Heritage at Wake Senior

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    Check all that apply:

    Federal Low Income Housing Tax Credit

    State Low Income Housing Tax Credit

    Tax Exempt Bonds

    Rental Production Program (RPP) Loan

    Requested RPP Loan Amount:RPP Loan Product Requested:

    Print Preview - Final Application

    Tax Credits, RPP Loans, and/or Tax Exempt Bond Loans

    Resources Requested

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    Is project in Qualified Census Tract & Difficult to Develop area:

    Project Name and Location

    Project Name: Heritage at Wake Forest Senior Apartments

    Address: Rogers Road

    City: Wake Forest County: Wake Zip: 27588

    Census Tract: 542.01 Block Group: 1 Block 1024

    No

    Political Jurisdiction: Town of Wake Forest

    Jurisdiction CEO Name: First: Last:Vivian Jones Title: Mayor

    Jurisdiction Address: 401 Elm Avenue

    Jurisdiction City: Wake Forest Zip: 27587

    Jurisdiction Phone: (704)554-6190

    Site Latitude: 35.9520

    Site Longitude: -78.5187

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    Is this project a follow-on (Phase II, etc) to a previously-awarded tax credit development project?

    If yes, list names of previous phase(s):If yes, list names of previous phase(s):

    Will the project be receiving federal rental assistance?

    If yes, provide the subsidy source:If yes, provide the subsidy source: and number of units:and number of units:

    Target Population: Elderly (55)

    Indicate below any additional targeting for special populations proposed for this project:

    Square Footage Information

    Project Description

    Project Type:* New Construction Rehab Adaptive Reuse

    No

    No

    Mobility impaired handicapped: 5% of units comply with QAP Section IV(F)(3) (in addition to other federal and staterequirements)

    Persons with disabilities or homeless populations: the greater of 5 units or 10% of the total units

    Remarks: A total of 5 one-bedroom and 7 two-bedroom units will be constructed for occupancy priority forseniors with disabilities. An agreement with the Raleigh Housing Authority (attached) outlines theprocess by which disabled seniors with housing support will be referred to Heritage. A separateagreement with Resources for Seniors, Inc. of Raleigh, as the lead agency, (also attached) details

    the services to be provided to all residents of Heritage, and in particular to disabled residents, andthe estimated cost of those services. One of the one-bedroom and two of the two-bedroom units(included in the total of twelve units referenced above) will also be designed for seniors with hearingand sight disabilities.

    Proposed number of residential buildings: 17 Maximum number of stories in buildings: 1

    Types of Units:* Townhouse Duplex Garden Apartment Detached Single-Family

    Project Includes:Separate community building -- Sq. Ft. (Floor Area):Sq. Ft. (Floor Area): 4,0004,000

    Community space within residential bulding(s) -- Sq. Ft. (Floor Area):Sq. Ft. (Floor Area):

    Elevators -- Number of Elevators:Number of Elevators:

    Gross Floor Square Footage: 101,500

    Total Net Sq. Ft. (All Heated Areas): 101,500

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    Applicant Information

    Applicant Name: First Centrum, LLC

    Address: 21400 Ridgetop Circle, Suite 250

    City: State: VA Zip:Sterling 20166

    Contact: First: Last: Title:Weshinskey Mark President

    Telephone: (703)406-3471

    Alt Phone:

    Fax: (703)406-3474

    Email Address: [email protected]

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    Total Site Acreage: Total Buildable Acreage:

    If buildable acreage is less than total acreage, please explain:

    Identify utilities and services currently available (and with adequate capacity) for this site:

    Storm Sewer Water Sanitary Sewer Electric

    Is the demolition of any buildings required or planned?

    If yes, please describe:

    Are existing buildings on the site currently occupied?

    If yes:(a) Briefly describe the situation:

    (b) Will tenant displacement be temporary?

    (c) Will tenant displacement be permanent?

    Is the site in a distressed neighborhood?

    If yes, does a community revitalization plan exist?

    Is the site directly accessed by an existing, paved, publicly maintained road?

    If no, please explain:

    Is any portion of the site located inside the 100 year floodplain?

