WTC debris clean-up application cover letter, June 2002

NYC 9/11 Public Portal Document pj y

THE CITY OF NEW YORK LANDMARKS PRESERVATION COM IISSION -: Yr 1 CENTRE STREET, 9TH FLOOR. NEW YORK, NEW YORK, 10007 TEL: (212)669-7700 FAX: (212) 669-7960

APPLICATION FORM F2 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 enterthe numberbelow. Please print or type all Items- If not applicable, mark NA

lstntt Use

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

O INDIVIDUAL ❑ SCENIC ❑ INTERIOR

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

54- lJA~ZKEN STREET Exterior C2d~E~ ADDRESS FLOOR ORAPARTMENT DESIGNATED PROPERTY Manhattan 13 6 I BOROUGH BLOCK LOT ZONING DETAILED DESCRIPTION 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 (if aDplicablel - PHONE Iday) CO-OP SHAREHOLDER ADDRESS APT k CITY. STATE ZIP CODE

NIA ARCHITECT! NAME. TITLE & FIRM (IT opdicablel PHONE (dwT ENGINEER If applicable ADDRESS CITY STATE. ZIP CODE

Fiber Control, Inc. (516) 781-3000 CONTRACTOR NAME. TITLE & FIRM (It applicoblel PHONE (dwt If applicable 3010 Burns Avenue Wantagh, New York 11793 ADDRESS CITY STATE. ZIP COOS

PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NAME. TITLE & FIRM (it applicable) -- PHONE lday) e.g Expeditor. Attorney. Managing Agent, etc. 59-17 Junction Boulevard,_ _ 8thF1oQr_ __Cor~na t _I4ew York 11368 ADDRESS CITY. STATE. ZIP `ODE

ARE YOU APPLYING TO ANY OF THE FOLLOWING? ❑ Buildings Department L1 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 camed out on my property and give my permission for this application to be filed. The information entered is correct OWNER and compllete, to the best of my knowledge.

For applications for work on or in a 1J cooperative Or condominium building. OWNER'S NAMF and TITLE (please type or pert) PHONE fowl the 'owner minium' is the Co-op Board or Condominkrm Association. An officer of C (o ' f E (t,` - (1 «ti Mrs '0.N& 6 ME N-t the Cop -o Board or Condominium COMPANY. CORPORATION. ORGANIZATION (s oppltoblel Association must sign this application x.-v_~11~` Please consult the Instructions for Filing t _ij~.) 7( ' U 1T ~.Q i - y t) j ~J r'' for additional Information AOTRT - — , C11W STATF. ZiP COOF~ {— -

NYC DEP for owner SIGNATURE SIcNAivaE OI IANER DATE -

Note Section 25-317 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 000094025