WTC debris clean-up application cover letter, June 6 2002

NYC 9/11 Public Portal Document " 'Mts ,.ir 1•.; .;wY( '~•.°3`- .: •• ,~t;,~r'7~,;1.; .?.p. ~-`~a•Ai f!t7'T..,'-~'~.~-,m"N' ••5' THE CITY OF NEW YORK LANDMARIGS PRESERVATION COMMISSION' ' :: tia0 .... I CENTRE STREET; 9TH. FLOOR, NEW YORK, NEW YORK.1000T ,~ :w; TEL '(212) 669- 7700 FAX: (212) 669-7960

APPLICATION FORM Fz 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 NA.

DOCKET ♦ DATE REC'O DATE CERT. AS COMPLETE BLDG. DEPT. # & DATE STAFF

0 INDMDUAL ❑ SCENIC ❑ INTERIOR

PMW 0 CNE 0 C OF A 0 REPORT ACTION OTHER WORK TYPE

12.0 L i be ty S If (4k" i ZS Cfadc~ _ C R.aor L F Ac FlD~~ Exterior DESIGNATED ADDRESS FLOOR OR APARTMENT

PROPERTY Manhattan BOROUGH 5 2._ 2_ 1 /\ BLOCK LOT ZONING DETAILED DESCRIPTION Removal of debris (cleaning) from the collapse of the. WTC ~V~``JC OF PROPOSED WORK from exterior building surfaces as per scope of work Use back of form if necessary previously reviewed and approved by NYCLPC. ~U

COST OF PROJECT WARNING LETTER / NOV # NIA (~ TENANT/LESSEE/ NAME TITLE & FIRM (if applicable) PHONE (day) CO-OP SHAREHOLDER ADDRESS APT # CITY STATE ZIP CODE NIA ARCHITECT/ NAME, TITLE & FIRM Of applicable) PHONE (cloy) ENGINEER If applicable ADDRESS CITY, STATE ZIP CODE Trio Asbestos Removal Corp. (718) 961-4100 CONTRACTO R NAME TITLE & FIRM (B applicable) 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 applicable) PHONE (day) e.g. Expeditor. Attorney, Managing Agent, etc. 59-17 Junction Boulevard, 8th Floor Corona New York 11368 ADDRESS CRY, STATE, ZIP 600r

ARE YOU APPLYING TO ANY OF THE FOLLOWING? ❑ Buildings Department ❑ City Planning Commission 0 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 riled. The information entered is correct and complete, to the best of my knowledge. OWNER 7~ For applications for wont on or in a " - • tZ ~v 11 „e- I `S ~ 3 f~ E C 70 IL cooperative or condominium busding„/ OWNERS NAME and TITLE (please type or ptint) PHONE (day) the'tw ner' Is the Co-op Board or Condominium Association. An officer of the Co-op Board or Condominium COMPANY, CORPORATION, ORGANIZATION (If applicable) Association must sign this application. Please consult the Instructions for Filing for additional Information n NYC DEP - for owner SIGNATURE SIGNATURE OFOWNER DATE

Note: Section 25-317 of the Administrative Code of the Cily of New York makes it a punishable offense to willfully make false statements on this application.

NYC-WTC 000094010