Permit application or correspondence, 150 building, 2002

NYC 9/11 Public Portal Document

~~ ~d,,urKocr4r NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard. 8" Floor, Corona. NY 11368-5107 :.P Building Dept. or TRU No FOR LL4 OFFICIAL USE ONLYJP ( Cr ONLY

L BE ` D MMf"ru ii1en°<~ ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) v 1. _— (See 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 _ 150 WILL-tA rn STIZEET ---- Borough MAN -- Zip _j __

AKA — ------ --_ 3. Block -- 4. Lot _—N ---

5. Type of Facility_____- -__-- _ — 6. Name of Building ----

II. BUILDING OWNER

7. Name _--- --- - Y —_ 8. Contact Person

9. Tel. # _--__—_---- Fax # _-

10. Address ---- N _----- Y ---_ City ------------ State ___—_ Zip -------

Ill. GENERAL CONTRACTOR

11. Name------------------- Tel. # -----------

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name (3EwJA4J1I*t kje2 BAN 4 StN Cointzct_ INC . 13. Contact Person LoviC (Ah1NICo

14. Federal Employer ID. a PII 15. Tel. # cil~) = 2900---- 31 Fax # (Tl$)_209- 1808

16. Address _ 124 8 RAL-PR Av~NUE _--__--- City BQOOV-L Y N----- - State N4 __ Zip

V. THIRD PARTY AIR MONITOR

17. Name _WA N Paaiee ENr.I L.~EERS —__18. Contact Person - MICHAEL_ NOL.AtJ

19. Federal Employer ID. #, P1~ y 20. Tel. # _ ! ) _22 LT — Fax# (2i2) 922-0630 _

21. Address _ 2?0 EAST ASTId STET ----- City N~w YotzdL ------ State _±L_ Zip (0017

22. Sample Analysis Laboratory— -- —N— 23. NYS DOH ELAP #

VI. PROJECT INFORMATION

24- Starting date for this portion of work - ~ tt - 13 - 0 2 _ Projected completion date _L. 2_:.9?___

Asbestos work schedule © Monday ® Tuesday ® Wednesday ® Thursday 12 Friday ® Saturday .©..Sunday 00 Shift from: T ©am 0 pm to _Z 0 am ®pm

If other, specify ------------------------------- ~ Access to inspect the premises must be provided during the work schedule indicated in this item. ~ / "O ' f , ~~D 13, 25. Total amount of asbestos-containing material to be abated during this work

i 2__ Square Feet, and/or —_o_ Linear Feet ACP 7 2/2001 . I .. ... .

l11 µE's ~yiS L`R (!l PRGCF~M

NYC-WTC 000110631