0. localactionunitapp-burts meadow habitatUpdated January 2016 -1-
LOCAL INITIATIVE PROGRAM APPLICATION FOR
LOCAL ACTION UNITS
Introduction
The Local Initiative Program (LIP) is a state housing initiative administered by the
Department of Housing and Community Development (DHCD) to encourage
communities to produce affordable housing for low- and moderate-income households.
The program provides technical and other non-financial assistance to cities or towns
seeking to increase the supply of housing for households at or below 80% of the area
median income. LIP-approved units are entered into the subsidized housing inventory
(SHI) pursuant to Chapter 40B.
Local Action Units (LAUs) are created through local municipal action other than
comprehensive permits; for example, through special permits, inclusionary zoning,
conveyance of public land, utilization of Community Preservation Act (CPA) funds, etc.
DHCD shall certify units submitted as LAUs if they met the requirements of
760 CMR 56.00 and the LIP Guidelines, which are part of the Comprehensive Permit
Guidelines and can be found on the DHCD website at www.mass.gov/dhcd.
To apply, a community must submit a complete, signed copy of this application to:
Department of Housing and Community Development
100 Cambridge Street, Suite 300
Boston, Massachusetts 02114
Attention: Rieko Hayashi, Program Coordinator
Telephone: 617-573-1426
Email: rieko.hayashi@state.ma.us
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Municipal Contact Information
Chief Executive Officer
Name David J. Narkewicz, Mayor
Address 210 Main St. Northampton, MA 01060
Phone 413.587.1049
Email Mayor@NorthamptonMA.gov
Town Administrator/Manager -- NOT APPLICABLE
Name
Address
Phone
Email
City Planner
Name Wayne Feiden, Director of Planning & Sustainability
Address 210 Main St., Northampton, MA 01060
Phone 413.587.1265
Email WFeiden@NorthamptonMA.gov
City/Town Counsel
Name Alan Seewald
Address City Solicitor, 210 Main St, Northampton, MA 01060
Phone 413.584.4455
Email ASeewald@NorthamptonMA.gov
Chairman, Local Housing Partnership (if any)
Name: Todd Weir
Address c/o Planning, 210 Main St., Northampton, MA 01060
Phone 845.489.1506
Email Todd.Weir1@comcast.net
Community Contact Person for this project
Name Wayne Feiden, Director of Planning & Sustainability
Address 210 Main St, Northampton, MA 01060
Phone 413.587.1265
Email WFeiden@NorthamptonMA.gov
Updated January 2016
Updated January 2016 -4-
The Project
Developer
Name
Address
Phone
Email
Is your municipality utilizing any HOME or CDBG funding for this project? Yes No
Local tax rate per thousand $________ for Fiscal Year ________
Site Characteristics
Project Style Total # of Units
# of Units Proposed
for LAU Certification
Detached single-family house ________ ________
Rowhouse/townhouse ________ ________
Duplex ________ ________
Multifamily house (3+ family) ________ ________
Multifamily rental building ________ ________
Other (specify) ________ ________
Unit Composition
Type of Unit:
Condo Ownership
Fee Simple Ownership
Rental
# of Units # of
BRs
# of
Baths
Gross
Square
Feet
Livable
Square
Feet
Proposed
Sales
Prices/
Rents
Proposed
Condo Fee
Affordable:
Market:
Pioneer Valley Habitat for Humanity, Inc.
PO Box 60642 Florence, MA
413-586-5430
megan@pvhabitat.org
16.80 2020
3 3
1 3 1.5
1
1
2
1
1
1
1,000sf
900 sf
800 sf
$75/mo
$75/mo
$75/mo
$190,000
$180,000
$170,000
Updated January 2016 -5-
Please attach the following documents to your application:
1.Documentation of municipal action (e.g., copy of special permit, CPA funds, land
donation, etc.)
2.Long-Term Use Restrictions (request documents before submission):
For ownership projects, this is the Regulatory Agreement for Ownership
Developments, redlined to reflect any proposed changes and/or the model
deed rider.
For rental projects, this is the Regulatory Agreement for Rental
Developments, redlined to reflect any proposed changes.
For HOME-funded projects, this is the HOME covenant/deed restriction.
When attaching a HOME deed restriction to a unit, the universal deed
rider cannot be used.
3.Documents of Project Sponsor’s (developer’s) legal existence and authority to
sign the Regulatory Agreement:
appropriate certificates of Organization/Registration and Good Standing
from the Secretary of State’s Office
mortgagee consents to the Regulatory Agreement
trustee certificates or authorization for signer(s) to execute all documents
4.For Condominium Projects Only: The Condominium aster deed with schedule of
undivided interest in the common areas in percentages set forth in the
condominium master deed
5.For Rental Projects Only: A copy of the Local Housing Authority’s current Utility
Allowances
6.Massachusetts Environmental Policy Act (MEPA) environmental notification f orm
(ENF) – for new construction only (request form before submission)
7.Affirmative Fair Marketing and Lottery Plan, including:
ads and flyers with HUD Equal Housing Opportunity logo
informational materials for lottery applicants
eligibility requirements
lottery application and financial forms
lottery and resident selection procedures
request for local preference and demonstration of need for the preference
Updated January 2016 -6-
measures to ensure affirmative fair marketing, including outreach methods
and venue list
name of Lottery Agent with contact information
See Section III of the Comprehensive Permit Guidelines at www.mass.gov/dhcd and
search for LIP 40B Guidelines for more information.
PLEASE CONTACT RIEKO HAYASHI OF OUR OFFICE AT 617-573-1426 IF YOU
HAVE ANY QUESTIONS.