HUD 52651-A Site, Design and Cost Report

Site, Design and Cost Report
U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

OMB No. 2577-0157 (Exp. 1/31/2017)

Public reporting burden for this collection of information is estimated to average 2.5 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. HUD may not conduct or sponsor, and an applicant is not required to respond to a collection of information unless it displays
a currently valid OMB control number.
This collection of information is required for developing a public housing project pursuant to HUD regulations 24 CFR 905. The information
will be used to provide HUD with sufficient information to enable a determination that funds should or should not be reserved or a
contractual commitment made. This information collection is mandated pursuant to the U.S. Housing Act of l937. The information
requested does not lend itself to confidentiality.
Prepare and submit in accordance with Public Housing Development Regulation (24 CFR 905) and Capital Fund Guidebook. A separate
report is required for each individual site or a site comprising several contiguous parcels having exhibits and information applicable to all
parcels. A summary report is required for the project as a whole. Where necessary, attach a continuation sheet identifying Part, Section
and Items continued.

1. Name of PHA:

3. Project Number

4. This report is:
(a) the Summary Report for
the project as whole; and/or
(b) individual Site Report
Report No.

5. Housing Type and Development
Method
(1) Conventional
(2) Turnkey
(3) Acquisition
(a) New Construction
(b) Rehabilitation
(c) Existing

of reports

2. Address of PHA:
6. Community

7. County or
Other Similar
Area

8.
9. Census Tract(s)/Enumeration
Congressional District(s)
District(s)

10. Locality Map: For the proposed project as a whole, a map of the locality is attached identifying each proposed site and
race for the housing market area by race to do the area of minority concentration analysis. Also located on the map are
existing and proposed: (a) public transportation lines serving the site, (b) the principal industrial, commercial, or other
areas proving employing opportunities for project residents, and (c) public schools, community, recreation, health,
shopping and other facilities adjacent to and serving the site. □

11. Dwelling Units by Household Type and Structure. As appropriate, enter the number of dwelling units (DUs) proposed by
number of bedrooms, structure and household type: (Table Following)
Col 1
Structure
Type 1/

Col. 2

Column 3

No of
Buildings

Total DUs
(a)
Total

Column 4
Number of Family and Large Family DUs

(b)
(c)
Family Elderly

(a)
1BR

(b) (c)
2- 3 BR BR

(d) (e) (f)
4- 5- 6- BR
BR BR

Column 5
Number of Elderly Units

(a)
(b) (c)
Effc. 1- 2-BR
BR

1
2
3
4
5
6
7

D
SD
R
W
E
Totals
No. in
Line 6
For HDEP
1/Structure Types are: D = Detached, SD = Semi-Detached, R = Row or Townhouse, W = Walk-up, and E = Elevator *
Designated UFAS/ADA Mobility Accessible Unit, ** Designated UFAS/ADA Sensory Accessible Unit; *** Unit with some
accessibility features (under the Fair Housing Act, UFAS, and/or the ADA
12. Areas and Costs of Dwelling and Non-Dwelling Buildings or Spaces
Identify separately for family and for
elderly dwelling and non-dwelling
areas and the costs attributable to
the areas.
(a) Dwelling Space
(b) Non-Dwelling Buildings or Spaces
(1) Management
(2)Maintenance
(3) Community
(4) Other (Specify)
(5) Total Non-Dwelling Space

Gross Square Feet
Family

Elderly

Net Square Feet

Total Cost

13. Proposed Project Development Schedule
Schedule each processing step for the
proposed project in the applicable
column belowProcessing Steps
a. Site Documents Submission
b. Design Documents Submission
c. Construction Documents
Submission
d. Contract Documents Submission
e. Construction Star
f. Construction Completion
g. PHA Acquisition of Existing
h. Total

Turnkey Developer
Estimate
Column (1)

PHA Estimate

Total

Column (2)

14 Certification
a. The PHA, and Developer if a turnkey project, certifies that as applicable, the development and operation of the
project will be carried out in compliance with applicable Fair Housing and Equal Opportunity Requirements including
Title VI of the Civil Rights Act of 1964 and Exec. Order 11063, Title VIII of the Civil Rights Act of 1968 (the Fair Housing
Act). Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, the Age Discrimination
Act of 1975, Executive Order 11246 as amended by Exec. Order 11375, Section 3 of the HUD Act of 1968 and Exec.
Orders 11625 and 12138 b. For the proposed project as a whole, a plan is attached including any experience, which
addresses: (1) Section 3 of the HUD Act of 1968 - providing opportunities for training and employment of lowerincome residence of the unit of local government of the metropolitan area (or non-metropolitan county, as determined
by HUD) in which the project is located and awarding contracts for work in connection with the project to business
concerns which are located in of owned in substantial part by persons residing in such area; (2) Executive Order 11625
and 12138 - - employment minority and women owned business enterprises to perform work in connection with the
development and operation of the project.

Part II - Proposed Site
1. Site Identification and Address

2. Closet Major Intersection

3. Source of Site or Property
(Check as applicable and
identify)
(a) HUD (CDBG, U.R. 226,
etc.)
(b) Other Fed (VA, etc.)
(c) PHA Owned
(d) City, County, StateOwned
(e) Private-Owned
(f) Other (Identify)

4. Dimensions:
(a)

feet by

5. Zoning
(a) Identify existing zoning for the site
(b) Zoning recently changed, evidence is
attached
(c) Zoning is permissive:
(d) Zoning is not permissive:
(1) zoning required:
(2) source of insurance
(3) party responsible for
obtainingrequired change:

sq. ft (c)

acres

6. Site Control
Identify current site control and attach evidence
(a) form(s) HUD-51971 for conventional and
acquisition projects or
(b) Other form(s) for turnkey projects (identify)
(c) Option expiration date
Title Information
To demonstrate that good title can be obtained,
attached are:
(a) Title Opinion or Report and
(b) Recordation Plat

10. Utilities

(a) Sanitary Sewer
(b) Water
(c) Gas
(d) Electricity
(e) Storm Sewer
(f) Access Street
(g) Boundary Streets
(h) Other

8. Site Survey is attached

Currently
On-Site
(1)

Currently
Off-Site
(2)

Change
Required
(3)

Assurance
Attached
(4)

9. For conventional or
acquisition projects PHA
obtained private owner's offer to
sell by:
(a) PHA advertisement or
invitation.
(b) Owner’s advertisement or
listing or other voluntary action
(c) Other

Explain Change

11. Site Grades: Indicate the Percent of Area for the Site for Each Grade Range
(a) % area w/grades 0 through 1%%
(b) area w/grades 2 through 5%
(c) % area w/grades 6 through 10%%
(d) area w/grades 11% and above

12. Rainfall: For Low-Lying and Flat
Sites, Indicate Level of Rainfall

13. Flood Hazards: Is the Site Within an Area Identified Within an Area Identified by HUD as
Having Special Flood Hazards?
(a) Yes (elaborate
(b) No

14. Earthslides:
Does the Hazard
of Earthslides
Exist Either on the
Site or on
Adjacent or
Nearby Land?
(a) Yes
(elaborat
e)
(b) No

16. Noise: Is the Site Exposed to Noise in Excess of HUD Standards?
(a) Yes (elaborate)
(b)No

18. Other Environmental Consideration or Comments. A-95 Clearance Attached
(a) Yes
(b) No
20. Known Subsurface Conditions

21. Relocation
(a) Vacant No
Displacement
(b) Occupied:(potential
displacement

(c) Types of Occupants
(1) Families
(2) Individuals
(3) Business Concerns
(4) XXXXXXXX???

22. Parcells Comprising Site

(d)Total Number

15. Earthquakes:
Is the Site a High
Risk Area for
Earthquakes?
(a) Yes
(elabora
te)
(b) No

17. History Similar: Is the Site Located
Within a Historic District or Similar
Location which
may be Subject to Special
Environmental Treatment?
(a) Yes (elaborate)
(b) No
19. Unusual, Existing Site Features
(a) None
(b) Cuts
(c) Fill
(d) Erosion
(e) Other (specify)
f) Poor Drainage
(g) Retaining Wall
(h) Rock Foundations
(i) High Water Table

(e) Eligible for Assisted Housing
(f) a statement is attached identifying
each occupant by (1) name; (2)
address; (3) whether owner or tenant;
(4) type of occupant; (5) length of
occupancy; and (6) dwelling unit size
requirements.
(g) the PHA (or developer in the case
of turnkey) certifies that the
informational and other notices to
occupants will be issued as required.

(a) Parcel
Number

(b) Parcel
Address/Identificati
on

(c) Option
Exp. Date

23. Remarks

(d)
Area
Squar
e
Feet

(e)Improvement
(1) Type

(f)conditions

(g) Asking Price

(2) Use

24. Area of Site
(a) Area to be Purchased
(b) Area to be Donated
(c) Total Area of Site
(d) Deductions
(e) Net Buildable Area
25. Demolition Required
(a) None Involved
(b) Number of Dwelling Units
(c) Number of Non-Dwelling Structures

Part III – Proposed Design
1. Proposed Gross Density
(a) DUs per Acre
(b) Total Population/Acre
(c) Number of Adults/Acre
(d) Number of Minors/Acre
(e) DUs

2. No. of Parking
Spaces

3. No. of Stories/Buildings

4. No. of Elevators

5. Structural
System

6. Floor System
10. Type of
Foundation
Slab or Grade
Crawl Space
Partial Basement
Full Basement

7. Exterior Finish

8. Heating System

9. Air
Conditioning

11. Depth of Detail: The attached project description exhibits fulfill public housing program requirements for

☐(a) proposal submission; ☐ (b) design document submission; or ☐ (c) construction document submission.
12. Attachment Identification: The attachments to this report are: ☐ (a) identical for ad represent all sites in this proposed
project; ☐ (b) limited only to the property proposed for this site or ☐ (c) applicable to the various site as described in an
attachments’ cover sheets
13. Utility Combination: A revised Comparative Analysis of Utility Costs, form HUD-51994; ☐ (a) is attached; or ☐ (b) is
not attached.
14. New Construction Project: Attached are: ☐ (a) Outline Specification, form HUD-5087; ☐ (b) Site Plan; and ☐
(c) Schematic drawings to identify proposed typical features
15. Rehabilitation or Existing Housing Project: Attached are: ☐ (a) Preliminary Work Write-ups; ☐ (b) Photographs and
☐ (c) (1) For one-to-four family properties, Underwriting Report, Form HUD-92800.3 (as applicable through Item 22);
or ☐ (c) (2) for a property of five more units, Outline Specification, form HUD-5087.
16. Rehabilitation or Existing Housing Project: The following shows the annual income for the property, which includes the
indicated equipment and services, over the last twelve months:

16 (a) “As Is” or
Before
Rehabilitation
(Annual Income
Last 12 Months
(1) Number of
each type of unit

16 (b) Equipment and
Services included in Rent.

(2) Living
Area (Square
Ft)

(3) Composition
of Units

(4) Monthly
Rent Per Unit

$

Annual Rent
(5) Oncome
Received
$

Other Items Included in
Rent:

(6)
Received
in Full
Occupancy
$
(1) Range (Gas or
Electricity)

(2) Refrigerator (Gas or
Electricity)
(3) Attic Fan
(4) Laundry Facilities
(5) Venetian Blinds
(6) Water (Cold)
(7) Water (Hot)
(8) Gas
(9) Electricity
(10) Space Heat
(11) Janitor Service
(12) Air Conditioning
(13) Ground Maintenance
(14) Garage or Rubbish
Removal
(15) Other (Specify)

Part IV - Proposed Construction Cost/Price
Section A. Construction
Cost/Developer’s Price Description
1. Applicability: The cost/price in this part: (a)
is the Summary Report for Project Number
and shows the total construction cost or developer’s price for the proposed project as a whole; or (b) 2.
only to individual site Report Number
of
Reports for Project Number

applies

Identification: The cost/price is: (a) ☐for a new construction or rehabilitation project and is1:
☐ based on
construction costs as of which is: (1) ☐ the PHA proposal submission date or ☐(2) the deadline date specified in the
turnkey request for proposals; or ☐(b) for acquisition of existing units
Section B. Construction Cost/Developer’s Price Statement (The following is a statement of proposed construction
cost/developer’s price.)
Items
Site Improvements
1. Unusual Site Improvements
2. Normal Site Improvements
3. Total Site Improvements (Account
1480)
Structures and Equipment
4. Dwelling Structure (Account 14805.
Dwelling Equipment (Account 1480
6. Subtotal D, C and E
7. Non-Dwelling Structures (Account
1480)
8. Non-Dwelling Equipment (Account
1480)
9. Subtotal Non-Dwelling Structures and
Equipment
10. Total Structures and Equipment
(Sum of Lines 6 and 9)
11. Total Construction Cost (Sum of
Lines 3 and 10)
12. Architect’s fee - Design at
percent
13. Architect’s fee - developer at
percent
Supervisory :
PHA at
14. Total for all Improvements(Sum of
Lines 11, 12 and 13)
15. Cost per Gross Square Foot
16. Estimated Construction Time Other
(Turnkey only)
17. Construction Financing % for
months
18. State or Local Taxes
19. Title and Recording Fees

(a) Developer’s
Price

(b) PHA Cost

(c) Total Cost

20. Closing Costs
21. Developer’s Fee and Overhead
22. Totals for Other Site Acquisition
23. Site/Existing Property (Account
1440.1) $ per sq ft
24. Total Construction Cost/Price
25. Average Cost per Dwelling Unit (Line
24 divided by Number of Dwelling
Units)
Part V – Signature
I certify that the information provided
on this form and in any accompanying
documentation is true and accurate. I
acknowledge that making, presenting,
or submitting a false, fictitious, or
fraudulent statement, representation,
or certification may result in criminal,
civil, and/or administrative sanctions,
including fines, penalties, and
imprisonment

Prepared for PHA: (1)
as Turnkey proposal pr (2) ☐ by PHA Architect/Other (Specify)
Name & Address of Entity:
Name & Title of Authorized Representative:

Typed Name & Title pf Authorized PHA Official:

Signature of Representative & Date:

Instructions for Form HUD-52651-A: Site, Design and Cost Report
1. Purpose: When the PHA is preparing to submit a PHA
Proposal for a Public Housing Project (PHA Proposal),
Form HUD-52483-A, the Site, Design and Cost Report,
Form HUD-52651-A, is the principal attachment used to
delineate components of the proposed project. This
form is also used to
summarize the submission of site documents when the
project involves 1-4 family properties under the
conventional or acquisition developmental methods.
2. Prepared by: Form HUD-52651-A Site, Design and Cost
Report, is prepared by the PHA and its architect under
the conventional and acquisition methods. Under the
turnkey method, Form HUD-52651-A is initially
prepared by prospective developers as part of their
turnkey proposal. By signing the form, the PHA formally
incorporates it into its PHA proposal which is submitted
to HUD. Only one turnkey proposal is permitted for each
PHA proposal.
3. Number: Original and one more copies. (Note: The
Form HUD-52651-A, itself, calls for attachments).
4. Distribution: A turnkey developer shall submit the
original and at least one copy of Form HUD-52651-A to
the PHA with all attachments as part of a turnkey
proposal. The Developer’s Packet may specify a greater
number of copies to be submitted to the PHA. A PHA
shall attach the original to the original of its PHA Proposal
which is submitted to the applicable HUD Field Office and
shall retain the copy with a copy of its PHA Proposal in its
files. A PEA may also be requested by the Field Office to
submit additional copies of its proposal. If the Field Office
plans to request any additional copies of the proposal
form the PHA, the Field Office should advise the PHA to
specify a sufficient number of turnkey proposals in the
Developer’s Packet.
5. Instructions for Preparation: The Site, Design and Cost
Report (Form HUD-52651-A) is to be prepared in

accordance with the public housing development
regulation (24 CFR 905) and Capital Fund Guidebook by
either the PHA (Conventional and Acquisition
methods) of the turnkey developer (Turnkey method).
Except for conventional or acquisition projects involving
1-4 family properties, a separate Form and HUD-52651A is to be submitted for each individual site or a site
comprising several contiguous parcels having common
exhibits or other information. In addition, a Form HUD52651-A (Parts I,IV and V) is to be submitted summarizing
the project as a whole. For conventional or acquisition
projects involving 1-4 family properties, a Form HUD52651-A with Part I, Items 1-11, Part IV and Part V
completed shall be submitted summarizing the site
documents for each group of properties being proposed.
Each part should indicate the total of all properties
approved or submitted to date. The following
attachments are required with each group of properties
submitted to HUD for approval:
a. Offers of Sale of Real Property and Purchase
Agreements (executed Forms HUD-51971-I and II).
b. Neighborhood Map designating properties previously
approved by HUD and acquired by the PHA and the
properties currently being submitted for HUD approval.
c. Appraisal (Form HUD-92800-3)
d. Work write-ups for properties to be rehabilitated and
repair descriptions for those requiring only minor repairs.
e. A statement of how each property was identified and
whether it is currently occupied by an owner or tenant.
Specific instructions for completing each item follow.
If there is insufficient space on the form, a continuation
sheet may be used which clearly identifies the material
by Part, Section, and item number.