9 shared non-person entities · Same agency, volume and box · similarity 0.980
machine-extracted · confidence unavailable · Check page ↗Document / 3 pages
Asbestos work permit application, Benjamin Kurzban & Son, Oct 2001
Machine-extracted title · confidence 90%A permit application submitted to the DEP by a contractor detailing asbestos work schedules and project dates.
NYC-WTC_000116441–000116443Folder label: “17 ANN STREET 1001261, 90/23 BN# 1001261”
Page image
OCR text
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION • 4Oø. • °°y,+~ Asbestos Control Program 7(I[ /I~", s n N,4 59-17 Junction Boulevard, 8'" Floor, Corona, NY 11368-5107 Building Dept. or TRU Ne ONLY FOROFFICLLUSEONLY TYPEWRITTEN %Nr~iri~~``~d` ASBESTOS PROJECT NOTIFICATION FORMS WILL BE """."Y~ "'~e•r (ASBESTOS INSPECTION REPORT) 1. 7 .-eJZjt (- ACCEPTED
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 I T ANN ST __ _ Borough N Ar --_. Zip I OD 3@
AKA - -- ------ ------ ------____3. Block _ ______ 4. Lot 23
5. Type of Facility___ MTxeD __usi — — 6. Name of Building --
11. BUILDING OWNER
7. Name -----------------------------8. Contact Person _-----
9. Tel. # ------------ Fax # _____j___ .
10. Address City —_ State _~,,,__ Zip _____
III. GENERAL CONTRACTOR
11. Name. —__------------------- --------- Tel. # --------------
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name 1SEN~AMIN — vrZZF3N~1 SC04 C:OtJ.zcP —NC•-- _13.Contact Person _LCukE--IANNIC4 ----
14. Federal Employer ID. # _......... PIL—.-.-. --- 15. Tel. # C11 t~) 531- 29eo _-- Fax # -~-
16. Address i241~ -RA ------ L.P-•t ANI:E VE ------------ - City - L__ State ►^r -- Zip j1_ _
V. THIRD PARTY AIR MONITOR
17. Name —W Al u_ _ PANz —El-4±u Rs_ —__-----_18. Contact Person _M1 ot!AE1 ~bLA1J
19. Federal Employer ID. #.__ _ 20. Tel. # 2L2 7T___ !1_ fax #
21. Address 228 EAST 45Tlrt S -nsgr--T ----- City __u 1 og+L---- _ State _ _ Zip Tf~O lt__
22. Sample Analysis Laboratory__--__ _______--__-- ------- 23. NYS DOH ELAP #
VI. PROJECT INFORMATION 24. Starting date for this portion of work _ to 1 y I O 7a_ Projected completion date JO LL _t22
Asbestos work schedule ® Monday 13 Tuesday MI Wednesday ® Thursday ® Friday © Saturday ® Sunday
Shift from: _r ___ ® am 0 pm to 8 __. 0 am ® pm
If other, r RECEIVED Access to inspect the premises must be provided during the work schedule indicated in this item. f i rU~ 2 2002 25. Total amount of asbestos-containing material to be abated during this work 1 i
_225 Square Feet, and/or _—~— Linear Feet 1~~ IJI! ACP7 ~, 21200
iR112
NYC-WTC 000116442
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NYC-WTC_000116442Source: NYC Law Department, mirrored locally
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