FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`FILED: NEW YORK COUNTY CLERK 09E2018 05:01 P
`
`NYSCEF DOC. NO. 5
`NYSCEF Doc. NO.
`5
`
`INDEX NO. 158893/2018
`INDEX NO- 158893/2018?
`
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`
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`RECEIVED NYSCEF: 09/25/2018
`RaCaIVaD VYSCEF: 09/25/2018
`
`I
`State ofew York
`Division of Housing and Community Renewal
`Office of Administration
`
`r
`
`r
`
`‘ Docket No.
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`'
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`wuba Street)
`118-120 Duane Street
`
`'
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`'
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`'
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`'
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`'
`
`’
`
`(Muncility
`NY
`
`
`
`1
`.
`NOTICE OF APPEARANCE BY ATTORNEY
`
`OR OTHER AUTHORIZED REPRESENTATIVE i ~ ' ,
`
`
`
`
`
`
`
`
`
`D Commissioner
`
`Rent Administrator of
`
`V
`Evictions Unit
`
`7 Office/Eula
`
`1
`,owner (m in the .
`.
`PLEASETAKENOTICE,that
`1 proceeding now pending before you, affecting the above-=described housing accommodations and bearing the Docket Number indicated
`above, HEREBY APPEARS in said proceeding and that the undersigned attomey(s) or other authorized representative has been retained
`to represent such party herein; and
`'
`
`_
`
`"
`
`118 Duane LLC
`
`PLEASE TAKE FURTHER NOTICE thatall subsequent written communications, notices or orders directed to such
`party in these proceedings (other than subpoenas) should be sewed upon the undersigned on behalf of such party at the address indicate
`= below.
`'
`'
`'
`
`' of»
`20 is;
`
`a.
`Yours, deaf“:
`r
`E
`l3
`E
`tight
`
`(Signature of Ettorney at Law or other Authorized Representative)
`Kossoff, PLLC
`'
`'
`
`Name: (Please Print orType): By: Joseph Goldsmith, Esq.
`' e for
`.
`c/o Kossoff PLLC
`
`*Attomey or Rep
`
`Office and P. 0. Address:
`
`217 Broadway, Suite 401
`
`New York, NY 10007
`
`
`*Delete inappropriate title
`
`Telephone No.
`
`(
`
`
`
`) 212-257-6364
`
`
`
`Delete all inapplicable matter. This form should be completed and personally signed by the attorney or
`Instructions: :
`the authorized representative. The nam e ofthe attorney or authorized representative should also be printed or typewritten
`beneath his or her signature. Only the original Notice ofAppearance need be filed in the proceeding.
`
`, Note:
`
`An authorized representative must submit a written authorization, verified or affirmed by the party represented.
`
`RN-46 (4/04)
`
`

`

`FILED: NEW YORK COUNTY CLERK 09E2018 05:01 P
`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`
`NYSCEF DOC. NO. 5
`NYSCEF DOC. NO.
`5
`
`INDEX NO- 158893/2018"
`INDEX NO. 158893/2018
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`RECEIVED NYSCEF: 09/25/2018
`RnCnIVnD VYSCEF: 09/25/2018:
`
`
`
`State of New York
`Division of Housing and Community Renewal
`Office of Rent Administration
`Web Site: www.nyshcr.org
`
`Gertz Plaza
`92-31 Union Hall St.
`Jamaica, NY 1 143 3
`(718) 739-6400
`
`Owner’s Application for Order Granting Approval to Refuse
`Renewal of Lease and/or to Proceed for Eviction
`
`Mailing Address of Tenant:
`
`(Please print or type)
`
`Mailing Address of Owner/Agent: (Please print or type)
`
`Name:
`
`
`
`Jim Farmer 118 Duane, LLC Name:
`
`
`
`Number/Street:
`
`
`118-120 Duane St.
`Apt No.2
`28E
`Number/Street:
`c/o Kossoff, PLLC, 217 Broadway, Ste. 401
`City/Municipality
`
`ity/Municipality
`
`; State: Zip Code:
`
`
`New Ygrk, NY 10007
`
`: Telephone Number:
`
`(
`
`)
`
`>
`
`Telephone Number:
`
`)
`
`(
`
`State: Zip Code: New York, NY 10007
`
`
`
`118—120 Duane Street
`City. State, Zip Code
`
`
`.
`New York, “ELY 10007
`City, State, Zip Code
`
`Apartment Number
`
`Number and Street
`
`2. The Legal Regulated or Maximum Rent is: $ 865.98
`
`per month
`
`
`3. The lease in effect is for the term from: W L 2035
`, 20
`to August 31, 2017
`, 20
`Month
`Day
`Month
`Day
`Refusal to renew lease is based on: (Check applicable boxes and give details as required on reverse side of this form.)
`
`
`
`
`Owner occupancy. (Does not apply to rent stabilized apartments in New York City.)
`
`
`
`7 Withdrawal from the rental market.
`
` Demolition.
`
`
`. j Other grounds. (Must be consistent with the applicable statute, regulation or code.)
`
`Names of all tenants and adult members of household who may be evicted if application is granted:
`
`Name
`
`Age
`(if known)
`
`Years in
`Occupancy (if known)
`
`Physical Impairment Preventing Substantial
`Gainfill Employment (if applicable)
`
`
`
`
`
`
`
`
`
`owner and the tenant of the time and place. At such hearing the owner will be required to submit proof of ownership and such other
`documentary evidence necessary to support owner's application.
`
`Tenant: See Notice to Tenant on reverse side of this form
`
`

