Application worksheet
A printable version of Kapiti Coast District Council - 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
Heritage Fund Application Form
Kapiti Coast District Council - 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://www.kapiticoast.govt.nz/services/grants-and-funding/heritage-fund/.
Please refer to the Fund Criteria and Application Guidelines for information and guidance on the Heritage Fund.
1. Property details
Legal description of property where the protected feature is located (eg, Lot 1 DP 00707):*
Property Valuation No. (from rates invoice):*
Property location/physical address:*
2. Ratepayer details
First name:*
Last name:*
Contact address:*
Contact phone number: Day:*
Night:
3. Occupier details
First name:*
Last name:*
Contact address:*
Contact phone number: Day:*
Night:
4. Application details
First name:*
Last name:*
Applicant email address:*
Applicant phone number:*
Funding category being applied for: (please tick one)*
5. Details of proposed project
Please describe the details of your proposed project, eg: What is the heritage feature/item you are managing/protecting/enhancing, eg, wetland, native bush, notable tree, heritage building, cultural site etc? What do you propose to do? What resources will be required? Who will be involved? How long will the project take to complete?*
Does your proposed project have support from other people/neighbours/environmental groups? If so, list these supporters.
Does the heritage feature/area/item have any kind of formal protection, either at present or being proposed as part of the application? If so, specify: (eg, QEII Open Space Covenant, Conservation Covenant, Heritage Register listing etc)
6. Funding details
The maximum total grant allocated under the Heritage Fund scheme is $5,000 (excl. GST). There is no minimum grant amount. A maximum grant of $500 (excl. GST) applies to administration costs (includes photocopying, mailouts/postage etc) and the reimbursement of resource consent fees.
Provide details on the estimated cost of your proposed project. Sufficient details are required to enable the proposed project to be fully costed. Applicant’s GST number (if applicable). If you are registered for GST do not include GST in your costs. Attach quotes and any other supporting documentation to your application.*
Project task Estimated cost $ Total cost of project $ Contribution to be made to the project cost by the applicant:*
7. Heritage management plan
A line drawing of the property/farm on a A4 aerial photograph (can be obtained free of charge from the District Planning team) showing the area of concern and the proposed management measures.
A description of the current problem/threats to the area (eg, cattle grazing undergrowth of remnant forest, plant pests or animal pests like possums, goats, stoats etc which need controlling/eradicating).
An indication of the annual work/maintenance programme required over the next 3 to 5 years.
8. Signature of applicant
Signed:*
Date:*
Documents to attach
- Any relevant supporting information, eg, photos.
- Copies of quotes
- Copies of covenant documents
- Quotes and any other supporting documentation
- A line drawing of the property/farm on a A4 aerial photograph
- A description of the current problem/threats to the area
- An indication of the annual work/maintenance programme required over the next 3 to 5 years
Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.