DP Memo Template

2003 HOUSING FOR OLDER PERSONS AMENITIES CERTIFICATION FORM C4

BASIC HOUSING FOR OLDER PERSONS AMENITIES: (These amenities are required for older persons housing)

 Refrigerator and stove  HVAC systems  One recreation area equipped and suitable for the proposed tenant base  On-site laundry with one washer and one dryer per every 25 units. (If washers and dryers are installed and maintained in every unit at no additional cost to the tenants, an on-site laundry is not required.)  Community spaces or a community building  One story garden style units are to have sheltered exterior spaces such as porches or patios or sun rooms.  In buildings not garden style, lobbies, corridors and hallways must have small gathering areas in several locations distributed on each floor.  The site must have one sheltered exterior gathering area, such as a gazebo located in a central area or a large covered patio at the community building.  Attractively fenced community gardens.  Equipped walking path with signs and benches.  Equipped play-court, as appropriate to the resident population.  Equipped picnic/barbeque area.

OPTIONAL OLDER PERSONS AMENITIES:

(Select amenities from the following categories to a maximum of fourteen (14) points. No points are available for those amenities defined to satisfy the above threshold categories.)

Recreational Amenities:  Swimming pool: (Three (3) points)

 Equipped Exercise/Fitness Center: (Four (4) points)

 Equipped Computer Center: (Two (2) points)

Other: (Specify and justify applicability. Two (2) points per amenity to a maximum of four (4)points) Attach documentation for the ‘other’ amenities to this certification form.

 Other: (Two (2) points)

Unit Amenities:

 Complete built-in fire sprinkler system in every unit and the community building, including exterior audio and visual alarm system: (Two (2) points

of 2  Installed elevator in buildings more than one story (Four (4) points)

 Microwave oven: (One (1) point)

 In-sink disposal: (One (1) point)

 Built-in dishwasher: (One (1) point)

2003 SPECIAL NEEDS HOUSING AMENITIES CERTIFICATION FORM C4

 Washer and dryer hookups in all units in addition to the required on-site laundry: (Four (4) points)

 100% of all units on the property must have an installed call system including a buzzer and light to the exterior: (Two (2) points

Signature & Certification:

The undersigned certifies to the Georgia Department of Community Affairs (DCA)/Georgia Housing and Finance Authority (GHFA) that the statements contained in this certification are a true, correct and accurate description of the proposed development. The undersigned acknowledges that this certification will be relied upon by DCA/GFHA and that any misrepresentation of information or failure to comply with any conditions proposed in this certification could result in penalties, including the disbarment of Applicant for a period of time from participation in other DCA/GHFA administered programs.

Signed: Date: Applicant

Signed: Date: Architect/Engineer (registration number)