Property:    Address     Zip 

Contact Name    Contact Tel 

Contact Email 

Contact Address (if different than above)

Year Home was Built 

1. What makes your home or property historic?
 

2. Is your home or property recognized as a place of historical significance? If so, how?
 

3. What architectural style is your building? (i.e., queen Anne, California Bungalow, Spanish Adobe)
 

4. What improvements were made, and how were you inspired to undertake the work?
 

5. Who actually made the improvements?
 

6. Describe the type of research performed in your historic improvement project (i.e., reading books, visiting similar project sites, talking to other people.)
 

7. Describe the most challenging aspect faced in preserving the historic character of your project? How did you arrive at the solution? (i.e., obtained building materials from an architectural salvage yard)
 

8. What materials have you used, or improvements have you made to bring out the authenticity of the front exterior of your home? (Can include landscaping.)
 

9. What were the budget constraints and roughly how  much did the improvements cost?
 

10. Is the overall property maintained/well groomed? (Direct comments toward the whole package -- both landscaping and structure.)
 

11. How have you solved any ongoing maintenance or security problems?
 

12. What obstacles did you overcome in making the improvements?
 

13. What one historic feature or detail of your improvement project are you most proud of and why?
 

14. Have your improvements inspired others? (i.e., Have you received comments from neighbors or shared your expertise?)
 

15. Additional comments:
 

14. How should your name(s) be written on the certificate?