AHGP - Assessments

Required fields are marked with an asterisk (*)

Affordable Housing Grant Program Submission Request Form - Building Condition Assessments and Pre-Development Studies, Reports and Analyses

PLEASE NOTE: Incomplete applications will not be processed.

Applicants are required to meet with staff before submitting an application.

The information in this form and any accompanying information must be true and accurate to the best of your knowledge.

Contact Information

Name of Organization: *

Project Title: *

Federal Charity or NS Registered Joint Stock Number:

Contact Person: *

Contact Information (phone): *

Contact Information (email): *

Mailing Address of Contact: *

Property Description

Address of the Subject Property:

Does your organization own the property?

Yes

If your organization does not own the property, when will the property be conveyed to your organization?

PLEASE NOTE: the property must be owned by or leased to an eligible Non-Profit Organization prior to any Grant funds being disbursed.

Projected Number of Residential Units - Total Units:

Projected Number of Residential Units - Total Affordable Units:

Please describe what level of affordability this housing will target. Please include anticipated rents and length of time this housing will be maintained at this level of affordability:

Please indicate the projected residential unit breakdown in the building:

Number of rooms in a Shared Housing Use as defined by the applicable Land Use By-law (total): *

Number of affordable rooms in a Shared Housing Use as defined by the applicable Land Use By-law: *

Number of studio/bachelor units (total): *

Number of affordable studio/bachelor units: *

Number of 1-bedroom units (total): *

Number of affordable 1-bedroom units: *

Number of 2-bedroom units (total): *

Number of affordable 2-bedroom units: *

Number of 3+ bedroom units (please specify number of bedrooms)(total): *

Number of affordable 3+ bedroom units (please specify number of bedrooms): *

Will this housing target a population or group that is at higher risk of being in Core Housing Need, according to the definition provided by the Canada Housing and Mortgage Corporation? If so, please describe the population or group and provide support for your belief that this population or group is at higher risk of being in Core Housing Need: *

Please provide any additional information regarding the development that you feel is relevant to your project (whether the development is exclusively residential, what other land uses are included, are support services provided):

Anticipated Date for Start of Assessment: *

Anticipated Date of Completion: *

Please describe the proposed next steps for your project after the assessment is complete: *

Please describe the status of the project and identify any barriers that may delay the development of the project (zoning, access to land, operating costs). *

Request for Funding

Amount of Funding Requested: *

Please note requests less than $500 will not be considered.

Total Amount of Funding Required for Assessment: *

Please List Other Sources of Funding Confirmed: *

Amount & Source

Please List Other Sources of Funding Pending (applications made): *

Amount & Source

If possible, please provide estimates from two professional contractors for the proposed work to support your requested funding amount: *

Please describe how your organization will maintain operating expenses, including any additional confirmed or pending operating funding from other sources: *

Applications for Building Assessments and Pre-Development Studies, Reports and Analyses

Please provide a description of the work to be completed: *

Please explain why the proposed assessments are necessary: *

Information Regarding your Organization

Number of years experience in providing housing: *

Please list other residential properties your organization currently owns/manages: *

Please provide a summary of your organization including what services you offer and examples of similar projects you have participated in or have led. *

Document Checklist

Please be sure to include the following information if applicable to your project, documents can be submitted to the Affordable Housing Grant Program by email: affordablehousingprogram@halifax.ca

I have had a pre-application meeting with the Grant team. If no, please email affordablehousingprogram@halifax.ca to schedule your pre-application meeting. Your application can not be accepted until the pre-application meeting is complete. *

A copy of a signed letter or agreement confirming the property or units will be conveyed to your organization (required if the development property is not owned by your organization) *

Submission to Affordable Housing Grant Program will be reviewed by Halifax Regional Municipality staff and external representatives such as representatives from the United Way, the Canada Housing and Mortgage Corporation and Housing Nova Scotia. If you have any concerns with this please reach out to the Affordable Housing Grant Program by email: affordablehousingprogram@halifax.ca.

You are encouraged to provide any additional information you feel may complement your application. Please note HRM may request additional information during our application review process.

Please submit additional information to the Affordable Housing Grant Program by email to affordablehousingprogram@halifax.ca, be sure to include the name of your organization and project title.

In accordance with Section 485 of the Municipal Government Act (MGA), any personal information collected on this submission request form will only be used by municipal staff and, if necessary, individuals and/or organizations under service contract with the Halifax Regional Municipality for purposes relating to processing the Affordable Housing Grant Program submission forms.

If you have any questions about this form/survey, please call 311 or email contactus@311.halifax.ca