Memo regarding WTC debris clean-up permit applications, June 2002

NYC 9/11 Public Portal Document • t, - ::tc.`.~` 7~'`~ "?3P~~nx '+t r:r. r;;f. ,~,4de:`.•r,~' 4 t r 4;t"-.'i w,iS','? .'

THE CITY OF NEW YORK LANDMARKS PRESERV TION COMIV 1SSION' : .'` I CENTRE STREET, 9TH FLOOR, NEW YORK, NEW YORK, 10007;' . .::. - 3 TEL: (212) 669- 7700 FAX: (212) 669-7960

APPLICATION FORM r-2 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 enter the number below. Please print or type all items. If not applicable, mark N.A.

PC DOCKET # DATE REC'D DATE CERT, AS COMPLETE BLDG. DEPT. f & DATE STAFF

❑ INDMOUAL ❑ SCENIC ❑ INTERIOR ,YPE Of DBSICBNAJION HISTORIC DISTRICT

F'MW 0 CNE 0 C OF A 0 REPORT ACTION OTHER WORK TYPE

1'? 1VU"- - y Q€'r Exterior `MetC> ADDRESS FLOOR OR APARTMENT DESIGNATED

PROPERTY Manhattan /33 BOROUGH BLOCK LOT ZONING DETAILED DESCRIPTION Removal of debris (cleaning) 9 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/ NAME TITLE & FIRM (it applicoblei PHONE Idart CO-OP SHAREHOLDER ADDRESS APT x CITY, STATE. ZIP CODE

NIA ARCHITECT/ NAME. TITLE & FIRM (if applicable( PHONE (dayl ENGINEER If applicable ADDRESS CRY, STATE ZIP CODE

Fiber Control, Inc. (516) 781-3000 CONTRACTOR NAME, TITLE & FIRM (It applicable) PHONE (dayl If applicable 3010 Burns Avenue Wantagh, New York 11793 ADDRESS CITY STATE, ZIP CODE

PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NAME, TITLE & FIRM (If applicablel PHONE (day) e.g. Expeditor, Attorney, Managing Agent, etc. 59-17 Junction Boulevard, 8th Floor Corona. NPw Ynrk 11368 ADDRESS CITY DP ODE STATE.

ARE YOU APPLYING TO ANY OF THE FOLLOWING? 0 Buildings Department O City Planning Commission 0 Board of Standards & Appeals I am the owner of the above listed property. / 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 For applications for work on or in a '19 Mbgoo,,,1 tJ ust ~ ►9n,rmt,n.~rnc 2-12-- ,2 33-5/3p cooperative or condominium building, the'owner• is the Co-op Board or Condominium Association. An officer at `I the Co-op Board or Condominium aoo icoblel Association must sign this application. Please consult the Instructions for Filing for additional information. 2-79 b 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. Per QPK

NYC-WTC 000094004