Application worksheet
A printable version of Invercargill City Council - City Centre Built Heritage Fund's application questions, extracted from their official form. Use it to plan your answers - then submit through the funder's real form.
View the original PDF →Application worksheet
Invercargill City Centre Built Heritage Fund Application 2023/2024
Invercargill City Council - City Centre Built Heritage Fund
This worksheet mirrors the questions on the funder's official application form. It is NOT the official form. Submit your final answers through https://icc.govt.nz/community/community-funding/heritage-funding/city-centre-built-heritage-fund.
1. Applicant details
Name:*
Contact address:*
Phone - Home: Mobile:*
Email:*
Provide a brief description of the work you are requesting funding for:*
2. The property
Building address:*
Building owner name and contact details (if different to applicant):
What is the building currently used for? Will this use change? (If so, please explain):*
3. Your project
Work for which assistance is sought (please use photos or other attachments to illustrate):*
a) Detailed description of project:*
b) Proposed remedial work (include drawings and specifications where relevant):*
When do you intend to begin the work?*
When do you expect to complete the work?*
Who will be supervising the project?*
Have you contacted Heritage New Zealand Pouhere Taonga regarding your project? If so, please attach correspondence. If not, please explain:*
Please attach any letters of support from conservation professionals on the appropriateness of the work being undertaken.
Will you be employing a conservation/heritage architect? If so, please note their name and company:
Does this work require any types of consents and, if so, do you currently hold these consents? Please detail:*
Is there any additional information that you wish to be considered with your application?
4. Funding
Provide an itemised breakdown of the project costs below and attach quotes for each of the works specified:*
Total cost of project (GST excl) $*
How much funding are your seeking from this fund?*
GST number (if applicable):
What will happen to the project if you do not get the full amount you applied for?*
Documents to attach
- Photos or other attachments to illustrate the work for which assistance is sought
- Correspondence with Heritage New Zealand Pouhere Taonga
- Letters of support from conservation professionals
- Quotes for each of the works specified
Declarations
- I confirm that the details supplied in this application are true and correct to the best of my knowledge, and agree and understand that: • Compliance with all applicable regulatory requirements is the responsibility of the applicant. • The property will be made available for inspection of the heritage values and the proposed works. • The applicant will provide further information as required to substantiate or assess the case for funding. • The grant will be paid upon completion of the proposed works. The applicant will report back to Council within one month of the completion of works, providing proof of paid invoices and receipts. • Works must be completed within 12 months of successful application. • No material information has been deliberately omitted or withheld from this application. • Information supplied as part of this application may be made publicly available, and if successful, may be used for publicity purposes.
Signature
Date
Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.