HomeMy WebLinkAbout06-532DEMOLITION PERMIT
CITY OF COLLEGE STATION
1101 - T-EiteS AVE
COLLEGE STATION, TX 77840
PHONE: (979)764-3570 FAX: (979)764-3496
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Application Number . . . . .
Property Address . . . . . .
Property ID:
R #.
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . .
06-00000532 Date 2/24/06
2605 TEXAS AVE S
004601-0024-0000
R13196
DEMOLITION, RESIDENTIAL 1 UNIT
M RECTOR (ICL)
UNKNOWN
10500
Owner Contractor
COLLEGE STATION, CITY OF B/CS CONSTRUCTION
ATTN: ACCOUNTING DEPARTMENT 1504 FAIRHAVEN
PO BOX 9973 COLLEGE STATION TX 77845
COLLEGE STATION TX 778427973 (979) 690-2007
--- Structure Information 000 000 DEMO
Construction Type . . . . . COMBUSTIBLE (UNPROTECTED)
Occupancy Type . . . . . . RESIDENTIAL-SFR/DUPLEX
Other struct info . . . . . TAZ 299.00
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Permit . . . . . . DEMOLITION PERMIT
Additional desc . . BK
Permit Fee . . . . 25.00 Plan Check Fee .00
Issue Date . . . . 2/24/06 Valuation . . . . 10500
Expiration Date . . 8/23/06
Qty Unit Charge Per Extension
BASE FEE 25.00
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Special Notes and Comments
THE TEXAS DEPARTMENT OF HEALTH REQUIRES AN ASBESTOS SURVEY
IN CERTAIN CIRCUMSTANCES - CALL TDH @ (254) 778-6744 FOR
MORE INFORMATION
Refer To This Permit For Details For This Plan
ALL PLUMBING, ELECTRICAL, AND HVAC (mechanical) WORK MUST
BE PERFORMED BY LICENSED CONTRACTORS. CONTACT BUILDING
DEPARTMENT FOR INSPECTIONS PRIOR TO COVERING ANY WORK
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Fee summary Charged Paid Credited Due
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Permit Fee Total 25.00 25.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 25.00 25.00 .00 .00
BUILDING DEPT REPRESENTATIVE:
APPLI
DEMOLITION PERMIT
CITY OF COLLEGE STATION
1101- TEXAS AVE
COLLEGE STATION, TX 77840
PHONE: (979)764-3570 FAX: (979)764-3496
Page 2
Application Number . . . . . 06-00000532 Date 2/24/06
of
BUILDING DEPT REPRESENTATIVE:
APPLI
1►II.- _A II Fqr ORke Use Only
1oAPPLICATION FOR BUILDING PERMIT
1101 TEXAS AVENUE
COLLEGE STATION, TX 77840
(979) 764-3570 (979) 764-3496 FAX
CITY OF COLLEGE STATION WWW,CSTX.GOV
Planning d Development Semica
ADDRESS/LOCATION: 16 OS ik/, A l/,
DATE:
TEMP POLE #
LOT BLOCK SUBDIVISION SEC/PH
BUSINESS/OWNER NAME: �' i T✓ �� P ,. s PHONE: 2,1/V.
CONTRACTOR/HOMEOWNER: � s r arzsTizu���'� w PHONE:, /2-
CONTRACTOR ADDRESS: /���1��,sX, j2ylFvew r,.S:
ELECTRICIAN: _ PLUMBER:
HVAC: — GOOD CENTS (Residential only):
CLASS OF WORK
ACCESSORY/STORAGE LOCATION RE -ROOF
AD ITION MOVING SHELL ONLY
DEMOLITION (Asbestos Survey) NEW CONSTRUCTION ` SLAB ONLY
DUPLEX (Landscape Plans) REMODEL/RENOVATION` SWIMMING POOL
TENT/CANOPY
DESCRIPTION OF WORK: z9 -ems o�
PROPOSED USE: F e
HOMEOWNER ASSOCIATION/ARCHITECTUAL OR DESIGN REVIEW COMMITTEE APPROVAL:
TEXAS ACCESSIBILITY STANDARD (TAS) PROJECT REGISTRATION# EABPRJ
VALUATION: $ 'Z4 c�O�%Q-0' TOTAL AREA: oo s AEATED AREA: Oao
(Cost of Labor and Materials)
❑ PUBLIC SEWER NUMBER OF BEDROOMS:
SEPTIC/TREATMENT SYSTEM NUMBER OF BATHROOMS:
SEWER TAP: INTERIOR WALL TYPE:
SIZE
❑ WATER TAP: EXTERIOR WALL TYPE:
SIZE /
❑ OTHER TAP: FOUNDATION TYPE: 1-2
SIZE
❑ TEMP POLE ROOF TYPE: ,_ J�
GARAGE TYPE: SINGLE F__] DOUBLE TRIPLE a J /�
ATTACHED F__] DETACHED F—] CARPORT F__] T
SIGNATURE OF APPLICANT: l� nvi►�.�.���
'If proposed work involves new commercial coretruction or facade im r vements/renovations to an existing
commercial property, building elevations are required.