`

`FILED: NEW YORK COUNTY CLERK 09E2018 05:01 P
`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`
`NYSCEF DOC. NO.
`5
`NYSCEF DOC. NO. 5
`
`INDEX NO- 158893/201817
`INDEX NO. 158893/2018
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`R«C«IV«D VYSCEF: 09/25/2018)
`RECEIVED NYSCEF: 09/25/2018
`
`(Attach any additional pages, if required, and any supporting proof.)
`
`Attached hereto as Exhibit A are a copy of the PWI: Plan/Work Application and plans associated
`
`therewith, Job No.: 122075832, on file with and approved by the NYC Department of Buildings for the
`
`full and complete demolition of the existing building.
`
`Attached hereto as Exhibit B is the proposal from LVI Demolition Services, Inc. to complete the
`
`undertaking in the amount of $1,200,000.00. The total amount of stipends necessary, pursuant to Rent
`
`Stabilization Code §2524.5(a)(2), for all the rent stabilized tenants in the building equals $2,070,923.00.
`
`Attachedhereto as Exhibit C13 a copyiofthe owner'5bank’statementshowing there are funds on
`account greater than the aforementioned cost and the financial ability to complete the undertaking. In
`
`addition, Owner is an entity of United American Land LLC, a family-owned real estate development,
`
`1
`
`investment and management company based in New York City. Its principals, the brothers Albert, Jason
`
`and Jody Laboz, own and manage almost fifty properties in Manhattan, Brooklyn and Queens. United
`
`American Land LLC and its principals further have, through its portfolio and funds, the financial ability
`
`to complete the undertaking.
`
`of this application.
`
`g"
`I have read the above and<faffirm, under the penalties provided by law, that the contents are true of my own knowledge. 1t15 not
`1
`necessary that the abovebeswornto,1?)ut fal§§stzfitemeutp may subject you to the penalties provided by law
`3‘9}:
`
`Signature:
`
`gyamfi‘aag,
`,
`,2
`;
`5,33;
`'
`i
`Name and Title
`Albert Laboz, Member and Registered Managing Agent,
`Multiple Dwelling Registration Identification No. 141872
`
`Notice to Tenant
`
`On the front side of this form is an application filed by the owner. This notice affords you the opportunity to respond to that
`application. Your response should be submitted, in duplicate, on the answer forms enclosed, within twenty (20) days, by
`delivery or mail to the New York State Division of Housing and Community Renewal Office listed at the top of the front side
`
`

`

`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`FILED: NEW YORK COUNTY CLERK 09E2018 05:01 P
`NYSC 3F DOC. NO.
`5
`NYSCEF DOC. NO. 5
`
`IND
`EX NO.
`158893/2018
`INDEX NO. 158893/2018
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` VYSC
`
` *uIV‘ .D
` 3F:
`
`09/25/2018
`RECEIVED NYSCEF: 09/25/2018
`
`Exhibit “A "
`
`

