NYC 9/11 Public Portal Document
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THE CITY OF NEW YORK LANDMARIGS PRESERVATION COMMISSION
I CENTRE STREET, 9TH FLOOR, NEW YORK. NEW YORK, 10007 ;I « :::j . ;
TEL (212) 669- 7700 FAX (212) 669-7960 ":
APPLICATION FORM
FOR WORK ON DESIGNATED PROPERTIES
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This application will not be deemed complete unto ft is so certified by the Landmarks
Preservation Commission. An application consists of an application form and the materials A
necessary to describe the project fully. If being submitted in response to a Warning Letter or
Notice of Violation, please enter the number below.
Please print or type all Items. If not applicable, mark NA
PC DOCKET • DATE RECD DATE CERI. AS COMPLETE BLDG. DEPT. 0 & DATE STAFF
0 tNDMDWL 0 SCENIC ❑ INTERIOR
PMW 0 NE FA REPORT
ACTON OTHER WORK TYPE
Exterior
DESIGNATED
PROPERTY Manhattan
BOROUGH BLOCK LOT ZONING
DETAILED
DESCRIPTION Removal of debris (cleaning) from the collapse of
OF PROPOSED WORK from exterior the WTC
Use back of form if necessary building surfaces as per scope of work
previously reviewed and approved by NYCLPC.
COST OF PROJECT WARNING LETTER / NOV #
NIA
TENANT/LESSEE/ wvatt, mLt & FIRM m onoCotie) PHONE Idoy)
CO-OP SHAREHOLDER
ADDRESS APT • CRY. STATE. DP COD
NIA
ARCHITECT/ NAME TIRE & FIRM fit cppecoblel PHONE (dad
ENGINEER
If applicable
ADDRESS CITY, STAlE ZIP COCE
Trio Asbestos Removal Corp. (718) 961-4100
CONTRACTOR NAME TiRE & FIRM Is OPPlicoble) PHONE (do 1
If applicable 14-20 129 Street College Point, New York 11356
ADDRESS CIIV. STATE. DP COD
PERSON FILING NYC Department of Environmental Protection (718)
595-3718
APPLICATION NAME TITLE & RRM R aoaec* el PHONE fdvn
e.g. ogmigAgent,orney,
Monogng Agent. etc. 59-17 Junction Boulevard, 8 h Thrk11368
ADDRESS OF SLAT_ ZIP &C>DE
ARE YOU APPLYING TO ANY OF THE FOLLOWING?
0 Buildings Department 0 City Planning Commission D 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 riled. The information entered is correct
and complete, to the best of qty knowledge.
OWNER
Fe, apptcatnns for work on or in a
cooperall" or condomtnWm puBAkq.
the -owner is the Co-op Board or
Condominium Aaaoaawn. An ofrcer of
the Co-op Board or Condominium
Associatlon must sign this appBatbn.
Phase senses the Instn,mona for Peng
for additional Inforn ation
SIGNATURE
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 ap tscation.
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NYC-WTC 000093908
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