"New Brunswick's Property Tax Abatement Program for Heritage Properties Application Form" - New Brunswick, Canada

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New Brunswick’s Property Tax Abatement
Program for Heritage Properties
Application Form
Part 1
For Heritage Branch use only. Project #_______________
1. Applicant Information
Name of Applicant:
___________________________________________________________________________
Address: Street:
____________________________________________________________________________
Municipality/Community:
___________________ Province / Territory:
________ Postal Code:
Phone number:
_______________________________ Fax number:
_____________________________
Email address:
_________
___________________________________________________________________
Name of Assessed Owner (if different from Applicant):______________________________________
Name of Project Contact if different from Applicant or Owner:________________________
Phone number: __________________________
Email address: ___________________________
2. Heritage Property Information
Name of the heritage property:
_________________________________________________________________
Location of the heritage property: Street:
_________________________________________________________
Municipality/Community:
____________________________________________ Postal Code:
Property Account Number (PAN):
Current year assessed value:
Property is listed individually on the New Brunswick Register of Historic Places
Property is a historic site under the Historic Sites and Monuments Act (CANADA).
3. Project General Information
Previous/current use(s):
Attach a sheet with a detailed cost for total project
Gross floor area before restoration:
Gross floor area after restoration:_________________
Attach a sheet with a breakdown of proposed uses by % of total floor space.
Expected Commencement Date:
Expected Completion Date:
Reset
New Brunswick’s Property Tax Abatement
Program for Heritage Properties
Application Form
Part 1
For Heritage Branch use only. Project #_______________
1. Applicant Information
Name of Applicant:
___________________________________________________________________________
Address: Street:
____________________________________________________________________________
Municipality/Community:
___________________ Province / Territory:
________ Postal Code:
Phone number:
_______________________________ Fax number:
_____________________________
Email address:
_________
___________________________________________________________________
Name of Assessed Owner (if different from Applicant):______________________________________
Name of Project Contact if different from Applicant or Owner:________________________
Phone number: __________________________
Email address: ___________________________
2. Heritage Property Information
Name of the heritage property:
_________________________________________________________________
Location of the heritage property: Street:
_________________________________________________________
Municipality/Community:
____________________________________________ Postal Code:
Property Account Number (PAN):
Current year assessed value:
Property is listed individually on the New Brunswick Register of Historic Places
Property is a historic site under the Historic Sites and Monuments Act (CANADA).
3. Project General Information
Previous/current use(s):
Attach a sheet with a detailed cost for total project
Gross floor area before restoration:
Gross floor area after restoration:_________________
Attach a sheet with a breakdown of proposed uses by % of total floor space.
Expected Commencement Date:
Expected Completion Date:
4. Letter of Intent
A Letter of Intent must accompany this application that describes the feasibility of your project and clearly illustrates how it will
ensure the viability of the heritage property and have a positive impact on the community.
5. Architect/Engineer/Conservation Specialist
(If Different from Project Contact)
Name:
__________________________________
Firm:
_____
Daytime Telephone Number:
_________________
E-mail address:
___________________
6. Project Proposal
6.1 In elaborating the project, proponents will need to consult the Statement of Significance for the historic place designation
and the Standards and Guidelines for the Conservation of Historic Places in Canada.
Describe the general nature of the proposed project including various components and work involved. Please illustrate how
the heritage value will be retained. (Attach information if required):
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
6.2 Referring to the Heritage Value and the Character Defining Elements sections of the Statement of Significance (SOS),
list the Character Defining Elements (CDE) that will be affected by the proposed project and describe in detail treatment
proposed for each. The objective is to preserve CDEs so that the Heritage Value is retained. (Additional sheets can be
attached if required. Information must be provided in the following format).
CDE 1: Description from SOS:
________________________________________________________________________________________________
Proposed treatment of CDE:
________________________________________________________________________________________________
CDE 2: Description from SOS:
________________________________________________________________________________________________
Proposed treatment of CDE:
________________________________________________________________________________________________
CDE 3: Description from SOS:
________________________________________________________________________________________________
Proposed treatment of CDE:
________________________________________________________________________________________________
CDE 4: Description from SOS:
________________________________________________________________________________________________
Proposed treatment of CDE:
________________________________________________________________________________________________
CDE 5: Description from SOS:
________________________________________________________________________________________________
Proposed treatment of CDE:
________________________________________________________________________________________________
CDE 6 Description from SOS:
________________________________________________________________________________________________
Proposed treatment of CDE:
________________________________________________________________________________________________
CDE 7: Description from SOS:
________________________________________________________________________________________________
Proposed treatment of CDE:
________________________________________________________________________________________________
CDE 8: Description from SOS:
________________________________________________________________________________________________
Proposed treatment of CDE:
________________________________________________________________________________________________
7. Project Details.
Include with the application the following.
