Neighborhood & Business Services
RETURN APPLICATION TO:
City of Charlotte
Neighborhood & Business Services
600 East Trade Street Suite 311
Charlotte, NC 28202
Gail Whitcomb
gwhitcomb@charlottenc.gov
704-336-5849
Please Read The Important Information Below About Completing and
Submitting The FAÇADE IMPROVEMENT MATCHING GRANT PROGRAM
BIG BOX DEMOLITION EXPENSE APPLICATION
•
Applications will be considered incomplete and returned if all items on the application form are not
answered and all required attachments are not included. Incomplete applications may not be considered for
participation in the program until the next quarterly review.
•
Applicants are responsible for obtaining all necessary governmental permits and authorizations, including
among other things demolition and grading permits.
•
Applicants understand that all work must be completed in conformance with all federal, state and local laws,
regulations, codes, ordinances, etc. of any and all kinds. It is the sole responsibility of Applicant to ensure
that all requirements are met.
•
The City does not reimburse for any work started or completed prior to application approval and contract
signing. Reimbursement for work is also contingent upon completion of the project as proposed by the
applicant and approved by the review team, payment of all related property taxes, and requirements set forth
in the grant contract.
I have read and understand the guidelines set forth above, as well as those outlined in the grant
program information on Page 2, a copy of which is attached hereto and made a part hereof by reference.
Signature
1 of 5
Date
BIG BOX DEMOLITION GRANT PROGRAM
What is the Big Box Demolition Grant Program?
The Big Box Demolition Grant Program is a component of the Façade Improvement Grant. The goal of these programs is
to remove blight by bringing sites into conformance with current codes while working to remove vacant commercial
structures of at least 25,000 square feet. The program provides 50% reimbursement up to the maximum award amount.
Maximum Award: $45,000 or 50% of actual costs, whichever is less. Additional funds may be available if eligible
minority, woman or small business enterprises (MWSBEs) are utilitized.
Eligible Expenses
• Approved big box demolition expenses and associated costs for debris removal.
• Costs related to installing infrastructure such as sidewalk, curb & gutter and landscaping that bring sites into
conformance with current codes.
• Costs related to securing the site such as approved fencing, gates, security lighting, etc.
Eligible Applicants
• Owners of vacant big box property where building has been vacant at least 2-years. Big box is defined as a
commercial big box building of at least 25,000 sq/ft. Smaller buildings are not eligible.
• Buildings under Code Enforcement must receive written approval from authorized Code Enforcement Staff to be
considered for participation in the program
• All related real property taxes must be paid in full.
• National and regional chains and non –profit entities are not eligible.
• Applicants must demonstrate evidence of legitimate financial need.
Eligible Geography
• Business Corridor Revitalization Geography
How does the program work?
• Applicant submits application to the Neighborhood & Business Services Department.
• An inter-departmental team of City staff reviews and approves proposals including the scope of work. Every project
is unique and the scope of work required for grant participation will vary from project to project. Applicants whose
property is under code enforcement should understand that the scope of work required to comply with the Code may
not be the same as that required for participation in the Big Box Demolition Grant program.
• Upon approval, the applicant will enter into a contract with the City setting forth, among other things, the work to be
performed as approved by the review team.
• Applicant completes the approved scope of work, pays all its contractors in full, and submits paid receipts and
cancelled checks for all work completed to City.
• Staff will be permitted to inspect the project to ensure conformance with the grant contract.
• After completion of the project and receipt of proof of payment, City reimburses Applicant for 50% of actual costs
incurred, up to the maximum amount of the grant awarded, after completion of the entire project. Expenses will be
reimbursed only after the approved demolition scope is complete as required by the grant contract and site is cleared
of all debris.
• The City will not contract to perform any of the work.
• Applicants are responsible for any and all known or unknown environmental hazards on the site. Applicants are
encouraged to conduct environmental assessments including but not limited to Phase I and II assessments.
• Applicants are responsible for obtaining all necessary governmental permits and authorizations.
• All work and the progress of work must be completed in conformance with all federal, state and local laws,
regulations, codes and ordinances of any and all kinds, including but not limited to the Charlotte Non-Residential
Building Code. It is the sole responsibility of Applicant to ensure that all legal requirements are met.
• The City does not reimburse expenses incurred prior to application approval and contract signing.
• Approved projects should be completed within 120 days of contract signing or funds may not be guaranteed.
Additional program requirements and/or restrictions may apply.
