WTC debris clean-up application form, June 2002

NYC 9111 Public Portal Document

r Sq THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION ` 3 ~9 I CB THE STREET, 9TH FLOOR, NEW YORK, 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 Letter or Notice of Violation, please enterthe number below. Please print or type all Items. If not applicable, mark N.A.

DOCKET • DATE RECD DATE CERT. AS COMPLETE BLDG. DEPT. I & DATE STAFF

O INDIVIDUAL ❑ SCENIC 0 INTERIOR YES OF DESIGNATION HISTORIC DISTRICT

PMW ❑ CNE 0 C OF A 0 REPORT 13 ACTION OTHER WORK TYPE

-I-97;-lntlu 2-r ~R~55,l~1~0~ 33, ADDRESS DESIGNATED PROPERTY Manhattan O BOROUGH BLOCK LOT ZOMNG DETAILED Removal of debris (cleaning) from the collapse of the. WTC OF PROPOSED WORK from exterior building surfaces as per Use back of form If necessary scope of work Y reviewed and approved by NYCLPC. previously

COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ NAAAE• mME& FIRM pl cppkcobiei PHONE (dart CO-OP SHAREHOLDER ADDRESS APT w GIN• SLATE ZIP CODE

NIA ARCHITECT/ NAME. TITLE & FIRM II apPtcable) MOW (day( ENGINEER If applicable ADDRESS CITY STATE, ZIP CODE Trio Asbestos Removal Corp. (718) 961-4100 CO NTRACTO R NAME TITLE & FIRM (If applicable) PHONE (dart If applicable 14-20 129 Street College Point, New York 11356 ADDRESS CITY. STATE. ZIP CODE

PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NAME TITLE & FIRM (I opplicablel PHONE (doyl e.g. Expeditor, Attorney. Monoging Agent etc. 59-17 Junction Boulevard, 8th Floor Corona Ni=w York 11368 ADDRESS CITY, STATE ZIP O~

ARE YOU APPLYING TO ANY OF THE FOLLOWING? ❑ Buildings Department ❑ City Planning Commission ❑ 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 filed. The information entered is correct and complete, to the best of my knowledge. OWNER For applrcalions for work on or in a GII~0 r M G ~' H.Ln•m!/LC! ~1' c.f 2-i2 -4 )-6 - ,Q1 o cooperative or condominium building, ` JERS NAM land TITLE Idease type TY ill PHONE --- - - the owner' or (r(nI Condominium Assoaalion. An officer of L_ Moro- s i jro.I Jef -l~ie..s the Co-op Board or Condominium COMPANY. C ORGANIWION (If 4, plldoWel

Please consult Pkase consul the sign INs eppfor Filn

To, additional +nfo.meuon for Filing 2 _l '- rORATION. VtJ~GI.W / fQ ~(~ -' d o 6) 32a information 7DISmF55 Rv ciATt )iP Crv~

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 application.

NYC-WTC 000093923