NYC 9/11 Public Portal Document
THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION
tia0 I CENTRE STREET, 9TH FLOOR, NEW YORK, NEW YORK, 10007
.rte yr TEL: (212) 669- 7700 FAX: (212) 669-7960 k
APPLICATION FORM
FOR WORK ON DESIGNATED PROPERTIES
F2
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.
(Staff Use Onpl
DOCKET # DATE RECD DATE CERT. AS COMPLETE BLDG. DEPT. # & DATE STAFF
FPC
0 INDMDUAL O SCENIC 0 INTERIOR
PMW 0 CNE 0 C OF A 0 REPORT
ACTION OTHER WORK TYPE
6 f3 ea u e ►- S .
ADDRESS
48 W)Exterior
FLOOR OR APARTMENT
— C r , p0 ;)
DESIGNATED
PROPERTY Manhattan
BOROUGH
2,9 BLOCK
750
LOT
1
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/ NAME• TITLE & FIRM (If opplccablel PHONE (day)
CO-OP SHAREHOLDER
ADDRESS APT A CIM STATE. DP CODE
NIA
ARCHITECT/ NAME. TITLE & FIRM Of appllcablel PHONE (day)
ENGINEER
If applicable
ADDRESS CITY, STATE ZIP CODE
Trio Asbestos Removal Corp. (718) 961-4100
CONTRACTOR NAME, TITLE & FIRM (It appicoblel PHONE (day)
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 (if applkablel PHONE (day)
e.g. Expeditor, Attorney.
Managing Agent, etc. 59-17 Junction Boulevard, 8th Floor Corona Nr>_w York 11368
ADDRESS CITY. STATE ZIP ,ODE
ARE YOU APPLYING TO ANY OF THE FOLLOWING?
0 Buildings Department ❑ City Planning Commission ❑ Board of Standards & Appeals
I am the owner of the above listed property. lam 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
a d complete, to the est of my knowledge.
OWNER bb
For application for work on or in a
n •~. k A `Ll P
tc
`R. 1&Hi f N /f2 EGTa j_
cooperative or condominium building, I. _:ONMERS NAME and TITLE (please type or print) PHONE (day)
the 'owner is the Co-op Board or 1~~^
Condominium Association. An officer of
the Co-op Board or Condominium COMPAM; CORPORATION, ORGANIZATION (it applicable)
Association must sign this application.
Please consult the Instructions for Filing
for additional Information. ADDRESS
NYC DEP for owner
SIGNATURE SIGNATURE OF OWNER DATE
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.
nay. ONO
NYC-WTC 000094008
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