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Neighborhood & Business Services
PLEASE NOTE, THIS BIG BOX DEMOLITION GRANT APPLICATION WILL BE CONSIDERED INCOMPLETE AND
RETURNED IF ALL ITEMS ARE NOT ANSWERED AND ALL REQUIRED ATTACHMENTS INCLUDED.
SECTION 1: APPLICANT INFORMATION (ALL ITEMS MUST BE ANSWERED)
Every grant or loan applicant that is not a natural person must provide to the City the name, date of birth, address, and telephone
number of every person or other entity that holds 10% or more of the beneficial ownership of the applicant, as member, partner,
shareholder, or otherwise. Upon the City’s request, the applicant must provide documentation to support the information that the
applicant provides pursuant to this paragraph.
1.
Legal Name of Applicant:
2.
Project Address:
3.
Applicant Mailing Address:
4.
Applicant Tax ID No::
5.
Type of Business: (Corp., LLC, etc.)
6.
Contact Person’s Name:
7.
Title:
8.
9.
Phone:
10. Cell:
You must attach copies of your organizational documentation
11. Are all of the Applicant’s local, state and federal taxes paid up-to-date?
Email:
Yes
No
If No, provide details:
12. Have you or your company ever applied for or received any other City financial assistance?:
If yes, describe :
Yes
No
SECTION 2: PERSONAL BACKGROUND INFORMATION (ALL ITEMS MUST BE COMPLETED)
The City conducts a criminal background check on all program applicants and/or all principals of the Company. For this reason, it is
important that the questions in this section be answered completely and truthfully. An arrest or conviction record will not necessarily
disqualify you. An untruthful answer, however, will cause your application to be denied. Attach additional sheets as necessary.
13. Provide the full name, birth date (DOB), address, years at address, and % of ownership in company for each company principal.
Name
DOB
Address
Yrs There %Ownership
%
%
14. Each principal must provide a list of all of his/her prior addresses for the past five years, including street address, city and state.
(This must be provided for each principal in the business and attached to this application form).
15. Have you ever been charged with or arrested for any criminal offense other than a minor vehicle
Yes
No
violation? (This question must be answered for each principal in the business. All arrests and charges
must be explained, including the outcome of each, on an attached sheet.)
16. Are all personal local, state, and federal taxes of Applicant and each principal paid up-to-date?
Yes
Please list all property owned by the Applicant and each principal in Mecklenburg County. Attach a separate sheet if
necessary.
P
SECTION 3: PROJECT OWNERSHIP
17. What is your legal interest in the building?
2 of 5
No
SECTION 4: PROJECT INFORMATION (ALL ITEMS MUST BE COMPLETED)
18. Project Address:
19. Tax Parcel ID Number(s):
20. Zoning of Property:
21. Building(s) Square Footage:
22. Years bldg. has been vacant:
23. Has building been vacant for at least two years?
Yes
25. Last known date bldg. was in service:
24. Last known use of bldg.:
26. Total estimated demolition costs:
27. Will all buildings on site be demolished?
29. Will building slab be removed?
No
Yes
Yes
No
No
$
28. If no, explain:
30. Will asphalt parking lots be removed?
Yes
No
31. How do you propose to secure the site after demolition?
32. Is this a known Brownfield site?
Yes
No
34. Have any code violations been identified at the site?
35. Do redevelopment plans exist for the site?
36. Estimated start date:
Yes
33. Do you have a Brownfield Agmt. with NCDENR?
Yes
No
No
Yes
No
If yes, name of Code Inspector:
If yes, attached description of redevelopment plans
37. Estimated date of completion:
SECTION 5: ATTACHMENTS (READ CAREFULLY - ALL ITEMS ARE REQUIRED & MUST BE ATTACHED)
Organizational Documentation (corporate, partnership, LLC, proprietorship documentation) (see question no. 5)
Personal Background Exhibits, if applicable (see Section 2). Check here if not applicable:
Redevelopment Plans (see question no. 35) Check here if not applicable:
Statement of Demolition Project Description – A written statement of what the demolition project will involve. Include
details such as whether the building slabs will be removed, what amount of asphalt will be removed, how you will secure the
site after demolition, (fencing, gates, closing driveways), abatement activities, etc..
Photograph(s) of Existing Building(s) and Site - Submit several electronic photos of your building and property in its current
condition. Include photos of interior and exterior building conditions as well as pictures of the site. Be sure to label each
photo.
