Community Improvement Plan - Heritage Grant Application

Community Improvement Plan - Heritage Grant Application
Before you fill out this application, you'll need the following:
- Owner's signed authorization form
- 11x17 concept design/drawing of proposed improvements
- A front elevation photo of your building
- Proposed front elevation detailed drawings
- List of what is going to be removed
- List of the proposed additions – new specifications
- Ensure you've read the Heritage Grant information package
Please Note: The Community Improvement Plan application must be submitted and approved before any work begins on your improvement project.
Program Description
The Heritage Building Improvement Grant Program has been created to provide existing building owners/building operators with a financial incentive to improve the appearance of existing heritage building façades. All applications for this grant program will be considered subject to the availability of funding. Program eligibility will be determined by staff, in consultation with the Economic Development Committee and Executive Committee of the Business Improvement Area.

Grants approved under this program would be provided to property owners/business operators following the submission of the final invoices for the renovation work completed, indicating that the suppliers/contractors have been paid in full.

Eligibility for heritage building improvements includes general work that conserves or enhances designated attributes, conservation of significant exterior architectural features, Recreation of documented historical features, exterior painting in documented historical colours, Structural Repairs, Architectural and/or Engineering Services, Introduction of elements to protect heritage features, Historical landscaping projects and additional heritage improvements as approved by the Town and EDC.

The grants will be up to $5,000 or 50 percent of the cost of the renovation, whichever is less.

Program Requirements
All building owners/business operators who are members in good standing of the Business Improvement Area are eligible to apply for funding under this grant program, subject to the following requirements, and the availability of funding as approved by Council:
1. Any property owner/business operator wishing to be considered for a grant under this program must complete and submit a Heritage Building Improvement Grant Application Form to the Town, including a design concept and colour scheme, prior to the start of the project.
2. Business operators are eligible to apply for a Heritage Building Improvement Grant only if they can provide written consent to conduct the improvements from the owner of the property.
3. The heritage building improvement must conform to any design guidelines approved by the Town.
4. The subject property shall not be in a position of tax arrears. All taxes owing shall be paid or cancelled, prior to the disbursement of any grant money.
  
  Note: Applicants may apply to one or more of the grant programs to the maximum allowable amount and on the basis of matching funds.
Date/Time
A. Applicant Information
Name of Registered Property Owner *

First Name Last Name
If Corporation Name or Signing Officer

First Name Last Name

Address *

Street Address
Street Address
Municipality	Province
Postal	Country

Phone Number *

Area Code Phone Number
Email *
example@example.com
Name of Applicant (if different from the Registered Property Owner)

First Name Last Name

Address

Street Address
Street Address Line 2
Municipality	Province
Postal Code	Country

Phone Number

Area Code Phone Number
Email
example@example.com
Is there an Agent? *

Yes No
Name of Agent

First Name Last Name

Address

Street Address
Street Address Line 2
Municipality	Province
Postal Code	Country

Phone Number

Area Code Phone Number
Email
example@example.com
Is there a Solicitor? *

Yes No
Solicitor Name

First Name Last Name

Address

Street Address
Street Address Line 2
Municipality	Province
Postal Code	Country

Phone Number

Area Code Phone Number
Email
example@example.com

Incentives

Please indicate any other CIP programs you have received from the Town for the subject property:

	Grant	Date	Amount Received ($)
Facade Improvement
Heritage Building Improvement
Landscape
Accessibility

B. Property Information

Municipal Address of Property *

Street Address
Street Address Line 2
Municipality	Province
Postal Code	Country

Assessment Roll Number *
Legal Description of Property (Lot and Plan Numbers) *
Existing Property Use *
Is the property designated under Part IV of the Ontario Heritage Act or listed on the Town of Georgina's Heritage Register? *

Yes No
Are property taxes paid in full on this property? *

Yes No
Are there any outstanding work orders on this property? *

Yes No
Size of property in acres: *
Size of property in hectares: *
Existing Buildings on Property? *

Yes No
If you answered "Yes", specify building size below.
Building 1 (sq.ft.)
Building 2 (sq.ft.)
Building 3 (sq.ft.)

