application for housing · 2013-09-08 · application for housing ... 3. information will not be...
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Application for Housing DISTRICT OF COCHRANE SOCIAL SERVICES ADMINISTRATION BOARD
HOUSING SERVICES ACCESS
For Office Use Only:
Primary Provider: _____________________________________________________________________
Date application Received: _______________ Time: __________ Received By: ____________________
Please indicate if you are interested in:
a) Rent Geared to Income (Subsidized Rent)
b) Market Rent (Non-subsidized Rent)
c) Number of Bedrooms required ___________
Yes ________ No ________
Yes ________ No ________
This copy will serve to acknowledge receipt of your application by the District of Cochrane Social Services Administration Board, Housing Services Access, and to acknowledge that your application is:
Complete or Incomplete.
If “Incomplete” is circled, please fill in the highlighted areas on the application and / or provide the missing information, as requested. If “Complete” is circled, retain this for your records. If you have any questions, please call the Housing Services nearest you.
PLEASE READ THE FOLLOWING, COMPLETE THE NAME AND ADDRESS BELOW THEN YOUR SIGNATURE IS REQUIRED
COLLECTION OF PERSONAL INFORMATION CLAUSE Personal information contained on this form or in attachments, including form 1, is collected by the District of Cochrane Social Services Administration Board pursuant to Sections 162, 163, 164, 165 and 166 of the Social Housing Reform Act, 2000, and will be used to determine suitability and eligibility for housing applied for, continuation of housing and the appropriate rent scale and rent-geared-to-income charge. Personal information may be released to the housing provider, the government of Canada, including Canada Customs & Revenue Agency, other municipal/provincial and federal departments and agencies who assist in the provision of affordable housing and to social agencies and government agencies providing social assistance to the tenant. The tenant consents to the verification, disclosure, and transfer of information given on this form and attachments by or to any of the above entities and will provide any required supporting material. Questions about this collection should be directed to the Housing Services of the District of Cochrane Social Services Administration Board.
Freedom of Information Contact Person: Barb Millions, Ontario Works Supervisor, Suite 120, 38 Pine St. N., Timmins, ON P4N 6K6
Declaration
I/we make the above, the following and all other, whether verbal or written, representations, to the District of Cochrane Social Services Administration Board Housing Services, knowing that they will be relied upon by the District of Cochrane Social Services Administration Board Housing Services and its member-housing providers, to assess by qualifications for rental subsidy accommodation and to establish rent.
1. I have read the definition of Income and Gross Family Income on the following page and I fully understand them. 2. The information given on this form is accurate and complete as requested. 3. I understand that if rental subsidized accommodation is provided to me, that accommodation is to be occupied only by myself
and “those persons listed in the STATEMENT OF HOUSEHOLD COMPOSITION” subject to approval. I give consent and authorization to the District of Cochrane Social Services Administration Board Housing Services to:
1. Make any inquiries that it deems necessary to verify the information given in this form (including a credit or landlord check, if applicable) and I authorize any person or Social Agency having knowledge of any such information to release the information to the District of Cochrane Social Services Administration Board Services.
2. Disclose the information given by me to the District of Cochrane Social Services Administration Board Housing Services, to any Social Agency providing any form of service to me or to any housing provider associated with the District of Cochrane Social services Administration Board Housing Services.
3. Information will not be disclosed to any other party, except in accordance with provisions of the FIPPA, MFIPPA, PHIPA, PIPEDA.
4. For the purposes of PHIPA, I give consent for the collection of health information to District of Cochrane Social Services Administration Board Housing Services for the purpose of assessing eligibility. The consent is valid until all matters relating to eligibility are resolved to the satisfaction of the District of Cochrane Social Services Administration Board Housing Services.
5. The District of Cochrane Social Services Administration Board Housing Services voluntarily complies with the Federal Privacy Information Protection and Electronics Documents Act 2000 (PIPEDA), which applies to the standards for personal information with respect to commercial activity.
