NYC 9/11 Public Portal Document
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THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION "
4~y`^ ,. • ,~ Mgt p. 1 CENTRE,SIREET 9TH FLOOR, NEW YORK, NEW YORK,10007 . , aL• ..i .
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TEL: (212) 669- 7700 FAX: (212) 669-7960 "
APPLICATION FORM F2
FOR WORK ON DESIGNATED PROPERTIES
This application will not be deemed complete until It Is 80 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 numberbelow.
Please print or type all items. If not applicable, mark N.A.
.PC DOCKET C DATE RECD DATE CERT. AS COMPLETE BLDG. DEPT. C & DATE STAFF
0 INDIVIDUAL ' 0 SCENIC 0 INTERIOR
[rIPE OF DESKENAI1ON HISTORIC DISTRICT
PMW 0 CNE 0 C OF A 0 REPORT
(ACTION OTHER WORK TYPE
2 6 WALL S T l2 E E T Exterior
FLOOR OR APARTMENT
— C
DESIGNATED ADDRESS
PROPERTY Manhattan 4 -3 6
BOROUGH BLOCK LOT ZONING
DETAILED
DESCRIPTION Removal of debris (cleaning) from the collapse
P 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 Of otuolcoble) PHONE (day)
CO-OP SHAREHOLDER
ADDRESS APT C CITY, STATE. ZIP CODE
NIA
ARCHITECT/ & FIRM Of applicable) PHONE (da
ENGINEER
If applicable
ADDRESS CITY STATE. ZIP CODE
Trio Asbestos Removal Corp. (718) 961-4100
CONTRACTOR NAME, TIRE & FIRM (I applicable) PHONE (day( I
If applicable 14-20 129 Street College Point, New York 11356
ADDRESS CRY. STATE ZIP COOT
PERSON FILING NYC Department of Environmental Protection (718) 595-3718
APPLICATION NAME. TITLE & FIRM (11 applCoble) PHONE (day(
e.g. Expeditor, Attorney.
Managing Agent, etc. 59-17 Junction Boulevard, 8th Floor Corona New York 11368
ADDRESS CITY; STATE ZIP.ODE
ARE YOU APPLYING TO ANY OF THE FOLLOWING?
0 Buildings Department 0 City Planning Commission ❑ Board of Standards & Appeals
lam 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
best ofmy knowledge.
OWNER and complete, to the
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For appicatbns for work on or in a •\ ` ' ` rt ~ - 1v kt
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cooperative or condominium building. J YNERS NAME and TIRE (please type or prhdl PHONE (day)
the 'owner is the Coop Board or
Condominium Association. An officer of
the Coop Board or Condominium COMPANY. CORPORATION. ORGANIZATION (If applicable(
Association must sign this applIcation.
Please consult the Instructions for Filing
for addbnal Information. ~ CITY. STATE. ZIPCOoh
NYC•DEP °"' r owner
SIGNATURE &GNATLIRE 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.
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NYC-WTC 000094009
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