Fillable Rhode Island Housing Combined Funding Application for HOME (RIHousing)

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Rhode Island Housing Combined Funding Application for HOME (RIHousing)

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The Rhode Island Housing Combined Funding Application for HOME (RIHousing) form is 9 pages long and contains:

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  • 73 check-boxes
  • 256 other fields

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HOME-HTF 12-2020
1
Rhode Island Housing
Combined Funding Application for HOME and Housing Trust Fund
Due 4:00 p.m.
December 18, 2020
Applicant Name: _______________________________________________________________
Project Name: _______________________________________________________________
Address(es): _______________________________________________________________
_______________________________________________________________
Please indicate the amount of funds you are requesting:
Total Funds Requested:
$ _______________
HOME Funds: $____________
HTF Funds: $____________
If your organization
is
a Community Housing Development Organization (“CHDO”)
and will
be seeking operating support for expenses directly attributable to your development proposal
please
complete the proposed budget for CHDO operating support and check here:
Application
Instructions:
All applicants are required to participate in a pre-application meeting.
Applications (including all spreadsheets and attachments) must be uploaded via Smartsheet.
Please contact Lauren Farley, HOME and HTF Coordinator, at lfarley@rihousing.com or
401-429-1412 for access information and to set up pre-application conference call.
HOME-HTF 12-2020
2
1. Applicant Information
Organizatio
n: _______________________________________________________________
Ownership entity if different from above: __________________________________________
Address: ___________________________________________________________________
City/Town: ______________________________ State: _______ Zip Code: _____________
Tax ID: ______________________ Agency DUNS # (required): _____________________
E
xecutive Director: ___________________________________________________________
Telephone: E-mail Address: _________________________________
Contact Person:_________________________ Title: _______________________________
Telephone: __________________ E-mail Address: __________________________________
Type of Organization:
Housing developer: Organization is: non-profit for-profit
Housing Authority: Municipality:
Social Service Agency Other: _________________________________________
2. Project Location
Project Name: ______________________________________________________________
Street Address*: _____________________________________________________________
City/Town: ______________________________________ Zip Code: _________________
Plat: __________ Lot(s): ___________ Census Tract: __________ Block Group: __________
*for scattered site developments attach a separate list of addresses.
3. Project Involves (check all that apply)
Acquisition
if yes, submit a Voluntary Acquisition Letter
New Construction Rehabilitation
Demolition Relo
cation
if yes, submit a relocation plan.
Please refer to RIH Relocation Handbook
Environmental Remediation
Property is: Vacant Land
Existing building Year built: _________ To be demolished? Yes
Property/site is in a 100-year Flood Zone Yes
Submit a FEMA flood map for every project address (see Application Checklist on page 8).
3
4. Occupancy and Relocation
Number of current residential units in building: ______ Number of commercial spaces: ______
Is property occupied? No Yes
If yes, number of occupied units: _______ Number of operating businesses: _______
Number requiring permanent relocation: households: _______ businesses: _______
Number requiring temporary relocation*: households: _______ businesses: _______
5. Total Number of Proposed Residential Units
Total Number of Units: ________ Number of Affordable Units: ________
# HOME units: _________ # HTF units: _________
Total building square footage (units and community/commercial): ____________
Total commercial square footage:________ Total community space square footage:_________
Total number of on-site parking spaces: ________
*
Temporary relocation applies to tenants who are eligible to return to the development upon completion. Temporary
relocation cannot exceed 12 months. Temporarily relocated tenants must be re-housed in the development at rents that do
not exceed 30% of household income.
HOME-HTF 12-2020
Rental Unit Summary
Number of
Bedrooms:
SRO,
EFF, 1
through 5
Number
of Baths
Assisted
Unit Sq.
Footage
Total
Number
of Units
at This
Size
Number
of Units
at ____
% AMI
Number
of Units
at ____
% AMI
Number
of Units
at ____
% AMI
Operating
Subsidy
(Yes or
No)?
Proposed
Tenant
Paid
Utilities
(U/A)
Proposed
Net Rent
Per Unit
Per
Month
Proposed
Gross
Rent Per
Unit Per
Month
Totals:
HOME-HTF 12-2020
4
6. Site Control.
Attach evidence of site control. See Application Checklist on pages 8.
Applicant Owned
P & S Agreement
Option
No Site Control
Purchased with RIH bridge loan? Yes No
Explanation, if needed: ____________________________________________________
Name of Current Owner: __________________________________________________