Detailed Cost Estimates/Bids for Proposed Demolition – Estimates should be provided by the contractor(s) you plan on
using. A minimum of two estimates by qualified contractors should be provided. NOTE: Applicant must understand what
scope of work is required for program eligibility such that appropriate cost estimates can be obtained.
Copies of Financial Information demonstrating financial need. Copies of tax returns, project pro-forma statements, sales
contracts, etc.
SECTION 6: APPLICANT SIGNATURE
By signing below, the Applicant acknowledges that he/she has received and read the program guidelines for the Grant Program.
Also, the Applicant acknowledges that he/she is duly authorized to act on behalf of the Company or individual and/or each principal
of the company and that the Company is properly organized and licensed to conduct business in the state of North Carolina.
The Applicant assures that the above information is true and correct and agrees to comply with all City of Charlotte guidelines
applicable to this program. The applicant also agrees that in the event of his/her/their breach of any condition or provision, or if it is
learned that any information provided above is false, or if the property is not in compliance with all local codes and ordinances, or
whenever deemed to be in the interest of the City of Charlotte, the City has the right to terminate the program agreement.
The Applicant authorizes the City of Charlotte to request criminal record information about each principal of the Company for the
purpose of determining eligibility for this grant. The Applicant understands that the City will conduct a review of local property
taxes on the Company and each principal of the Company for the purpose of determining eligibility for this grant. All costs incurred
by the City pursuant to these records searches will be paid by the Applicant.
Applicant understands that all known or unknown environmental hazards at the site are the sole responsibility of Applicant. Further,
it is the sole responsibility of Applicant to ensure that all necessary governmental permits and authorizations of any and all kinds as
required by law are obtained and that all work is completed in conformance with all federal, state and local laws, regulations, codes,
ordinances, etc. of any and all kinds.
Applicant further understands that he/she must submit detailed cost documentation, including canceled checks and billing invoices
once the project has been completed.
The Applicant authorizes the City to use his/her/its name, likeness, photos and/or information about the project for promotional
purposes.
Date Signed
Page 4 of 5
Signature
Revised May 2010
Make copies of this page if additional photos are needed to describe your project. Beneath each
photograph describe in detail what it represents, (view of building or parking lot from front, left, right,
back, etc.). Include internal and external photos.
Provide electronic copies of photos
whenever possible or
Paste Photos Here
Provide internal and external building
photos AND photos of site conditions
Photo Description; Describe what is represented in the above photograph prior
to demolition: __________________________________________________
_______________________________________________________________
_______________________________________________________________
______________________________________________________________
Provide electronic copies of
photos whenever possible or
Paste Photos Here
Provide internal and external
building photos AND photos of site
conditions
Photo Description; Describe what is represented in the above photograph prior
to demolition: __________________________________________________
_______________________________________________________________
_______________________________________________________________
______________________________________________________________
Property Address ___________________________________________________________
Page 5 of 5
If the Applicant does not own the property, the below Owner Consent Form must be completed by
the property Owner and submitted with the Application.
OWNER CONSENT FORM
The undersigned owner of the existing building located at:
(Address)
that
(Applicant)
intends
to
certifies
demolish
existing structures at the Address. The undersigned agrees to permit the Applicant and his
contractors or agents to demolish the structures and make any additional improvements as set
forth in the grant program application (“the Application”) dated
and to receive funds via the grant program for the demolition at said Address.
The undersigned hereby waives any claim against the City of Charlotte (“the City”) arising from
the demolitions project and/or out of the use of said grant funds for the purposes set forth in the
Application and any subsequent agreements made between City and Applicant. The undersigned
agrees to hold the CITY harmless for any charges, damages, claims or liens arising out of the
Applicant’s participation in the grant program.
In witness whereof, the owner has hereunto set his hand and seal, or if a corporation, has caused
this instrument to be signed in its corporate name by its duly authorized officers and its seal to be
hereunto affixed by authority of its Board of Directors, if a Partnership by its Partners, if a LLC
or LLP, by its Members/Managers, etc. the day and year first above written.
Corporate
Seal
(Company Name)
leave blank if Owner is an Individual
By: __________________________ (Seal)
____________________Name
____________________Title
By: _____________________________ (Seal)
_____________________Name
_____________________Title
NORTH CAROLINA, County of Mecklenburg
I, ___________________________________, a Notary Public, do hereby certify that
______________________________________ personally appeared before me this day and
acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal or stamp, this ___________ day of ______________,
20_____.
_____________________________
Notary Public
_________________________
My commission expires