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Historic Preservation - Smith Charities1, PRESERVATION COMMUNITY • DETERMINATION FORM z: The purpose of this form is to make sure that all project applications applying for Community Preservation Act funding -ar-e- eligible- for - funding— Please - refer -to - Appendix E -in -the Community Preservation Plan when filling out this form. This form must be approved in order_ for an_ application to-be_ accepted. Project Title: Historic Preservation Project Sponsor /Organization: The Trustees of the Smith Charities Contact Name: Jane A. Lebiecki, Treasurer Property Owner, if applicable: Smith Charities Mailing Address: 51 Main Street, Northampton MA 01060 Daytime phone # :413- 584 -0415 1 Fax #: E -mail address: jalebiecki @gmail.com CPA Program Area (check those that apply): ❑ Open Space ✓ Historic Preservation ❑ Community Housing ❑ Recreation Project Purpose (check those that apply): ❑ Acquisition ❑ Creation ✓ Preservation ❑ Support ✓ Rehabilitation /Restoration Project Summary: Please provide a brief description of the project. The Smith Charities building was built by the famous William Fenno Pratt and was finished in 1869. Several years ago Smith Charities did the important work to the exterior of the building of scalling, pinpointing, etc. and the roof has been maintained. Needed however, are a possible second egress to the building and the electrical and heating /plumbing systems need to be repaired or replaced. Smith Charities invests the funds in local mortgages, and as you know interest rates are at an historic low, and as a result so is our income. Our beneficiaries include the Smith Vocational Agricultural High School, widows with children under 18, children who study to be tradespersons or nurses from our communities, Your consideration will be greatly appreciated by all Thank you For CPC Use Eligible: V Not Eligible: _ Date: I 1 1b J R Reviewer: DM I<L