Canterbury Earthquake Heritage Buildings Fund
Application for Funding
NOTE: This application form should be read in conjunction with the Canterbury Earthquake Heritage Buildings Fund Policy and the Operational Guidelines.
Purpose of the Fund
The purpose of the Canterbury Earthquake Heritage BuildingsFund is to provide assistance to owners ofheritage buildings and character buildings to repair damage caused by the series of earthquakes in the Canterbury region since September 2010.
The Fundwill be used to achieve the maximum public benefit with priority given to places of greatest heritage significance.Funding will be to a maximum of 50% of the total cost of the works (the other 50% to be paid by any other sources), and will betargeted at the gap between any insurance cover and the total cost of works.Heritage covenants will be registered against Certificates of Title where funding exceeds $150,000.00 and may also be considered in other situations. The Trustees on behalf of the Fund have the absolute discretion to determinethe grantdollar amountdepending on the factors set out in the Operational Guidelines, in particular the Criteria for Assessing Grant Applications.
Eligibility
Funding will be available for listed heritage buildings and character buildings within the Canterbury Region[1], being:
- historic buildings listed in a District Plan or entered on the New Zealand Heritage List/Rārangi Kōrero; or
- buildings and groups of buildings that make a significant contribution to the historic identity and visual character of communities; or
- marae buildings and other buildings of significance to Māori; or
- remaining parts (such as facades) of any of the above types of buildings.
Applicants should ensure that they meet the eligibility requirements relating to (i) ownership and (ii) the scope of proposed works (see Operational Guidelinessections 3.0 and 4.0).
Important
Eachsection of this form must be completed in full. Applicants may include additional information to support their application.Please attach additional pages to this application.
Further information may be requested if this is needed to substantiate or assess the case for funding.
Please submit your application form to your appropriate Council:
Heritage Unit Team Leader
Christchurch City Council
PO Box 73012, Christchurch 8154
Planning Officer (Heritage)
Waimakariri District Council
Rangiora Service Centre
215 High Street, Rangiora
Planning Officer (Heritage)
Selwyn District Council
PO Box 90, Rolleston, 7643
In addition you can also submit your application form directly to:
Heritage Advisor Conservation
Heritage New Zealand[2]
PO Box 4403
Christchurch Mail Centre 8140
Phone + 64 3 363 1880
Please identify the Canterbury local authority district within which your building is located.
1.0 Applicant’s Details
Applicant’s Name:
Individual/Representative:
If representative, name of group, agency, organisation:
If representative, summary of legal status, purpose and activities of group, agency or organisation:
Postal Address:
Phone:
Email:
2.0 Property Details
Name of property:
Owner of property (if different from applicant):
Address of property:
Certificate of Title details (please attach a copy of the Certificate of Title)
3.0 Registration/Listing Details of Property
Is the property entered on the New Zealand Heritage List? Y/N
If yes, what is the category? ( e.g., historic place, category1 or 2)
Is the property scheduled or listed in a city/district plan? Y/N/Don’t Know
4.0 Heritage value
If not aScheduled/Listed Building, or not entered on the New Zealand Heritage List, provide a summary and description of the heritage values of the building.
Also provide a summary of the contribution that the proposed works will make to heritage values and the visual character of the community.
5.0 Description of Damage Sustained
Please attach a damage report from your architect, assessor, builder or engineers. Before & after photos would be helpful if available. Give a brief summary below
6.0 Description of Restoration Works
Is it intended to: (Tick box)
1. Fully restore the building
2. Partially restore the building
3. Retain the façade only
Describe in more detail the scope and nature of the works to be undertaken. Include a report from your architect, assessor, builder or engineer, providing evidence of the feasibility and durability of the proposed works.
7.0 Project Timing and Management
Provide details of proposed time frames for the projects.
Who will manage the contract?
8.0 Project Management
Please name the following if being utilised
Architect:
Contact details
Assessor:
Contact details
Builder:
Contact details
Engineer:
Contact details
Project Manager:
Contact details
9.0 Document Check List
Provide a list of the documents attached to your application
Before & after photographs of the building, including damage sustained and where possible the building before the damage occurred.
A full engineering report relating to the damage sustained and the work proposed is a requirement.
