WTC debris clean-up application form, June 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION I CENTRE STREET, 9TH FLOOR, NEW YOWL, 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 Letterer Notice of Violation, please enter the number below. Please print or type all items. If not applicable, mark NA.

DOCKET • DATE REC O DATE CERT. AS COMPLETE BLDG. DEPT. C & DATE staff

❑ amriDUAL 0 SCENiC C artERIOR

PMW J CNE U C or A 0 REP T bN OTHER WORK TYPE

t' ~a-~I ~4 Exterior DESIGNATED AooREss I FLOOR or AWASAEl1T PROPERTY Manhattan (~ BOROUGIN BLOCK Lot ZONING DETAILED DESCRIPTION Removal of debris (cleanings 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/ NAA&TITLEataRMt000dicdote) ppp~ f CO-OP SHAREHOLDER ADDRESS APT a CIr SWE DP CODE NIA ARCHITECT/ NMAE TITLE a FstM to opottcablet p Ow E (dart ENGINEER If applicable ADDRM CrnL5LaEav CODE Fiber Control, Inc. (516) 781-3000 CONTRACTOR NAr.E mtE & Fsb t a oopkabteI PHONE o ,A If cWcob4e 3010 Burns Avenue Want gh , New York 11793 Aoorass drr stars. tp c s PERSON FILING NYC Department of Environmental Proter:•~ion (718) 595-3718 APPLICATION NA#E. fLE&FPMPa 000hdaet • piOtE tdpyt e.g. Expeditor Altomey, Monogng Agent etc- 59-17 Junction Boulevard 8th ACOIE ss Can: SLATE. SW w 11368

ARE YOU APPLYING TO ANY OF THE FOLLOWING? O Buildings Department O City Planning Commission O Board of Standards R Appeals lam the owner 0(11w above listedproperty. lam familiar with the v.-* proposed to be carried out on my property and give my permission for this application to be filed. The information enteredis correct and complete, to the best of my knowledge. OWNER Fa appatOttom for Bak on or in a moparaln, or Cendam *,nt atta0mg. Ps •owwr a the Coop 601N or Caneomin4m AaaoCYtion. M dred,r of me coop aoard or Condominium Amodstton must Non Bas oppltaen Pleas. Boman the lnatn, ona for Fang as adddena Vdonn.ban 7

SIGNATURE Note: Section 25.317 of the AEministrative Code of the Coy of New York makes o a punishable offense to witlfuly make terse statements on oils spphration a.. ss•.

NYC-WTC- 000093910