OHIO HISTORIC PRESERVATION TAX CREDIT
APPLICATION FORM INSTRUCTIONS
AND APPLICATION FORM
FOR APPLICATION PERIOD: JULY 1, 2007 TO JUNE 30, 2008
Application Instructions
Read all Application Instructions carefully before completing the application and preparing the required attachments
Overview

Please address questions to shptc@odod.state.oh.us.

In the event of any discrepancy between the application and any other supplementary materials (such as architectural
plans, drawings, specifications) the application shall take precedence

The Ohio Historic Preservation Tax Credit application does not supersede any federal Historic Preservation
Certification Application requirements for combined state and federal tax credit applications

The Ohio Historic Preservation Tax Credit Application is available on-line at www.odod.state.oh.us/edd/ohptc/.
Complete forms as MSWord documents and print out for submission with original signature by the owner.
Alternatively, print out blank forms and type or print clearly in dark ink. On all applications, the owner’s signature must
be original, not a copy

Provide one completed original hard-copy of the application and an electronic version on compact disc to the Ohio
Historic Preservation Office, 576 East Hudson Street, Columbus, Ohio 43211. At the same time, provide a paper copy
of the application and an electronic version on compact disc to the Ohio Department of Development, Office of Tax
Incentives, 77 South High Street, 28th Floor, Columbus, Ohio 43216

Submit forms via U.S. Mail, delivery service, or in person between 9:00 am and 5:00 pm, weekdays only. Please note:
the Ohio Historic Preservation Office will be closed on Wednesday, July 4, 2007 for the holiday
Application Form Instructions
Use together with the Application Cover for state-only applications
1. Historic Building Designation Status

Check one of the three options. For a building that is individually listed in the National Register of Historic Places,
applicant may skip ahead to item number 4, Photographs, Maps, and Drawings.

If the building is an individual local landmark designated by a Certified Local Government, provide documentation
of local designation, such as a copy of local designation legislation or a letter verifying local designation from the
Certified Local Government Contact Person
(http://www.ohiohistory.org/resource/histpres/toolbox/clgcontacts.html)

If the building is within a registered historic district, check one of the three district types and provide the name of
historic district. If the building is in a local historic district designated by a Certified Local Government, provide
documentation of local designation and documentation that the building contributes to the district, such as a copy
of the local designation legislation or a letter verifying local designation from the Certified Local Government
Contact Person
OHPTC Application Form AP707t608 V1-0 D061407
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2. Description of Physical Appearance
Provide information about the major features of the building on both the exterior and the interior. Describe the building
in its present condition (before rehabilitation), not as it was when first built nor as it will be after rehabilitation. Note the
architectural style, exterior construction materials (wood, brick, etc.), type of roof (flat, gable, hipped, etc.), number of
stories, basic plan (rectangular, irregular, L-shaped, etc.), and distinguishing architectural features (placement and
type of windows, chimneys, porches, decorative interior features or spaces). Fully describe any changes that have
been made to the building since its original construction; for example, additions, porch enclosures, new storefronts,
relocation of doors and windows, and alterations to the interior. Other buildings on the project site, such as carriage
houses, barns, and sheds should also be fully described. Finally, discuss the way in which the building relates to
others in its neighborhood, or district if appropriate, in terms of scale, building materials, style, and period of
construction.
3. Statement of Significance
Summarize the significance of the building, outlining its historic, architectural, and/or cultural significance as
appropriate. For a building within a registered historic district, summarize how the building contributes to the
significance of the district. This summary should relate to the significance of the district (including the district's period
of significance) as identified in the district documentation. Is the building similar to other buildings in the district in
scale, building materials, style, and period of construction? Note important figures from the past associated with the
building, former uses of the building, and the name of the architect or builder, if known.
4. Photographs, Maps, and Drawings

Photographs: Provide good, clear photographs of the building and its surroundings as they appear before
rehabilitation. Good photographic coverage is a very important part of the application. Exterior photographs must
show all elevations of the building and views of the building in its setting on the street. Interior photographs must
show all major interior spaces and representative secondary spaces. Photographs must be numbered, dated and
labeled with the building name, the view (e.g., east side), and a brief description of what is shown. Photographs
must be keyed to site plan and floor plans. Key photographs to the application narrative where appropriate. For
clear documentation, 35 mm photographs are recommended. Digital photographs are acceptable if equal in
quality to clearly focused, properly exposed 35mm photographs.

Map(s): For a building located within a registered historic district (any of the three types) provide a map of the
historic district, clearly identifying the district boundaries and the lot on which the building is located. If certification
is being sought for one of a group of buildings that are listed together in the National Register, provide a site plan
of the group.

