NYC 9/11 Public Portal Document
THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION ' .•
l CENTRE STREET 9111 FLOOR,NEW YORK,NEW YORK.10007.
• , 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 beins submitted In response to a Warring Letter or
Notice of Violation, please enterthe number below.
Please print or type all items. If not applicable, mark NA
lstafftiseOi
PC OOCIaT • OAX RECD OATS CERT. AS COMPlE7E ewe. DEPL a & DALE 1rrAFf
O f1DNIDlIAt D scswic C ensaioR
PMw A 0 REPORT Cl
OTHER WORK TYPE
Exterior (5O)
DESIGNATED
PROPERTY Manhattan 14 (0 2
8000" G" BLOCK LOT ZONWG
DFTAILED
DESCRIPTION Removal of debris (cleaning) from the collapse of
OF PROPOSED WORK from exterior the WTC
Use back of forth If necessary building surfaces as per scope of work
previously reviewed and approved by NYCLPC.
COST OF PROJECT WARNING LETTER / NOV #
NIA
TENANT/LESSEE/ ror&e. mis&m,sp ctoolel pelt idort
CO-OP SHAREHOLDER
APT: M. SAIL ZIP 0005
NIA
ARCHITECT/ 0;;W
— nR.E&Fpm Papwooblel
RfoNE fooq
ENGINEER
If applicable
Fiber Control, Inc. (516) 781-3000
CONTRACTOR ►f.ME TrnE
a FIRM P opvr oolet "iota loch
tt applicable
3010 Burns Avenue Wantaah, New York 11793
rnv sWE 2W COOE
PERSON FILING NYC Department of Environmental Protection
(718) 595-3718
APPLICATION t a.e muamMPopyeobel
N#ONEworl
e.g oging ntetc.
MonE a Agent etc.
or.
59-17 Boulevard, 8th 11368
Junction
CM SlA E 2W Lxx
ARE YOU APPLYING TO ANY OF THE FOLLOWING?
0 Buildings Department 0 City Planning Commission OBoard of Standards &Appeals
lam the owner of the above listedproperty. lam familiar with the work proposed to be
carried ad on
my property and give my permission for this application to be filed. The information entered
and complete, to the best of fry knowledge. is collect
OWNER
Fa apphpsa,w b wnhCr or le a
aoopwawe e. Cridorlelker aiM+q,
2.12--3yq-3y, 9
or
a.e •owner s me Co-op sold
Condominium AssoW lion. An amar of
ew Co-op hoed or Condomhdum
Assodetlon must sign era appikalon.
Please consult me haaumom for Faerg
ler •ddntdvl Ydormetbn. tw'C'WEr . _
rs
IE:
SIGNATURE 5aZ -
Note: Section 25-317 of the Adminlafrstive Code of the Coy of New
York makes di punishable offense to wildully make false statements on
this sppguhon
a-
w.
000093930
WTC
-
NYC
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