    If yes:(a) Describe placement of project buildings in relation to this area:

    Site Description

    13.62 13.62

    No

    No

    No

    No

    An affiliate of the Seller, the Ammons Development Company, has entered into a contract with thePurchaser to construct a 26 foot wide road within a 60 foot wide public right-of-way. The road willextend 250 feet from existing Rogers Road, which is the main entrance into Heritage, to the site,and 150 feet into the site. Ammons Development will also construct sanitary sewer and water mainsto the site.

    The installation of public improvements by the Seller is a condition of the Purchase and Sale

    Agreement. Ammons has the obligation to finish these improvements prior to land closing.

    Electric will be brought to the site from Rogers Road by Wake Electric Corporation.

    No

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    (b) Describe flood mitigation if the project is in the East Region and will have improvements within the 100 year floodplain:

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    Does the owner have fee simple ownership of the property (site/buildings)?

    If yes provide:

    Purchase Date: Purchase Price:

    If no:

    Site Control

    No

    (a) Does the owner/principal or ownership entity have vaild option/contract to purchase the property? Yes

    (b) Does an identity of interest (direct or indirect) exist between the owner/principal or ownership entity with the option/contract for

    purchase of the property and the seller of the property?If yes, specify the relationship:

    No

    (c) Enter the current expiration date of the option/contract to purchase: 12/31/2003

    (D) Enter Purchase Price: 1,009,600

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    Present zoning classification of the site:

    Is mutifamily use permitted?

    Are variances, special or conditional use permits or any other item requiring a public hearing needed to develop this proposal?

    If yes, have the hearings been completed and permits been obtained?

    If yes, specify permit or variance required and date obtained. If no, describe permits/variances required and schedule for obtainingthem:

    Is a public hearing of any kind required in the future for you to fully develop this property?

    If yes, describe the nature of the hearing and when you expect the hearing will be held:

    Are there any existing conditions of historical significance located on the project site that will require State Historic Preservation office review?

    If yes, describe below:

    Are there any existing conditions of environmental significance located on the project site?

    If yes, describe below:

    Zoning

    MF (Multi-Family)

    Yes

    Yes

    Yes

    A Special Use Permit is required to develop this property. The Special Use Permit was approved bythe Town Council in June 2003.

    Yes

    Please see above response.

    No

    No

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    [email protected] 54-1791190

    Org: Third Centrum of Virginia, Inc.

    First Name: Mark Last Name: Weshinskey Function: Corp Principal

    Address: 21400 Ridgetop Circle, Suite 250

    City: Sterling State: VA Zip: 20166

    Phone: (703)406-3471 Fax: (703)406-3474

    EMail: [email protected] Nonprofit: No TaxID 54-2022195

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    List each applicable unit mix combination in a separate row below. Click [Add] to create another row. Click "X" (at the left of each row) todelete a row.

    Low Income Units

    Market Rate Units

    Statistics

    Notes

    Unit Mix

    Type # BRs Net Sq.Ft.Total

    # Units#Units

    MonthlyRent

    UtilityAllowance

    MandatoryServ. Fees

    **TotalHousing Exp.

    Gdn Apt 1 616 2 0 531 137 668

    Gdn Apt 1 616 18 0 649 137 786

    Gdn Apt 2 802 10 0 658 144 802

    Gdn Apt 2 802 90 0 795 144 939

    Utilites included in rents: Water/Sewer Electric Gas Other Trash Removal

    Type # BRs Net Sq.Ft.Total

    # Units#Units

    MonthlyRent

    UtilityAllowance

    MandatoryServ. Fees

    **TotalHousing Exp.

    Utilites included in rents: Water/Sewer Electric Gas Other

    AllUnits

    Units

    Gross MonthlyRental Income

    Low Income....... 120 0 90874

    Market Rate.......

    Totals............... 120 0 90874

    * Paint-to-Paint Square Footage

    ** Please refer to the Income Limits and Maximum Housing Expense Table to ensure that Total Monthly Tenant Expenses for low incomeunits are within established thresholds.

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    Estimated pricing on sale of Federal Tax Credits: $0.

