Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
The following form may request personally identifiable or protected health information. Please see our Privacy Policy for details. This form is encrypted. SSL is on to ensure a higher level of security. A recaptcha must be completed before submission, you cannot save progress, and you cannot receive an email copy of the form.

Downtown Upper-Story Conversion Program Application

  1. Be aware the City of Carbondale will require an inspection of the property to be converted prior to and after the conversion. The property must meet the building codes necessary to make the property a habitable space. Once the conversion is complete and all agreements have been signed (including the TIF Redevelopment Agreement), the City will issue all necessary grant funding.
  2. Acknowledgment*
    By checking the "I agree" box below, you acknowledge that you have reviewed Ordinance No. 2016-30 and understand the terms and conditions and further allow the City to verify all the above information in order to ensure that the program requirements are met. Submission of this application does not in itself obligate the City or Home Owner without execution of the agreement.
  3. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  4. Additional Applicant Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  5. Downtown Upper-Story Conversion Application Approved By:
  6. Leave This Blank: