WTC debris clean-up application cover letter, June 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK LANDMARKS PRESERV(TION CONIIVIISSION 9M I CENTRE STREET, 9111 FLOOR, NEW YORK. NEW YORK, 10007 k) TEL: (2I2) 669-7700 FAX: (2I2) 6697960 ` , 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 tufty. 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.

stair use OdIn

C DOCKET • DATE RECD DATE CERT. AS COMPLETE BLDG. DEPT. # & DATE STAFF

O INDMDUAL 11 SCENIC 17 INTERIOR PE OF DKSIGNAItON HISTORIC DISTtT1CT

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

rcHyt, S 3 M ~c R (Z.i -i S ~. Exterior CI E DESIGNATED ADDR FLOOR ORAP RTM 4T

PROPERTY Manhattan 1 33 1 BOROUGH BLOCK LOT ZONING DETAILED 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 # NjA TENANT/LESSEE/ NAME, TITLE & FIRM fit avolicablel PHONE (filly) CO-OP SHAREHOLDER ADDRESS APT a C(TY. STATE ZIP CODE

NIA ARCHITECT/ NAME. TITLE & FIRM (if 000iinc,blet PHONE Idea ENGINEER If applicable ADDRESS CITY. STATE. ZIP CODE

Fiber Control, 516) 781-3000 CONTRACTOR NAME TITLE & FIRM ft 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. TIRE & FIRM (if applicable) — ' — PHONE (doyl e.g. Expeditor, Attorney. Monoging Agent, etc 59-17 Junction Boulevard, _ 8th _Floor Corona _-New_ -Cork 11368 ADDRESS CITY. STATE. ZIP ODE

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

l am the owner of the above listed properly. t 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 and complete, to the best of my knowledge. OWNER For applications for work on or in a ") 3 M1,1 p—LLLC cooperative or condominium buikfing. OWNERS NAME and TITLE (please type or pnntl PHONE (day) the 'owner is the Co-op Board or Condominium Association. An officer of the Copp Board or Condominium COMPANY. CORPORATION. ORGANIZATION 1H applicable) Association must sign this application Please consult the Instructions for Filing 22S W S -tccc -c t t-A 4 AJJ IOD for additional Information CTYSTATE

NYC DEP _ for owner SIGNATURE SIGNATURE OF OWNER DAIS

Note Section 25-317 of the Administrative Code of the City of Now York makes it a punishable offense to willfully make false statements on this application

NYC-WTC 000094021