WTC debris clean-up application form, June 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION 1 CENTRE STREET,9TH FLOOR,NEW YORK,NEW YORK,10007. TEL: (212) 669- 7700 FAX: (212) 669-7960

APPLICATION FORM FOR WORK ON DESIGNATED PROPERTIES 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 of Violation, please enterthe number below. Please print or type all items. If not applicable, mark NA

Exterior DESIGNATED ADDRESS FLOOR OR AAV)I

PROPERTY Manhattan BOROUGH BLOCK LOT ZONING' DETAILED Removal of debris (cleaning from the collapse of the WTC OF PROPOSED WORK from exterior building surfaces as per scope of work Use back of form if necessary previously Y reviewed and approved by NYCLPC.

COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ ew. , wis&FSMtlfoPOcobtet PHONE(dgA CO-OP SHAREHOLDER ADDRESS APT • cmr, sWE. ZIP CODE NIA ARCHITECT/ NAME mLE a Free m 000iicoae) PHONE towl ENGINEER If applicable ADDRESS CRY STATE, ZIP CODE

Fiber Control, Inc. (516) 781-3000 CONTRACTOR Np'E,mME«FIRMtI wsot•Elows If applicable 3010 Burns Avenue Wantagh, New York 11793 ADDRESS Cm: SLATE. SF CODE

PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NONE. mtE & FIRM m ooalcoble) PHONE laws eg Erood ogingito.Aeorn. Managing Agent etc. 59-17 Junction Boulevard, 8th Floor corona. NPw ynrk 11368 ADDRESS CTrr StATE. ZIP ODE

ARE YOU APPLYING TO ANY OF THE FOLLOWING? 0 Buildings Department 0 City Planning Commission 0 Board of Standards & Appeals lam the owner of the above listed property. I am familiar wirt, :' a .. irk proposed to be carved out on my property and give my permission for this application to oe fled. The information entered is correct and complete, to the best of my knowledge. OWNER For applications kx work on or In a cooperative or condominium buhdmg. owtEas NANE and TITLE tpleose type or pnrdl PHONE (aoyt the •owner a the Co-op Board or CorwominRum Assodation. An ofnoer of the Co-op Board or Condonwtkrm COMPANY. CORPORATION. ORGMNIZATgN tI applcobtel Association meat sign this appleaton Pisase ta,n,ul the Instructions for Fang to, additional Intomutbn.

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 pRntshable offense to willfully make false slatements on this application la, 4K,.

NYC-WTC 000093897