Asbestos project notification form for 225 Rector Place

NYC 9/11 Public Portal Document

'~ CRY ors NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8 Floor, Corona, NY 11368-5107 Building Dept. or TRU No ONLY FOR OFFICIAL USE ONLY TYPEWRITTEN ASBESTOS PROJECT NOTIFICATION FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. ACCEPTED ""y`'or 10ep (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.

1. FACILITY Borough Manhattan Zip 10280 2. Address 225 Rector Place AKA Parc Place 3. Block 16 4. Lot 7 0

5. Type of Facility Apartment House 6. Name of Building

II. BUILDING OWNER

7. Name Liberty View Associates L.P. 8. Contact Person Peter Hoyle - II PII 9. Tel. # -- ------------ --------------- Fax # l -

10. Address 203 East 86th Street City New York State NY Zip 10028

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR Konstandt 12. Name Hazardous Elimination Corporation 13. Contact Person A.

14. Federal Employer ID. #._._._._._._._._._.P.!.._._._._._._._._._i 5. Tel. # ._._._._._._.PII._._._._._._.? Fax#

16. Address 195H Central Avenue City Farmingdale State NY Zip 11735

V. THIRD PARTY AIR MONITOR

17. Name ATC Associates 18. Contact Person F. Berkhardt -._PII. -.' Fax # L._._._._._._. P11 -. 19. Federal Employer ID. t{-.-.-.-.-.-.-.-. P11._._._._._._._._' 20. Tel. # l- -----

21. Address 104 East 25th Street City New York State NY Zip 10010

22. Sample Analysis Laboratory ATC Associates 23. NYS DOH ELAP # 10879

VI. PROJECT INFORMATION 24. Starting date for this portion of work 10/1/01 Projected completion date 10/4/01 f1 r1 - -

Asbestos work schedule El Monday El Tuesday 21 Wednesday O Thursday ❑ Fm

Shift from: 7 121am ❑ pm to 7 ❑ am O pm

if other, specify

I Access to inspect the premises must be provided during the work schedule indicated in this item. .

25. Total amount of asbestos-containing material to be abated during this work 9,000 Square Feet, and/or 0 Linear Feet ACP 7 212001

NYC-WTC 000114092