NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
59-17 Junction Boulevard. 8 Floor, Corona, NY 11368-5107
Building Dept. or TRU N
FOR OFFICIAL USE ONLY
ASBESTOS PROJECT NOTIFICATION l_
•` RMS WLL BE (ASBESTOS INSPECTION REPORT)
ACCEPTED ++ 'Q 't fee schedule)
When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original
signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This
form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.
I. FACILITY
2. Address _ 60_WILLIAM STREET _ - --------_ _ —__ Borough _--_ Zip
AKA 48- PINE STREET 3. Block — 4. Lot
5. Type of Facility_ CHURCH __—__—__ ~_—_—___ 6. Name of Building OUR LADY OF VICTORY CHURCH
It. BUILDING OWNER
7. Name BUILDING COMMISION ARCHDIOCESE OF NEW YORK 8. Contact Person
9. Tel. # (212) 422_5535-------- Fax#
State --- Zip
10. Address ------ ----- - --- City ------------------- ---
III. GENERAL CONTRACTOR
11. Name----- --------------------- Tel. # ---------
- ---- —
IV. ASBESTOS ABATEMENT CONTRACTOR
ASBESTOS REMVAL
12. Name TRIO----------- O - -----
CORP.--------- -- - 13. Contact Person STEVEN PARMIGIANI
--
14. Federal Employer ID. •______- 961-4100
___-- 15. Tel. #—_-------__-_- _-- Fax # (718) 961-4103
_---~
16. Address 14-20 129 STREET __—_ _____-- city COLLEGE POINT __-- State NY Zip 11356 --
V. THIRD PARTY AIR MONITOR
17. Name WARREN & PANZER ENGINEERS, P_C. 18. Contact Person MIKE NOLAN--
(212) 922-0077
- -- -- 20. Tel. # ---------------- ____ Fax # (212) 922-0630
19. Federal Employer ID. # —__—_
21. Address 228- EAST 45 STREET — - City J!..---------- -- State NY - Zip - 10017 _y
P _C.
22. Sample Analysis Laboratory_WARREN & PANZER ENGINEERS` — 23. NYS DOH ELAP # ! 1.i 251_-
VI. PROJECT INFORMATION
24. Starting date for this portion of work _ qj 2 —. Projected completion date ~(` I !.q.(Ll _
Asbestos work schedule 0 Monday 0 Tuesday El Wednesday El Thursday 0 Friday 0 Saturda, ❑✓ -Sunday
Shift from: 8.00 -_ 0 am ❑ pm to 800___ ❑ am 0 pm
If other,
specify RECEIVED
Access to Inspect the premises must be provided during the work schedule indicated in this item. SEP 24 ~20c2
lwrt~
25. Total amount of asbestos-containing material to be abated during this work
Square Feet, and/or ___—_~ Linear Feet
ACP 7
212001
NYC-VVTC 000110260
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