Project plans / elevations / sections / specifications.
Photos of the existing building or sections that will be impacted.
Municipal Heritage Permit for the project if within a municipal heritage conservation area.
Any other required permits.
Any related design or feasibility studies.
Affirmation:
I CERTIFY THAT the information in this application is accurate and complete and the project proposal, including
plans and costs, are fairly presented. I agree that once approved, any change to the project proposal will require
further approval of the Heritage Branch. I also agree to immediately notify the Heritage Branch and the Executive
Director of Assessment with Service New Brunswick if the project no longer meets the established program criteria.
Instructions:
• The project must not commence before the applicant receives
written notification of approval by Heritage Branch.
• The applicant shall allow representatives of the provincial
government to enter the work area at all reasonable times to
Send applications to:
inspect the project to ensure continuing eligibility.
• If modifications are being considered, Part 2 of this Application
Heritage Branch
Department of Tourism, Heritage and Culture
form must be completed and submitted to Heritage Branch
P.O. Box 6000
prior to work being done.
• A final review and approval of completed work will be required
Fredericton. NB E3B 5H1
at the end of the project.
• The personal information collected using this form is required
for the administration of the Property Tax Abatement Program
for Heritage Properties and will be shared with staff and
technical advisors. The information may also be shared with
other government agencies with an interest in this project.
I certify that the information contained in this application is correct.
Name of Applicant (Please print)
Signature (Applicant)
Title
Date
Heritage Branch Use Only – Recommendation
Heritage Branch has reviewed this application and all project details and has determined:
that the Project Proposal described herein meets the Standards and Guidelines for the Conservation of Historic Places in
Canada and protects the heritage value and the character defining elements of the heritage property, therefore the
application is recommended for approval.
that the Project Proposal would meet the Standards and Guidelines for the Conservation of Historic Places in Canada
and would protect the heritage value if the attached conditions are met, therefore the application is recommended for
approval with conditions (See attachments).
that the Project Proposal described herein does not meet the Standards and Guidelines for the Conservation of Historic
Places in Canada and does not protect the heritage value and the character defining elements of the heritage property,
therefore the application is not recommended for approval.
Signature
Date
Director, Heritage Branch
New Brunswick’s Property Tax Abatement Program
for Heritage Properties
Application Form
Part 2
Request for Modifications to an Approved Restoration Project
Instructions: If additional space is needed, attach blank sheets. The assessment of the modifications to a restoration project
proposal will be based on the description of the modifications in the present form and all supplementary material (ex:
architectural plans, drawings and specifications). There should be no discrepancy between this form and other supplementary
material. Approval of modifications will be based on whether the overall project continues to meet the Standards and
Guidelines for the Conservation of Historic Places in Canada and protects the heritage value and the character defining
elements of the heritage property.
1. Project Number
Project number assigned by Heritage Branch:
2. Detailed Description of the Modifications to the Rehabilitation Project/Proposal
Complete Blocks Below.
Referring to the Character Defining Elements section of the Statement of Significance (SOS) for the historic place, list the
Character Defining Elements (CDE) that will be affected by the proposed project modifications and describe in detail
treatment proposed for each. The objective is to preserve CDEs. (Additional sheet can be attached if required. But
information must be provided in the following format). Please provide plans and specifications for modifications.
CDE 1: Description from SOS:
_____________________________________________________________________________________
Proposed treatment of CDE
_____________________________________________________________________________________
CDE 2: Description from SOS:
_____________________________________________________________________________________
Proposed treatment of CDE
_____________________________________________________________________________________
CDE 3: Description from SOS:
_____________________________________________________________________________________
Proposed treatment of CDE
_____________________________________________________________________________________
CDE 4: Description from SOS:
_____________________________________________________________________________________
Proposed treatment of CDE
_____________________________________________________________________________________
I certify that the information contained herein is correct.
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