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Home My WebLink AboutHDC2014-032 ApplicationUNITED STATES DEPARTMENT OF THE INTERIOR OMB Approved NATIONAL PARK SERVICE No. 1m2Form 0-168 10-168 HISTORIC PRESERVATION CERTIFICATION APPLICATION Rev. 2014 AMENDMENT / ADVISORY DETERMINATION NPS Project Number r�4 Instructions: This page must bear the applicant's original signature and must be dated. 1. Propertyname House at 312 East Eleventh Street Property address 12 E 11t1h St Little Rock AR 72202 2. This form ❑ includes additional information requested by NPS for an application currently on hold. 1-1 updates applicant or contact information. ❑ amends a previously submitted ❑ Part 1 x❑ Part 2 ❑ Part 3 application. ❑ requests an advisory determination that phase of _ phases of this rehabilitation project meets the Secretary of the Interior's Standards for Rehabilitation. Phase completion date Estimated rehabilitation costs of phase (ORE) Summarize informatlon here; continue on following page if necessary 3. Project Contact (if different from applicant) Name Street Zip Telephone Company City Email Address State 4. Applicant I hereby attest that the information I have provided is, to the best of my knowledge, correct. I further attest that [check one or both boxes, as applicable] (1) [x', I am the owner of the above -described property within the meaning of "owner" set forth in 36 CFR § 67.2 (2011), and/or (2) ❑ if I am not the fee simple owner of the above - described property, the fee simple owner is aware of the action I am taking relative to this application and has no objection, as noted in a written statement from the owner, a copy of which (i) either is attached to this application form and incorporated herein, or has been previously submitted, and (ii) meets the requirements or 36 CFR § 67.3(a)(1) (2011). For purposes of this attestation, the singular shall include the plural wherever appropriate. I understand that knowing and willful falsification of factual representations in this application may subject me to fines and imprisonment under 18 U.S.C. § 1 1, which, under certain circumstances, provides for imprisonment of up to 8 years. Name Matthew Pekar Signature Date 5; 141i4 ApplcantEnlity Owner SSN 541983705 or TIN Street 101-7 Cumberland St City Little Rock Zip 72202 Telephone 6462562133 Email Address mpekar@gmail.com Applicant. SSN, or TIN has changed since previously submitted application. Slate AR NPS Official Use Only The National Park Service has reviewed this amendment to the Historic Preservation Certification Application and has determined that the amendment: ['I meets the Secretary of the Interiors Standards for Rehabilitation. F—I will meet the Secretary of the Interior's Standard for Rehabilitation if the attached conditions are met. ❑ does not meet the Secretary of the Interiors Standards for Rehabilitation, ❑ updates the information on rile and does not affect the certification. Advisory Dote rmina lions: The National Park Service has determined that the work completed in this phase is consistent with the Secretary of the Interior's Standards for Rehabilitation. This determination is advisory only. A formal certification of rehabilitation can be issued only after all rehabilitation work and any associated site work or new construction have been completed. This approval could be superseded if it is found that the overall rehabilitation does not meet the Secretary's Standards. A copy of this form will be provided to the Internal Revenue Service, Date National Park Service Authorized Signature IJ NPS conditions or comments attached UNITED STATES DEPARTMENT OF THE INTERIOR OMB Approved 4-0009 NATIONAL PARK SERVICE No. Forrmm 10-16B0-16B HISTORIC PRESERVATION CERTIFICATION APPLICATION Rev.2014 AMENDMENT I ADVISORY DETERMINATION NPS Project Number 26584 Instructions: This page must bear the applicanCs original signature and must be dated. 1. Property name Ha.use at 312 Bast Elevent Street Property address 312 E. Ilth St Little Rock AR 72202 2. This form ❑ includes additional information requested by NPS for an application currently on hold. L) updates applicant or contact information. [)c' amends a previously submitted ❑ Part 1 ❑x Part 2 ❑ Part 3 application. ❑ requests an advisory determination that phase of phases of this rehabilitation project meets the Secretary of the Interior's Standards for Rehabilitation, Phase completion date Estimated rehabilitation costs of phase (QRE) Summarize information here; continue on following page If necessary. Recreate front porch balustrade in style shown in Photos 1 & 2. Material will be painted weod: This is tc improve the appearance and safety of the porch. Add a lambs tongue style iron handrail to the front steps. See Photo 3 for Sample. This is for compliance with local building ordinances for safety of the steps. Create screen door to match pattern of front door. Material is wood and heavy gauge metal screen wire. See Sketch 1 for design. 3. Project Contact (if different from applicant) Name Company Street City State Zip Telephone Email Address 4. Applicant I hereby attest that the information I have provided is, to the best of my knowledge, correct I further attest that [check one or both boxes, as applicable] 11% ❑ I am the owner of the above -described property within the meaning of "owner" set forth in 36 CFR § 67.2 (2011), and/or (2) ❑ if I am not the fee simple owner of the above - described property, the fee simple owner is aware of the action I am taking relative to this application and has no objection, as noted in a written statement from the owner, a copy of which (i) either is attached to this application form and incorporated herein, or has been previously submitted, and (ii) meets the requirements of 36 CFR § 67.3(a)(1) (2011). For purposes of this attestation, the singular shall include the plural wherever appropriate. I understand that knowing and willful falsification of factual representations in this application may subject me to fines and imprisonment under 18 U;&C. § 1, which, under certain circumstances. provides for imprisonment of up to 8 years. 1 Name Matthew Pekar Signature Date �1 Applicant Entity Owner SSN 541983705 or TIN Street 1017 Cumberland St City Little Rock State AR Zip 722025108 Telephone 6462562133 Email Address mpekar@gmail.com ❑ Applicant, SSN, or TIN has changed since previously submitted application. NPS Official Use Only The National Park Service has reviewed this amendment to the Historic Preservation Certification Application and has determined that the amendment: ❑ meets the Secretary of the Interior's Standards for Rehabilitation. ❑ will meet the Secretary of the Interiors Standard for Rehabilitation if the attached conditions are met. ❑ does not meet the Secretary of the Interior's Standards for Rehabilitation. updates the information on rile and does not affect the certification. Advisory Determinations: ❑ The National Park Service has determined that the work completed In this phase is consistent with the Secretary of the Interior's Standards for Rehabilitation. This determination is advisory only. A formal certification of rehabilitation can be issued only after ail rehabilitation work and any associated site work or new construction have been completed. This approval could be superseded If it is found that the overall rehabilitation does not meet the Secretary's Standards. A copy of this form will be provided to the Internal Revenue Service. Date National Park Service Authorized Signature NPS conditions or comments attached