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 4 TEL: (212) 669- 7700 FAX: (212) 669-7960

APPLICATION FORM FOR WORK ON DESIGNATED PROPERTIES r-2

This application will not be deemed complete until it is so certified by the Landmarks Preservation Commission. M 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 ;t Notice of Violation, please enter the number below. Please print or type all Items. If not applicable, mark N.A.

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

0 INDIVIDUAL ❑ SCENIC ❑ INTERIOR

PMW ❑ CNE 0 C OF A 0 REPORT ACTION OTHER WORK PIPE

1 IQ READE ST& CROor ~FlcR~e~ -ET Exterior `~ ADDRESS DESIGNATED FLOOR OR APARR.Bdf

PROPERTY Manhattan 1 4- (, (O 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. TIRE & FIRM lit applicable] PHONE (dayl CO-OP SHAREHOLDER ADDRESS APT d CITY. STATE, DP CODE NIA ARCHITECT/ NAME. TIRE & FIRM (If applicable) PHONE (day] ENGINEER if applicable ADDRESS CITY, STATE. ZIP CODE

Fiber Control, Inc. -3000 CONTRACTOR NAME, TIRE & FIRM (if applicoblel 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 (It applicable) PHONE (day! e.g. Expeditor, Attorney, Managing Agent, etc 59-17 Junction Boulevard,_8th_Floor Corona, Naw nrk 11368 ADDRESS CItY STALE. ZIP t<COE

ARE YOU APPLYING TO ANY OF THE FOLLOWING? ❑ Buildings Department ❑ City Planning Commission ❑ Board of Standards & Appeals I am 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 and complete, to the best of my knowledge OWNER For applications for work on or in a Li vi tt!! f- 1A A C — E . P11 eooperative or condominium building. OWNER'S NAME and TITLE (please type or pent) PHC EIcioij the 'owner' is the Co-op Board « Condominlum Association. An olEcer of the Co-op Board or Condominium ""'""•' "^"P""""•_......_.-............ ...._._..,._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. Association must site this application Please consult the Instructions for Filing _ P11 for additional Information ~AiSDRF55 ------ ' ----- ~ _ --- Ci1VSTA7FZIp r

NYC DEP for owner SIGNATURE SIGNATURE OF OWNER nATE

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 000094023