    Remarks concerning project funding sources:(Please be sure to include the name of the funding source(s))

    Funding Sources

    Source AmountNon-

    Amortizing*Rate(%)

    Term(Years)

    Amort.Period(Years)

    AnnualDebt

    Service

    Bank Loan

    RPP LoanLocal Gov. Loan - Specify:

    RD Loan

    AHP Loan

    Other Loan 1 - Specify:

    Other Loan 2 - Specify:

    Other Loan 3 - Specify:

    Tax Exempt Bonds 8,075,000 5.577 30 30 554,877

    State Tax Credit(Loan) 0 30 30 0

    State Tax Credit(Direct Refund)

    Equity: Federal LIHTC 2,188,494

    Non-Repayable Grant

    Equity: Historic Tax Credits

    Deferred Developer Fees 359,738

    Owner Investment

    Other - Specify:

    Total Sources** 10,623,232

    * "Non-amortizing" indicates that the loan does not have a fixed annual debt service. For these items, you must fill in 20-year debt servicebelow.

    ** Total Sources must equal total replacement cost in Project Development Cost (PDC) section.

    78

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    Comments:

    45 Operating Reserve 312,523

    46 Other Reserve - Reserve for Subsidy of Disabled Units 150,000

    47 Other Reserve (specify)

    48 DEVELOPMENT COST (lines 1-47) 9,613,632 8,251,123 0

    49 Less Federal Financing

    50 Less Disproportionate Standard

    51 Less Nonqualified Nonrecourse Financing

    52 Less Historic Tax Credit (residential) 0

    53 TOTAL ELIGIBLE BASIS 8,251,123 8,251,123 0

    54 Times Applicable Fraction 100.00% 100% 100%

    55 TOTAL QUALIFIED BASIS 8,251,123 8,251,123 0

    56 Tax Credit Rate 3.37% 0.00%

    57 FEDERAL TAX CREDITS at Estimated Rate 278,062 278,062 0

    57a FEDERAL TAX CREDITS at 8.5% or 3.75% 309,417 309,417 0

    58 FEDERAL TAX CREDITS REQUESTED 277,896 277,896

    59 STATE TAX CREDITS

    60 Land Cost 1,009,600

    61 TOTAL REPLACEMENT COST 10,623,232

    We have included "Line 39 - Other Basis Expense" items in the calculation of the Developer Fee.

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    Please provide a detailed description of the proposed project:

    Construction (check all that apply):

    Brick Vinyl Wood HardiPlank Balconies/Patios Sunrooms Front Porches

    Front Gables or Dormers Wide Banding or Vertical/Horizontal Siding

    Other:

    Have you built other tax credit developments that use the same building design as this project?

    If yes, please provide name and address:

    Site Amenities (check all that apply):

    Market Study Information

    The Heritage at Wake Forest Senior Apartments will consist of 120 one and two bedroom apartmentunits grouped in single-story buildings with direct entries for residents. The community will alsoinclude a 4,000 square foot resident community center located at the front of the site. There will be atotal of 20 one-bedroom and 100 two-bedroom units in the community.

    The subject property consists of 13.62 acres of gently sloping terrain located 250 feet south ofRogers Road, which is the main entrance into the Heritage planned community in Wake Forest.Heritage is an 1,100 acre mixed-use community that includes a variety of residential, commercial,retail and office uses along with an 18 hole golf course and swim and tennis club.

    Each residential building will feature an exterior of brick and HardiPlank siding with a 6 in 12 pitchroof. Every unit will feature a covered front entry and rear concrete patio. Each unit will feature anopen kitchen design with oven, range with front controls, frost-free refrigerator, garbage disposaland dishwasher. Sufficient space for a dining area allowing for the use of a four-seat dining roomtable will be provided.

    Each unit will have a side-by-side washer and dryer provided. The ceilings of each living room willbe vaulted with ceiling fans provided. The bathrooms will have heat lamps as an independent heatsource.

    Pantry closets will be provided in the kitchen and bathroom. A coat closet will be located adjacent tothe entrance. Each unit will have emergency pull cords in the bedrooms and bathrooms, wired to

    exterior visual and audible devices. Central air conditioning and heat will be provided by individualheat pumps. Individual electric water heaters will provide hot water to each unit.

    Parking will be generous, with one parking space per unit plus 20 additional guest spaces adjacentto the community building.