Applicant Signature
Date
Witness Signature
Co-Applicant Signature
Date
Witness Signature
Co-Applicant Signature
Date
Witness Signature
Name: ________________________________________________ Address: _____________________________________________________________________________
MINUTEMANPRESS50200-2Z55 Page 1 of 11
Definition of Income “Income” means all income, benefits and gains, of every kind and from every source including, but not limited to the following: a) gross salaries, wages, overtime payments,
commissions, bonuses, tips, gratuities; b) grants, scholarships or bursary payments; c) the greater of the net income from the business or
the total withdrawals from the business as personal salary or other benefits of anyone who is self-employed in a business;
d) the gross amount of unemployment insurance benefits;
e) the gross amount of workers’ compensation payments or other industrial accident insurance payments made because of illness or disability;
f) the gross amount of any old age security, federal guaranteed income supplement and spouse’s allowance and financial assistance under the Ontario Guaranteed Annual Income System (GAINS);
g) the gross amount of every kind of pension, allowance, benefit and annuity whether from a federal, provincial or municipal government of Canada or any level of government of any other country or state or from any other source;
h) the gross amount of alimony, separation, maintenance or support payments;
i) the gross amount of gains from investments including interest on dividends, stocks, shares other securities, and where the actual income can not be
determined, an imputed rate of return set by the Ministry of Housing from time to time;
j) the gross interest income from savings or chequing accounts in a bank, trust company or a credit union;
k) the gross amount of interest earned or payable from bonds, debentures, term deposits or investments, certificates, mortgages, capital gains or lump sum payments or other assets;
l) an imputed income equal to the total appraised value of all assets which do not produce interest income multiplied by a rate of return set by the landlord from time to time.
“Gross Family Income” means the aggregate income of: 1) the tenant and every person residing in the leased
premises; 2) every tenant on the lease temporarily resident
elsewhere. “Spouse” means: 1) a couple who are married to one another or who
represent that they are married to one another; 2) a couple who not being married to one another,
evidence an intention to cohabit in a relationship of permanence or represent to the landlord that they intend to do so.
Examples of Possible Sources of Income
Employment
• Full-time
• Part-time
• Irregular
• Casual
• Seasonal
• Odd Jobs
• Shift Bonuses
• Yearly/Seasonal Bonuses
• Disability Pay
• Overtime Earnings
• Commissions
• Tips and Gratuities
• Cost of Living Bonuses
• Sickness Pay
• Long Term Income Protection
Payments
• Separation / Vacation Pay
Self-Employment
• Tutoring
• Music Teaching
• Child Care
• Babysitting
• Taxi
• Business
Pensions and Allowances
• Old Age Security (OAS)
• Guaranteed Income Supplement (GIS)
• Ontario Disability Support Plan (ODSP)
• Canada Pension Plan (CPP)
• Quebec Pension Plan
• Social Security (other countries)
• Widow’s Pension
• Company Pension
• Private Pension
• Public Service Pension
• Civilian War Pension
• Disability Pension
• War Veteran’s Allowance (D.V.A.)
• War Veteran’s Allowance (other countries)
• Military or Militia or Civil Defense Allowances
• Canada Manpower Retraining Allowance
• Training Allowances
• Retraining Allowances
Other
• Payments from Official Guardian or Public Trustee
• WSIB
• Insurance Payments
• Provincial or Municipal Payments (O.W.)
