Memo regarding cleaning agreement comments, August 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION ~9 I CENTRE STREET, 9TH FLOOR, NEW YORK, NEW YORK, 10007 3 TEL: (212) 669- 7700 FAX: (212) 669-7960

APPLICATION FORM FOR WORK ON DESIGNATED PROPERTIES F2 This application will not be deemed complete until it Is so certified by the Landmarks Preservation Commission. An application consists of an application form and the materials necessary to describe the project fully. If being submitted in response to a Warning Letter or Notice ofViolation, please enter the number below. Please print or type all Items. If not applicable, mark N.A.

Slot! Use

DOCKET # DATE RECD DATE CERT. AS COMPLETE BLDG. DEPT. Al & DATE STAFF

0 INDIVIDUAL 0 SCENIC 0 INTERIOR

PMW ❑ CNE 0 C OF A 0 REPORT ACTION OTHER WORK TYPE

Exterior ADDRESS FLOOR OR APARTMENT DESIGNATED PROPERTY Manhattan BOROUGH LOT ZONING DETAILED DESCRIPTION Removal of debris (cleaning) g from the collapse P of the WTC OF PROPOSED WORK from exterior building surfaces as per scope of work Use back of form If necessary previously reviewed and approved by NYCLPC.

COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ NAME, TITLE & FIRM If applicable) PHONE (day) CO-OP SHAREHOLDER ADDRESS APT # CRY, STATE, ZIP CODE

NIA ARCHITECT! NAME. RTLE & FIRM (a apdicable) PHONE (day) ENGINEER If applicable ADDRESS CIl', STATE. ZIP CODE

Benjamin Kurzban and Son Control, Inc. (718) 531-2900 CONTRACTOR NAME, TITLE & FIRM pt applicable) PHONE (day) If applicable 1248 Ralph Avenue Brooklyn, New York 11236 ADDRESS CRY, STATE. ZIP CODE

PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NAME. TITLE & FIRM If applicable) PHONE (day)

e.g. Expedltor.Alt agingAgent,omey. Managing Agent, eIC. 59-17 Junction Boulevard, 8th Floo~SQrona. Nc~w yrr k 11368 ADDRESS Ci1Y. STATE. ZIP OOE

ARE YOU APPLYING TO ANY OF THE FOLLOWING? O Buildings Department O City Planning Commission ❑ Board of Standards & Appeals I am the owner of the above listed property. I am familiar with the work proposed to be carried out on my property and give my permission for this application to be (led. The information entered is correct and complete, to the best of my knowledge. OWNER For applications for work on or lea cooperative or condominium building. OWNER'S NAME and TITLE (please type or pant] PHONE (day) the owner is the Coop Board or Condominium Association. An officer of the Co-op Board or Condominium COMPANY, CORPORATION. ORGANIZATION (Ili applicable) Association must sign this application Please consult the Instructions for Filing for additional Information. ADDRESS CITY. STATE. ZIP CODE

NYC DEP for owner _ SIGNATURE SIGNATURE OF OWNER DATE

Note Section 25-317 of the Administrative Code of the City of New York makes it a punishable offense to willfully make false statements on this application

NYC-WTC 000093888