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Home My WebLink AboutCHF Application for up to 3 units or less Town of Southold 101912025 Community Development and Housing Department Community Housing Fund(CHF) —Application for New Developments under 3 units (DRAFT) PART 1:APPLICATION RATING AND CHECKLIST APPLICATION RATING CRITERIA This application is intended exclusively for applicants seeking to create up to three (3) affordable units on privately owned property. To be considered, applicants must first confirm the project's feasibility with the Town of Southold Building Department and, where applicable, the Zoning Board of Appeals and the Planning Department, to ensure full compliance with all applicable building codes and zoning requirements. Applications will be rated on a number of criteria. Please be as detailed as possible in the following questions and please provide accurate information as possible in order for the town board and the advisory committee to evaluate your project to the best of their ability. Applications approved by the Southold Town Board will be required to enter into a funding agreement with the Town of Southold. Funding agreements shall be subject to such terms and conditions as the Southold Town Board may deem appropriate to protect the interests of the taxpayers of the Town of Southold, based upon a specific project. DOCUMENT CHECKLIST ❑ Completed Application Form ❑ Signed Attestation ❑ Complete architectural design drawings as reviewed by the building department. ❑ Please attach estimates from licensed contractors and any supporting documentation for the project budget proposal. The Community Housing Advisory Board (CHAB) and the Town board review budgetary information closely, please be as detailed as possible. ❑ IRS Form W-9 for preparation of a purchase order if awarded funding PART 2:APPLICANT AND PROJECT INFORMATION APPLICANT INFORMATION Submittal Date: Proposed #of Units Applicant Information: Project Information: Applicant Name: Proposed Project Name: Applicant Mailing Address: Project Address: Applicant Email: Hamlet/School District: Applicant Phone: SCTM#: Town of Southold 101912025 Community Development and Housing Department Community Housing Fund(CHF) —Application for New Developments under 3 units (DRAFT) PART 2A: UNIT BREAKDOWN Use of Property (check one that aligns with your project proposal): :] RENTAL ❑ HOMEOWNERSHIP ❑ MIX OF RENTALAND HOMEOWNERSHIP #of Units Avg.SF/Unit #Units %of Total Project Studio 60%AM 1 Br 80%AMI 2 Br 100%AMI 3 Br 120%AMI IF RENTAL, please fill out the chart below: Proposed Monthly Approximate Monthly Unit Breakdown Notes Rent Market Rate Rent Commercial Space Studio 1 Br 2 Br 3 Br IF HOMEOWNERSHIP, please fill out the chart below: Unit Breakdown Proposed Sales Approximate Market Notes Price Rate Sales Price Commercial Space Studio 1 Br 2 Br 3 Br Does this development include mixed-use spaces or commercial spaces? -]YES -] NO IF YES, what percentage of this development is commercial? Does the development of this project rely on the funding from the Community Housing Fund (CHF)? -]YES ❑ NO Town of Southold 101912025 Community Development and Housing Department Community Housing Fund(CHF) —Application for New Developments under 3 units (DRAFT) PART 213: PROPOSED PROJECT INFORMATION/OVERVIEW Brief project proposal description: How will the project increase and/or improve community housing opportunities in Southold Town: Which members of the community will benefit from the proposed project? Are there any specific groups of community members being prioritized? (e.g., firefighters, first responders, persons with disabilities, specific income levels (AMI), household sizes, demographics, etc.): What are some sustainable methods of construction this project will pursue as part of the proposal (e.g. solar panels, LEED certification, Passive House, Energy Star Certification, impermeable pavers, rain gardens etc.) What are the anticipated operational challenges for the project (e.g., management, maintenance, tenant relations, etc.)? * IN THE CHART BELOW PLEASE EVALUATE THIS PROJECT USING THE PRIORTY AREA BONUS STRUCTURE ATTACHED,THEN INPUT THE AMOUNT YOU BELIEVE SHOULD BE AWARDED FOR THIS PROJECT* Adaptive Deeper Septic Homeownership Diversity of Proximity to Environmental Reuse Affordability Upgrade Opportunities Unit Sizes Public Transit Sustainability CHF Request Total Town of Southold 101912025 Community Development and Housing Department Community Housing Fund(CHF) —Application for New Developments under 3 units (DRAFT) PART 3: ATTESTATION ATTESTATION: Allocation of Community Housing funds will not be used for any purpose other than those specifically permitted by Southold Town Code, the Southold Town Housing Fund and the Peconic Bay Region Community Housing Fund. ❑ Check box to certify that funds will not be used for any purpose other than those specifically permitted by the Southold Town Code and the Peconic Bay Region Community Housing Fund. Signature: Date: