79-E Tax Relief Application

Community Revitalization Tax Relief Incentive (RSA 79-E)

Applicant Information

Contact throughout the application process will be made with the Applicant listed below. The property owner or a designated agent may act as the Applicant.

Applicant Name(Required)

First Last

Is the Applicant the Property Owner?(Required)

Yes

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Property Owner Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Building Information

Building Name (If Any)

Building Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Tax Map Lot #

Zoning District

Cheshire County Registry of Deeds Book #

Page #

Gross Square Footage of Building

Year Built

Is the building eligible for listing or listed individually on the National or State Register of Historic Places or located within a locally designated, State or National Historic District?

Yes

If yes, provide a copy of the approved designation by the National or State Register of the building or the district.

Max. file size: 100 MB.

Does the property currently have any credit or exemption from real estate tax assessment?

Yes

If yes, please describe:

Project Information

Describe Existing Uses

Include detail on the current uses of the building/site, number of units by type and size, number of employees, etc.

Describe Proposed Uses

Include detail on proposed use of the building/site, number of units by type and size, number of employees, etc.

Is a change of use associated with this project?

Yes

If yes, please describe:

Will any state or federal grants or funds be used to finance the rehabilitation or construction?

Yes

If yes, what is the amount of the aid?

Note: Rehabilitation or construction subsidized by state or federal grants or funds that do not need to be repaid totaling more than 50% of construction costs from state or federal programs are not eligible for 79-E tax relief.

Does the project involve the replacement of an existing structure?

Yes

If yes, following materials shall be submitted with this application: (1) A New Hampshire Division of Historical Resources individual resource inventory form, prepared by a qualified architectural historian and (2) A letter from the Keene Heritage Commission that identifies any and all historical, cultural and architectural value of the structure(s) that are proposed to be replaced and the property on which those structures are located.

Drop files here or

Max. file size: 100 MB.

Note: This application shall not be deemed complete and the governing body shall not schedule the public hearing on the application for replacement of a qualifying structure as required under RSA 79-E:4,II until the inventory form and letter from the Heritage Commission, as well as all other required information, have been submitted, if required.

Describe the work to be done and estimated cost

(1). Attach a copy of a contract, contractor estimates, or itemized list of materials (2). Attach a project narrative, building plans or sketches, renderings or photographs to help explain the proposed rehabilitation or construction. Attach additional files if neccessary.

Drop files here or

Max. file size: 100 MB.

Structural Work:

Cost of Work:

Exterior Alterations (storefront, walls, windows, doors, etc.):

Cost of Work:

Interior Alterations (walls, ceilings, moldings, doors, etc.):

Cost of Work:

Electrical:

Cost of Work:

Plumbing/Heating:

Cost of Work:

Mechanical:

Cost of Work:

Energy Efficiency:

Cost of Work:

Other:

Cost of Work:

Total Estimated Project Cost:

Note: To be considered for this tax relief incentive, the project costs must be $75,000 or greater

Estimated Project Start Date:

Expected Project Completion Date:

Public Benefit

In order to qualify for tax relief under this program, the proposed work must provide at least one of the public benefits listed below. Greater consideration will be given to projects that provide three or more public benefits. Any proposed replacement must provide one or more of the public benefits listed below to a greater degree than would a substantial rehabilitation of the same structure. If additional files are necessary, please upload them at the bottom of this section.

Enhances the economic vitality of downtown areas.

Yes

If yes, please describe:

Enhances & improves a structure that is culturally or historically important on a local, regional, state, or national level, either independently or within the context of an historic district, town center, or village center in which the building is located.

Yes

If yes, please describe:

Promotes the preservation and reuse of existing building stock by the rehabilitation of historic structures, in accordance with energy efficiency guidelines established by the U.S. Secretary of the Interior’s Standards for Rehabilitation.

Yes

If yes, please describe:

Promotes efficient design, safety, and a greater sense of community in a manner consistent with the Keene Comprehensive Master Plan.

Yes

If yes, please describe:

Will add to the City’s employment base by creating at least one new, full-time job in Keene’s downtown area.

Yes

If yes, please describe:

Directly supports the integration of public art in the downtown.

Yes

If yes, please describe:

Promotes development of a sustainable building stock in the downtown that achieves a nationally or internationally recognized green building standard (e.g. LEED, Green Globes, National Green Building Standard, and International Green Construction Code).

Yes

If yes, please describe:

Maintains owner occupancy of a residential building or it returns a residential building to owner occupancy.

Yes

If yes, please describe:

Results in an increase in energy sustainability in conformance with the City adopted greenhouse gas initiatives as determined by a home energy score of at least six (6), and demonstrated carbon emission reduction of at least 10%.

Yes

If yes, please describe:

Additional Files, if necessary

Max. file size: 100 MB.

Affidavit

I (we) hereby submit this application under the Community Revitalization Tax Relief Incentive Statue (NH RSA 79-E) and attest that to the best of my (our) knowledge all of the information herein and in the accompanying materials is true and accurate. I (we) have reviewed the statute and Resolution R-2017-41 (see attached) and understand that: a) This application will be reviewed for completeness; b) There will be a public hearing to evaluate the merits of this application; c) If this application is approved by City Council, I (we) will need to enter into a covenant with the City; and d) I (we) may be required to pay reasonable expenses associated with the creation of the covenant. I (we) understand this application will not be determined as complete and recommended to the City Council until all of the necessary information is provided. IMPORTANT: Per RSA 79-E:13, the base or “original” assessed value for any tax relief period is set only after the following two conditions are met: 1. Approval by City Council; and 2. The Applicant has entered into a covenant with the City of Keene to protect the public benefit. Tax relief granted will pertain only to assessment increases attributable to the substantial rehabilitation or replacement performed under the conditions approved by the City Council and not to those increases attributable to other factors including but not limited to market forces.

Applicant

Date

Owner

NOTE: Owner must sign this Affidavit, if Owner is not the Applicant

Date