NYC 9111 Public Portal Document
THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION
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1 CENTRE STREET, 4TH FLOOR, NEW YORK, NEW YORK, 10007
TEL- (212) 669- 7700 FAX: (212) 669-7960
\ 1 APPLICATION FORM F2
FOR WORK ON DESIGNATED PROPERTIES
This application will not be deemed complete until it Is so certified by the Landmarks
Preservation Commission. M applk lion consists of an application form and the materials
necessary to describe the project fully. If being submitted In response tea Warning Letterer
Notice of Violation, please enter the number below.
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 0 INTERIOR
PMW 0 ONE p C OP A 0 REPORT
CTION OTHER WORK TYPE
n/O ,f,DC,t/ G9,jE Exterior (~~~ "I-19 l )
DESIGNATED FLOOR OR AFORTM'ENT
PROPERTY Manhattan %r,2 3'
BOROUGH BLOCK LOT ZONING
DETAILED
DESCRIPTION Removal of debris (cleaning) from the collapse of the WTC
OF PROPOSED 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/ NN#• TITLE & FIRM (It applicable)
CO-OP SHAREHOLDER
ADDRESS APT I CITY, STATE. DP CODE
NIA
ARCHITECT/ NAME, TITLE & FIRM (II applicable) PHONE (dovl
ENGINEER
If applicable
ADDRESS CITY, STATE, ZIP CODE
Trio Asbestos Removal Corp. (718) 961-4100
CONTRACTOR NAMt TnLE & FrMM (II pooWcable) PHONE (doyl
If applicable 14-20 129 Street College Point, New York 11356
ADDRESS CITY, STATE. ZIP COP_
PERSON FILING NYC Department of Environmental Protection (718) 595-3713
APPLICATION NAME, TITLE & FIRM tT oDRlcoble) PHONE(doh
e.g. Expeditor, Attorney.
Managing Agent. etc. 59-17 Junction Boulevard, 8th Floor Corona NPw York 11368
ADDRESS .OP_
CITY, STATE, ZIP
ARE YOU APPLYING TO ANY OF THE FOLLOWING?
0 Buildings Department 0 City Planning Commission ❑ Board of Standards & Appeals
/ am the owner of the above listed property. tam 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 /I
/
For applications for wont on or in a
cooperative or condominium building,
..44 f ®o/E,eT~ Av tDia-fG
O'ANERS NAME and TIRE (please type or prlM)
C..D .
PHONE (doyl
the *ownef a the Co-op Board or
Condominium Association. An officer of
the Co-op Board of Condominium COMPANY. CORPORATION. ORGANIZATION (If oppliCablel
Mese c ons mwesignfhb epptar F n. G 'f - 7,7(~ , / ,r /
Please edam the lgn t
Instructions for Fang
for additional Information. A
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, CODE
'Cool 5 0 1eL
NYC DEP for owner
SIGNATURE NARJREOF R DATE -- —
Note: Section 25-317 of the Administrative Code of the City of New York makes U a punishable offense to willfully make false Statements on this application.
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NYC-WTC 000093997
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