NYC 9/11 Public Portal Document
THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION
1 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
tz
This application will not be deemed complete until It Is $o certified by the Landmafks
Preservation Commission. An application consists of an application form and the materials
necessary to describe the project fully. If being submitted In respc:tse to a Warning Latter or
Notice of Violation. please enterthenumberbelow.
Please print or type all Items. If not applicable. mark NA
C
75 r''.RRR'y Exterior (1Q06+~f-FRcob,)
DESIGNATED ADDRESS FLOOR OR AMRDAW
PROPERTY Manhattan `n
SOROLXat tewctc (Or :ora+G
DETAILED
DESt.RIPTION Removal of debris (cleaning) from the collapse of the WTC
OF PROPOSED WORK from exterior building
Use bs.:k of form tf necessary surfaces as per scope of work
previously reviewed and approved by NYCLPC.
COST OF PROJECT WARNING LETTER / NOV #
NIA
TENANT/LESSEE/ Ka&mtEaFiRMtsopoheadel PftotrE__
CO-OP SHAREHOLDER
ADDRESS APT a OTT SWE 30 E
NIA
ARCHITECT/ wwc. tntt a Fwa+ in 000tcabtel ftct*: .
ENGINEER
If applicable
ADDRESS ors STATE, aP CODE
Fiber Control, Inc. (516) 781-3000
CO NTRACTO R NAME. IOU a Fra t p nopkcaClBI fMONE foul
If applicable
3010 Burns Avenue Wantagh, New York 11793
ADDRESS C'In: suJE. Jp caE
PERSON FILING NYC Department of Environmental Protection (718)
595-3718
APPLICATION Péwe. am a PMP oc cmtel
e.g. Espedttot. Attorney,
Monoging Agent etc. 59-17 Junction Boulevard, 8th Floor Coronp Nw Yrrk 11368
ADDRESS or,. 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 fistedproperty. lam familiar with the vvv* proposed to be
carried out on
my property and give my pemrission for this application to be filed. The information entered is
correct
and complete, to the best of my knowledge.
OWNER
Fa spptiraroro br woh on or b a
000IKNM a mWomkkim b a.9.
S 0.+.r s the Co-op Board a
Conooninkrm AssodaI n. An ce , Of
I.. Co-op board a, Condoink *an
Assod.tton most sign P4 spplirat.en
PNass mw 5 the Nsl,cpotts for Faatg
for adddbnal kdorm.tbn. roc?
SIGNATURE
Note: Sedton 25-317 of ate Admntprative Code of the City of New York makes it a puntsttable offense to
willfully make false stalements on this sppkalion
NYC-WTC 000093916
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