NYC 9/11 Public Portal Document
THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION
.. tao I CENTRE STREET, 9TH FLOOR, NEW YORK, NEW YORK, 10007 ' s;4:; :i
TEL: (212) 669- 7700 FAX: (212) 669-7960 i`'
APPLICATION FORM F2
FOR WORK ON DESIGNATED PROPERTIES r
This application will not be deemed complete until It is so certified by the Landmarks
Preservation Co-+misslon. 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 ofViolation, please enter the numberbelow.
Please print or type all items. If not applicable, mark N.A.
DOCKET I DATE RECD DATE CERT. AS COMPLETE BLDG. DEPT. I & DATE STAFF
❑ INDMDUAL ❑ SCENIC ❑ INTERIOR
PMW 0 CNE 0 C OF A 0 REPORT
CTION OTHER WORK TYPE
33 , seer y 05 et r Exterior
ADDRESS
DESIGNATED FLOOR OR APARIMEra
PROPERTY Manhattan (o C
BOROUGH BLOCK LOT ZONING
DETAILED
Removal of debris (cleaning)
9 from the collapse of the.WTC
OFPROPOSED WORK from exterior building surfaces as per scope of work
Use back of form If necessary
previously reviewed and approved by NYCLPC.
COST OF PROJECT WARNING LETTER / NOV #
NIA
TENANT/LESSEE/ NAME. TITLE& FIRM(If appiicatlle) PHONE (chin
CO-OP SHAREHOLDER
ADDRESS APT x CITY STATE. ZIP CODE
NIA
ARCHITECT! NAME, TRLE & FIRM pf l PHONE (doyl
ENGINEER
If applicaN ,
ADDRESS CITY. CODE
Trio Asbestos Removal Corp. (718) 961-4100
CONTRACTOR • 1Ts & FIRM (a oppkaable) PHONE (ddh
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 oppacoble) PHONE (day( "—
e.g. ogindiAgent.orney,
tvlonaging /+gent. etc. 59-17 Junction Boulevard, 8th Floor Corona NPw Yn k 11368
ADDRESS CITY. STATE. ZIP ODE
ARE YOU APPLYING TO ANY OF THE FOLLOWING?
0 Buildings Department ❑ City Planning Commission 0 Board of Standards Lit 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 riled. The information entered is correct
and complete, to the best of my knowledge.
OWNER
~"L /' GS99
e ,/
.2/2 - 7- 2 d - Sao o
For applications for work on or In a • _I U 6 W Al
cooperaUye or condominium building. OWNERS NAME and PILE (Please type or print) PHONE (day)
the -owner is the Co-op Board or
Condominium Assocalbn. An officer of
the Coop Board or Condominium COMPANY. CORPORAITON. ~(IT
ORGANIZATIONanplicable)
Assoc cons must sign this •
application
for X 3 L/
Please consult the Inatrugbne (or Filing ✓ ✓ ,4..
/(~
i / 6G) ! LJ ~.0 Al Y /O a yU- /G a3
for additional information. CITY 5TA4TP CODE
NYC DE for owner o j10 _—
SIGNATURE ttGNATURE OF R DATT
Note: Section 25-317 of the Administrative Code of the City of New York makes it a punishable offense to wittfuly make false statements on this application.
ne. owo
NYC-WTC 000093996
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