• Unemployment Insurance Commission Payments
• Payments under Compensation for Victims of Crime Act
• Payments from Children’s Aid Society or Catholic
Children’s Aid
• Separation Payments
• Alimony Payments
• Support Payments (for spouse or child)
• Support from relatives or other sources
• One-time lump-sum payments (inheritances, court and
out of court settlement)
• Mortgage Income
• Student Grants
Income Producing Assets Non-Income Producing Assets
• Farm property which produces income • Life Insurance (with a cash surrender value)
• Registered Retirement Savings Plan • Real Estate (residential, commercial, farmland, cottage,
mobile home) which produces rental income • Real Estate (house, condominium, summer cottages,
farmland, commercial or vacant land)
• Savings Accounts (bank, trust company, credit union),
annuities, Guaranteed Investment Certificates, stocks or
shares, bonds, debentures, mortgages, loans, notes,
term deposits
• Collection of, or investments in other valuable non-
income producing assets
• Licence which produces income (e.g. Taxi Licence) • Business interest which does not produce income
• Business interest which produces income
Page 2 of 11
COCHRANE DISTRICT SOCIAL SERVICES ADMINISTRATION BOARD HOUSING SERVICES ACCESS
A. Statement of Household Composition (Make a complete list of the persons who will be living in the home for which you are applying) APPLICANT
Last Name: _________________________________ First Name: ________________________________ YR MTH DY M F Social Insurance Number: ________________________ Birth Date: _____|____|____ Sex _____ _____
Street & Number: ________________________ Apt. No: __________ City: ________________________
Mailing Address (if different from above): _____________________________________________________
Province: _______________ Postal Code: ____________ Home Telephone: ________________________
Are you a: Canadian Citizen “ Landed Immigrant “ Refugee/Applicant “ Status Indian/Metis “ Other “
Present Marital Status: Married “ Single “ Widowed “ Divorced “ Separated “ Common-law “ Other “
Employer: ______________________ Address: ______________________ Phone: (_____) ____ _______
Date Employment Started: ________________________________________________________________
CO-APPLICANT
Last Name: _________________________________ First Name: ________________________________ YR MTH DY M F Social Insurance Number: ________________________ Birth Date: _____|____|____ Sex _____ _____
Street & Number: ________________________ Apt. No: __________ City: ________________________
Mailing Address (if different from above): _____________________________________________________
Province: _______________ Postal Code: ____________ Home Telephone: ________________________
Are you a: Canadian Citizen “ Landed Immigrant “ Refugee/Applicant “ Status Indian/Metis “ Other “
Present Marital Status: Married “ Single “ Widowed “ Divorced “ Separated “ Common-law “ Other “
Employer: ______________________ Address: ______________________ Phone: (_____) ____ _______
Relationship to Applicant: _________________________________________________________________
B. Other Household Members to Live in Home for Which you Are Applying
(If any of your children do not live with you all the time, place an X in the box next to their name(s).)
Birthdate Sex Last Name First Name X
Year Month Day M F Relationship
Person to contact in case of emergency, (next of kin, sponsor, doctor).
1. Name:_________________ Relationship: __________________ Phone No.: (_____) _____-_________
2. Name:_________________ Relationship: __________________ Phone No.: (_____) _____-_________
3. Doctor:____________________________ Phone No.: (_____) _____-_________
Page 3 of 11
C.
Present Housing Circumstances Number of bedrooms required: ______ Do you have a physical/medical condition that is aggravated by your current living situation? Yes ___ No ___ If yes, please explain: ________________________________________________ Do you require or anticipate a modified/wheelchair accessible unit for a disability? Yes ___ No ___ If yes, please explain ________________________________________________ Do you require supportive housing or life skills? Yes ___ No ___ Are you homeless? Yes ___ No ___ Are you a victim of domestic abuse? Yes ___ No ___ Is your family separated due to lack of affordable housing? Yes ___ No ___ Parking Required? Yes ___ No ___ Problem with stairs? Yes ___ No ___ Problem with elevator? Yes ___ No ___
Are you under notice to vacate your home now? Yes ___ No ___ If yes, please explain: ______________________________________________
______________________________________________
______________________________________________
Are you living with family or friends, or in a motel or hotel or emergency shelter? Yes ___ No ___ Other, please specify:
______________________________________________
If yes, please explain: ______________________________________________
______________________________________________
Do you anticipate a change in the number of people in your household? Yes ___ No ___
D. Present and Previous Accommodations
Present Landlord: ___________________________
Landlord’s Phone Number: (_____) _____________
How long have you lived at this address? _________
Your former Landlord: ________________________
Former Landlord’s phone: (_____) ______________
Your Former Address: ________________________
__________________________________________
Dates From: _______________ to ______________
Did you or the co-applicant ever own a home? If yes,
when did you stop owning it?
__________________________________________
Have you or the co-applicant ever lived in a co-op, non-
profit, or government housing in Ontario? Yes ___ No ___
If yes, provide the following:
Name of Provider: _______________________________
Address: _______________________________________
Phone Number: _________________________________
What Date? ____________________________________
E. TOTAL MONTHLY HOUSEHOLD INCOME (Gross monthly income before deductions.) Please note: You must state all sources of income of those in your household and provide
proof of each if you are applying for Social Housing. Name:
Source Proof Applicant Co-Applicant Other: Other:
Employment (Most recent cheque stubs)
Hourly Rate:____ Average Hrs Per Week: ____
Social Assistance (Attach stub and drug card)
Specify:
Ontario Works (O.W.)
