CAPITAL ASSISTANCE SCHEMEFORM CAS 2
To be completed by the Housing Authority:
- Send completed form to appropriate address: (a) or (b)
(a)Department of the Environment, Community and Local Government,
Social Housing Capital Investment,
Government Offices,
Ballina,
Co. Mayo.
(b)Department of the Environment, Community and Local Government,
Social Housing Capital Investment,
Room G.09,
Custom House,
Dublin 1.
- One copy to be sent to Approved Housing Body as notification of the local authorities’ approval.
CAPITAL ASSISTANCE SCHEMEFORM CAS 2
APPLICATION TO THE MINISTER FOR THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT FOR APPROVAL OF GRANT UNDER SECTION 6 OF THE HOUSING (MISCELLANEOUS PROVISIONS) ACT, 1992 AND SECTION 15 OF THE HOUSING ACT, 1988
1.Housing Authority:
2.AHB Name & Address:
3.Tax Reference No. of approved housing body:
Charity No. or expiry date of
Tax Clearance Certificate
ofapproved housing body* -
*Where the approved housing body has not been granted charitable recognition by the Revenue Commissioners.
4.Name, address, location of housing project:
Please state as to whether the project is new build construction, an acquisition of a built property or if the project contains an element of both please provide details:
Construction: ______
Acquisition: ______
Details: ______
______
5.Number of units of accommodation being provided under the scheme:
CATEGORY 1:CATEGORY 2:
(for 1 or 2 persons)(for 3 or more persons)
6.Categories of persons:
Categories of persons to be catered for by project (if more than one category, state number of accommodation units intended for each category) / HomelessDisability
Older Persons
Families
Returned Emigrant
Carer/Caretaker
Other
7.In the case of Homeless persons has
Section 10 funding been secured: N/A YES____ NO
8.Approved site cost:€
Approved cost of accommodation units €
(excluding site cost):
TOTAL ALL IN COST ESTIMATE:€
9.Is funding towards capital costs being provided
by any other Government Department or statutory agency: No
Yes
If 'YES’ provide amount and details:€______
10.Does this project require registration as a YES
Designated Centre(HIQA)
NO
If ‘YES’ what are the cost implications and how will these costs be met by the
Approved Housing Body.
11.Proposed commencement date of project:___/ ____/ ____
Proposed completion date of project:___/ ____/ ____
12.Amount of loan proposed under section 6
of the Housing (Miscellaneous Provisions)
Act, 1992:€______
13. Indicate as to % of loan proposed: 95% ____100%____
(Note – If 100% loan provided approved
housing body waive their nomination rights)
14.In the case of an acquisition,is the required
independent professional valuation of the
property attached:YES____NO_____
Note: All applications for funding in respect of the purchase of properties must be accompanied by an independent
professionalvaluation. Only valuers who are members of the appropriate professional/chartered organisation (e.g
Institute of Professional Auctioneer & Valuers / Society of Chartered Surveyors of Ireland) should be engaged for this purpose.Independent valuation for the identified property should broadly be in line with the NationalProperty Price Registerfor similar properties in the area, if any.
15.Has Approved Housing Bodysigned
up to the Voluntary Regulation Code:YES____NO_____
If 'NO" please indicate as to whether the AHB intend to sign up the Voluntary Regulation Code and provide details:
16.On completion of this project will HSE/other YES____NO _____ service providersupport be required on an
on-going basis.
If 'YES" the local authority should satisfy itself that the HSE/service provider will commit to appropriatefunding/support on completion.
17.Is the local authority satisfied that the economic YES____NO _____
rent the AHB proposes to charge for the unit is
fair and reasonable?
I hereby apply for approval of a grant in the amount specified at 12 above.I am satisfied that the project will, on completion, comply with the terms of Memorandum VHU 2/02 and the Housing (Accommodation Provided by Approved Bodies) Regulations, 1992, and that the cost of the project for which the loan is sought is reasonable and in accordance with The Public Spending Code: Expenditure Planning, Appraisal & Evaluation in the Public Service.
I confirm that in submitting this application for fundingthe local authority is satisfied that the project was appraisedand approved to progress having regard to the National Code of Conduct for local authority employees as set out in the Local Government Act, 2001 and Part 8 of Memorandum VHU2/02.
Signed:Date:
Director of Service (Housing)
Contact Person:Telephone No.