    The professionally decorated community building will feature a variety of facilities including a largecommunity room with bistro kitchen, billiards/games room, crafts room, wellness center, hair salon,laundry room, and exercise room. There will also be two management offices, men's and women'srestrooms and a maintenance office. The community building will be surrounded on three sides by awide covered veranda furnished with comfortable seating for residents.

    Common area amenities will include walking trails, a gazebo, raised resident garden area andartificial putting green.

    Each building will be wrapped in brick veneer (approximately 40% of the exterior siding) around theentire building. The elevations will feature gables over the individual entries to break up theelevations. Buildings will also be "jogged" back and forth to create visual relief. Shutters will beprovided on all buildings.

    The clubhouse will be in the tradional southern style with columns, shutters and a wide veranda.

    Yes

    Augusta Spring II1730 Sibley RoadAugusta, GA 30909

    Charlotte Spring4825 Spring TraceCharlotte, NC

    Dunlop Farms1000 Dunlop PlaceColonial Heights, VA

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    Onsite Activities:

    Landscaping Plans:

    Interior Apartment Amenities (check all that apply):

    Flooring: Carpet Vinyl Wood Wood Parquet Ceramic Tile Other

    Heating/Cooling: Central Air Gas Heat Heat Pump Electric Pump

    Do you plan to submit additional market data (market study, etc.) that you want considered?

    If yes, please make sure to include the additional information in your pre-application packet.

    Community Bldg - Sq Ft: 4,000 Community Room - Sq Ft: Garages - Number:

    Laundry Rm Screened Porch Resident Computer Center Exam Rm Reading Rm/Library

    Game/Craft Rm Exercise Rm TV Rm Beauty Salon Vending Rm

    Chapel/Prayer Rm Picnic Area Onsite Leasing Office Onsite Mgr Onsite Maint. Person

    Irrigated Lawns Security Gate Car Care Area Storage Units Gazebos

    Walking Trails Garden Spots Basketball/Tennis Court Playground Ball Field

    Pool Fitness Stations Horseshoe Pit Shuffleboard Covered Drive Thru

    Optional meals served in the community room, resident trips, dinners, games and dances, wellnessscreening, medication education services program, organization of resident association to directresident activities and establishment of a food panty with shelf-staple items for purchase byresidents. A 20 hour per week Service Coordinator will direct these and many other residentactivities. The coordination of activities is expected to be supplemented by contractual arrangementswith non-profit organizations to provide local networking with free and low-cost service and activitiesproviders.

    The site will be professionally landscaped using shrubs and trees around each building. The areaaround the clubhouse will be irrigated. An attractive lighted entry sign with seasonal landscaping willbe located at the main vehicular entrance. All downspouts will be tied into the storm drain system. Astorm water infiltration pond will be located on site and will be surrounded by attractive white vinylfencing. An artifical surfaced putting green will be located adjacent to the community building andthe gazebo.

    Range Hood Dishwasher Disposal Refrigerator (frost free) Storage interior/exterior

    W/D Hookups Mini-blinds Pantry Ceiling fans Walk-in closets

    Side-by-

    sidewashersanddryers ineach unit

    Yes

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    Briefly describe your site in each of the following categories:

    Applicant's Site Evaluation

    NEIGHBORHOOD CHARACTERISTICS

    Physical condition of buildings and improvements. Trend and direction of real estate developmentrelative to the project. Area economic health (degree of decline or investment).

    The physical condition of buildings in the neighborhood is acceptable, with a combination ofcommercial, retail and single-family uses. New construction abounds with new homes, retail andlight commercial.

    Suitability of surrounding development. Land use pattern is primarily residential with a balance ofother uses, including non-competing multifamily and single family units, relevant amenities, shoppingand services.Adjacent uses are compatible with the proposed development with a balance of other land usesincluding single family and multi-family residential, community recreation, golf course, swim andtennis club, schools, churches, grocery, pharmacy, medical offices and other retail shopping andservices.

    A new neighborhood shopping center located less than mile east of the site will include a HarrisTeeter grocery store, a CVS pharmacy and a variety of in-line retail tenants.

    SITE SUITABILITY

    Adequacy of street(s) and/or access road(s) serving the proposed project and traffic controls (lights,stop signs, turning lanes). Access to mass transit (if applicable).The site is located 250 feet south of Rogers Road, which serves as the principal vehicular entranceinto the Heritage PUD. The developer of Heritage will extend a public road from Rogers Road intothe subject property prior to settlement.