Ontario Disability Support Plan (ODSP)
Ontario Student Assistance Program (OSAP)
Employment Insurance (EI) (Most recent cheque)
Canada Pension Plan (Bank record or last cheque)
Old Age Security (OAS) (Bank record or last cheque)
Support/Alimony (Supporting legal documents)
WSIB (Most recent cheque)
Assets (Attach description)
Other Pensions (Bank record or last cheque)
Other Income (Bank record or last cheque)
Page 4 of 11
If you are applying for market rent, disregard F. and G.
F. ASSETS Bank account ____________________ _____________________________________ ________________________ Bank Name Branch Address Account Number
Bank Accounts Amount Monthly Income (Interest)
Savings
Chequing
Other Accounts (Trust Companies, Credit Unions)
Bonds/Savings Certificates
Annuities, Shares, Securities, Stocks, Debentures
Rent Revenue
Other (Specify e.g. Mortgage)
Total Monthly Income $ $
Are you a property owner? Yes ____ No ____ If yes, give type, value and location:
Do you own a business? Yes ____ No ____ If yes, give details:
G. Statement of Non-Income Producing Assets Value Value
Applicant Co-Applicant
a) House $ $
b) Cottage
c) Other Real Estate
Sub-Total For Office Use Only
Less: Amount Of Mortgage Outstanding
Imputed Return
Net Assets - Real Estate Applicant Co-Applicant
Business Assets (Partnership, etc.)
Monies Owed To You (Amounts over $500.00)
Paid-Up Life Insurance
Other (Specify)
Total $ $ $ $ $
If any assets have been transferred, indicate:
Date of transfer: ______________________ Transferred To: ____________________________
Comments and/or additional information you feel would be pertinent to this application:
Page 5 of 11
CDSSAB Housing Services
BUILDING SELECTION SHEET
Unit size available
Some wheelchair accessible A Parking spots available at a cost
U Located onsite B Limited parking spots available
* Walkup - Low rise building with no elevator C Parking available at no charge
Note: Most apartment buildings/townhouses have a party room
CDSSAB, HOUSING SERVICES TIMMINS AREA
FAMILY / SINGLES
Page 6 of 11
Please Mark With (X) All of your Selections
Building Street Address
Build
ing T
ype
No.
of
Units
1 B
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2 B
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3 B
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4 B
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5 B
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Park
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Gar
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Frid
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Sto
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Sele
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Timmins - Family / Singles Genesis Housing Co-op 1065 Bailey Street
T.House + Apts.
36 C U
Goldridge Co-operative 150 Kelly Ann Drive T.House + Apts.
44 C U
Kaleidoscope Co-operative 1115 McLean Drive Unit 96 T.House + Apts.
95 C U
Pins Gris co-operative 400 Shirley St. Unit 100 T.House 40 C U
Tisdale Whitney Co-operative 900 Government Rd Porcupine
T.House 40 C U Timmins Rent Suppl. Units Landlord : Riverside Acres
Riverpark Road T.House + Apts.
27 C Timmins Rent Suppl. Units Cedar Apts.
641 Cedar St. North Apt. 14 C U Timmins Rent Suppl. Units Harrower Properties
101 Kelly Ann Apt. 18 C U Timmins Rent Suppl. Units 680958 Ontario Ltd.
520-540 Lonergan T.House 6 C U Timmins Rent Suppl. Units Pheonix Investments
111 Clifford Apt. 1 C U Timmins Rent Suppl. Units McLean Courts
691 McLean Drive Apt. 12 C U Timmins Rent Suppl. Units Landlord : Timcor Leasing
525 Westmount T.House 11 C U Timmins Rent Suppl. Units Landlord : 487171 Ontario Inc.
Chartrand Apts. 19 Preston Street
Apt. 11 A U Timmins Rent Suppl. Units Landlord : Martin Lambert
443-445 Pine St. North Four- Plex
8 C U CDSSAB, Housing Dept. Vanier Street Semi 5 C CDSSAB, Housing Dept.
Denise, Martin and Delia Street
Semi 6 C CDSSAB, Housing Dept. Lemoyne Street Semi 12 C CDSSAB, Housing Dept.
Suzanne, Randall, Graham, Mountjoy St.
