WTC debris clean-up application cover letter, June 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION ;-' • I CENTRE STREET, 9tH FLOOR, NEW YORK, NEW YORK, 10007 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 0 d$ necessary to describe the project fully. If being submitted in response to a Warning Letter or Notice ofViolation, please enter the numberbelow. Please print or type all items. If not applicable, mark N.A.

PC DOCKET # DATE RECD DATE CERT. AS COMPLETE SLOG. DEPT. # & DATE STAFF

INDMDUAL ❑ SCENIC ❑ INTERIOR

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

(0 5 I E o E STREET Exterior C 2oor (=A(Oq'P DESIGNATED ADDRESS FLOOR OR APARTMENT

PROPERTY Manhattan l 45 1 'R 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 # NIA TENANT/LESSEE/ NAME. TITLE & FIRM (It applicable) PHONE (doyl CO-OP SHAREHOLDER ADDRESS APT is CIT. STATE. ZIP CODE

NIA ARCHITECT/ NAME- TITLE & FIRM pf appicabiel PHONE (davl ENGINEER If applicable ADDRESS CITY, STATE. ZIP cos

Fiber Control, Inc. 1-3000 CONTRACTOR NAME. TIRE & FIRM (it applicab Tel PHONE (do✓I If applicable 3010 Burns Avenue Wantagh, New York 11793 ADDRESS CITY, STATE. ZW CODE

PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NAME. TILE & FIRM Ii? aopicobk;) PHONE (doy) e.g. Expeditor, Attorney Monag,ng Agent, etc 59-17 Junction Boulevard, 8th Floor Corona,New Ynrk 11368 ADDRESS ---- -- - --- - - CIIY STA ZIP =. CODE

ARE YOU APPLYING TO ANY OF THE FOLLOWING? ❑ Buildings Department (_I City Planning Commission ❑ Board of Standards &Appeals 1am the owner of the above listed property. 1am 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 no `J J N PII Y ~_~ "c -- ____ "• ---- —""""-- "" cooperative or Condominlum building •^_ _••_• ,....-.-._._._._._._._._._._._._._._._._._-_._._._.___________________________._._._._._._._._._._._._._._._._._._._._._._.. Tie •owner' is the Co-op Board or I I I Condominium Association. An officer of the Co-op Board or Condominium Association must sign this application Piease consult the Instructions for Filing L W _ _ _ _ _ _ _ -L _ for additional Information - - - ' - -- -- ~ — -- 1 -_---C 'w

NYC DEP___ for owner SIGNATURE SIGNATURE OF OWNER 0011

Note. Section 25317 of the Administrative Code of the City of New York makes it a punishable offense to willfully make false statements on this application

NYC-WTC 000094022