    Amount and character of vacant, undeveloped land. Effect of industrial, large-scale institutional orother incompatible uses: wastewater treatment facilities, high traffic corridors, junkyards, prisons,landfills, large swamps, distribution facilities, frequently used railroad tracks, power transmission linesand towers, factories or similar operations, sources of excessive noise, and sites with environmentalconcerns (such as odors or pollution).The site is located in the Heritage planned community, which consists of 1,065 acres and at build-out will feature 1,400 homes, a 120,000 square foot retail center, business park and three schools.Heritage of Wake Forest opened in 2001. There is new commercial, residential and retaildevelopment within mile of our proposed site. Undeveloped land zoned for all of these uses isavailable with Heritage. Heritage incorporates a championship golf course, swim and tennis club, avariety of retail, office, schools and numerous parks and greenways. A CSX railroad line is locatedto the rear of the site (not part of the site to be acquired). According to CSX, traffic on this lineaverages one train per day in each direction. The site plan shows the residential buildings set wellaway from these tracks. In addition, a buffer of mature pine trees shields the tracks visually, and willbe augmented by evergreen tree plantings as part of this project's landscaping plan.

    Degree of on-site negative features and physical barriers that will impede project construction or

    adversely affect future tenants; for example: power transmission lines and towers, flood hazards,steep slopes, large boulders, ravines, year-round streams, wetlands, and other similar features. Foradaptive re-use projects- suitability for residential use and difficulties posed by the building(s), suchas limited parking, environmental problems or the need for excessive demolition.None

    Similarity of scale and aesthetics/architecture between project and surroundings.

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    For each applicable neighborhood feature, enter distance from project in miles.

    Other facilities or services:

    Residential and multi-family residential buildings in Heritage are governed by the same architecturalstandards that apply to our project. No vinyl or aluminum siding may be used in Heritage. Thesubject project will consist of brick and Hardiboard siding with shutters and 6/12 pitch roofs. Thisarchitectural look complements the existing residential and commercial product within Heritage.

    Concentration of affordable housing (housing credit, project-based rental assistance, public housing).There are no other competitive publicly assisted rental developments within mile of the proposeddevelopment.

    Availability of Supportive Services (if applicable):

    Grocery Store1.2 Community/Senior Center1

    Mall/Strip Center1.2 Hospital2

    Outdoor Athletic Fields.5 Pharmacy1

    Day Care/After School Basic Health Care1

    Schools.5 Medical Offices1

    Public Transportation Stop5.5 Bank/Credit Union1.2

    Convenience Store.75 Restaurants1.5Basketball/Tennis Courts.5 Professional Services1

    Public Parks.5 Movie Theater1.5

    Gas Station.75 Video Rental1

    Library1.5 Public Safety (Fire/Police)1

    Fitness/Nature Trails.5 Post Office1

    Public Swimming Pools1.75

    A new 120,000 square foot Harris Teeter anchored shopping center with a CVS pharmacy is underconstruction and scheduled to open in the fall of 2003. This facility is located 2,500 feet east of thesubject property on Rogers Road.

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    Financing Commitments

    Does the project have a firm commitment for construction financing? Yes

    Does the project have a letter of intent for private permenant financing? Yes

    Does the project have a firm commitment for government financing? No

    Does the project have a letter of intent from an investor? Yes

    Is any portion of the eligible basis of new contruction or rehabilitation financed with federal subsidies other than CDBG funds or fundsfrom the HOME program? Yes

    If yes, indicate the type and amount below:

    Tax Exempt Financing: $ 8076000

    RD 515 Financing: $

    Hope VI Financing: $

    Other: $

    If Other, specify the type of Federal subsidy:

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    Project Operations (Year One)

    Projected Operating Costs

    Administrative Expenses

    Advertising 12,000

    Other Administrative Expense (specify):