Semi 12 C
CDSSAB, Housing Dept. McClinton, Spooner, Louise Streets
House Semi
6 C
CDSSAB, Housing Dept. Randall Street House Semi
12 C CDSSAB, Housing Dept. Lamminen Ave. & Emilie St. T.House 24 C CDSSAB, Housing Dept. Brousseau & Maple St. Semi 16 C CDSSAB, Housing Dept.
Sterling Ave, Cedar & Birch St. S.
T.House 65 C
Kenneth Crescent Non Profit Kenneth Crescent & Collins House Semi
50 C U City of Timmins Non Profit Country Vila
450 Shirley Street T.House 40 C U
CDSSAB Housing Services
BUILDING SELECTION SHEET
Unit size available Some wheelchair accessible A Parking spots available at a cost
U Located onsite B Limited parking spots available * Walkup - Low rise building with no elevator C Parking available at no charge Note: Most apartment buildings/townhouses have a party room
CDSSAB, HOUSING SERVICES COCHRANE HEARST IROQUOIS FALLS KAPUSKASING MOOSONEE VAL GAGNE
FAMILY / SINGLES Page 7 of 11
Please Mark With (X) All of your Selections
Building Street Address
Build
ing T
ype
No.
of
Units
1 B
edro
om
2 B
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3 B
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om
4 B
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5 B
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Park
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Gar
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Frid
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Sto
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Sele
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Cochrane - Family / Singles
CDSSAB - Project OH-1 6 & 7th Street
14 & 15th Avenue Semi 30 C
CDSSAB - Project OH-3 15th Avenue Semi 16 C CDSSAB - Project OH-5 Sybil / Victoria Semi 8 C Cochrane District Housing 381 & 383 8th Street Apt. 22 C U Hearst - Family / Singles
Hearst Families Houle & McManus
Boucher & 70-15th Sts. House 9 C
Landlord: Cler-Vican Ltd. 429 Alexandra Street Apt. 3 B
Landlord: Eddy Denommee 401, 409, 411 & 417 Prince
Street Apt. 11 B
Brisson Boulevard 406 & 408 Brisson Boulevard Apt. 8 A Place Lambert Berville Street T.House 25 A Place Charbonneau Berville Street T.House 14 A Iroquois Falls - Family / Singles CDSSAB - Project OH-1 Union Street Row 12 C CDSSAB - Project OH-6 O’Mara Drive House 6 C CDSSAB - Project OH-101 Campion Street Semi 16 C CDSSAB - Project OH-102 Campion Street Semi 12 C Kapuskasing - Family / Singles Winnipeg Winnipeg Street Semi 16 C Brunetville Ontario St. / Cabot St. Semi 20 C Singles Ontario, Brock & Wolfe Apt. 20 A U Family Handicap Accessible Winnipeg Street Apt. 2 A U Val Albert Vanier, Mill & Downs Streets Semi 18 C Landlord: 862233 Ont. Inc. Richmond Street *Walkup 4 B Landlord: M. Lamontagne 9 Ash Street Apt. 2 B Drury St. Non-Profit Housing 10 Drury Street Apt. 46 A U Moosonee - Family / Singles
Moosonee Non Profit Scattered Apt.
House 126 C U
CDSSAB, Moosonee Wabun, Wavey, Bay, Moose Semi &
House 72 C
Mocreebec, Mosse Factory Trapper, Jolly, Visitor, Clarke House 20 C U Val Gagne - Family / Singles
CDSSAB - Project OH-3 Lessard Street Row 10 C
CDSSAB Housing Services
BUILDING SELECTION SHEET
Unit size available A Parking spots available at a cost B Limited parking spots available
Some wheelchair accessible C Parking available at no charge Note: Most apartment buildings / U Located onsite * Walkup - Low rise building with no elevator townhouses have a party room
CDSSAB, HOUSING SERVICES-COCHRANE FAUQUIER HEARST IROQUOIS FALLS KAPUSKASING MATHESON MATTICE MOONBEAM MOOSONEE RAMORE SMOOTH ROCK FALLS TIMMINS VAL GAGNE VAL RITA
SENIOR / SINGLE Page 8 of 11
Please Mark With (X) All of your Selections
Building Street Address
Build
ing T
ype
No.