C. Project Description
(i) Please describe the heritage building maintenance and improvement works that are eligible for the matching grant. *
(ii) Cost Summary: Eligible Heritage Building and Improvement Works (please attach two detailed cost estimates from bona fide contactors for work to be performed).

Type of Improvement/Construction: *

	Cost Estimate 1( $)	Cost Estimate 2 ($)
a. Eligible Interior and Exterior Building Maintenance and Improvement Works (insert lowest cost estimate).
b. Other sources of government funding? (Includes: Federal, Provincial, Municipal, Municipal Heritage Committee, CMHC)
c. Total eligible costs (a and b)
d. Amount of grant applied for (0.5 multiplied by cost item c above) to the permitted maximum identified in the program description section on page one.

*Include cost before taxes.
Upload cost estimates *

Browse Files

Cancel of
(iii) Construction Schedule

Construction of all works must commence within six months of approval and be completed within two (2) years of application approval.
Approximate start date of construction: *

Month Day Year Date Picker Icon
Approximate end date of construction: *

Month Day Year Date Picker Icon

D. Property Indebtedness

(i)Property Taxes and BIA Levies *

	Annual Amount Levied	Amount in Arrears
Property Taxes
BIA Levies

(ii) Other encumbrances (e.g., liens, covenants, judgments)
(iii) Credit Check

The Town of Georgina reserves the right to conduct credit checks as it deems necessary. Please provide the following information.
Full Name of Registered Property Owner: *

First Name Last Name
Date of Birth *

Month Day Year
Social Insurance Number (optional)

Current Home Address of Owner *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E. Supporting Documents
One 11x17 concept design/drawing of proposed improvement *

Browse Files

Cancel of
One front elevation photo of your building *

Browse Files

Cancel of
Proposed front elevation detailed drawings *

Browse Files

Cancel of
List of what is going to be removed *
List of the proposed additions - new specifications *

F. Authorization
Owner's signed authorization form
Upload authorization document

Browse Files

Cancel of
If an agent is authorized above, all correspondance will be sent to the authorized agent. If no agent is authorized above, all correspondance will be sent to the Applicant.

G. Sworn Declaration

Sworn Declaration *


I/WE HEREBY APPLY for a grant under this program.
I/WE HEREBY AGREE to abide by the terms and conditions of the grant program.
I/WE HEREBY AGREE to enter into a grant agreement with the Town of Georgina that specifies the terms and conditions of the grant.
I/WE HEREBY CERTIFY that the information contained in this application is true, correct and complete in every respect and may be verified by the Town by such inquiry as it deems appropriate, including inspection of the property for which this application is being made.
I/WE HEREBY GRANT permission to the Town, or its agents, to inspect my/our property that is subject of this application.
I/WE HEREBY AGREE that if any statements or information in this application or submitted in support of this application are untrue, misleading or there is a material omission, the application may be rejected or not approved, or the grant may be delayed, reduced, cancelled or repayment may be required.
I/WE HEREBY AGREE that the grant may be delayed, reduced or cancelled if the work is not completed, not completed as approved, not completed within one year time frame or if the contractors are not paid.
I/WE HEREBY AGREE the program for which application has been made herein is subject to cancellation and/or change at any time by the Town in its sole discretion, subject to the terms and conditions specified in the Program. Participants in the program whose application has been approved and have entered into a grant agreement with the Town will continue to receive their grant, subject to their grant agreement.
I/WE HEREBY AGREE all grants will be calculated and awarded in the sole discretion of the Town. Notwithstanding any representation by or on behalf of the Town, or any statement contained in the program, no right to any grant arises until it has been duly authorized, subject to the applicant meeting the terms and conditions of the program and the grant agreement. The Town is not responsible for any costs incurred by the Owner/Applicant in any way relating to the program, including, without limitation, costs incurred in anticipation of a grant.

Date
Name of Owner or Authorized Agent *

First Name Last Name
Name of Witness *

First Name Last Name
Please Note: The Community Improvement Plan application must be submitted and approved before any work begins on your improvement project.
Email address you would like to send a copy of this application to: *
example@example.com
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm