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 F-2 ti

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 S necessary to describe the project fully. If being submitted In response to a Warning Letter or :t Notice of Violation.please enter the numberbelow. Please print or type all Items. If not applicable, mark NA.

PC DOCKET E DATE RECD DATE CERT. AS COMPLETE BLDG. DEPT. 0 & DATE STAFF

❑ INDMDUAL 0 SCENIC (] INTERIOR tYPE OF DE NAD0N HISTORIC DISTRICT

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

53 ADDRESS W EN S -T' k E. E J Exterior C DESIGNATED FLOOR OR APARTMBfT

PROPERTY Manhattan 1 3 3 2 1 BOROUGH BLOCK LOT IOMNG 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 previouslyY reviewed and approved by NYCLPC.

t 9/ W COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ NAME. TITLE & FIRM (It oppficoble( PHONE (day( CO-OP SHAREHOLDER ADDRESS APT K CITY, STATE. DP COOS

NIA ARCHITECT/ NAME. TITLE & FIRM (it appicablel PHONE (doyl ENGINEER If applicable ADDRESS CITY, STATE, PP CODE

Fiber Control, Inc. (516) 781-3000 CONTRACTOR NAME TITLE & FIRM (d opplicablel PHONE (day] If applicable 3010 Burns Avenue Wantagh, New York 11793 ADDRESS CITY, STATE. DP CODE

PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NAME, TITLE & FIRM ITT applicable) PHONE (day) e.g Enceditor. Attorney. Monog ng Agent, etc 59-17 Junction Boulevard, 8th _Floor_ _C~Qna New York 11368 ADDRESS ---- CITY STATE ZIP t£OCE

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

lam 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 wont on Olin a 1 1Fr:,z Cry cooperative or condominium building. OWNERS NAME and TITLE (please type or pmt) PHONE (day) tha 'owner' is the Co-op Board or Condominium Assocaton. An officer of the Co-op Board or Condominium COMPANY, CORPORATION. ORGMIIZAEON Iif applicoaet Association must sign this application Please consult the Instructions for Filing for additional Information 1Mlm LSTlL e CT 3 y~ ' 51AIE~zP C iOO7 NY_C_DEP for owner SIGNATURE SIGNATURE OF OWNER DATE

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 000094024