`

`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`
`NYSCEF DOC. NO. 5
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`
`INDEX No. 155893/2018:
`INDEX NO. 158893/2018
`5/2018;
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`RECEIVED NYSCEF: 09/25/2018
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`
`Eiifilfigg
`cue; HERE To stew LIP rake admins: Hm:
`
`
`NYC Department of Buildings
`
`Application Details
`
`
`Premlses118 DUANE STREET MANHATTAN '7
`Job No-.122075332§
`
`BIN: 1001643 Block 150Lotz17:
`-
`,
`,
`.,
`Document 010F1f
`, 7’ "
`»
`
`
`
`., JobType BMFULLDEMOLITIONE
`
`Document Overview
`Fees Paid
`
`Virtual Job Folder
`All Permits
`All Comments
`
`V’:Grarre:lnformation: :PlafrrEiifiTifi‘fififiw’ “’ 2.7::.:..,:::.“2,72:me "‘77:" ’
`’
`7' u:
`7’
`'7"
`7’
`T'T":’7777
`
`Items Reguired
`Forms Received
`
`After Hours Variance Permits
`
`This job is not subject to the Department’s Development Challenge Process. For any issaes, piease contact the reievant
`borough office.
`
`Last Action: APPLICATION PROCESSED — NO PLAN EXAM 07/22/2014 (E)
`
`Application approved on: 07/22/2014
`
`Pre-Filed: 07/22/2014 Building Type: Other
`
`Estimated Total Cost: $0.00
`
`Date Filed: 07/22/2014
`Fee Structure: STANDARD
`
`Review is requested under Building Code: 2008
`
`Electronically Filed: Yes
`
`1 Locatlon Information (Flled At)
`House No(s): 118
`Borough: Manhattan
`
`Street Name DUANE STREET
`Block: 150
`
`.W.
`Lot: 17
`BIN: 1001643
`
`Work on Floor(s): SC, CEL,RF 001 thru 005
`
`Apt/Condo No(s):
`
`CB No: 101
`
`Zip Code: 10007
`
`
`
`
`ZApphca tofRec dlnformatwn
`Name: JOHN J MCERLEAN
`
`Business Name: PLAN B ENGINEERING
`
`Business Phone: 215—638—0767
`
`Job Description Comments
`
`B
`
`usiness
`
`Add
`
`_1 NESHAMINY INTERPLEX SUITE 302
`ress :TREVOSE PA19053
`
`_
`F
`Bu .
`smess ax.
`
`E-Mail: JM@PLANBENG|NEERING.COM
`
`Mobile Telephone:
`License Number: 079601
`
`I] Other
`Applicant Type: IE P.E. El R.A 1:] Sign Hanger CI R.L.A.
` 5.1:Directlve14Applicant .
`
`
`
`NotAppIicable
` lPIeYieusA
`._
`..
`Not Applicable
`
` L§;.1.Eiiié§};
`...........
`Name: PHIL/KYENVEN DY COOLEY/BAYN E/LEWIS
`
`Business Name: INTEGRATED COMPANIES INC
`
`Business Phone: 212—239—8500
`
`Business Address: 55 WATER STREET NEW YORK NY 10041
`
`Business Fax: 212—279-1136
`
`E-Mail: PCOOLEY@INTEGRATED—COMPANIES.COM
`
`Mobile Telephone:
`
`htth/a810-bisweb.nyc.gov/bisweb/JobsQueryByN um berServIet?requestid=2&passjobnum her: 122075832&passdocnum ber=01
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`1/4
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`Wfifibzzx No 158893/2018
`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`
`NYSCEF DOC. NO.
`5
`NYSCEF DOC. NO. 5
`
`
`
`INDEX NO. 158893/2018
`
`
`ED VYSCEF: 09/25/2018
`RECEIVED NYSCEF: 09/25/2018
`
`4 FIIIIISIatus fifT“T"CIfhjf“TiTj;Ifi7iIfiffffifiijilfiff7ffitnyour “Women”;
`Click Here to View
`
`,IIW,,WWWMI,_IHII:INHI,
`
`:.HMWH“; trait t,;
`
`
`,,
`.
`v ..
`,,
`5 iotaTypes
`
`
`
`
`1:] Alteration Type I orAlteration Type 1 required to meet New Building reqmrements I28-101.4S)
`El Alteration Type 1, 0T “No Work"
`I] New Building
`
`El Alteration Type 2
`
`El Alteration Type 3
`
`Full Demolition
`
`El Subdivision: improved
`
`[I] Sign
`Directive 14 acceptance requested? EIYes
`
`El Subdivision: Condo
`[Z] No
`
`l
`
`
`fiflflfifii°
`1:] Bi. - Boiler
`[J FA -= Fire Alarm
`[:1 FB — Fuel Burning
`CI F's! FuelStoragew
`
`El FP - Fire Suppression
`E] MH — Mechanical
`El PL - Plumbing
`D SD - Standpipe
`* ""i[j:SF?Sp’rmkITe’ri”;:""":E]1EQfCDfiStrU'Ction"Equipme'nt"”'" ‘EFGC 'rCur’bCut
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`El OT- Other
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`
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`
`I TI?Iéfis'lcfi‘ns'tifiétiofi baguette saunter " ” ”
`Plans Page Count: Not Provided
`
`'
`
`' "
`
`"
`
`
`8 Addnwnaufiiw.
`Enlargement proposed?
`El No
`C] Yes
`
`“We,
`
`StreetFrontage:
`
`50
`
`linearit.
`
`
`
`
`
`L
`
`E] Horizontal El Vertical
`
` . ddItIonalConSIderatIons, LImItatIonsor Restrictlons 4.
`Yes No
`Yes No
`
`,.
`
`..
`
`l]
`
`[:1 Alt. required to meet New Building req's (28-10145)
`
`1:]
`I]
`
`E]
`
`Cl
`
`I] Alteration is a major change to exits
`El Change in number of dwelling units
`
`I] Change in Occupancy I Use
`
`C] Change is inconsistent with current certificate
`of occupancy
`
`I]
`1:] Change in number of stories
`
`
`E]
`
`[:1
`
`El
`El
`
`Ed
`
`[3
`
`[:1 Facade Alteration
`
`IE] Adult Establishment
`
`IE1 Compensated Development (lnclusionary Housing)
`[E1
`Low Income Housing (lnclusionary Housing)
`
`[II Single Room Occupancy (SRO) Multiple Dwelling
`
`Filing includes Lot Merger I Reapportionment
`
`D IE]
`
`infill Zoning
`
`El
`
`E!
`[El
`
`El
`
`Loft Board
`
`{El Quality Housing
`El Site Safety Job I Project
`
`E]
`
`Included in LMCCC
`
`Work Includes:
`I]
`El
`Prefabhwood l-joists
`I]
`[:1 Structural cold-formed steel
`
`1:] El Open-web steel joists
`
`
`I l
`
`l Landmark
`
`DDDDDDDDD
`
`eaeaaaaea
`
`Environmental Restrictions (Little E or RD)
`
`UnmappedlCCO Street
`
`Legalization
`
`Other, Specify:
`
`Filed to Comply with Local Law
`Restrictive Declaration I Easement
`
`Zoning Exhibit Record (l,ll,lli,etc)
`Filed to Address Violation(s)
`
`http://aS1 O—bisweb.nyc.govlbisweb/JobsQueryByN um berServl et?requesfi d=2&passjobnum ber=122075832&passdocnum ber=01
`
`2/4
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`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`
`
`NYSCEF DOC. NO. 5
`
`INDEX NO. 1758893/72018
`INDEX NO. 158893/2018
`
`
`25/2018
`RECEIVED NYSCEF: 09/25/2018
`
`[I
`
`El
`
`E]
`
`El
`
`El
`
`E]
`
`[I
`
`Work includes lighting fixture and/or controls, installation or replacement. [ECC §404 and §505]
`
`[3 Work includes modular construction under New York State jurisdiction
`
`E] Work includes modular construction under New York City iurisdicti‘on
`
`E1“ Structural peer review required per BC §1627
`
`Peer Reviewer License No.(P.E.):
`
`IE] Work includes permanent removal of standpipe, sprinkler or fire suppression related systems
`
`El Work includes partial demolition as defined in AC §28-101.5, or the raising/moving of a building
`
`Structural Stability affected by proposed work
`
`BSA Calendar No.(s):
`
`CPC Calendar No.(s):
`
`1‘10 NYCECCComplaanceNew YomcnyEnergyCansen/anonCode(ApplIcantStatement)
`Not Provided
`
`_.
`
`
`
`
`
`1.1 Job Description
`..
`.. ..
`..
`
`
`PARFFAWEMOLITIONBPSSTBRYBUlLBtNGWlTHdNSTALDETIBhHBPFENCEANl3BEBRISCHHTEEAES4NBlGATEflGNIV
`ATTACHED DRAWINGS.
`
`sf
`
`Street status: El
`
`Public El
`
`Private
`
`Related BlS Job Numbers:
`
`Primary application Job Number:
`
`W.
`.
`12 ZonIng CharactenstIcs
`District(s): CB-2A- GENERAL COMMERCIAL DlSTRlCT
`0verlay(s):
`
`Special District(s):
`Map No..' 123
`Street legalwidth (ft.):
`Zoning lot includes the following tax lots: Not PrOVIded
`1.3 BUIIdIng Characterlstlcs .
`.
`
`Occupancy Classification:
`Construction Classification:
`
`Multiple Dwelling Classification:
`
`Exam
`RES — RESID. BLDG - OLD CODE
`3: NON-FlREPROOF STRUCTURES
`
`Building Height (ft):
`
`Building Stories:
`
`Dwelling Units:
`
`65
`
`5
`
`10
`
`..
`
`., .
`
`..
`
`.
`
`
`
`V
`x
`23121322332?
`E] Yes [2] No
`I] Yes
`No
`
`Mixed use bu'
`ing?
`
`
`
`
`.. like“: Applicable“ , [joff-Site ..
`, Domslte .. ..
`VINE] Undergoocublcyards
`..
`.,,,
`
`
`U
`iii Chute
`I] Sidewalk Shed
`ConstructlonMaterIalWOOD
`
`[E Yes
`
`El No
`
`
`
`1:] Fence
`
`'
`
`Size:
`
`Iinearft.
`
`BSA/MEAApprovalNo.:
`
`El Supported Scaffold
`
`El Other
`
`‘
`
`166urb6utnescnptron
`
`Not Applicable
`
`17 Tax Lot CharactenshcS
`Not Provided
`
`18FlreProtectwnEqumen
`
`Not Applicable
`
`190penSpaces‘ ., ....,........ .._.
`
`http://a810—bisweb.nyc.gov/bisweb/JobsQueryByN urn berServlet?requesti d= 2&passjobnum ber=122075832&passdocnum ber=01
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`INDEX NO. 158893/2018
`INDEX NO. 158893/2018
`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`
`
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`
`NYS
`F D
`1
`«
`r -
`«
`«
`NYSCEF DOC. NO. 5
`RECEIVED NYSCEF: 09/25/2018
`OtPrgvcldego.
`R .c .IV .D \iYSCuF. 09/25/20183
`
`2.1.5.3,emé'iti9n9e1éils
`
`,-
`
`Ere—Demolition inspection:
`
`NOT RECORDED
`
`El
`
`[3
`
`E]
`
`E]
`1:]
`
`I3 Demolishing a secondary structure? Specify:
`El Mechanical means from out of building? El
`
`entire structure or Cl part of structure
`
`[E Mechanical means from within building? Describe equipment proposed:
`
`D Demolition work affects the exterior building envelope
`
`D The scope of work involves raising/moving of a building
`
`
`
`m.
`.
`.,
`..
`.,
`
`
`22 Asbestos Abatement Compliance
`E The scope of work does not require relatedasbestos abatement as definedinthe regulations ot theNYCDEP.
`DEE ACE—5 Control No;
`
`77423Signs ,_
`--
`
`NotApplicable
`2400mments
`
`_
`
`,.
`
`
`
`
`25AppticantsStatementsandSignatures (Seepapertormor check Forms Received)
`Yes No
`
`
`
`El
`
`El
`
`[3 For New Building and Alteration 1 applications filed under the 2008 or 2014 NYC Building Code only: does this
`building qualify for high—rise designation?
`
`El Directive 14 applications only: I certify that the construction documents submitted and all construction
`documents related to this application do not require a new or amended Certificate of Occupancy as there is
`no change in use, exits, or occupancy.
`
`.. ..
`.
`2.6. Owners'nformahon
`Name: JASON LABOZ
`
`_
`
`Relationship to Owner: MEMBER
`Business Name: 118 DUANE STREET LLC
`
`Business Phone: 212—431-7500
`
`Business Address: 430 WEST BROADWAY NEW YORK NY 10012
`
`Business Fax:
`
`E-Mail: CASEY@UNITEDALAND.COM
`NonProfit: DYes E No
`
`Owner Type: PARTNERSHIP
`
`El
`I]
`El
`E]
`
`[I
`
`E3!
`Owner‘s Certification Regarding Occupied Housing (Remain Occupied)
`Etl Owner's Certification Regarding Occupied Housing (RentControl IStabilization)-
`IE] Owner DHCR Notification
`I
`I
`'
`'
`Owner's Certification for Adult Establishment
`
`D Owner's Certification for Directive 14 (if applicable)
