In order to resolve conflicts between health and safety objectives and historic preservation objectives, a number of states and cities have adopted special building code provisions. A survey was conducted to determine the extent of adoption of such special provisions. The survey included the states, territories and member cities of the Association of Major City Building Officials (AMCBO). The survey responses revealed that 16 of the 47 responding states have special provisions or regulations as do 15 of the 24 responding cities. The majority of states and cities have established a special preservation appeals board. Legislation and special provisions are reviewed in the report. Recommendations for additional research are included.