Ensure that the application is legible; please print in ink or type information onto form.
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1 GENERAL INSTRUCTIONS Submit 3 copies of each application. Keep a 4 th copy for your records Attach 3 copies of all supporting documentation. For example: Specifications of the proposed project, including good quality plans, drawings and studies (make sure to include colours and fabrication method for signage applications). A complete copy of the deed to the subject property. Quality photographs of all the existing building conditions. Historical photographs and or drawings. Two (2) cost estimates for the eligible work provided by licensed contractors. Any additional requirements as determined by the specific grant or loan. Ensure that the application has been signed by the property owner or authorized agent Ensure that the application is legible; please print in ink or type information onto form. Submit your application in person or by mail to: CIP Coordinator / Planning & Dev. Department Town of Bracebridge, 1000 Taylor Court, Bracebridge, ON P1L 1R6 APPLICANT AND AGENT Name of Registered Owner: Date: If Corporation, Name of Signing Officer: Mailing Address of Owner: City: Province: Postal Code Telephone: (day) (mobile) Fax: Name of Agent (if applicable): Mailing Address of Agent: Postal Code: Telephone: (day) (mobile) Fax: 1
2 PROPERTY INFORMATION Address of Subject Property: Postal Code: Legal Description (Lot and Plan No.): Roll Number(s): Property Use: Ground Floor Second Floor Third Floor Existing Use: Proposed Use: Are property taxes for the subject property paid to date? Yes No Are there outstanding orders registered against the subject property? Yes No Are there any outstanding violations under the Fire Code? Yes No Have CIP grants previously been received from the Town for the subject property? Yes No If yes, please describe including total amount of grants: INCENTIVE PROGRAM CHECKLIST Please place a check next to the program(s) that you are applying for: Development Charge Grant (complete Section A) Tax Increment Grant (complete Section B) Façade Improvement Grant/Loan (complete Section C) Signage Improvement Grant (complete Section D) Development Charge Grant for Design Elements Program (complete Section E) Housing Improvement Grant /Loan (2014 only) (complete Section F) Building Rehabilitation Grant/Loan (2014 only) (complete Section G) All applications should be accompanied by: A copy of your building application if applicable (NOTE: this includes site plan and drawings related to the proposed project) MPAC Assessment Notice A copy of your most recent Final Tax Bill (stamped paid) Photographs of before and sketches of proposed work to be completed (where applicable) 2
3 AUTHORIZATION (if applicable) If this application is to be signed by an agent or solicitor on behalf of the property owner(s), complete this section. If the property is in joint ownership, each individual signature is required. If the applicant is a corporation, an officer of the corporation shall sign the application and the corporation s seal shall be affixed. I (the Owner) hereby authorize my solicitor/agent to act on my behalf in regard to the above application. Dated at the this day of,. Location: ie. Town of Date Month Year Owner(s) Signature: APPLICATION AGREEMENT I/We hereby apply for a grant and/or loan under this program and agree to abide by the terms and conditions of the program. Without limiting any of the foregoing, I/we understand that the grant and/or loan may be reduced or cancelled if the work is not completed as approved, or if the contractors are not paid. I/We agree to the terms and conditions of the grant and/or loan repayment provisions. I/We hereby certify that the information given herein is true, correct and complete in every respect and understand that the Town reserves the right to verify any information contained herein. I/We, the undersigned, agree that the completed improvements are subject to inspection by Town Officials and will be carried out in accordance with the requirements of the grant and/or loan programs, the Building Code, Fire code and other applicable Town of Bracebridge by-laws. Signature of Registered Owner(s): Date: OR Date: Signature of Authorized Signing Officer of the Corporation: Title: I/We have the authority to bind the corporation. Witness Signature: Date: Print Name: 3
4 DEVELOPMENT CHARGE GRANT PROGRAM SECTION A: DEVELOPMENT CHARGE GRANT PROGRAM Assessment Roll Number(s): Size of Property (acres): Existing Buildings on Property? Yes No Building 1 Sq. M. Building 2 Sq. M. Building 3 Sq. M. NOTE: Please list any additional buildings on a separate sheet Annual Tax Levy $ Year: Is this an addition to an existing building: Yes No Municipal Development Charges paid: $ $
5 TAX INCREMENT GRANT PROGRAM SECTION B: TAX INCREMENT GRANT PROGRAM Assessment Roll No(s): Project Description: Please provide details on the work to be completed: Existing Buildings on Property? Yes No Building 1 Sq. M. Building 2 Sq. M. Building 3 Sq. M. NOTE: Please list any additional buildings on a separate sheet Project Investment: $ Projected Expenses: $ Capital Costs: $ Value of Land acquisition: $ Value of site preparation: $ Value of site construction of new facility or upgrade to exiting facility: $ TOTAL: $ Current Assessed Value of Property: $ Current Property Taxes: $ Current Property Taxes paid annually: $
6 FAÇADE IMPROVEMENT GRANT/LOAN PROGRAM SECTION: C FAÇADE IMPROVEMENT GRANT/LOAN PROGRAM Eligible Façade Improvement Cost Estimate 1* Cost Estimate 2* *Estimates should reflect amount before HST Identify Contractors used for each Cost Estimate: Cost Estimate #1: Cost Estimate #2: I am requesting a Grant. Yes No I am requesting a Loan. Yes No Construction Schedule: Approximate date of commencement: Approximate date of completion: 8 Copies of both written estimates Before photo of the façade along with a sketch of the new façade being proposed. Be sure to include all colours planned for this project
7 SIGNAGE IMPROVEMENT GRANT PROGRAM SECTION D: SIGNAGE IMPROVEMENT GRANT PROGRAM Eligible Signage Improvement Cost Estimate 1* Cost Estimate 2* *estimates should reflect amount before HST Identify Contractors used for each Cost Estimate: Cost Estimate #1: Cost Estimate #2: Construction Schedule: Approximate date of commencement: Approximate date of completion: Copies of both written estimates Mockup of proposed sign including colours and method of fabrication) Photo of existing sign if applicable
8 DEVELOPMENT CHARGE GRANT FOR DESIGN ELEMENTS SECTION E: DEVELOPMENT CHARGE GRANT FOR DESIGN ELEMENTS Project Description: Please provide details on the work to be completed: Please itemize Muskoka elements incorporated in to your design and the estimated cost of each element: 1. $ 2. $ 3. $ 4. $ 5. $ TOTAL $ Municipal Development Charges paid: $ Attach designs and drawings highlighting Muskoka element to be incorporated
9 HOUSING REHABILITATION GRANT/LOAN PROGRAM SECTION F: HOUSING REHABILITATION GRANT/LOAN Assessment Roll No(s): (2014 ONLY) Number of residential units prior to project: Number of residential units created as a result of project: I am requesting a Grant. Yes No I am requesting a Loan. Yes No Project Description: Please provide details on the work to be completed:
10 BUILDING IMPROVEMENT GRANT/LOAN PROGRAM SECTION G: BUILDING IMPROVEMENT GRANT/LOAN Assessment Roll No(s): (2104 0NLY) Project Description: Please provide details on the work to be completed: I am requesting a Grant. Yes No I am requesting a Loan. Yes No Please itemize the types of improvements that are proposed for this building and the estimates for each improvement: 1. $ 2. $ 3. $ 4. $ 5. $ 6. $ 7. $ TOTAL $
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