Drawings or sketches: Drawings or sketches are required for proposed work to show planned alterations or new
construction. They must be sufficiently detailed to show existing wall configurations and anticipated changes.
Documentation should include floor plans and, where necessary, sections and elevations. All drawings and
sketches submitted with the application should be numbered and should be keyed to the application narrative.
5. Data on Building and Rehabilitation Project

Provide date of original construction, if available, or indicate the approximate date. Give the source of the date,
which may be a map, the district nomination, a building permit or other official document, or a former owner. Give
the date(s) or approximate date(s) of alterations. Check whether or not the building has been moved, and if so,
when. Note the type of construction (e.g., masonry bearing wall, wood frame, steel frame, concrete). Give the
use(s) of the building before rehabilitation (e.g., school/vacant) and the proposed use(s) after rehabilitation. If
applicable, give the number of housing units before rehabilitation; the number of such units that are low-moderate
income; the number of housing units after project completion, and the number of such units that are low-moderate
income.

Give the approximate floor area before rehabilitation in square feet, and approximate floor area after rehabilitation
in square feet. List other sources of funding that may be used for the project (such as Low Income Housing Tax
Credits, New Markets Tax Credits, Community Development Block Grant funds, grants, etc.).
OHPTC Application Form AP707t608 V1-0 D061407
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6. Detailed Description of Rehabilitation / Preservation Work

In the numbered blocks, provide a description of project work. Describe the entire project. Begin by describing
site work, followed by work on the exterior, including new construction, and finally work on the interior. A separate
block should be used to describe each work item and its effect on architectural features or spaces.

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 approximate date of the feature. In the first half of
the block, describe the physical condition. Indicate photograph or drawing numbers that show the feature
described. In the second half of the block, explain in detail the rehabilitation work to be undertaken. Describe the
effect (visual, structural, or other) on existing features. List drawings, photographs, or specification page numbers
that show the rehabilitation work and impact on the existing building.

Copy and paste additional description boxes as needed.
OHPTC Application Form AP707t608 V1-0 D061407
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OHPTC CONTROL NO (ODOD / OHPO ONLY):
OHIO HISTORIC PRESERVATION TAX CREDIT
Application Form
FOR APPLICATION PERIOD: JULY 1, 2007 TO JUNE 30, 2008
1) HISTORIC BUILDING DESIGNATION STATUS
On National Register of Historic Places– Individually Listed (If individually listed – skip ahead to Number 4)
Local landmark designated by Certified Local Government (individual listing)
NOTE: Documentation Required, See Instructions
In Registered Historic District
District Type:
National Register
Historic district
National Park Service
certified local historic
district
Historic district designated by Certified Local
Government (Documentation Required, See
Instructions)
Name of historic district:
2) DESCRIPTION OF EXISTING PHYSICAL APPEARANCE
Please provide narrative that details the exterior and interior appearance and condition of the building. If
necessary, attach additional information to this application:
3) STATEMENT OF SIGNIFICANCE AND, FOR A BUILDING WITHIN A REGISTERED HISTORIC DISTRICT, HOW
THE BUILDING CONTRIBUTES TO THE SIGNIFICANCE OF THE HISTORIC DISTRICT
Please provide narrative. If necessary, attach additional information to this application:
4) PHOTOGRAPHS, MAPS, AND DRAWINGS
 Include photographs of the exterior and interior of the building prior to the start of rehabilitation; key photographs to
site plans and floor plans
 For a building within a registered historic district, locate the building on a map with the boundaries of the historic
district clearly shown
 Provide pre-rehabilitation and proposed rehabilitation drawings if alterations or new construction are proposed
OHPTC CONTROL NO (ODOD / OHPO ONLY):
5) DATA ON BUILDING AND REHABILITATION PROJECT
Date of Original Building Construction:
Source of Date:
Date(s) of Alteration(s):
OHPTC Application Form AP707t608 V1-0 D061407
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Has building been moved?
yes
no
If so, when?
Type of construction:
Total number of housing units before rehabilitation:
Number that are low-moderate income:
Total number of housing units after rehabilitation:
Number that will be low-moderate income:
Use(s) before rehabilitation:
Proposed use(s) after rehabilitation:
Floor area before rehabilitation:
Floor area after rehabilitation:
Estimated project start date:
Estimated completion date:
Other sources of funding:
6) DETAILED DESCRIPTION OF REHABILITATION / PRESERVATION WORK
(Include rehabilitation proposals, site work, new construction, etc.)
Number 1
Architectural Feature:
Approximate Date of Feature:
Describe Existing Feature and its Condition:
Describe Work and Impact on Existing Feature:
Number 2
Photo No.:
Drawing No.:
Architectural Feature:
Approximate Date of Feature:
Describe Existing Feature and its Condition:
Describe Work and Impact on Existing Feature:
Photo No.:
; Drawing No.:
OHPTC CONTROL NO (ODOD / OHPO ONLY):
Number 3
Architectural Feature:
Approximate Date of Feature:
Describe Existing Feature and its Condition:
Describe Work and Impact on Existing Feature:
Photo No.:
Number 4
; Drawing No.:
Architectural Feature:
OHPTC Application Form AP707t608 V1-0 D061407
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Approximate Date of Feature:
Describe Existing Feature and its Condition:
Describe Work and Impact on Existing Feature:
Photo No.:
; Drawing No.:
OHPTC Application Form AP707t608 V1-0 D061407
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