Address: _____________________________________________________
Acquisition Cost: ________________________
HOME-HTF 12-2020
5
7. Project Status.
Attach evidence, if available. See Application Checklist on page 8.
8. Project Schedule
Benchmark
Expected Date
Reservation of all funding acquired
Date of Closing
Acquisition of property
Completion of design/engineering
Request for Construction/Rehab Bids
Award of construction contract
Begin marketing of units
Start construction
Construction completion
Submission of occupant eligibility documentation
Full Occupancy
Already
Obtained
Not
Needed
In
Process
Expected Date
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
____________
____________
HOME-HTF 12-2020
6
9. Project Details (check all that apply).
Do not claim anything that cannot be substantiated.
Sustainable Design & Accessibility:
Compact Development Smart Growth / Walkability
Uses Existing Infrastructure Public Water Public Sewer
Brownfield Redevelopment Historic Preservation
Preserves/Provides Open Space Percentage of open space provided: ______
Preserves Agricultural Land Neighborhood Revitalization
EPA Water Sense Appliances Energy Star
Universal Design Green Building
Handicapped Accessible Units Number
o
f ADA units: _______
Geographic Diversity:
Amount of housing stock in city/town considered affordable? ______%
Provides Tr
ansportation Options within ________mile(s)
Access to Employment Centers/Jo
bs within ________mile(s)
Access to Community Services within ________mile(s)
Access to Food and Retail Goods within ________mile(s)
Access to Parks/Recreational Areas within ________mile(s)
Access to High Performing Schools Please Specify: ___________________
Duration of Affordability: Affordability Period _______ years.
10. Write a concise narrative description of your proposal which includes:
a) Describe the objectives and beneficiaries of proposal (including location and community
impact) and explanation of how your project is consistent with the State Guide Plan,
emphasizing Land Use 2025 and the Strategic Housing Plan and the Rhode Island
Consolidated Plan.
b) Describe all previous affordable housing projects your organization has produced and identify
all key staff members, partners and development team (e.g., architects, engineers, consultants,
property manager).
c) Describe any community/resident input into project planning and/or execution and explain
how this project addresses that feedback and community needs.
ATTACH
IN EXACT ORDER
THE INFORMATION AND/OR
DOCUMENTS REQUESTED ON APPLICATION CHECKLIST TO
SMARTSHEET
HOME-HTF 12-2020
7
All applicants must sign the Agreement and Certification.
Agreement and Certification
The undersigned specifically agrees that the funds requested by this application will be secured by a
Mortgage and/or Deed Restriction on the property described herein and that Rhode Island
Housing, its agents, successors and assigns make no representations or warranties, express or
implied, to the Applicant regarding the property, the condition of the property or the value of the
property.
I verify that the information in this application is true and correct. I understand that false statements herein are
subject to the penalties of Rhode Island Law relating to unsworn falsification to authorities.
Organization Name:
By: _______________________________ Title: _______________________________
Print or type name
Signa
ture:____________________________________ Date: ____________________
click to sign
signature
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HOME-HTF 12-2020
8
Application Checklist
Attach in this order (for all applications)
Application (signed and dated)
Narrative proposal description (Question 10)
Board Resolution authorizing submission
Tab 1:
Financial
Complete all Development Proforma pages/budgets
Evidence of funding reservation(s)
Tab 2:
Development Team Capacity
Resumes of all development staff
Architect and Contractor Qualifications (if selected)
Organization’s financial compilation or audit
Tab 3: Project Status
Property Deed and legal description of each property
Include Plat, Lot and zip codes for all addresses
Photographs of property
Evidence of site control
Evidence of zoning approval
FEMA Flood Map for each address
Tab 4: Design & Construction
Schematic Design and Specs
(Refer to RIH D&C Handbook)
Detailed construction estimates (rehabilitation budget)
prepared by qualified professionals.
HOME-HTF 12-2020
9
Application Checklist continued
Tab 5:
Unit Marketing and Housing Demand
Market Analysis Form & Attachments
Waitlist
Market Study (if available)
Tenant Selection Policy
HUD Form 935.2 and written
Affirmative Marketing Plan
Tab 6: Geographic Diversity/Community
Site location map (also show surrounding area)
Evidence of Community Involvement in Planning
Additional tabs for the following:
Acquisition only:
Voluntary Acquisition Letter to Seller
Relocation only:
Relocation plan that includes household and
unit size and current gross rent, and copies of
GIN sent to tenants.
Community Housing Development Organizations only:
CHDO Addendum
CHDO Operating Application
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Rhode Island Housing Combined Funding Application for HOME (RIHousing)

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Completed 28 June 2021

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