`
`,
`,
`,
`.
`Mates and Bounds
`To view metes and bounds seethe Elot Diagram (fonn ED—1)A scannedimage maybe available here
`
`
`
`
`It you have any questions please review these Freguently Asked Questions, the Glossary, or call the 311 Citizen Service
`Center by dialing 311 or (212) NEW YORK outside of New York City.
`
`http://a810—biswebnyc.gov/bisweb/JobsQueryByN urn berServIet?requesfid= 2&passj obnum ber= 122075832&passdocnum ber=01
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`V—FILEV'IlDflzrnew transom; oLERiE 09 a}—m2018’05:01 9
`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`
`. NYSCEF DOC. NO.
`5
`H”
`NYSCEF DOC. NO. 5
`
`INDEX NO- 158893/2018 "
`INDEX NO. 158893/2018
`
`
`
`
`
`
`
`RnCnIVnD \iYSCEF:
`/2018
`RECEIVED NYSCEF: 09/25/2018
`
`
`
`DEP ewes
`122075832
`EEIL . WING PW‘I : Plan / Work Application
`Nbumer
`WWW
`lIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII III
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`80140401035
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`Scan Cdeo
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`HouseNo(s)118 Street Name DUANE STREET
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`
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` Borough MANHATTAN Block 00150 Lot 0001') BIN 1001643 C.B.No. 101
`
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`Work on Floor(s) 001 to oos,sc,c}3L,RF
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`
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`W———l:ast—NamemcammflrimrNamfieWimndieinmaW—e—r "22:77
`
`Business Name PLAN B ENGINEERING
`Business Telephone (215) 6 38 -O767
`
`Business Address 1 msmimm: INTERPLEX, some 302
`Business Fax
`
`City TREVOSE
`State PA
`Zip 19 053
`Mobile Telephone
`
`E-Mail JM@PLANBENGINEERING.COM
`License Number 079601
`
`Choose one:
`
`[2] PE.
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`1:} RA.
`
`CI Sign Hanger
`
`[3 Other, please specify.
`
`Apt/Condo No(s)
`
`
`‘ F
`
`iling Representative Complete only if different from applicant specified in section 2 Fax, mobile phone, and e—mail are optional info.
`
`Last Name COOLEY/BAYNE/LEWIS
`First Name. PHIL/RYE/WENDY
`Middle Initial
`
`
`Business Name INTEGRATED COMPANIES INC
`Business Telephone (2 12) 23 9 — 8500
`
`Business Address 55 WATER STREET
`,
`Business Fax (2 12) 27 9 —1136
`
`State NY
`Zip 10041
`Mobile Telephone
`City NEW YORK
`
`E—Mail PCO0LEY®INTEGRATED - COMPANIES . COM Registration Number 5 12 8
`
`I
`
`I
`
`I
`I
`I-
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`Filing Status Requiredfor all applications. Choose one andprovide specified associatedinformation
`Elnitial Filing 5, 7, 11, 12A, 25—26
`DPrior to Approval Actions 25-26
`L—JReinstatement 24-26
`ReviewIs requested under which Building Code?
`E] Amend Existing Filing 4A
`EIWithdrawal 26
`
`I: Prior to 1968
`.2008 D1968
`El Subsequent Filing 6-7, 8A (Alt—2 only), 11
`E] Specified in 4A and 5
`
`Choose CI Standard Plan Examination or Review DPost Approval Amendment (PAA) 4A, 6, 24-25
`I: Entire Job
`
`:IYes :INo
`4A Indicate existing document number
`(”‘95 El Professional Certification PC1, POC1
`Will FAA affect filing fees?
`
`
`I: Professional Cert. of Objections A11
`DNew (Superseding) Applicant 4A, 25-26
`affected by filing:
`
`_
`
`
`a Job/Project Types Chooseone and provide specified associatedinfonnation
`DAIteration Type 1 6A—E, BB—C, 910,13C—F, 14 & DAiteration Type 1, 01': “No Work” BC, 9—10 &
`IZIFuII Demolition 68, 80, 93-0, &
`18-20, 22, PW1A, PD1, select all that apply.
`.
`-
`12, 130-5 14, 18—19, 22, PW1A, PD1
`13D—E, 14, 21A, 22
`:iChange in Exits
`DAIteration Type 2 5A, 6A-D, BA-B, 9.10, &
`DSIgn 5A, 530, 93, 22—23
`ClCl'Iange in Number of Stories
`13C-E, 14, 20, 22
`DSubdivision QB, 12A-B
`DChange in Numberof Dwelling Units
`DAlteration Type 3 5A, 63-F, 8C, 9-10, 130E, 22
`DCondominium Dlmproved 17
`DNew Building 6A-E, BF-G, 9A—C,9L, 10, 12, 13A-E SADirective 14 acceptance requested?
`(13B: 2008 Code only), 14, 18—20, PW1A, PD1
`DYes
`INo
`
` DChange in Occupancy I Use
`
`DChange inconsistent with current Cert. of Occup.
`
`.
`
`
`
`, a Work Types Select all that applybut no more than allowed byjob and fifing type “OT" required on all NE andAlteration 1 initial applications.
`
`6A DBL — Boiler PW1C
`I] FS - Fuel Storage PW1C
`1:] PL — Plumbing PW1B
`BE [3 CC - Curb Cut 16
`D FA — Fire Alarm
`C] FP — Fire Suppression
`El SD — Standpipe PW1B
`6F [3 OTIANT - Antenna
`
`
`
`ClFB — Fuel Burning PW1C
`El MH — Mechanical
`D SP — Sprinkler PW1B
`E] OTIBPP — Builders Pavement Plan 80
`
`
`BB in EQ — Construction
`El OTIFPP - Fire Protection Plan
`6D El OT — Other, describe:
`60 D OT/GC ~ General
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`
`
`
`
`Construction
`El OTIMAR - Marquee BE, 263
`Equipment 15
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`DOB Reference Number: T00001047661—000075
`User Ref ID: 12835—DM
`
`06/14
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`

