Mount Airy, NC · Surry County
Certificate of Appropriateness Application
Property owners or applicants use this application to request a Certificate of Appropriateness for proposed work or use in Mount Airy.
What this form is
The application collects property, owner, applicant, and project details for a Certificate of Appropriateness request. It asks applicants to identify the proposed site improvements and attach plans with building elevations, a materials list, and a description of the project so the Historic Preservation Commission can assess conformity with the Zoning Ordinance and Design Guidelines.
Who needs it
Property owners or applicants seeking approval for proposed work or use should complete this application and provide the requested project plans.
How to submit it
The form lists the Planning Department at 300 S. Main Street, Mount Airy, NC 27030, and [email protected]. It also provides the department phone number, (336) 786-3520.
About notarization
This document is signed and dated without a notary; the applicant signs and dates the application after certifying the information is true and correct.
How to submit this form
- 1
Download The Application
Download the Certificate of Appropriateness Application PDF.
- 2
Complete The Application
Enter the application date, parcel and property details, owner and applicant information, and project request.
- 3
Gather Project Plans
Attach plans with building elevations, a materials list, and a description of the extent of the project.
- 4
Submit To The Planning Department
Send or deliver the completed application and plans to the Planning Department using the contact information listed on the form.
Frequently asked questions
- Do I need a notary for the Certificate of Appropriateness Application?
- No. The applicant signs and dates the application without a notary. The form also asks for plans with building elevations, a materials list, and a project description.
- How do I submit the Certificate of Appropriateness Application?
- The form lists the Planning Department at 300 S. Main Street, Mount Airy, NC 27030, and [email protected].
- What information does the application request?
- It requests property, owner, applicant, and project information, including the requested site improvements. Applicants attach plans with building elevations, a materials list, and a project description.
Need something notarized?
This Certificate of Appropriateness Application doesn’t need a notary — but if you have another Mount Airy form that does, a commissioned online notary can help.