o. A
ppro
xim
ate
year
of
repl
acem
ent?
llt
Oe
-aos
Sty
le(s
) of
exi
stin
g w
indo
ws:
B D
oubl
e-hu
ng (
botto
m a
nd t
op s
ash
can
open
)tr
Sin
gle-
hung
(on
ly o
ne s
ash
open
s)
E
Cas
emen
t (s
ashe
s sw
ing
outw
ard,
hin
ges
at s
ides
)U
Hop
per
(sw
ings
inw
ard,
hin
ge a
t th
e bo
ttom
)tr
Aw
ning
(sw
ings
out
war
d, h
inge
at
the
top)
tr P
ivot
(ro
tate
s op
en o
n a
cent
er p
ivot
)
Tot
al n
umbe
r of
win
dow
s yo
u w
ish
to r
epla
ce a
BE
xist
ing
win
dow
mat
eria
l(s)
:
X W
qod
tr S
teel
Et
Fix
ed (
fixed
gla
ss i
nto
fram
e th
at d
oes
not
open
) -
E O
ther
: \^
4lhl
oT
otal
num
ber
of w
indo
ws
i[ pr
oper
ry:-
t ]-
\)
Num
ber
of e
ach
styl
erf
t o t. !, o a o
Ple
ase
desc
ribe
the
issu
es t
hat
you
\*t\$
r**-
sr
-rr
r N
(\6
.J
n.
*
*A
\p.*
}Oc\
V.
I)oc
umen
tatio
n of
Win
dow
Con
ditio
nP
leas
e ph
otog
raph
eve
ry w
indo
w p
ropo
sed
for
repl
acem
ent.
The
pho
togr
aphs
sho
uld
illus
trat
e th
e
cond
ition
s yo
u se
ek t
o ad
dres
s. E
ach
phot
ogra
ph s
houl
d be
num
bere
d an
d ke
yed
to a
dra
win
g (e
leva
tion)
lege
nd o
r im
age
of t
he s
ide
of th
e pr
oper
ty w
here
the
win
dow
is lo
cate
d.
512
City
Hsl
l Com
mon
s, 2
01 E
. lla
shin
gton
SL,
Syr
acus
e, N
ew Y
ork
1320
2/(3
15)
448-
8108
/SlP
B@
syrg
ov.n
et
The
Woo
d-U
ltrex
Ins
ert
Dou
ble
Hun
g w
indo
w's
fra
me-
inJr
ame
desi
gn i
s pr
ecis
ion
built
to
each
uni
que
win
dow
ope
ning
, al
low
ing
{or
a cl
ean
repl
acem
ent
with
oui
dist
urbi
ng t
he e
xist
ing
jnte
rior
or
exte
rior
trim
. R
ich
woo
d in
terio
rs a
re c
ompl
emen
ted
by U
ltrex
.pu
ltrud
ed f
iber
glas
s ex
terio
rs a
nd a
wid
e ar
ray
of o
ptio
ns f
or
supe
rior
per{
orm
ance
and
dur
abili
ty t
hat
blen
d se
amle
ssly
w
ith
any
hom
e de
sign
. W
th P
er{o
rman
ce G
rade
rat
ings
o{ 35
-40,
thi
s
win
dow
is
Bui
lt to
Per
{orm
' in
the
tou
ghes
t re
plac
emen
t pr
ojec
ts.
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