`

`FILED: NEW YORK COUNTY CLERK 09E2018 05:01 9
`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`
`:NYSCEF DOC. NO.
`5
`NYSCEF DOC. NO. 5
`
`
`I"""1”5'sé39’3/“2’01'é 1'
`INDEX NO. 158893/2018
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`
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`
`
`RECEIVED NYSCEF: 09/25/2018‘
`RECEIVED NYSCEF: 09/25/2018
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`
`
`E M
`
`ia-JVZJF‘
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`.
`
` ction Documents Submitted Plans are required for most applications.
`
`’ Plans/Constru
`‘
`DBP - BPP Checklist
`' El DM — Demolition (FulliPartial)
`III EN - Energy Analysis UFO — Foundation or C] NP - No Plans
`. DAR-Architectural
`
`UM'E Wit“ .. -‘30. W, ,, ,
`g
`. LIPL — Pmbnluig
`g
`,. . .
`.. I] ST - Structural
`EZO - Zoning
`
`
`I
`'
`I
`in: Additional information
`ii
`LA...“
`I“ ,.
`._A Eve»
`_.._ ,I
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`
`
`.
`SC Estimated Job Cost $
`8B Is a building enlargement proposed?
`8A WT Cost
`WT Cost
`WT Cost
`
`
` BD Street Frontage: 50 .II] No enlargement is proposed ‘ linear ft.
`
`
`DYes 12, P01
`8E Height
`ft. Width:
`.
`It
`
`[2] Horizontal
`BF Name of cluster or development below:
`I: Vertical
`
`
`Additional Construction Floor Area:
`I
`.
`
`sq. ft
`Project lead job no.
`sq. ft.|
`86 Total Construction Floor Area:
`77EAddijionaleConsiderationsfriimitaticursor—Restrictions _
`6UI ZO
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`as.(Dr Z“Or
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`
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`_
`. P.E.
`9A
`C Structural peer review required per BC §1627 Ifyes, 9F
`
`96 Local Law No(s)
`QB I:
`2i Filed to Comply with Local Law If yes, 96
`‘
`[j
`1% Landmark
`
`'
`El
`El “Lime E" or RD Site
`r E Other, specify:
`
`it Restrictive Declaration! Easement Ifyes, 9M
`1:]
`i2. Unmapped Street
`I:
`:1 3 Zoning Exhibit (I, II, III, etc.) Ifyes, 9N
`[I
`[1? Filing to Address
`9H Violation Nots)
`
`D x Requesting legalization of work where no work MD a
`Violation(s) ’fyes, 9”
`'
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`permit violations have been issued
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`
`
`9C
`Adult Establishment Ifyes, plot diagram (except DM)
`[I E Included in LMCCC
`9| BSA Calendar No(s)
`E Compensated Development (lnclusionary Housing)
`l]
`DJ
`Infill Zoning
`
`Low Income Housing (Inclusionary Housing)
`El
`)9 Lott Board
`3
`
`QJ CPC Calendar No(s
`IX Tl Single Room Occupancy (SRO) Multiple Dwelling
`:1 2 Quality Housing
`
`E 3 Site Safety Job/Project
`E 3 Filing inciudes Lot Merger I Reapportionment If yes, 17
`
`9D I] 3 Includes permanent removal of standpipe, sprinkler or fire suppression related systems
`
`9K High—Rise Team Tracking Number:
`» 9E CI 3 Work includes partial demolition as defined in AC §28e101.5 If yes, 213
`E]
`:1 Structural Stability affected by proposed work
`'
`
`, 9L :l D Work includes lighting fixture and/or controls, installation or replacement [§ECC 404 and 505]
`
`M CRFN(s) Restrictive Declaration / Easement (max. 4):
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`SN CRFN(s) Zoning Exhibit (I, II, III, etc - max. 4):
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`9F Structural Peer Reviewer License No.
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`J 9
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`.7 NYCECC Compliance New York City Ene'gyConservation Code
`I] To the best of my knowledge, belief and professional judgment, all work under this application is in compliance with the NYCECC‘
`
`I:
`Energy analysis is on another job number.
`Yes No
`El 3 This application is, or is part of, a project that utilizes trade-offs among different major systems
`
`CI 3 This application utriizes trade-offs within a single major system
`B To the best of my knowledge, belief and professional judgment, all work under this application is exempt from the NYCEOC‘ in
`accordance with one of the following:
`Choose one
`:I The work is an alteration of a State or National historic building.
`:I The scope of work is entirely in a “low-energy building" and is limited to the building envelope.
`4 The scope of work does not affect the energy use of the building.
`D This is a post—approval amendment and exempt under a prior edition of the energy code. See statement of exemption on attached drawings.
`Wmta:Eos to Sewn/r ECC 1014.3
`NOTexsmpflons. ‘Far excenprios, check compllanoe Staten! andiiselhe Energy Asrnatys.
`Related DOB Job Numbers
`I Job Description
`
`i
`A PARITAL DEMOLITION OF 5 STORY BUILDING WITH INSTALLATION OF
`
`
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`FENCE AND DEBRIS CHDTE As INDICATED ON ATTACHED DRAWINGS.
`
`
`
`?
`
`
`118 Primary application job no.
`
`DOB Reference Number: T00001047651-000076
`User Ref ID: 12835-DM
`
`06H 4
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`
`
`

