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Green Communities Charrette Grant Application
Need assistance with this application?
Call 410.715.7433 or send an email to greencommunities@enterprisecommunity.org
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1. *Name of applicant organization (legal entity that will receive the grant):
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2a. *Contact First Name:
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2b. *Contact Last Name:
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2c. *Contact's Title:
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3. *Email address of contact person:
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| If you wish to Save for Later, a pop up box will confirm this email address before sending a message to your inbox with a link to return to your in progress application. Please make sure pop ups are unblocked to ensure confirmation and receipt of this email or your work will be lost. |
4a. *Phone number of contact person:
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4b. *Fax number of contact person:
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5a. *Name of Legal Signatory for
applicant organization:
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5b. *Title of Legal Signatory for
applicant organization:
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5c. *Phone number of legal signatory:
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5d. *Email address of legal signatory:
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6a. *Address of applicant's organization:
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6b. *City:
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6c. *State:
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6d. *Zip code:
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7. *Tax Identification number for
applicant organization:
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8. Name of co-sponsor or joint venture
partner, if any:
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10a. Congressional District for
applicant organization:
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(for example: 3rd District of New York) |
10b. Representative Name:
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(for example: Robert Smith) |
10c.Representative's Party:
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(for example: democrat, republican, independent) |
11a. *Indicate legal status of
applicant organization:
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11b. If Other type of organization, describe:
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*12. Type of Funds requested:
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13. *Total grant amount requested (not to exceed $5,000):
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14. *Requested period of performance for grant:
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(Sept-Dec. 2005) |
| Section 2- Project Information |
15. *Name of project, project LLC or project limited partnership:
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16a. *Project Address:
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16b. *Project City:
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16c. *Project State:
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16d. *Project Zip Code:
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17. *Indicate status of site control (pick one):
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17a. Please explain "option expiring"
or "Other"
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18a. Indicate Status of project
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18b. Schematic Design Phase Percent Complete:
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18c. Development Occupied percent (if applicable):
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| 18d. Type of construction (check all that apply): |
18.d.1: New construction
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18.d.2: Selective rehab of existing housing or /mixed
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18.d.3: Substantial rehab of existing property
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18.d.4: Adaptive reuse of existing buildings
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19. *Indicate the site location of the project:
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20. Residential uses after construction
- "Supportive Housing" means permanent housing with more than $3,000 per unit a year in services for people with special needs.
- "Low-income units" means units reserved for owner occupants with incomes at or below 80% of area median income and for renters wth incomes at or below 60% of area median income.
- If units are being rehabbed, rehab cost must exceed $3,000 per unit for units to be counted.
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20e. Please explain above numbers:
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| 32. Estimated income mix after construction (best estimate of numbers of units that will be occupied by households at these income levels): |
0-30% area median income
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31-50% area median income
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51-80% area median income
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81-120% area median income
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121%+ area median income
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21. Please provide a current Project Description with a particular focus on factors that led the developers to integrate Green Design:
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| 22. Below list names of the design and development team members, as well as the city and state where they are located. |
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23a. List and describe the Project Goals and expected outcomes to be achieved by the
Green Communities Charrette:
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23b. Expected date for proposed Charrette
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24. Name of Facilitator, if not provided by
Enterprise please provide items listed on
the "Pre-Qualification Checklist: Charrette
Facilitator"
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| 25. Proposed Budget for Use of Grant (not to exceed $5,000) |
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25a. Comments/Explanation
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25b. List and brief description of all affordable housing developments completed by the applicant organization in the past two years, highlighting completed green affordable housing developments.
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26. Attach copies of the following (You will be directed to upload electronic files upon submission of this application, please check off all that are included with this application):
- Exhibit A: Knowledge of Green Communities Criteria: If the designated facilitator is NOT on the Enterprise pre-qualified list, please attach facilitator’s resume or a written summary demonstrating facilitation experience and green building knowledge, along with the fully completed Exhibit A.
- Context Map which highlights exact distances that the project is located within a ¼ mile of at least two, or ½ mile of at least four, of the following facilities: Adequate public transportation, supermarket, public school, library, licensed child care center, usable park space, post office, convenience store, laundry/dry cleaner, pharmacy, place of worship, community or civic center that is accessible to residents.
- Evidence of Site Control
- For Post-Development Applicants, please attach a copy of the Green Development Plan.
- For Pre-Development Applicants, copy of Site Plan.
- Copy of most recent audited financial statement of applicant organization.
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27. Certifications:
By signing this grant application, I certify the following ("we" refers to the applicant organization):
- The information provided in this grant application and attachments is true and correct to the best of my knowledge.
- I have read and understand the Green Communities Charrette Grant Guidelines.
- I have read and understand the Green Communities Criteria and Technical Manual.
- If we receive a grant award, we will make best efforts to implement the strategies outlined in the Green Communities Charrette Scope of Work.
- I am an authorized representative of the applicant organization.
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| Electronically signed by entering the following information |
*Name of signer:
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*Title:
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*Organization
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