Owner First Name *
Owner Last Name *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Please check all that apply:
Exterior Building Material(s)
Contractor Name *
Contractor Phone *
Description of work to be done *
Describe the location (front, rear, north, south,1st, 2nd floor). Describe existing material. Will you repair the original, or install new material that is same as the original? Will you salvage old material for reinstallation or use substitute material? Will you remove something completely? Can you repair or replace in kind? Please include photos. Drawings/Elevations are required for reconstruction, replacement, rebuilding and new construction.
Materials proposed *
(Examples: 4" clapboard or 6" cement board, or fir tongue & groove) You may provide brochures or samples. Consider if your new work will look like the old, same width, size, shape, style, and material? If not, what will it look like? Use additional sheets as needed.
Estimated Cost *
Please attach up to 5 photos/attachments:
accepted file types: jpg/jpeg/png/gif/pdf
size limit: 8 mb per file
Applications must be submitted BY 3:00 PM the Wednesday before the meeting. Late or incomplete applications will not be accepted. Photographs, drawings, samples, or brochures and a clear description of the requested work and materials are required with the application. Include support documentation of the conditions if requesting demolition, or removal of original materials, or installation of substitute material. Provide samples showing the appearance of replacement material. Include drawings for all new construction.
The owner or representative should attend the HARB meeting.
FYI Historic Tax Credit applications are reviewed by the State Preservation Office, Commonwealth Keystone Building, Harrisburg, PA 17120. Call (717) 787-0772 for information on Historic Tax Credits.
Remember, a HARB review is required BEFORE you start work. A Building Permit may also be required.
I declare I have examined this form as well as any accompanying photos, drawings, samples and under penalty of perjury believe it to be true, complete, and correct.
100 West 3rd Street
Williamsport, PA 17701
Phone: (570) 327-7500
Monday – Friday, 8:00 am – 5:00 pm