`

`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`INDEX NO- 158893/2018‘
`FILED: NEW YORK COUNTY CLERK 09E2018 05:01 P
`
`NYSCEF DOC. NO. 5
`a YSCEF DOC. NO.
`5
`'
`'
`
`INDEX NO. 158893/2018
`
`
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`RECEIVED NYSCEF: 09/25/2018
`R«c«1v«.o wyscee. '0g7EB/201sj
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`PW‘l
`PAGE 3
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`12A
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`1
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`}
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`1
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`t
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`, , W ,
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`ft.
`123 Street legal width:
`District(s) «26—21;
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`Street Status: C! Public C] Private
`Overlay(s)
`,
`
`Special Dist.(s)
`if the zoning lot includes multiple
`
`Map Number 12A
`‘
`lax/015, list all tax lots here e
`
`Proposed Yard Details:
`Proposed Lot Details:
`12C Proposed: Use“
`Zoning Floor Area District
`FAR
`
`Check here if no~yardsz~ E] or
`Lot Type: DCorner Dlnterior [lThrough
`"
`sq. fl.
`_
`
`.
`'
`Front Yard
`Lot Coverage
`%
`
`Lot Area
`sq. ft.
`Rear Yard
`.
`i
`
`Lot Width
`ft.
`Rear Yard Equivalent
`
`7 7 7
`ProposedOtherDetails:of_______—sideYardt——::~fl~ ——«
`Enclosed Parking? UYes DNo
`Side Yard 2
`If yes, no. ofparking spaces:
`
`_
`
`ft.
`
`Perimeter WallHeight
`.
`
`
`.
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`-
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`‘
`
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`13A Primary structural system. choose one:
`[:[Concrete (ClP)
`D Masonry
`_
`El Concrete (Precast)
`
`DSteel (Structural)
`DWood
`Deteel (Cold—Formed) DSleel (Encased in Concrete)
`
`130 Building Type:
`[:1 t, 2, or 3 Family E] Other
`1'33
`Existing
`1
`
`
`
`W///////////,
`Mixed use building?t
`[E Yes D No
`1 l
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`
`
`///////Designations?
`13E
`Existing
`Proposed
`‘e
`L;
`
`
`
`
`f1.
`esINo
`13C
`Occupancy Classification RES
`6 5
`Building Height
`fl.
`
`
`
`Construction Classification
`Building Stories
`5
`
`
`Dwelling Units
`Multiple Dwelling Classification
`10
`
`
`13F
`'
`Building was originally erected pursu/a/n/t/to which Building C/ode: D2008 D1968
`[Priorto 1968 i
`,
`_.
`The earliest Code with which this building or any part of itIS required to comply: D2008 D1968 DPriorto 1968
`DOn-Site
`E]Off-Site
`IEUnder300 cubic yards
`l
`I 16 I Curb Cut Description
`Size of cut (with splays):
`IChute
`DSidewalk Shed
`Construction Material: WOOD
`fl.
`|:]Fence
`Size:
`BSA/MEA Approval No.
`Distanoe to nearest corner:
`ft.
`DSupported Scaffold
`C] Other:
`to street:
`
`l 14DNotApplicable
`
`g
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`'
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`‘
`
`I
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`linear ft.
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`'
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`
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`Original tax lots being merged or reapportioned (if applicable):
`Existing Proposed
`Yes No Yes No
`
`I
`J
`I
`I
`El
`:1
`l] U I
`Fire Alarm
`
`Tentative tax lot numbers (new tax lots only):
`FIre Suppression I]
`’Z‘ 3 j
`
`
`s ‘kl
`I]
`‘l
`:l
`l
`l
`T
`l
`I
`n u d J
`l
`l
`stilt;
` ; 19 Open Spaces
`
`Yes No
`
`Existing
`
`El
`(:1 Tidal] Fresh WaterWetlands
`Plaza Area
`
`Mme/ea m
`:l D Urban Renewal
`
`
`Parking Area
`
`3 E Fire District
`'
`
`
`
`
`Loacfing Berths
`sq. ft. Loading Berths
`3 [3 Flood Hazard Area
`
`
`DOB Reference Number: T00001047661—000076
`User Ref ID: 12835—1324
`
`
`
`06/14
`
`
`
`

