NYC 9/11 Public Portal Document
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! ' THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION
OM I CENTRE'STRER, 9TH FLOOR,'NEW YORK, NEW YORK.10007 ;'; «a ..~ j
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TEL: (212) 669- 7700 FAX: (212) 669-7960 ,
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APPLICATION FORM
FOR WORK ON DESIGNATED PROPERTIES
F2
This application will not be deemed complete until It Is so certified by the Landmarks +'t
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 enter the number below.
Please print or type all hems. If not applicable, mark N.A.
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PC DOCKET • DATE RECD DATE CERT. AS COMPLETE BLDG. DEPT. A a DATE STAFF
o INDIVIDUAL ' 0 SCENIC O INTERIOR
WE OF DESKENABON HISTORIC DISTRICT
PMW Q CNE OF A 0 REPORT
ACTION OTHER WORK TYPE
2 6 WALL STREET Exterior —
DESIGNATED ADDRESS FLOOR OR APARTMENT
PROPERTY Manhattan 4 .3 6
BOROUGH BLOCK LOT 20MNG
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 It 000 xcobg) PHONE IdaN
CO-OP SHAREHOLDER
ADDRESS APT A CITY, STATE, ZIP CODE
NIA
ARCHITECT/ NAME TITLE a FIRM ft apptlkoble) PHONE Idayl
ENGINEER
If applicable
ADDRESS CRY. STATE. ZIP CODE
Trio Asbestos Removal Corp. (718) 961-4100
CONTRACTOR NAME• TITLE & FIRM Of opptkoble) PHONE (dm1
It applicable 14-20 129 Street College Point, New York 11356
ADDRESS CITY STATE. ZIP CODE
PERSON FILING NYC Department of Environmental Protection (718) 595-3718
APPLICATION NAME• TITLE & FIRM (II appliCobie) PHONE (dart
e.Q. Expedlto,. Attorney.
Monogulg Agent. etc. 59-17 Junction Boulevard, 8th Floor Corona. NPw York 11368
ADDRESS clt' stATE. ZIP ODE
ARE YOU APPLYING TO ANY OF THE FOLLOWING?
O Buildings Department 0 City Planning Commission 0 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 appkcations for work on or h a R•R&DHIFK2(S►fnitt J 2Di2EC?o4L
cooperadve or condominium building. ,/ OwNER'S NAME and TITLE (plume
as type or phi) PHONE (aayl
The . o r is the Co-op Board r 7
Condprtdnium Association. An officer of
the co-op Board or Condominlum COMPANY, CORPORATION. ORGANIZATION Of 00011 able)
Association must sign this application.
Please consult the Instructions lot Filing
for additionalInto,nration ADDRESS A) Al II CItY. 5IAtE. ZIP CODY
SIGNATURE LGNAPURE AD TE
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.
Ito, eon
NYC-WTC 000112310
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