WTC debris clean-up application cover letter, June 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSIOO • ' ' OMd I CE•NNfRE 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 Preservatio., 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 Letterer Notice ofViolation,please enterthe number below. Please print or type.ali items. If not applicable, mark NA

PC DOCKET • DATE REV DATE CERt AS COMPLETE BLDG. DEPT. w P DATE STAFF

❑ INDMWAL 0 SCENIC 0 EdIERIOR

PMW ❑ CNE 0 COPA 0 REPOI1I CTK3N OTHER WORK TYPE

p /-~v~sc ysr Wfi'l rAGA Jr/M/G 55-3arc%Si xterior IIQdoC'Iy/`/RD) DESIGNATED PROPERTY Manhattan Ri 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 Y reviewed and approved by NYCLPC.

COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ NAME, TITLE & FIRM (s opplioblel PHONE (doyl CO-OP SHAREHOLDER ADDRESS PATS CITY, STATE ZIP CODE NIA ARCH ITECT/ NAME mis & FIRM (II applicable( PHONE (day) ENGINEER If apt` --able ADDRESS CRY, STATE. ZIP CODE

Benjamin Kurzban and Son Control, Inc. (718) 531-2900 CONTRACTOR NAME TIRE & FIRM tv opplieoble( PHONE (day) If applicable 1248 Ralph Avenue Brooklyn, New York 11236 ADDRESS CRY, STATE. ZIP CODE

PERSON FILING •NYC Department of Environmental Protection (718)_595-3718 APPLICATION NAND TILE & FIRM to applicable) PHONE (OTre e.g. ):> "olAnomey, MOrtaging Agent etc. 59-17 Junction Boulevard. 8th Floor Corona NPw York 11368 ADDRESS CITY, STATE. ZIP &ODE

ARE YOU APPLYING TO ANY OF THE FOLLOWING? 0 Buildings Department ❑ City Planning Commission El Board of Stana<Irds & Appeals I am the owner of the above listed property. tam 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 cooperative or condominium building. Miic 6o,ee6,em OWNERS NAME and TITLE Ipleose type or ptd~, RopexrY M9~- u2-57/ PHONE (day) - 5'35 the -owner Is the Co-op Board or Condominium Association. An officer of the Co-op Board or CondomiMum Association must sign this application. Please consult the instructions for Frkg for additional information. 6 SIGNATURE Note: Section 25-317 of the Administrative Code of the City of New York makes 4 a punishable offense to willfully make false statements on this application. IT., use

NYC-WTC 000094037