`

`INDEX NO. 158893/2018
`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`
`158893/2018‘
`7
`INENO'
`7
`7
`FILED. NEW YORK COUNTY CLERK 09E2018 05:01 P
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`
` SF DOC. NO.
`5
`
`NYSCEF DOC. NO. 5
`RECEIVED NYSCEF: 09/25/2018
`
`
`.PW1
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`1
`PAGE 4
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`y Demolition Details *Mechanical eQuipment other than handheld devices to be used for demolition or removal of debris (BC §3306.4).
`7
`7
`7
`Yes No
`' '
`W
`
`21A Ll
`B'J Demo. filing is fora secondary structure? Ifyes. soecr‘fy structure being demolished:
`I Mechanical meansfrom out of building?
`Ifyes mechanical means erI demolish Dentire structure or Dpart of structure
`[— {E Mechanical means from within building?
`lfyes, desa'ibe equipment proposed:
`
`
`218 i_ 7 Demolition work affects the exterior building envelope
`
`
`
`
`I Asbestos Abatement Compliance Choose one.
`‘
`V ClThe scope of work requires related asbestos abatement as defined in the regulations of the NYC Department of Environmental Proton (DEP). A
`.The scope of work does not require related asbestos abatement as defined in the regulations of the NYC DEP.
`_
`_
`
`DThe scope of work is exempt from the asbestos requirement as defined in the regulations promulgated by the NYC DEP (15 RCNY 1-23(b)).
`
`
`Estimated Cost: $
`
`
` 23A Illuminated type Borneo [jFIasIIing Elindirect
`CIAdvertising
`E] Illuminated 23A
`Total Square Feet:
`Yes No
`
`ft.
`in,
`-
`H D ‘If sign projects beyond building line, is owner
`DNon-Advertising gun-Illuminated
`Height above Curb:
`
`
`ft.
`in.
`Wad for annual Palm"? ”"0: specify in 253
`Location: [jcround DRoof23B [Mail Height above Roof:
`Yes No
`.
`Is roofsign tight, closed or solid?
`235 D I:
`If no, sign projeds by:
`ls sign inside building line?
`23C Sign wording.
`If extensive, provide only key wording.
`Designed for changeable copy? If no, 230
`Does an OAC have an interest in this sign or location? Ifyes, 236
`
`ft.
`
`in.
`
`
`
` JDLB
`[7Fl['7mm
`":lé
`
`
`
`:0
`
`Within 900' and within view of an arterial highway? Ifyes, 23D
`Vinthin 200’ and within View of a park 1/2 acre or more? Ifyes.‘23E
`
`230 Distance from Merial Highway:
`23E Distance from-Park 1/2 acre or more:
`
`a If answer is “yes" to either of the above two questions gag this is an
`advertising sign,_ OAC sign number is required in section 23F
`
`23F OAC Sign Number:
`
`23G OAC Registration Number:
`
`
`
`Required for all applications.
`‘ Applicant’s Statements and Signatures
`Falsification of any statementIs a misdemeanor andIs punishable by a fine or imprisonment, or both. ItIs unlawful to give to agigomplowe or for a city employee to
`accept, any benefit, monetary or otherwise, either as a gratuity for properly performing the job or in exchange for special consideration. Volafiiihis punishable by
`imprisonment or fine or both.
`I understand that it I am found after hearing to have knowingly or negligently made a falsestateme
`Iave knowingly or negligently
`
`falsified or allowed to be talsrl”ed any certificate, form signed statement. application. report or certification of the cone'cti
`-
`-
`-I » u.- . unde'r._the provisions .
`.
`.
`
`
`of this code or of a rule of any agency, I may be barred from filing further appliab’ons or documents with the Depaflrne/.
`-.
`"
`the construction documents and specifications herewith submitted and, to the best of my knowledge and belief, the ..
`.
`"1 thereon
`
`comply with the provisions of the NYC Administrative Code and other applicable laws and rules, D (echeck heie ’
`
`documents.
`I acknowledge that l have read and compiled with all Instructions pertaining to this application and;
`:
`-
`.
`Cluster Development Statement (if applicable): I hereby state that all specifications relating to this job are ide
`.
`-
`-
`:
`-up lead job
`number, estcept as specified herein
`.
`-
`’2
`‘
`.
`Yes No
`I] D For initial New Building and Alteration 1 applications filed under the 2008 NYC
`Building Code only: does this building qualify for high-rise designation?
`Cl Directive 14 initial applications only: I certify that the construction
`documents submitted and all constmction documents related to this application do not
`require a new or amended Certificate of Occupancy as there is no change in use,
`eIdts, or occupancy.
`
`DOB R fa ence Number: T00001047661—000076
`User Ref ID: 12835-1314
`06/14
`
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`
`
`[3
`
`

`

`
`INDEX NO .
`158893/2018i
`INDEX NO. 158893/2018
`FILED: NEW YORK COUNTY CLERK 09/25/2018 05:01 PM
`FILED: NEW YORK COUNTY CLERK 09E2018 05:01 P
`
`NYSCEF DOC. NO.
`5
`s.
`5/20181
`NYSCEF DOC. NO. 5
`RECEIVED NYSCEF: 09/25/2018
`
`
`PAGE 5
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`
`|:]DCAS
`[jHHc DNYCHA
`Falsilication ofany statement Is a misdemeanor and Is punishable by a fine of Owner type: Ulndividuai
`imprisonment. or both. itIS unlawful to give to a city employee or for a city
`[Partnership
`Doors
`DHPD DNYS
`employee to accept. any benefit monetary or otherwise. either as a gratuity for
`DCorpomtion 26A
`Bother Government
`properly performing the job or in exchange for special wnsideration. \fiolation is
`punishable by imprisonment or fine or both.
`i understand that ill am found after
`UCondo Unit Owner or Co—Op Tenant—shareholder 26A
`hearing to have knowingly or negligently made a false statement or to have
`is the owner a non-profit organization?
`El Yes w No
`knowingly or negligently falsified or allowed to be falsified any certificate. form,
`signed statemermapplication. report or certification of the correction of a
`violation required under'the provisions of this code or of a'rule of any agency. i
`may be barred from filing further applications or documents with the
`Department Furthermore, i understand that I am responsfllle for insuring that a
`final inspection be performed when the permitted workIs complete. and that a
`satisfactory report of final inspection be submitted along with all required
`submitlal documents. so that the NYC Department of Buildings may issue a
`letter of completion or certificate of occupancy within the time prescribed by law,
`
`. R
`
`
`
`~
`»
`‘
`Name (please print): JASON LABoz
`elationship to Owner: MEMBER
`Business Name/Agency 118 DUANE STREET LLC
`Street Address: '430 WEST BROADWAY
`sham YORK Statez—NY Zip: 10