Section 1 – Property Information County(Required) Adams Asotin Benton Chelan Clallam Clark Columbia Cowlitz Douglas Ferry Franklin Garfield Grant Grays Harbor Island Jefferson King Kitsap Kittitas Klickitat Lewis Lincoln Mason Okanogan Pacific Pend Oreille Pierce San Juan Skagit Skamania Snohomish Spokane Stevens Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima
Section 2 – Owner Information
Section 3 – Applicant Information Owner authorization(Required) Preferred Contact(Required) Check all that you are comfortable with:
Section 4 – Building Description Original/Historic Use of Barn(Required)
Current Use of Barn(Required) Funding priority is given to buildings that remain in agricultural use. If your barn and/or the surrounding land is currently used for agricultural purposes, be sure to thoroughly describe that current agriculture-related use here. If your barn is not currently in agricultural use but you plan to restore the barn to such use after implementing the grant project, please detail that here as well.
Historical and Cultural Significance(Required) Please describe the relative historical and cultural significance of the barn or farmstead for which grant funds are being
requested. The relative historical and cultural significance of the barn or farmstead as a whole is a primary consideration of
the Barn Advisory Committee as they review grant applications.
Designation Status of the Property(Required) If you have questions about your building’s eligibility or if it is not yet listed on a historic register, please contact Michael Houser, the State Architectural Historian, before completing this application: michael.houser@null dahp.wa.gov or (360) 890-2634. Check all that apply:
Section 5 – Building Condition Assessment
Foundation(Required) Foundation Sill Plates(Required) Roof Sheathing/Cladding(Required) Roof Structure/Rafters(Required) Structural Posts(Required) Structural Beams(Required) Exterior Wall Framing(Required) Exterior Siding(Required) Windows and/or Doors(Required) Outbuildings, Systems, and/or Built-in Equipment(Required) Barn Conditions Description(Required) Describe in the detail the noteworthy conditions of the building elements above to illustrate the exact need or urgency for grant support.
Barn Maintenance and Repair History(Required) Describe any major repair work or restoration projects that you have completed on this property in the last 5 years and the approximate cost of those major projects.
Section 6 – Project Proposal & Budget
Work Types(Required) Check all that apply:
1A. Reroofing Description Please describe in detail the steps of this phase of the project including treatments, techniques, and materials used.
2A. Structural Stabilization Description Please describe in detail the steps of this phase of the project including treatments, techniques, and materials used.
3A. Exterior Restoration Description Please describe in detail the steps of this phase of the project including treatments, techniques, and materials used.
4A. Interior Finishes Description Please describe in detail the steps of this phase of the project including treatments, techniques, and materials used.
Section 7 – Cash Match and In-kind Match Worksheet
• Cash Match : Funds from the owner/applicant which can go toward both hard costs (purchasing materials, hiring contractors) and soft costs (architectural designs, structural assessment, permitting, etc.).
In-kind Labor : Any work donated to the project by the owner or other volunteers (valued at $25/hr) or donated
professional services that can be valued at the appropriate professional rate.
In-kind Materials : Any materials already on hand that are donated to the project. To count materials as in-kind
In-kind Equipment : Any major equipment already on hand that is donated for use during the project that would
otherwise have to have been rented, such as crane, scissor lifts, electric planer, etc. To count equipment as in-kind
match, documentation (such as a product rental page from a website) must be provided to demonstrate what the
equipment would have cost if it had been rented.
Reroof – Are the matches fully committed yet? Structural – Are the matches fully committed yet? Exterior – Are the matches fully committed yet? Interior – Are the matches fully committed yet? Experience & Qualifications(Required) If you are planning to complete the project work yourself, please describe your experience renovating or restoring this or any other historic properties in the last ten years. If you plan to employ a contractor or other professional for your project, please provide their contact information here and include a one-page summary of their experience working on historic buildings as an attachment.
Financial Need(Required) How critical is a Heritage Barn Grant in terms of completing this project? How will you proceed if you receive a reduced grant or no grant this year?
Section 8 – Public Benefit
Preservation Easement(Required) If a grant is awarded, the owner will be required to enter into an easement on the property to ensure the building is
not adversely impacted by future action, such as demolition or inappropriate alteration. The term of the easement
will be 5-15 years, depending on the amount of the grant award. If awarded a grant, will you agree to enter into this easement?
Additional Information Please add any additional information pertaining to the proposed scope of work and the overall preservation of your barn or farm that you were unable to include in other sections.
Section 9 – Attachments null preservewa.org immediately to let us know that you intend to submit attachments separately.Please use the preferred file naming: “Barn Name – Descriptive Title” such as “Trust Barn – Front Facade Photo”.
Attachments Checklist File Upload Preferred file naming: “Barn Name – Descriptive Title” such as “Trust Barn – Front Facade Photo”.
Section 10 – Certification and Submission I certify to the best of my knowledge that the information provided in this application is complete and accurate.
