Applicant/ Project Sponosor Name *

First Name

Last Name

Mailing Address (Applicant/ Project Sponsor) *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone (Applicant/ Project Sponsor) *

(###)

###

####

Property/ Project Address *

Must be in the NY Forward Area

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name (Building Owner)

If different from applicant

First Name

Last Name

Mailing Address (Building Owner)

If different from applicant

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone (Building Owner)

If different from applicant

(###)

###

####

Is this building listed on the National Registry of Historic Places? *

YES

NO

Your project may be eligible for tax incentives, would you like to learn more? *

YES

NO

Is this property vacant? *

YES

NO

Proposed Work ( check all that apply) *

Façade Improvement (brick repair, window replacement, exterior painting, lighting etc.)

Interior and exterior building renovations for commercial and mixed-use spaces, e.g. façade/storefront renovations, permanently affixed signage and awnings, commercial interior fit-out, HVAC, MEP, and other permanent building improvements

Upper-story residential improvements

Permanent commercial machinery and equipment, that is integral to the business and not a replacement of existing equipment unless it allows for more/new products to be offered and has a useful life of more than one year and an acquisition cost of $2,000 or more per unit

Public art

Will you be using the services of a design professional for this project? *

YES

NO

Are you interested in receiving design assistance for this project? *

YES

NO

Do you have the match commitment of at least 50% of the proposed project cost? *

You are required to show proof of funds for the entire estimated project amount in the form of a bank letter, bank statement, retirement statement or other source of available funds. The “match commitment” is considered the Project Sponsor investment into the project.

YES

NO

Application Checklist *

If the proposed project does not closely consider the Design Checklist provided, Review Committee representatives will be available to discuss solutions and revisions needed to advance the application for further review. Incomplete applications will not be considered for funding.

Completed and signed Application, signature required in at least two places

Review, complete and attach the Design Checklist

Attach architectural details, paint swatches, renderings and/or concept photos, as available

Attach contractor estimate/bid minimum of two.

Provide match commitment letter for balance of funds, bank, equity, etc.

Other i.e. Historic Designation, Building Code Violations, Letter of Support to emphasize support for the project

Attach confirmation that the property is current on all taxes.

Attach proof that the property is insured

Provide a copy of the deed.

Provide cost estimates for the proposed scope of work.

Signed Conflict of Interest Policy (See Appendix A)