of U
nits
1 B
edro
om
2 B
edro
om
Laundry
Par
king
Ele
vato
r
Frid
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Sto
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Bal
cony
Sele
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Cochrane - Senior (60 Years +) CDSSAB - Project OH-1 Villa Genier Apt. 10 U A U CDSSAB - Project OH-2 235 13th Avenue *Walkup 15 U A U CDSSAB - Project OH-4 436 11th Avenue *Walkup 37 U A U U CDSSAB - Project OH-6 437 11th Avenue *Walkup 31 U A U U Fauquier - Senior (60 Years +) Domaine du Bel Age 1210 Doyon Street *Walkup 16 U A U U Hearst - Senior (60 Years +) Villa Beau-Sejour 54-8th Street *Walkup 24 U A U U Villa Belle-Rivière 47-13th Street *Walkup 24 U A U U Place St. Paul 1015 Edward Street Apt. 24 U A U U U Iroquois Falls - Senior (60 Years +) CDSSAB - Project OH-2 471 DeTroys *Walkup 14 U A U U CDSSAB - Project OH-4 156 Picadilly *Walkup 25 U A U U CDSSAB - Project OH-103 628 Majestic *Walkup 10 U A U U Iroquois Falls Seniors Apt. IFSAC Non-Profit
250 Cambridge Ave. Apt. 23 U A U U Kapuskasing - Senior (60 Years +) Grandvue 32 McPherson Ave. Apt. 31 U A U U U Bayview Apartments 12 McPherson Ave. Apt. 49 U A U U U Cedar Grove 55 Cedar Street Apt. 51 U A U U U Matheson - Senior (60 Years +) Matheson Seniors 414-6th Avenue Apt. 23 U A U U U Mattice - Senior (60 Years +) Villa Missinaibi 160 Melrose Street *Walkup 15 U A U U Moonbeam - Senior (60 Years +) Residence des Pionniers 1 Pelletier Street Apt. 19 U A U Moosonee - Senior / Singles CDSSAB, Moosonee Niska Apt. 28 C U Ramore - Senior (60 Years +) / Singles CDSSAB - Project OH-1 374 McIntyre Street Apt. 10 U A U CDSSAB - Project OH-5 375 McIntyre Street Apt. 15 U A U Smooth Rock Falls - Senior (60 Years +) Villa du Rocher 92 Ross Road Apt. 24 U A U U U Timmins - Senior / Singles CDSSAB - Bartleman Apts. 646 Bartleman Street
*Walkup Apt.
51 U B U U CDSSAB – Sterling Seniors 33 Sterling Avenue E. Apt. 61 U B U U U CDSSAB – Melrose Apts. 491 Melrose Blvd. *Walkup 42 U B U U City of Timmins Non Profit 77 Mountjoy Street N.
*Walkup Apt.
32 U B U U City of Timmins Non Profit 67 Mountjoy Street N. Apt. 61 U C U U U CDSSAB-Pine Street N. Apts. 217 Pine Street North Apt. 102 U B U U U Le Mirage, foyer des aînés 44 Borden Avenue Apt. 50 U A U U Timmins Finnish Seniors 231 Huot St., So. Porc. Apt. 30 U C U U U CDSSAB - Park Ave. Apts. 620 Park Avenue
*Walkup Apt.
12 B U U CDSSAB – Lakeview Apts. 58 Lakeview, So. Porc. Apt. 60 B U U CDSSAB – Lee Apts. 255 Lee Avenue Apt. 15 B U CDSSAB – College Apts. 615 College Street
*Walkup Apt.
51 C U Val Gagne – Senior (60 Years +) CDSSAB – Project OH4 Lessard Street *Walkup 11 U A U U
Val Rita – Senior (60 Years +) Villa Rita 24 Deschenaux St. Apt. 10 U A U
CDSSAB Housing Services
BUILDING SELECTION SHEET
Unit size available
Some wheelchair accessible A Parking spots available at a cost
U Located onsite B Limited parking spots available
* Walkup - Low rise building with no elevator C Parking available at no charge
Note: Most apartment buildings/townhouses have a party room
CDSSAB, HOUSING SERVICES HEARST KAPUSKASING TIMMINS
Page 9 of 11
Please Mark With (X) All of your Selections
Building Street Address
Build
ing T
ype
No.
