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Permit application for roof work, 205 Pearl Street, Sept 2002

Machine-extracted title · confidence 95%

Permit application submitted by Benjamin Kurzban & Son Inc. to the DEP for roof work at 205 Pearl Street.

NYC-WTC_000115082–000115091

Folder label: “205 PEARL STREET 1001121, 68/7501

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Scanned page image, NYC-WTC_000115083
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NYC 9/11 Public Portal Document

NYC PEPARTMENT OF ENVIRONMENTAL PROTECTION , Asbestos Control Program 59-17 Junction Boulevard. 8°i Floor. Corona, NY 11368-5107

m'~ BE ~~O~rcnnu:vaoR°coa' ASBESTOS PROJECT NOTIFICATION `'f (ASBESTOS INSPECTION REPORT) ivww.nyc:=evteer TED

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

2. Address 205 PEARL STR.eE'f- Borough MAN Zip 10038

AKA 3. Block 68 4. Lot 'l50

5. Type of Facility 6. Name of Building

11. BUILDING OWNER '

7. Name _ 8. Contact Person

9. Tel.# Fax #

10. Address M M — City —~— _ State _--_ Zip

Ill. GENERAL CONTRACTOR

11. Name__ --M--_ Tel. # —

IV. ASBESTOS ABATEMENT CONTRACTOR VU QZBAIs 8, Sc.N C~urs:.Ok. I ti C. — 13. Contact Person _ IC (A _CO -- 12. Name 34EM-%04A tv

14. Federal Employer ID. #__. = J 1_ ___ 15. Tel. # Care) 53i - 2.2Q__ Fax# Ciiñ) 2o9L80~3 ___

16. Address 1 24S C-Au'M AUGNJ i✓ — City __ owt-1s N— ___ State h+.— Zip Y Z36 —_

V. THIRD PARTY AIR MONITOR

17. Name IN 18. Contact Person MI CU A LAN 922-o30 -- 19. Federal Employer ID. # 1. _ P!!._._._._._._._. 20. Tel. # C2t2) 922- ~o -t T — Fax # C2 I2

21. Address _ 22e 51'ii S r City 114* cs '1'o 1 State N _ Zip J2t 7

22. Sample Analysis Laboratory_._ — 23. NYS DOH ELAP # --_

VI. PROJECT INFORMATION i t o2 24. Starting date for this portion of work 09 1 10102 Projected completion date f o

Asbestos work schedule 19 Monday 10 Tuesday ® Wednesday 1Z Thursday L J Friday 0 Saturday ® Sunday

Shift from: # ®am 0 pm to s' ❑ am El pm

If other, specify ----- Access to inspect the premises must be provided during the work schedule indicated in this item. - (1' ~~¢¢'`~~` ~•~✓Fr vED ~O '%\

25. Total amount of asbestos-containing material to be abated during this work { ' —. t5j'L Square Feet, and/or 0 Linear Feet ' ACP 2/200

NYC-WTC 000115083

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NYC-WTC_000115083Source: NYC Law Department, mirrored locally

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