Official Use Only
Plans Examiner Zoning Official Fire Marshall
ents:
YSo
NO
kko
Energy Code Compliance Information
% Glazing of exterior walls
Insulation R value of exterior walls
Insulation R value of ceiling 1 (flat areas)
Insulation R value of ceiling 2 (vaulted areas/no attic)
Glazing SHGC
Glazing U-Factor
R value of ductwork
A/C SEER Rating
/lb/'LbbS 11:12 4093162292 CHERRY ENVIRONMENTAL PAGE 66/97
NOTIFiCATION0
Abatement Contractor Cherry Emdronmentai Services. Inc. TDH License Number 80-0881_
Address:__ 13449 F.M.1764 Road __ Clly Santa Fe State: Texas Zip: 77510
Office Phone Number. 409-3.6-2212 Job Site Phone Number NIA
Site Supervisor. Ernest Games TDH License Number: 80-4226
Site Supervisor Oscar Martinez _ TDH License Number. 80-4007
Site supervisor: Eduardo Soto _ TDH License Number. 80374
Trained On-Srfte NESHAP Individual: Nlik Cer9rrcation Date: N/A
Demoll5on Contractor: NIA Office Phone Number
Address: N!A __ _ City: N/A State: Zip:
Project Consultant or Operator: —
Mailing Address: 1124E
City: Houston State,
Description or Facility
Physical Address: —
Facility Phone Numbe
Description of Area/Room Number. one stoouesidence
Prior Use: residence Future Use: residence
Age of Bullding/Facility +/-60vm5Size: 2,%im fE-Number of Floors: 1 School (K --12):
Mork: ❑ Demolition X Renovation (Abntement) ❑ Annual Consolidated
be during: X Day 0 Eveninci ❑ Night ❑ Phased Project
in of work schedule: Monday thin Saturday 8:00a — 5:00om
Is this a Public Building?
NESHAP-Only Fatality?
Notification Type CHECK ONLY ONE
❑ Original (10 Working Days) 0 C:
Fedleral Facility? 0 YES X NO Indust
Is BuildingiFacility Occupied?
If this is an amendment, which amendment number Is ?nclose copy of original and/or last amendment)
If an emergency, who did you talk with at TDH?_ NiA __--Emerge": N/A
Date and Hour of Emergency (HHIMMWD/YY):_ NIA
Description of the sudden, unexpected event and explanation of how the event caused unsafe conditions or Would cause
equipment damage (computers, machinery, etc ._ NiA
8) Description of procedures to be followed in the sivent that unexpected asbestos is found or previously non-mabie asbestos
material becomes crumbled, pulverized, or reduced to powder: __immedatelvsusnend removal ooenttions. notify owner
$� lacal air control agency. Amend notfification If aoollcable
9) Was an Asbestos survey performed? X YES 0 NO Date: MMS TDH Inspector License No: 10-5395
Analytical Method: X PLM ❑ TEM ❑ Assumed TDH Laboratory License No: 30-0298
(For TAHPA (public building) projects: an assumptxm must be made by a TDH Licensed inspector)
10) Description of planned demolition or renovation work, type of material, and method(s) to be used:
Removal and disposal of varlous rnaterfals i'I'¢ina'wet removal methods.
* Cjtl/ lb/ L�711� 11: tL 4byi162Y92 CHERRY ENVIRONMENTAL PAGE 07/07
11) Description of work practices and engineering controls to be used to prevent emWons of asbestos at the
demoifflon/ranovation; WeAr-amoveUm-ntainmentrnethod and or anolneedna controls protective clothing and eguioment ACM
will be double begs In 6 mil pohr with eooropriatewaminne and lfth.! _
12) ALL applicable items in the following table must be completed: IF NO ASBESTOS PRESENT CHECK HERE n
Asbestos -Containing Building Material
Type
RACM to be removed
Appnaxim9e amount of
Asbestos
Check unit of measurement
Pip(m�
Surface Area
Ln
Fl
Ln
M
SO
Ft
SQ Cu Cu
M Ft M
RACM NOT removed
Interior Category I non-fiiable removed
Exterior Ca"ory I non -friable removed
255
X
Category I non -friable NOT removed
Interior CategoEy II non -friable removed
CgNory II non -liable removed
—Exterior
CateWry II non -friable NOT removed
RACM Off-Fac U4 Component
13) Waste Transporter Name: Gulf Coast Vacuum.-S- r0-ces TDH License Number: 40-0089
Address: 4901 Shank Rd. CRY: Pearland_ State: Texas Zip:77581
Contact Person: Nall -Garr Phone Number: (201 997-M9
14) Waste Disposal Site
Telephone:
'Ity: Alvin-- State: ,
Permit Number: H-1721
15) For structurally unsound facilities, attach a copy of demolition order and Identify Gdvernmetrtal Official below:
Name: NIA- _,_,_Registration No: NIA
Title: NIA
Date of order (MIWDD/YY) _N- X Date order to begin (MM/DD/YY) NIA
1 cheduied Dates of Asbestos Abatement (MMIDDI Start: 8 AN Complete: 9/0
17) Scheduled Dates Demolition/Renovation (ISM IDDA'16 Start: NIA Complete: - NIA
'* Nate; If the start date on this notification cannot be met, the TDH Regional or Local Program ofiZce Muat be contacted by
phone prior to the start date. Failure to do so Is a violatkn In accordance to TAHPA, Section 295.01.
1 hereby certify that all information I have provided Is correct, complete, and true to the best of my knowledge. I acknowledge that t
am responsible for all aspects of the notiflca ' n form, including, but not limiting, content and submission dates, The ma)amum
pe is �10, 0 r liper violation.
( nature olituNding Owner/ Operat& �P rin Name) (Date) (Telephone)
or Delegated Consultant/Contractor) f I.W S/ 1 A 7 ck,— 39 9
(Fax Number)
MAIL TO: TEXAS DEPARTMENT OF HEALTH
ASBESTOS NOTIFICATION AND INFORMATION SECTION
*Faxes are not accepted* PO BOX 143533 *Foxes are not accepted"'
AUSTIN, TX 787143538
PH: 512-834-6600,1-800-572-5548
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