Online Certification

All fields with (*) required: Process and Requirements:

• Please complete the application form and upload a photograph of the front and rear of your home.
• You must upload digital pictures (500kb or smaller) when using the online certification form. If you do not have digital pictures or cannot resize your images, please use our printable certification form instead.
• HCBA will review the application and notify the owner or subsequent owner, via mail, if the home is certified in approximately 2-3 weeks.

For additional information about the Historic Chicago Bungalow Association and the Historic Chicago Bungalow Initiative, please call 312.642.9900 or email bungalow@chicagobungalow.org.

All fields required unless otherwise stated.

I am Interested in:	Purchase Rehab
Owner's or Prospective Owner's Name:
Address of Registered Home:
Address 1:
Address 2:		(optional)
City:
State:
Zip Code:
If purchasing, please include your current address for correspondence:
Address 1:		(optional)
Address 2:		(optional)
City:		(optional)
State:		(optional)
Zip Code:		(optional)
Other Information:
Real Estate Tax Index Number (PIN):		(optional)
Neighborhood/Ward:		(optional)
Home Phone:
Work Phone:		(optional)
Fax Number:		(optional)
Email Address:
Description of Registered Home:
1 1/2 Stories High:	Yes No	(optional)
Low Pitched Roof:	Yes No	(optional)
Roofline Perpendicular To Street:	Yes No	(optional)
Brick Construction w/ Face Brick:	Yes No	(optional)
Stained Glass Windows:	Yes No	(optional)
Full Basement:	Yes No	(optional)
Rectangular In Shape:	Yes No	(optional)
Year Built:		(optional)
Are You Certain?	Yes No	(optional)
Do You Have?
Original Blueprints:	Yes No	(optional)
Old Photographs:	Yes No	(optional)
How did you hear about the Initiative?	Pick One Newspaper Radio Friend/Neighborhood Other	(optional)
Describe feature of the home - restoration, improvements or additions to the original home (optional):
Describe the history of the home or other facts of interest about the home, its site, or the neighborhoods (optional):
Send your digital pictures of your registered bungalow: Please limit the size of each picture to 500 KB. When attaching pictures to your application, please allow extra time for the form to process. The amount of time required is dependent on the size of the pictures and the speed of your internet connection. (Two 500 KB pictures sent over 56 kpbs connection could take up to 3 minutes to upload) If you do not have digital pictures, please use our printable certification form instead.
Front View:
Rear View: