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NEWLY CONSTRUCTED APARTMENTS FOR RENT
Bay Street Owners, LLC is pleased to announce that applications are now being accepted for 91
affordable housing rental apartments now under construction at 40 Prospect Street in the Stapleton
Section of Staten Island. This building is being constructed through the New Housing Opportunities
Program (NEW HOP) of the New York City Housing Development Corporation and the Mixed
Income Rental Program of the New York City Department of Housing Preservation and Development.
The size, rent and targeted income distribution for the 91 apartments are as follows:
# of Apartments
Available
Apartment
Size
3
1 Bedroom
1
Studio
4
1 Bedroom
15
16
50
2
2 Bedroom
1 Bedroom
2 Bedroom
3 Bedroom
Total Annual Income Range**
Minimum
Maximum
Household
Size ***
Monthly
Rent *
1
2
1
$637.00
$637.00
$731.00
$23,657.00
$23,657.00
$26,846.00
$27,750.00
$31,700.00
$33,300.00
1
$781.00
$28,594.00
$33,300.00
2
$781.00
$28,594.00
$38,040.00
2
$942.00
$34,149.00
$38,040.00
3
$942.00
$34,149.00
$42,780.00
4
$942.00
$34,149.00
$47,520.00
1-2
$1,098.00
$39,463.00
$63,400.00
1 (i)
$1,322.00
$47,177.00
$63,400.00
2
$1,322.00
$47,177.00
$71,300.00
3-4
$1,322.00
$47,177.00
$79,200.00
2 (ii)
$1,527.00
$54,651.00
$71,300.00
3
$1,527.00
$54,651.00
$79,200.00
4
$1,527.00
$54,651.00
$85,600.00
5-6
$1,527.00
$54,651.00
$91,900.00
* includes gas for cooking
** income guidelines subject to change *** subject to occupancy criteria
(i) Households with 2 or more members will receive preference for 2 bedroom units
(ii) Households with 3 or more members will receive preference for 3 bedroom units
Qualified applicants will be required to meet the income guidelines and additional selection criteria. To request an
application mail a POSTCARD to: The Rail c/o Bay Street Owners, LLC., 150 Myrtle Avenue Suite 2, Brooklyn, NY
11201, or download from www.TheRailSI.com. Completed application must be returned by regular mail only (no
certified, priority, registered, expressed or overnight mail will be accepted) to a post office box number that will
be listed on the application. Applications postmarked after 8/29/11 will be set aside for possible future consideration.
Applications will be selected by lottery; applicants who submit more than one application will be disqualified.
Disqualified applications will not be accepted. A general preference will be given to New York City residents. Current
and eligible residents of Staten Island Community Board 1 will receive preference for 50% of the units. Eligible
households that include persons with mobility impairments will receive preference of 5% of the units; eligible persons
that include persons with visual and/or hearing impairments will receive preference for 2% of the units; and eligible
City of New York Municipal Employees will receive preference for 5% of the units.
No Broker’s Fee. No Application Fee.
MICHAEL R. BLOOMBERG, Mayor
The New York City Department of Housing Preservation and Development
MATHEW M. WAMBUA, Commissioner
New York City Housing Development Corporation
MARC JAHR, President
www.nyc.gov/housing
Bay Street Owners, L L C
40 Prospect Street
Staten Island, N Y
A PP L I C A T I O N F O R AP A R T M E N T
Instructions:
1. Mail only one application per family. You will be disqualified if more than one application per family is received.
2. When completed, this application must be returned by regular mail only; do not send registered or certified mail.
3. Applications postmarked after A ugust 29, 2011 will be set aside for possible future consideration.
4. Mail completed application to:
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5. No payment should be given to anyone in connection with the preparation or filing of this application.
______________________________________________
6. This information to be filled out by the Applicant:
A. Name and A ddress
Name________________________________________________________________________________________
Current Address_______________________________________________________________________________
City, State, Zip
Code_________________________________________________________________________________________
Home Telephone/Cell
Phone________________________________________________________________________________________
Work Phone___________________________________________________________________________________
How long have you lived at this address? _____________Y ears_____________Months
______________________________________________
B. Household Information
How many persons in your household, including yourself, WIL L LI V E IN T H E U NIT F OR W HIC H Y O U A RE
APPL Y IN G? __________.
List all of the people W H O WIL L LI V E IN T H E U NIT F OR W HIC H Y O U A RE APPL Y IN G, starting with
yourself, and provide the following information. Add additional pages if necessary.
F ull Name:
Relation to
A pplicant
Birth Date
Age
Sex
O ccupation
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Are you or any member of your household disabled? [ ] Yes [ ] No
If yes, would you describe the disability as [ ] mobility impairment? [ ] visual impairment? [ ] hearing impairment?
If you checked either mobility impairment, or visual impairment, or hearing impairment, do you or a member of
your household require a special accommodation? [ ] Y es [ ] No
If yes, please specify the special accommodation required:
______________________________________________
Page 1 of 3
C.
