Fillable Faade Improvement Program Application Form City of Birmingham, (City of Birmingham)

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Faade Improvement Program Application Form City of Birmingham, (City of Birmingham)

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The Faade Improvement Program Application Form City of Birmingham, (City of Birmingham) form is 6 pages long and contains:

  • 3 signatures
  • 15 check-boxes
  • 162 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Birmingham

BROWSE CITY OF BIRMINGHAM (AL) FORMS

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Façade Improvement
Program
Application Form
City of Birmingham, Alabama
Community Development Department
A. Applicant Information
Owner Type (check one): Individual(s) Proprietorship LLC Corporation
Building Owner (s):
Social Security Number:
DUNS#:
Address:
City/State/Zip:
Phone:
Fax:
E-mail:
Contact Name (if different from above):
Address (if different from above):
City/State/Zip:
Phone:
Fax:
E-mail:
B. Building Information
Property Address:
Number of Buildings:
PID:
Current Usage:
Zoning:
C. Current Indebtedness
Furnish information on BUILDING-RELATED debts, notes, and mortgages payable.
Type
To Whom Payable
Original
Amount
Original
Date
Present
Balance
Interest
Rate
Monthly
Payment
1
st
Mortgage Holder
$
$
%
$
2
nd
Mortgage Holder
$
$
%
$
Other Building Lien
$
$
%
$
Other Building Lien
$
$
%
$
Total
$
Total
$
$
D. Current Tenancy
Use additional sheets if necessary.
Unit Number and Name
Type (retail, office,
residential, etc.)
Current Rent
Will building renovations result in increased rent?
$
/mo
Yes No If yes, new rent=$ /mo
$
/mo
Yes No If yes, new rent=$ /mo
Total
$
/mo
Total new rental income=$
E. Project Overview
1. Describe in detail the proposed “project” being undertaken (e.g., awning replacement, cornice repair.) This narrative should
describe the same project outlined by the financials. (Attach additional sheets if necessary.)
2. When will the project begin?
3. When will the project be completed?
4. Has any portion of the project been started yet? Yes No
If yes, please describe.
Note: Any portion of the project started prior to an agreement resulting from this application will not be eligible for assistance or count
as match funding for this project.
Will this project retain existing jobs? Yes No If yes, how many and what are their classification?
F. Economic Development Overview
JOB CREATION/RETENTION
Upon completion of the project, will new jobs be created? Yes No
If yes, how many and what are their classification?
Will this project result in residential housing units. Yes No If yes, how many?
Will any be affordable housing? Yes No If yes, how many?
ADDITIONAL INVESTMENT
Please describe any private investment committed to this project:
Please describe complete scope of work that private investment will be applied to:
In addition to Façade, what other investment is involved?
BUILDING LOCATION/CONDITION
Is this building previously vacant and being returned to use? Yes No
Is the property severely deteriorated with a negative impact on the community? Yes No
Is the property identified blighted? Yes No
Is the property in a priority redevelopment area? Yes No
Is this property in a prominent, highly visible location or located on a major arterial highway? Yes No
DISADVANTAGED BUSINESS
Will this project advance disadvantaged businesses, defined as minority or woman owned business, or small
business? Yes No If yes, please explain
:
Use Additional Pages if Necessary
G. Proposed Financing
Note: Other sources of funding must be equal to or greater than 20% of the Façade Program Assistance amount.
Source
Rate
Term
Type
Eligible Costs
Other Costs
Total Costs
Façade Program Assistance
0%
$
N/A
$
Owner Cash Investment
$
$
$
Bank
$
$
$
Other
$
$ $
Total
$
$ $
H. Attachments
Check if submitted. If not submitted, explain why in the space below, right.
Yes No
Drawings and specifications.
Yes No
Photographs of building.
Yes No
Letters of commitment (others involved in financing).
Yes No
Personal financial statements for each building owner.
0%
0% 0%
0%
Submit completed application to:
Lareisha Higginbottom
Community Development Department
City of Birmingham
710 North 20
th
Street, Room 1000
Birmingham, Al 35203
Lareisha.Higginbottom@BirminghamAL.gov
For Questions regarding the application or program guidelines Call: (205) 254-2309 or Fax: (205-254-2717)
Applicant Submission
By signing and submitting this application, the applicant hereby agrees to the following
:
1.
Applicant agrees that the acceptance of this application does not commit the City to enter into an agreement, to pay any
costs incurred in its preparation to participate in subsequent negotiations, or to contract for the project. Further, the
acceptance of this application does not constitute an agreement by the City that any contract will be entered into by the
City. The city expressly reserves the right to reject any or all applications or to request more information from the
