WTC debris clean-up application cover letter, June 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION ~~OM•4e I CENTRE STREET, 9TH FLOOR, NEW YORK, NEW YORK, 10007 TEL: (212) 669- 7700 FAX: (212) 669-7960

1.~ APPLICATION FORM F-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.

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PC DOCKET # DATE REC9 DATE CERT. AS COMPLETE BLDG. DEPT. # & DATE STAFF

0 INDMDUAL SCENIC LI INTERIOR TEE Of DESIGNATION HISTORIC DISTRICT

PMW ❑ CNE C OF A O REPORT ACTION OTHER WORK TYPE

Exterior RnoF rACAl > ADDRESS FLOOR OR APARTMENT DESIGNATED

PROPERTY Manhattan C7 3 20 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 applicable) PHONE(day) CO-OP SHAREHOLDER ADDRESS APT a CITY, STATE. ZIP CODE

NIA ARCHITECT/ NAME, TITLE & FIRM (If applicable) PHONE (day) ENGINEER If applicable ADDRESS CITY. STATE. ZIP CODE

Fiber Control, Inc. (516) 781-3000 CONTRACTOR NAME, TITLE & FIRM (I1 applicable) PHONE (day) 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 pi applicable) PHONE (doy) e.g. Expeditor. Aflorney, Managing Agent, etc. 59-17 Junction Boulevard, 8th_Floor _Corona, NPw ark 11368 ADDRESS -- - ------ - -- - - - CITY. STATE. ZIPS

ARE YOU APPLYING TO ANY OF THE FOLLOWING? O Buildings Department ❑ City Planning Commission ❑ Board of Standards & Appeals

I am the owner of the above listed properly. I 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 LENTL&R ( ir~l~~ r-J ItJC. -L ~C~7 - 7775 ~`lPHONE cooperative or condominium building. OWNER'S NAME and TITLE (please type or pent) (day) - the owner is the Co-op Board or Condominhim Association. An officer of the Co-op Board or Condominium COMPANY, CORPORATION, ORGANIZATION (e appiicoblel Association must sign this application Please consult the Instructions for Filing LIC' (ttL7cti rI f iL L' iztcIrm STATE.NISPC K I CO 3' for additional Information AiftRFFESS -----

NYC DEP for owner SIGNATURE SIGNATURE OF OWNER DATE

Note: Section 25-317 of the Administrative Code of the City of New York makes if a punishable offense to willfully make false statements on this application Tm orx

NYC-WTC 000094028