Search:
Go
VOLUNTEER
MEMBERSHIP
About Us
Vision
History
Board Members
Officers
Trustees
Community Advisors
Honorary Trustees
Professional Staff
President
Staff Bios
Employment
News
Publications
Sarah Benedict House
Funders
Distinctive Place to Meet
Contact Us
Homeowner Resources
Technical Advice
Workshops
Preservation Toolbox
Loans
Details
Qualify
Process
Apply
Projects
Preserving Landmarks
General Preservation
Preservation Economic Incentives
Tax Credits
Preservation Easements
Advocacy
Vacant Sacred Buildings
Cleveland Group Plan
Protecting Your History
Get Organized
Local Organizations
Sacred Landmarks
Stewardship
Fundraising
Specialty Roofs
Masonry
Stained Glass
Adaptive Use
Case Studies
Case Study 1
Case Study 2
Adaptive Uses
Economic Incentives
Building Availability
Feedback
Steeple Lighting
Specialized Organizations
Awards
Nominate
Past Winners
Support
Membership
Donor Levels
Planned Giving
Partners & Sponsors
Events
Volunteer
Volunteer Spotlight
Homeowner Resources
Technical Advice
Workshops
Preservation Toolbox
Loans
Details
Qualify
Process
Apply
Projects
Heritage Home Program
Online Heritage Home Program Form
Contact Information
Name:
Email:
Project Address:
Owner Address (if different):
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Propery Information
Permanent parcel number of project property:
Number of housing units contained on project property:
The structure's type:
Single Family
Duplex
Three-Suite
Other
Income Level of homeowner(s):
Low
Medium
High
Total annual household income:
Estimated cost of proposed improvements / rehabilitation project:
Have you received a loan subsidy from this program in the past?
Yes
No
If so, when?
Will outstanding building / housing code violations be included in the project scope?
Yes
No
Please provide a detailed description of the proposed improvements / rehabilitation for the property:
Exterior
Interior
Both
Are there plans for landscaping, driveway replacement, or an addition in your project scope? Please describe:
How long will it take to complete the proposed rehabilitation project?
1-6 Months
6-12 Months
12-18 Months