Income from E mployment
1) A re you an employee of the C ity of New Yor k, the New Yor k C ity Housing Development Corporation, the
New Yor k C ity E conomic Development Corporation, the New Yor k C ity H ousing A uthority, or the New
Yor k C ity H ealth and Hospitals Corporation? Y es ______ No ______ (If Y es, please identify the agency or
entity
at
which
you
are
employed):
Agency/Entity________________________________________________________________
2) If you answered " yes" to Question 1 above, have you personally had any role or involvement in any process,
decision, or approval regarding the housing development that is the subject of this application? Y es ___ No ___
127(,I\RXDQVZHUHGµ<HV¶WR4XHVWLon 1 above, you may be required to submit a statement from your
HPSOR\HU WKDW \RXU DSSOLFDWLRQ GRHV QRW FUHDWH D FRQIOLFW RI LQWHUHVW ,I \RX DQVZHUHG µ<HV¶ WR 4XHVWLRQ above, you will be required to submit a statement from your employer that your appli cation does not create a
conflict of interest. Such statement would not be required until later in the application process, after you
have been selected through the lottery, when you will also be required to provide other documents to verify
your income and eligibility.
List all full and/or part time employment for A L L H O USE H O L D M E M B ERS including yourself, W H O WIL L B E
LI V IN G WIT H Y O U in the residence for which you are applying. Include self-employment earnings.
Household M ember:
E mployer Name and A ddress:
Y ears
E mployed:
G ross
E arnings:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
D. Income from O ther Sources
List all other income, for example, welfare (including housing allowance), A F D C, Social Security, SSI, pension,
disability compensation, unemployment compensation, Interest income, babysitting, care-taking, alimony, child
support, annuities, dividends, income from rental property, Armed Forces Reserves, scholarships and/or grants, etc.
H O USE H O L D M E M B ER
Type of Income
Amount
_____________________
________________________
$__________per________
____________________
________________________
$_________per__________
____________________
________________________
$_________per__________
____________________
________________________
$_________per__________
_____________________________________________________________________________________________
E. Total A nnual Household Income
Add All Income Listed Above and Indicate the Total Earned for the Y ear $________________________per year
_____________________________________________________________________________________________
F . C ur rent L andlord
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/DQGORUG¶V$GGUHVVBBBBBBBBBBBBBBBB_____________________________________________________________
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_____________________________________________________________________________________________
G. C ur rent Rent
What is the total rent on the apartment where you currently live or temporarily staying? $_______________monthly
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_____________________________________________________________________________________________
Page 2 of 3
H . Reason for Moving
Why are you moving? Please check all that apply.
{
{
{
{
{
{
} Living with parents { } Do not like neighborhood
} Not enough space { } Living with relatives/other family members
} Living in shelter or on the streets { } Rent too high
} Bad housing conditions { } Increase in family size (marriage, birth)
} Health Reasons { } Other___________________________________
} Disability access problems
____________________________________________
I. Section 8 Housing Assistance
Are you presently receiving a Section 8 housing voucher or certificate? [ ] Y es [ ] No
Please check Y es or No. This information will not affect the processing of the application.
____________________________________________
J. Assets
Checking Account/Bank or Branch________________________________________________________________
Passbook Savings/Bank or Branch_________________________________________________________________
Savings Certificates/Bank or Branch_______________________________________________________________
_____________________________________________
K . Source of Information
How did you hear about this development?
[ ] Newspaper
[ ] Sign Posted on Property
[ ] Local Organization or Church
[ ] Friend
[ ]&LW\³DIIRUGDEOHKRXVLQJKRWOLQH´OLVWLQJQHZDGVIRUWKHPRQWK
[ ] Web Site/Internet
[ ] Other___________________________________________________________________________________
______________________________________________
L. E thnic Identification (Used for Statistical Purposes O nly)
This information is optional and will not affect the processing of the application. Please check one group that best
identifies the applicant.
[ ] White (non Hispanic origin)
[ ] Hispanic origin
[ ] American Indian/A laskan Native
[ ] Black
[ ] Asian or Pacific Islander
[ ] Other
______________________________________________
M . Signature
I D E C L A RE T H A T ST A T E M E N TS C O N T AIN E D IN T HIS APPLIC A TIO N A RE TRU E A N D C O MPL E T E T O
T H E B EST O F M Y K N O W L E D G E . I have not withheld, falsified or otherwise misrepresented any information. I
fully understand that any and all information I provide during this application process is subject to review by The
New York City Department of Investigation (D OI), a fully empowered law enforcement agency which investigates
potential fraud in City-sponsored programs. I understand that the consequences for providing false or knowingly
incomplete information in an attempt to qualify for this program may include the disqualification of my application,
the termination of my lease (if discovery is made after the fact), and referral to the appropriate authorities for
potential criminal prosecution.
I D E C L A RE T H A T N EIT HER I, N OR A N Y M E M B ER O F M Y IM M E DI A T E F A MI L Y A RE E MPL O Y E D B Y
T H E N E W Y OR K CIT Y H O USIN G D E V E L OPM E N T C ORPOR A TIO N OR ITS SU BSIDI A RIES, OR T H E
B UIL DIN G O W N ER OR ITS PRIN CIPA LS.
Signed:_______________________________________________________________Date:____________________
______________________________________________________________________________
O F F I C E USE O N L Y :
Community Board Resident [ ] Y es [ ] No
Municipal Employee [ ] Y es [ ] No
Size of Apartment Assigned: [ ] Studio [ ] 1 Bedroom [ ] 2 Bedroom [ ] 3 Bedroom [ ] 4 Bedroom
Family Composition: Adult Males_______Adult Females______Male Children_______Female Children_______
Person with Disability [ ] Mobility [ ] V isual [ ] Hearing
T OT A L V ERIFIE D H O USE H O L D IN C O M E: $__________________________per Y ear
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