WTC debris clean-up application cover letter, June 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK LANDMARKS PRESERyATION COMMISSION ` I CENTRE STREET. 9TH FLOOR, NEW YORK, NEW YORK, 10007 TEL. (212)669-7700 FAX (212) 669-7960

APPLICATION FORM 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 ofViolation, 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. A & DATE STAFF

0INDMDUAL Cl SCENIC ❑ INTERIOR

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

L4 1ty3 .IRRt\'-I STREET Exterior CACA~JG~ DESIGNATED ADDRESS FLOOR OR APARTMENT

PROPERTY Manhattan 133 -7:50 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 Use back of form if necessary of work previously reviewed and approved by NYCLPC.

COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ NAME. TITLE & FIRM Ili opplicoblel PHONE (day) CO-OP SHAREHOLDER ADDRESS APT u CRY. STATE ZIP CODE NIA ARCHITECT/ NAME. TITLE & FIRM (If 0p0licoble) PHONE lday) ENGINEER If applicable ADDRESS CITY, STATE. ZIP CODE

Fiber Control, Inc. (516) 781-3000 CONTRACTOR NAME. TITLE & FIRM (If acolicoblel PHONE Idoyl 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 fit opnlicobtel PHONE (doy) e.g Expeditor. Attorney. Managing Agent, etc 59-17 Junction Boulevard,, 8th _Floor Corrnnatt_.NawXork 11368 ADDRESS - -- ------ - CITY. STATE. ZIP CODE

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. lam familiar with the work proposed to be carried out on my property and give my permission for this application to be riled. The information entered is correct and complete, to the best of my knowledge. OWNER For applications for work on or in a ( RC:Sicent:.e-S .,lnc:• (L 1 2) i2ri - b i cooperative or condominium building. tjwricir a P4i¼V10f Hilt IPUOse a pnnrl PH(XVt 1dW) the 'owner Is the Co-op Board or Condominium Association. An Officer of C/C 111 C Q ~S vu ~C~.(~G rG ( . the Co-op Board or Condominium Association must sign this application Please consult the Instmctbns for Filing O CH Cc ) V-p A D \..i_. FS—_____._. ) k/ r~ T' l : I 1 C' C_ Z_ Z3 l for additional Information -'-/ — NE r —tiRySTATE.7PCODE NYC 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 applrcahon

NYC-WTC 000094027