    Office Salaries 17,680Office Supplies 12,000

    Office or Model Apartment Rent

    Management Fee 40,834

    Manager or Superintendent Salaries 38,000

    Manager or Superintendent Rent Free Unit

    Legal Expenses (Project) 500

    Auditing Expenses (Project) 5,500

    Bookkeeping Fees/Accounting Services

    Telephone and Answering Service 4,000

    Bad Debts

    Other Administrative Expenses (specify):4,750

    SUBTOTAL 135,264

    Utilities Expense

    Fuel Oil

    Electricity (Light and Misc. Power) 12,580

    Water 765

    Gas

    Sewer 643

    SUBTOTAL 13,988

    Operating and Maintenance Expenses

    Janitor and Cleaning Payroll 43,200

    Janitor and Cleaning Supplies 2,000

    Janitor and Cleaning Contract

    Exterminating Payroll/Contract 1,000

    Exterminating Supplies

    Garbage and Trash Removal 1,950

    Security Payroll/Contract

    Grounds Payroll

    Grounds Supplies

    Grounds Contract 12,000

    Repairs Payroll

    Repairs Material 6,000

    Repairs Contract

    Elevator Maintenance/Contract

    Heating/Cooling Repairs and Maintenance

    Swimming Pool Maintenance/Contract

    Snow Removal

    Decorating Payroll/Contract

    Decorating Supplies 6,000

    Other (specify):

    Miscellaneous Operating & Maintenance Expenses

    SUBTOTAL 72,150

    Taxes and Insurance

    Real Estate Taxes 63,000

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    Design Features

    ITEM DESCRIPTION

    Foundation/Slab Components Concrete Slab on Grade

    Primary Windows Make: Model:Superseal 1100 Series or Equal Type/Construction: Vinyl Single Hung

    Exterior DoorsType: Frames:

    Hollow Metal 9 PanelDoor Hollow Metal

    Siding

    Type: Grade/Thickness:

    Hardi Plank BeadedSmooth Siding, 8 1/4"Wide with HardShingle StaggardEdge Panel Siding 1/4-5/16"

    Warranty: 50 Year Limited, Transferable Product Warranty

    Exterior Trim 7/16" Hardi Trim Planks, Rustic Grain

    ShinglesType: Weight:Certainteed

    225 lbs. PerSquare

    Warranty: 25 Year

    Sprinkler System Per Local Code

    Cabinets Mid Continent Cabinets or Equal, KCMA Approved-Raised Panel with Brass "U" Shape Pull

    Heat PumpSEER: Make:

    Combined 11.0 SEERAverage with Other HeatSystems Carrier

    Model: 38 AYC

    Air Conditioner SEER: Make:

    Model:

    Other Heat Systems SEER: Make: 1st Company

    Model: 24 MBX

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    This is a detailed breakdown of rehabilitation or construction costs you summarized in the Development Costs table (Rehabilitation andConstruction of New Building(s)). The total should match those roll-up values.

    Costs - Construction

    ITEM LABOR MATERIAL TOTAL

    Concrete Footings 45,000 100,000 145,000

    Backfill-slab, Crawl 13,000 2,000 15,000

    Slab-concrete/Rebar/Gravel 60,000 180,000 240,000

    Waterproofing 0 0 0

    Masonry Foundation 0 0 0

    Brick Veneer 65,000 120,000 185,000

    Steel/Structure/Rails 0 0 0

    Framing/Lumber/Nails 314,670 408,000 722,670

    Trusses 40,000 155,000 195,000

    Crane Rental 0 0 0

    Windows/Grilles/Screen 6,000 40,000 46,000Exterior Doors 5,000 30,000 35,000

    Roofing 32,000 70,000 102,000

    Fencing 0 0 0

    Vinyl Siding/Trim/Box 65,000 145,000 210,000

    Gutters/Shutters 4,000 10,000 14,000

    Insulation 7,000 58,000 65,000

    Drywall 140,000 200,000 340,000

    Interior Doors 3,000 24,500 27,500

    Int. & Final/Stair/Trim/Shelves 50,000 60,000 110,000

    Cabinets & Tops 15,000 103,500 118,500

    Painting 50,400 20,000 70,400

    Marble - Tub/Shwr/Tops 0 0 0

    Plumbing 210,000 170,000 380,000

    Electrical 120,000 140,000 260,000

    Heating/Air Conditioning 195,000 185,000 380,000

    Floor Covering and Underlayment 30,000 85,000 115,000

    Wall Paper 2,500 2,500 5,000

    Mailboxes/Special Features/Signage 1,000 8,000 9,000

    Gypcrete 0 0 0

    Blinds/Shades/Art Work 800 4,000 4,800

    Light Fixtures/Fans 15,000 50,000 65,000

    Sprinkler System 0 0 0

    Security Alarm 5,000 6,500 11,500

    Hardwood Floors 0 0 0

    Elevator 0 0 0

    Ceramic Tiles 0 0 0

    Acoustical Ceilings 0 0 0

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    Remarks:

    Mirror/Shower Door/Encls. 480 2,400 2,880

    Hardware/Bath Access. 1,000 3,000 4,000

    Appliances 4,000 100,000 104,000

    Playground Equipment 0 0 0

    Interior Clean 11,500 500 12,000

    Exterior Clean/Dumpster 0 0 0

    Other 1 (specify in Remarks) 0 0 0

    Other 2 (specify in Remarks) 0 0 0

    Total Cost 1,511,350 2,482,900 3,994,250

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    This is a detailed breakdown of the General Requirements cost element you summarized in the Development Costs table (GeneralRequirements). The total should match that roll-up value.

    Remarks:

    Costs - General

    ITEM TOTAL

    Supervision 145,000

    Job Site Office/Trailer Rental 4,500

    Impact Fees 0

    Office Supplies 4,000

    Security/Watchman 0

    Water and Sewer Connection Fees 41,275

    Project Signage 1,000

    Tools and Equipment 10,000

    Gas, Oil, and Maintenance 8,000

    Cleanup/Dumpster Rental 24,000

    Temporary Water, Electric, and Telephone 26,000Storage/Hauling 1,000

    Driveway Access Permit 0

    Porta-John Rental/Dumping 2,800

    Builders Risk Insurance 0

    Re-inspection Fees 0

    Extra Plans and Specifications 5,000

    Miscellaneous, Casual Labor 22,000

    Equipment Rental 10,000

    Other 1 (specify in Remarks)

    Other 2 (specify in Remarks)

    Total Cost 304,575

    Builders Risk Insurance to be paid by Owner.

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    This is a detailed breakdown of the Site Improvements cost element you summarized in the Development Costs table (On-siteImprovements). The total should match that roll-up value.

    Remarks:

    Costs - Improvements

    ITEM TOTAL

    Subsurface Exploration/Perk Testing/Site Engineering 145,000

    Clearing/Grading/Final Grading/Excess and Borrow 168,000

    Demolition 0

    Earthwork/Excavation/Aerating 170,000

    Soil Treatment 24,100

    Pile Foundations 0

    Caissons 0

    Shoring/Bracing 0

    Site Drainage 115,000

    Site Utilities/Site Lighting 175,000

    Paving and Surfacing/Curb and Gutter 185,000Walkways 45,000

    Site Signage 2,500

    Parking Lot Painting 3,200

    Dumpsite Pads/Fencing 9,200

    Fencing/Gates 0

    Landscaping/Topsoil 130,000

    Waterproofing/De-Watering 0

    Operation of Construction Equipment/Fuel/Oil 0

    Crane Rental 0

    Rock and Hardpan Excavation 0

    Site Supervision Personnel 0

    Other (specify in Remarks) 78,000

    Total Cost 1,250,000

    Mechanical, electrical, plumbing and structural engineering

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    This is a detailed breakdown of the Bond Issuance cost element you summarized in the Development Costs table (Cost of Issuance). Thetotal should match that roll-up value.

    Remarks:

    Costs - Bond Issuance

    ITEM TOTAL

    Bond Counsel 35,000

    Issuer Counsel

    Credit Enhancement/LOC Counsel 60,000

    Underwriter Counsel 22,500

    Developer's Counsel 30,000

    Rating Agency Fee 20,000

    Printing 3,000

    Trustee Fee 3,500

    Trustee Counsel

    Other 1 (specify in Remarks) 24,228

    Other 2 (specify in Remarks) 80,760Other 3 (specify in Remarks) 500

    Total Cost 279,488

    Other 1 - NCHFA Allocation FeeOther 2 - Issuer FeeOther 3 - Fiscal Agent expenses

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    MINIMUM REQUIRED SET ASIDES (No Points Awarded):

    Minimum Set-Asides

    Select one of the following two options:

    20% of the qualified units are rent restricted and occupied by households with incomes at or below 50% of the median income (Note:No Tax Credit Eligble Units in the the project can exceed 50% of median income)

    40% of the qualified units are rent restricted and occupied by households with incomes at or below 60% of the median income (Note:No Tax Credit Eligble Units in the the project can exceed 60% of median income)

    If requesting RPP funds:

    40% of the qualified unit are occupied by households with incomes at or below 50% of median income.