applicant.
2.
The applicant also agrees that Façade Design Assistance will only be considered for the proposed project by the City if: 1) a
façade design has been completed and is included with this application, and 2) bids or quotes for all proposed work were
obtained and are included with this application.
3.
Applicant hereby certifies that all information contained in this document and any attachments is true and correct to the best
of the applicant’s knowledge. Applicant also gives permission to the City of Birmingham to research the building’s history,
research the applicant’s history, contact respective financial institutions, obtain credit reports and perform other related
activities necessary for the reasonable evaluation of this proposal.
Should ass
istance be provided applicant/borrower agrees:
1.
To comply with all applicable provisions of federal statutes and regulations concerning equal employment opportunities for
persons engaged in rehabilitation work undertaken in connection with program assistance.
2.
To keep such records as may be required by the City in connection with the work to be assisted.
3.
To not discriminate upon the basis of race, color, sex, marital status, disability, religion or national origin in the sale, lease,
rental, use or occupancy of the property to be assisted.
4.
To allow no member of the governing body of the City of Birmingham and no employee of the City of Birmingham to
have any interest, direct or indirect, in the proceeds of any loan or in any way contract entered into by the borrower for the
performance of work financed, in whole or in part, with the proceeds of the loan.
5.
That NO financial assistance will be provided if the project involves the permanent and involuntary displacement of tenants
unless the applicant agrees to provide financial assistance to the tenants at levels consistent with the Federal Relocation and
Real Property Acquisition Act, as amended. Such assistance granted will not, however, be counted in the private match
requirement.
In additi
on, the applicant is aware of the following:
1.
The assistance involves federal funds and requires compliance with federal guidelines, including Davis-Bacon Wage Rates,
Handicapped Accessibility and Historic Preservation.
2.
If assistance is given, an audit of the project may be required.
3.
The applicant will be obligated to maintain the building improvements for a period equal to the terms of the loan.
4.
Financial assistance will not be provided if property taxes or special assessments are in arrears.
*Please note that incomplete applications will not be considered for funding.
Signature Title (if applicant is a company representative)
Print Name Date
Disclosure
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signature
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Mortgage Data
REQUEST FOR VERIFICATION OF MORTGAGE
CITY OF BIRMINGHAM
COMMUNITY DEVELOPMENT DEPARTMENT
Name, Address, and Zip Code of Applicant for Loan
Account No:
Name, Address, and Zip Code of Mortgagee
Date of Request:
Address of Mortgaged Property:
NOTE TO MORTGAGEE: The
applicant identified above has authorized this Agency to obtain verification of the status of existing
mortgages on the above property. The requested information is required for us in connection with an application for financing through the City
of Birmingham’s Façade Improvement Program funded through the U.S. Department of Housing and Urban Development’s Block Grant
Program. The requested information in this verification is for the confidential use of this Agency and the U.S. Department of Housing and
Urban Development. Please furnish the information requested below and return this form, using the stamped, addressed envelope provided.
Financial Data
Date of Mortgage Original Amount $ Date of Maturity Present Balance $
Type of Mortgage:
Conventional
FHA VA Are payments current? Yes No
If not current, state amount in arears $
Monthly Payment To:
Mortgage Insurance Premium:
Principal & Interest:
Real Estate Taxes:
Fire Insurance: TOTAL MONTHLY PAYMENT:
Other Remarks:
State the amount of termination fee or prepayment penalty payable upon full prepayment of the loan. $
Has the account been satisfactory: Yes No
Authorization by applicant: I authorize the mortgagee to furnish to the public body (identified in Financial Data) the mortgage
above.
Date of Authorization Signature
The above information is furnished in strict confidence in Name, Address, and Zip Code of agency to
response to your request. which form is to be returned:
Date Signature
Title
Community Development Department
Lareisha Higginbottom
710 North 20
th
Street, Room 1000
Birmingham, AL 35203
Lareisha.Higginbottom@BirminghamAL.gov
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Faade Improvement Program Application Form City of Birmingham, (City of Birmingham)

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Completed 9 February 2021

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