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← Document results/DEP Box 49/182 BROADWAY 1001102, 65/19 BN# 1001102
Document / 26 pages

Permit application for roof work, 182 Broadway, August 2002

Machine-extracted title · confidence 100%

Application form from Benjamin Kurzban & Son Control Inc. to the DEP regarding contract REM-ROF2 at 182 Broadway.

NYC-WTC_000122946–000122971

Folder label: “182 BROADWAY 1001102, 65/19 BN# 1001102

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Scanned page image, NYC-WTC_000122947
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NYC 9/11 Public Portal Document KIOIWTC КОК СТY DЕРAТИ, SРБNОЕР Нанесрусмя раротсто www.nyc.gov/der. NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8* Floor, Corona, NY 11368-5107 TaLZIMNOZ Bullding Dept or TRU No FOR OFFICIAL USE ONLY ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) 1. MYCDEP (Sed 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_182 BROADWAY AKA 2 JOHN STREET Borough _ 3. Block MN 65 Zip .4. Lot19 5. Type of Facility COMMERCIAL _6. Name of Building II. BUILDING OWNER 7. Name_EOTHAM ESTATES • "8. Contact Person_RICHARO MARCUS 9. Tel.# - Fax# 10. Address_ City _ State _ __Zip_ IlI. GENERAL CONTRACTOR 11. Name_ Tel.# IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name BENIAMIN KUEZBAN É SON COUTROL _13. Contact Person_ LOUIE LANNICO 14. Federal Employer ID.#LPI _ 15. Tel. # (718)531-2900 _Fax#(718)309-1808 16. Address_1248 RALPH _AVENUE _CityBRoOKUeN _State NY_. Zip 11236 V. THIRD PARTY AIR MONITOR 17. Name WARREN & PANZER ENGINEERS INC. __18. Contact Person MICHAEL NOLAN 19. Federal Employer ID. #. PlI =20.Tel.# (212)922-0027 _Fax#(212) 922-0630 21. Address 228 EAST 45TH STREET City_ NEw YeRK _State_N$_Zip 10017 22. Sample Analysis Laboratory_. 23. NYS DOH ELAP #_ VI. PROJECT INFORMATION 24. Starting date for this portion of work_ 7/21/02 Projected completion date _ 8/21/02 Asbestos work schedule Shift from: 800 If other, specify MMonday [Z Tuesday [Xl Wednesday [X ThursdayLZ Friday , IX Saturday Z Sunday X am pm to 8° _D am Kpm 110 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 23227 Square Feet, and/or _ Linear Feet RECEIVED J!I! 17 2002 CORAN 3STOSITA PROGRAM TRUG ACP• 2/200 :. DEPRONPENTA ...rn NYC-WTC_000122947

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NYC-WTC_000122947Source: NYC Law Department, mirrored locally

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