NYC 9/11 Public Portal Document
i nz f`l t Y V1 NEW YORK LANDMARKS PRESERVATION COMMISSION
tai I CENTRE STREET, 9TH FLOOR, NEW YORK, NEW YORK,10007.
.3' S 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 end the materials
necessary to describe the project fully. If being submitted in response to a Warning latter or
Notice of Violation. please enter the number below.
Please print or type all items. If not applicable, mark NA
C DOCKET a f] TE RECD DATE CERT. AS COMPLETE SLOG. OSPL a ► DATE S Aff
U P4O DUAL D scaac C u.nrnoq
New FORT
CTON OTHER WORK TYPE
DESIGNATED
&LL-I bec Exter o1~
PROPERTY Manhattan Ro (I
/JGH !LOCK for ZONING
DETAILED
DESCRIPTION Removal of debris (cleaning) from the collapse of the
OF PROPOSED WORK. from exterior 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/ wwETntsaFAM11 ooacablel
• 1
CO-OP SHAREHOLDER
ADOISZ APT • CRY. STATE.
NIA
ARCHITECT/ NAf.EmLEaFRMPopmicoblel PAOf*IooA
ENGINEER
If applicable
cm: SLATE. lip COot
Fiber Control, Inc. (516) 781-3000
CONTRACTOR NAME,TITLEaFiedPonpkcadeI prpTEpat
eopWcable
3010 Burns Avenue Wantagh, New York 11793
an sws. a coot
PERSON FILING NYC Department of Environmental Protection
(718) 595-3718
APPLICATION NME TITLE acts ie aovlecblel P„a,5 : .,
e.g Eogmg .Anon, .
r0 Agent arc. 59-17 Junction Boulevard. 8th
F SS cTrY, SZATt. Ze cot 11368
ARE YOU APPLYING TO ANY OF THE FOLLOWING?
❑ Buildings Department 0 City Planning Commission 0 Board of Standards & Appeals
lam the owner of the above listedproperty lam familiar with the v. ark proposed to be carried out on
-r.p'rty and give my permission for this application to be filed. The inlormetion enteredis Correct
and complete,; to best ofmy knowledge.
OWNER
F«.ppk000naor■ark er«.r. ' key., u1n V. NLtdt A. - 212- 233'~3SS
mop.ra... « c«rdoniir r bu.d.ri. OWNERS NAME orrd «anal
.w 'owrrr s ffr. Coop Botrd « sNONE Idovl
«
Cdon4m ir Aa.oWlbn. M.I of utn4
era Coop Board or Cend«rii.n CO NY. CORPOkAnON. DRGAMjATCE P opo.coblel
Au.odalon mml sqn Orb .ppiraten. n ~ L
PMaie wn.vi ow Insw e ons 1«Fine
fo, adddbnai ed«m.don.
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NYC DEP /LL—/L LCD for owner JF 0 v
SIGNATURE MGNATUREOFOWr/E —
Note. Seclren 25-317 of era Adn tr.rW. Cede of the Coy of New York makes Ca pinelrable offense to wdffuty make (aloe
tblemena on rho application
ate, w
NYC-WTC 000093922
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