    State Tax Credit and QAP Targeting Points:

    High Income county:

    At least twenty-five percent (25%) of qualified units will be affordable to households with incomes at or below thirty percent (30%) ofcounty median income.

    At least twenty-five percent (25%) of qualified units will be affordable to and occupied by households with incomes at or below thirtypercent (30%) of county median income.

    At least fifty percent (50%) of qualified units will be affordable to households with incomes at or below forty percent (40%) of countymedian income.

    At least fifty percent (50%) of qualified units will be affordable to and occupied by households with incomes at or below forty percent(40%) of county median income.

    Moderate Income County:

    At least twenty-five percent (25%) of qualified units will be affordable to and occupied by households with incomes at or below fortypercent (40%) of county median income.

    At least fifty percent (50%) of qualified units will be affordable to households with incomes at or below fifty percent (50%) of county

    median income.At least fifty percent (50%) of qualified units will be affordable to and occupied by households with incomes at or below fifty percent(50%) of county median income.

    Low Income County:

    At least forty percent (40%) of qualified units will be affordable to households with incomes at or below fifty percent (50%) of countymedian income.

    At least forty percent (40%) of qualified units will be affordable to and occupied by households with incomes at or below fifty percent(50%) of county median income.

    Tax Exempt Bonds

    Threshold requirement (select one):

    At least ten percent (10%) of qualified units will be affordable to and occupied by households with incomes at or below fifty percent

    (50%) of county median income.

    At least five percent (5%) of qualified units will be affordable to and occupied by households with incomes at or below forty percent(40%) of county median income.

    Eligible for mortgage subsidy points (select one):

    At least twenty percent (20%) of qualified units will be affordable to and occupied by households with incomes at or below fifty percent(50%) of county median income.

    At least ten percent(10%) of qualified units will be affordable to and occupied by households with incomes at or below forty percent(40%) of county median income.

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    PLEASE indicate which of the following exhibits are attached to your application. Others may be required as noted.

    Full Application Checklist

    A Nonprofit Organization Documentation or For-profit Corporation Documentation

    B Current Financial Statements/Principals and Owners

    C Ownership Entity Agreement, Development Agreement or any other agreements governing development services

    D Management Agent Agreement

    E Development and manager multi-family experience & Management Questionnaire (Appendix C)

    F Letters from State Housing Agencies or designated monitoring agent verifying Out of State Management Experience

    G Completed IRS Form 8821 (Appendix I)

    H Permitted zoning letter (including conditional and special use)

    I Site plan, floor plans and elevations

    J Hazard and structural inspection and termite reports (Renovation projects only)

    K Description of any existing conditions of historical significance.

    L Description of environmental significance.

    M Anticipated budget demonstrating how the project would meet the 10% test by November 14th.

    N Evidence of Architect's Errors and Omissions insurance (or equivalent).

    O Description of acquisition for existing/occupied projects or for projects with occupied buildings to be demolished.

    P Description of proposed Relocation Plan & Relocation Budget, Etc. If any relocation is anticipated, reference Appendix F.

    Q Targeting Plan and supporting documentation (Required for projects targeted to Special Populations)

    R Local Housing Authority Agreement (Reference Model in Appendix I)

    S Appraisal (for land costs greater than $5,000 and for buildings in rehab projects)

    T Evidence of Permanent Loan Commitment, other sources of funds, and project-based subsidies.

    U Statement regarding terms of Deferred Developer Fee and, if nonprofit, resolution of Board approving fee.

    V Inducement Resolution (Tax-Exempt Bond Financed Projects only)

    W Documentation to support estimated utility costs.

    Page 35 of 35Print - APP03-0077