Have you included: (Tick boxes)
Copy of Certificate of Title (Question 2)
Before & after photographs (Question 5)
Report(s) on damage sustained and works proposed (Questions 5 and 6)
10.0 Consultants/Professional Advisors
Provide details of the consultants/professional advisors relevant to this work. For buildings that are listed or entered on the New Zealand Heritage List, work must be carried out by appropriately skilled and (as appropriate) qualified professionals.
Name:
Address:
Phone:
Email:
Profession:
Name:
Address:
Phone:
Email:
Profession:
Name:
Address:
Phone:
Email:
Profession:
11.0 Building and Resource Consents
Has the applicant discussed the proposed works with council staff in their district? Y/N
Have building or resource consents been applied for at the time of application? Y/N
12.0 Applications concerning/affecting Māori heritage
If the application concerns Māori heritage (wahi tapu, wahi tapu areas or historic places or areas) and the application is not made by the appropriate whanau, hapu or iwi, indicate if endorsement by the appropriate whanau, hapu or iwi has been received and attach evidence of that endorsement.
Names of whanau, hapu or iwiEndorsement received and attached?
13.0Applications concerning buildings entered on the New Zealand Heritage List
If the application concerns a property entered on the New Zealand Heritage List, has the proposed work been discussed with the Heritage New Zealand?
Y/N
14.0 Project Costs and Funding Sources
Project Costs
Costs must be independently verified preferably by a Quantity Surveyor and/or builder. All costs are to be inclusive of GST.The Grant will be for up to 50% of the total cost of the Works
What is the total cost of the work proposed?$
Itemised cost of restoration works eligible for funding:$
Refer to the Operational Guidelines for eligible works.
What is the total cost of the work Applied for?$
The Applicant acknowledges that the Grant will pay up to 50% of the total cost of the works applied for, and that the other 50% can be provided by any source
Insurance Cover
Please attach a verified estimate of private insurance cover from the applicant’s insurance company, loss adjuster or broker.
Private insurance cover$
Insurance excess$
EQC cover$
Other sources of Project Funding
Own contributions$
Government agency$
Local authority$
Charitable trust$
Other (please specify)$
Summary of Project Costs and Funding
Total costs of proposed work$
Insurance cover$
Other funding$
Amount Applied for (being 50% of the cost of the eligible proposed work)$
15.0Previous funding (if known)
Have any previous grants been received for conservation and maintenance of this building?
If yes, please list the amount and purpose of any previous grants.
16.0 Urgency of Application
Is the decision on this application urgent?Y/N
If yes, explain why.
Declaration
The applicant hereby declares that all information contained in this application is true and correct, and that no material information has been deliberately omitted or withheld from this application. The applicant also agrees that:
- Compliance with all applicable statutory requirements, including necessary resource and building consents, is the responsibility of the recipient.
- The property must be made available for viewing/ inspection for the purposes of assessing the funding application.
- Photographs of the property may be used by the Trust for the purposes of promoting the Fund and reporting to the Minister for Arts, Culture and Heritage.The Trust may request involvement of the owner in publicity and promotion of the Fund for any media statements.
- The Trust may make public the name of the recipient, the name and address of the property and its heritage significance, the funding allocated, and the scope of work.
- The Ministry for Culture and Heritage may disclose or publish relevant information about the applicant, the organisation they represent or the project, where the Ministry considers it necessary or desirable for the purposes of administering Government funds or meeting its obligations under the Official Information Act 1982.
- The applicant agrees for their insurer to be contacted.
- The Trust is not obliged to fund any project, and the amount and proportion of any funding provided is at the absolute discretion of the Trust.
Name:
Signature:
Date:
1
CANTERBURY EARTHQUAKE HERITAGE BUILDINGS FUND
APPLICATION FORM MAY 2014
[1] The Canterbury Region includes the following districts:Christchurch City, Ashburton District, Hurunui District, Kaikoura District, Mackenzie District, Selwyn District, Timaru District, Waimakariri District, Waimate District, Waitaki District
[2]The New Zealand Historic Places Trust Pouhere Taonga(NZHPT) became Heritage New Zealand Pouhere Taonga (Heritage New Zealand) on 20 May 2014.