City of New York Department of Housing Preservation and Development Office of Development Division of Housing Finance Office of Tax Incentive Programs 421-a Partial Tax Exemption Program 100 Gold Street, 9-V New York, NY 10038 Architect’s / Engineer’s Certification of the Aggregate Floor Area, Dwelling Units & Room Count Docket #____________Address(es)_________________________________________________________ Borough____________Block________Lot(s)_________________________________________________ Total Number of Buildings__________________________ I, _____________________________________________, certify that I am a Registered Architect or Professional Engineer licensed to practice by and in good standing with the New York State Department of Education. As such, I certify to the truth of the following in connection with the above pending application for 421-a Partial Tax Exemption: 1. I am the architect or engineer for the above Project. The annexed Plans, each page of which is initialed and dated by me as of this date, are a true copy of the most recent plans approved by the New York City Department of Buildings (hereinafter, “Plans”). 2. The calculations on the following ______[#] consecutively numbered pages of the following schedule, are a true and accurate reflection of the layout and dimensions of the Plans. The room count and dwelling unit count as shown on the schedule are in compliance with Chapter 6 of Title 28 of the Rules of the City of New York ("421-a Rules”)1. 3. The calculations of the Residential and Non – Residential Aggregate Floor Area were prepared in accordance with the guidelines described in the 421-a Rules2 and the guidance provided in the latest edition of Department of Housing Preservation and Development’s Frequently Asked Questions, dated _________________________. 1 For purposes of this certification, rooms shall be counted in accordance with 28 RCNY § 6-01(c): "Room Count " shall be calculated in the following manner: Each dwelling unit with at least one room which either (i) contains no cooking facilities and measures at least one hundred and fifty (150) square feet, or (ii) contains cooking facilities and measures at least two hundred and thirty (230) square feet, shall count as two and one-half rooms. Every other room in the dwelling unit separated by either walls or doors, including bedrooms, shall count as an additional room, plus one-half room for a balcony, provided, however, that kitchens, cooking facilities, bathrooms or corridors shall not count as an additional room. To be included in the calculation of "room count," a room must meet the requirements of habitability as provided in Administrative Code §§ 27-746 and 27-751. 2 For purposes of this certification, Aggregate Floor Area shall be measured in accordance with 28 RCNY § 6-01(c): “Aggregate Floor Area” shall mean the sum of the gross horizontal areas of all of the floors of a dwelling or dwellings and accessory structures on a lot measured from the exterior faces of exterior walls or from the center line of party walls. 1 of _____ (rev. 6/17/04) American LegalNet, Inc. www.FormsWorkflow.com I make these statements to induce the Department of Housing Preservation and Development of the City of New York to grant a partial tax exemption pursuant to Section 421-a of the New York State Real Property Tax Law, §§11-245 and 11-245.1 of the Administrative Code of the City of New York, and the 421-a Rules. I know that the Department of Housing Preservation and Development will rely on the veracity of these statements in granting tax exemption. I certify that the above statements are true and correct to the best of my knowledge, under penalty of perjury. Sworn to me this _____day of __________200_ ____________________________________________________ Notary Public or Commissioner of Deeds [OR Dated: _______________________, 200_ Seal of RA or PE] ____________________________________ Architect /Engineer Signature ____________________________________ Architect / Engineer Name ____________________________________ Business Name ____________________________________ Business Address ____________________________________ Phone Number 2 of _____ (rev. 6/17/04) American LegalNet, Inc. www.FormsWorkflow.com Architect’s / Engineer’s Certification of the Aggregate Floor Area, Dwelling Units & Room Count Building 1 of _____Address___________________________________Block___________Lot__________ [Total # of Bldgs.] Department of Buildings Job Number_____________________ Floor Residential A.F.A. NonResidential A.F.A. & Ineligible Residential A.F.A. # 0 BR @ 2.5 Rooms # 1 BR @ 3.5 Rooms # 2 BR @ 4.5 Rooms # 3 BR @ 5.5 Rooms # 4 BR @ 6.5 Rooms # Dwelling Units # Rooms 1 2 3 4 5 Total Total Finished Space in Sf ____________ Total Unfinished Space in Sf ____________ Total Balcony Space in Sf ____________ 3 of _____ (rev. 6/17/04) American LegalNet, Inc. www.FormsWorkflow.com Architect’s / Engineer’s Certification of the Aggregate Floor Area, Dwelling Units & Room Count Building 2 of _____Address___________________________________Block___________Lot__________ [Total # of Bldgs.] Department of Buildings Job Number_____________________ Floor Residential A.F.A. NonResidential A.F.A. & Ineligible Residential A.F.A. # 0 BR @ 2.5 Rooms # 1 BR @ 3.5 Rooms # 2 BR @ 4.5 Rooms # 3 BR @ 5.5 Rooms # 4 BR @ 6.5 Rooms # Dwelling Units # Rooms 1 2 3 4 5 Total Total Finished Space in Sf ____________ Total Unfinished Space in Sf ____________ Total Balcony Space in Sf ____________ 4 of _____ (rev. 6/17/04) American LegalNet, Inc. www.FormsWorkflow.com Architect’s / Engineer’s Certification of the Aggregate Floor Area, Dwelling Units & Room Count Building 3 of _____Address___________________________________Block___________Lot__________ [Total # of Bldgs.] Department of Buildings Job Number_____________________ Floor Residential A.F.A. NonResidential A.F.A. & Ineligible Residential A.F.A. # 0 BR @ 2.5 Rooms # 1 BR @ 3.5 Rooms # 2 BR @ 4.5 Rooms # 3 BR @ 5.5 Rooms # 4 BR @ 6.5 Rooms # Dwelling Units # Rooms 1 2 3 4 5 Total Total Finished Space in Sf ____________ Total Unfinished Space in Sf ____________ Total Balcony Space in Sf ____________ 5 of _____ (rev. 6/17/04) American LegalNet, Inc. www.FormsWorkflow.com Architect’s / Engineer’s Certification of the Aggregate Floor Area, Dwelling Units & Room Count Project Building(s) Summary Building Floor(s) Residential A.F.A. NonResidential A.F.A. & Ineligible Residential A.F.A. # 0 BR # 1 BR # 2 BR # 3 BR # 4 BR # Dwelling Units # Rooms 1 Total Total Finished Sf All Buildings ________________ Total Unfinished Sf All Buildings ________________ Total Balcony Area Sf All Buildings ________________ Additional Information required for Projects that fall within the Geographic Exclusion Area (28 RCNY § 6-02(c)(10)) where eligibility for 421-a Partial Tax Exemption is based upon the purchase of Negotiable Certificates Total Net Sf of Dwelling Units _____________________ Average Sf per Dwelling Unit _____________________ 6 of _____ (rev. 6/17/04) American LegalNet, Inc. www.FormsWorkflow.com