of
Units
1 B
edro
om
2 B
edro
om
Laundry
Park
ing
Sec
uri
ty
Frid
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Sto
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Support
ive
Ser
vice
s
Sele
ctio
n
Hearst - Supportive Housing/Accessible Units Maison Renaissance Drug Abuse & Rehabilitation
924 Halle Street Res. 16 C U
Maison Georgienne Hearst Counselling Services
417 George Street *Walkup 7 U A U U U
Appartement Gamelin Mentally Handicapped
44-46 13th Street Apt. 4 U U
Supported Ind. Living Mentally Handicapped
1114 Edward Street Apt. 5 U
Kapuskasing - Supportive Housing/Accessible Units
Kapuskasing Counselling 24 Ontario Street 7 Nelson
Apt. 8 U A U U U
Timmins - Supportive Housing/Accessible Units
Access Better Living Inc. 506 Lonergan Blvd. Apt. 15 U C U U U
Canadian Mental Health Assn. 239 Wilson Ave. House 3
Community Living Timmins 166-A Brousseau Ave. House 5
CDSSAB Housing Services
BUILDING SELECTION SHEET
Unit size available
Some wheelchair accessible A Parking spots available at a cost
U Located onsite B Limited parking spots available
* Walkup - Low rise building with no elevator C Parking available at no charge
Note: Most apartment buildings/townhouses have a party room
CDSSAB, HOUSING SERVICES COCHRANE KAPUSKASING HEARST
Page 10 of 11
Please Mark With (X) All of your Selections
Building Street Address
Build
ing T
ype
No.
of
Units
1 B
edro
om
2 B
edro
om
3 B
edro
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Park
ing
Shee
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Frid
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Sto
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Cochrane Phase I - Urban Native Housing
Family / Singles 5th St. 5th Ave. Rural Hough, 11th Ave. 7th St. 14th Ave. 15th Ave.
House / Duplex /Semi
10 C U
Cochrane Phase II - Urban Native Housing
Family / Singles 15th Ave. Semi 2 C U
Cochrane Phase III - Urban Native Housing
Family / Singles Victoria St. / 15th Ave. Semi 8 C U
Kapuskasing Phase II - Urban Native Housing
Family / Singles Lawrence / Hazel / Borden/ Frontenac / Thompson / Egerton
House / Row / Duplex
7 C U U
Hearst Phase II - Urban Native Housing
Family / Singles Prince St. Semi 4 C U
Kapuskasing Phase III - Urban Native Housing
Family / Singles Mill St. / Borden / Egerton/ Frontenac / Winnipeg / Brunetville
Semi 12 C U U
CDSSAB Housing Services
BUILDING SELECTION SHEET
Unit size available A Parking spots available at a cost
Some wheelchair accessible B Limited parking spots available
U Located onsite C Parking available at no charge
CDSSAB, HOUSING SERVICES COCHRANE SMOOTH ROCK FALLS VAL RITA RAMORE HOLTYRE MATHESON
FAUQUIER FREDERICK HOUSE MATTICE MOONBEAM OPASATIKA
Page 11 of 11
Please Mark With (X) All of your Selections
Building Street Address
Build
ing T
ype
No.
of
Units
1 B
edro
om
2 B
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3 B
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Park
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Whee
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Smooth Rock Falls - Rural & Native Housing
Family / Singles Ross St. / Hollywood St. House 2 C U U
Val Rita - Rural & Native Housing
Family / Singles De La Coupe St. House 7 C U
Ramore - Rural & Native Housing
Family / Singles Timmins / Ferguson Bastien Streets
House 5 C U
Holtyre - Rural & Native Housing
Family / Singles Euclid / Edwards / Gleason Streets
House 4 C U
Matheson - Rural & Native Housing
Family / Singles Quinn St. House 2 C U
Cochrane - Rural & Native Housing
Family / Singles Rural area (*2 units with garage)
House 7 C U U
Fauquier - Rural & Native Housing
Family / Singles Belanger / Gauthier St. House 3 C U
Frederick House - Rural & Native Housing
Family / Singles Rural area House 1 C U
Mattice - Rural & Native Housing
Family / Singles Chabot / Aagnas Streets / Rural area
House 15 C U
Moonbeam - Rural & Native Housing
Family / Singles Brunelle St. / Joseph St. House 4 C U
Opasatika - Rural & Native Housing
Family / Singles Notre Dame / Govern’t / St. Anne / St. Joseph
House 5 C U