Application worksheet
A printable version of Whanganui District Council - Heritage Grant 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 Grant Fund Application
Whanganui District Council - Heritage Grant 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.whanganui.govt.nz/Community-and-Places/Funding-Opportunities/Heritage-Grant-Fund.
1. Applicant Information
Full name of applicant:*
Email address:*
Phone number:*
Applying as:*
Do you have authority to apply on behalf of your group?*
2. Project Description
Provide a brief description of the project this grant will be used for:*
There is space further down to give full details
Who will be undertaking the works?*
3. The Property
Address of property to which the application relates (please attach a photo):*
Please attach a photo
Name of the owner of the property and their contact details (if different to applicant):
Status of ownership:*
If other, please specify:
Is the property listed in the Whanganui District Plan Heritage Items (appendix a) or entered on the New Zealand Heritage List/Rārangi Kōrero?*
If yes, please provide the relevant schedule and/or listing number
If no, please provide a brief statement explaining why the property is important (include photos if necessary):
4. Consents and Funding
Does this work require any types of consents (resource, building, etc) and do you currently hold these consents? Please give details.*
Funding*
Describe each element and its costs Please attach two quotes for each of the works specified below Description Costs $ $ $ $ $ $ $ $ $ $ Total project cost (excluding GST)
Does your project follow existing professional advice/a conservation plan? Please give details.*
Documents to attach
- Photo of the property
- Owner's contact details if different to applicant
- Evidence of right to use the property and written approval from the owner
- Quotes for each of the works specified
- Photos and plans to illustrate the project
Declarations
- Print name:
- 1. The information in the application subsequently generated in relation to the application will be available if required under the Local Government Official Information and Meetings Act 1987.
- 2. Compliance with all applicable regulatory requirements relating to the project is the responsibility of the applicant.
- 3. Does your project comply with ongoing council compliance and heritage rules?
- 4. The property will be made available for inspection of the heritage values and the proposed works.
- 5. The applicant will provide further information if this is needed to substantiate or assess the case for funding.
- 6. A heritage Grant Fund signboard may be installed during the work to be returneed once the work is complete.
- 7. Photographs of the work and building may be used to promote the fund.
- 8. The grant will be received upon completion of the works. The applicant will report back to the Council within one month of the completion of works, enclosing evidence of the outcome (eg. invoices). Where an applicant is not GST registered the Council will retain the original invoices from contractors.
- 9. Works will be completed within 12 months of the successful application.
- 10. The addresses of successful heritage properties will be published on the Council website and in other Council publications.
- 11. No material information has been deliberately omitted or withheld from this application.
- I confirm that the details supplied in this application are true and correct to the best of my knowledge, and agree that:
- Date: Signature:
Signature
Date
Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.