Correspondence - Permit# 24SP-Demo Permit - 3832 Northern Avenue - 10/31/2024Minnesota Pollution Notification of Intent to
Control Agency
520 Lafayette Road North Perform a Demolition
St. Paul, MN 55155-4194
Asbestos Program
Doc Typo Asbestos & DemolitioWAmendments
Type of notification: P Original ❑ Amended ❑ Project cancellation
Notification must be postmarked or received ten (10) working days before demolition begins. See Item 5 for emergency
demolitions. Both start and end dates should be amended in writing as necessary to reflect current project dates.
Demolition Contractor
Name: P WX CONSVLUCT(ON I-i-.0
Address: Ia 19) f\O&LstLT ST• wCST St-
NJNJ� MN SSI I �3
City, State, Zip: kj- eS % S C, Q NU L M N 5511
Phone number: 6 5I - SS - 4 .7 CO
Contact name: C At2LO S 0-F1R'CC'S
Phone number: 65 1- B I S 51. A-�
Building Owner
Building Information
Building name: 46S106Nrtkt ACUScs
Address/Location: 3S 3 e2 NcrZi oav-N A%Jcc
SPLNK 241V- MN 53 $4
City, State, Zip: SP1L iti; M N 55 38 q
County:
Phone number:
Age of bldg (yrs): Size of bldg (sq ft):
Number of floors, including basement level(s): _
Present use of bldg:
Name: LI_C Pnor use of bldg:
Address: q 6 i51 14U M(5019'r NA e S
t�j1-C� Nt►"�Tbt�
City, State, Zip: f3LOW'A N 00 M 13 55431 Dates of demolition or intentional burning:
Phone number: BSI - 990 9 69 L( Start date: 1 1 I05/ 7 y End date: J I ing ll q
Contact name: Cp.2LoS C�oJtc<e.5 mrWdd" ►n�✓ddAYY
Phone number: - ;I S S6 83
Note: If there is >260 linear feet or >160 square feet of Regulated Asbestos -Containing Material (RACM) in the building to be
demolished, it must be removed by a licensed asbestos contractor prior to demolition. The State of MN -Notice of Intent to
Perform an Asbestos Abatement Project http //www pea. state.mn.us/oublications/w-sw4-06.doc must be used to notify for
the asbestos removal
Is nonfriable ACM present in the structure to be demolished? ❑ Yes q No
Will nonfriable ACM be present in the structure at the time of demolition? ❑ Yes P No
If Yes to both questions above, complete Items 1-9. If No to either question, complete Items 3-9.
If ACM will be left in place for the demolition indicate the amount of Category I and/or Category II nonfriable ACM left
In place.
Category I: Linear feet
Square feet
Cubic feet
Category I nonfriable ACM means asbestos -containing
packings, gaskets, resilient floor covering, and asphalt
roofing products containing more than one percent
asbestos
Category I nonfriable ACM is not allowed to remain
in place for demolition if it is in poor condition.
Category II: (� Linear feet
Square feet
Cubic feet
Category II nonfriable ACM means any material, excluding
Category I nonfriable ACM, containing more than one
percent Asbestos that, when dry, cannot be crumbled,
pulverized, or reduced to a powder by hand pressure.
Category II nonfriable ACM is not allowed to remain in
place for demolition if it has a high probability of becoming
crumbled, pulverized, or reduced to a powder during
demolition, transport, or disposal (e.g., transite, cement,
slate roofing).
www.pca.state.mn.us 651-296-6300 • 800-657.3864 TTY 651-282-5332 or 800-657-3864 • Available in altemative formats
w-sw4-21 • 11/17/ 12 Poge 1 of 2
2. Description and location of ACM remaining in place (including number of floors and rooms):
(i -re,c_- ou-r a y /9r11TlL Cont(?N-�,
3. Company and/or individual that conducted the building inspection and the procedure used to determine the presence
or absence of ACM (including analytic method): (Note: Prior to demolition all structures must be inspected by a licensed
asbestos inspector who has been certified through the Minnesota Department of Health.)
MSL- NNNU� iCt>1. I tiC
4. Description of planned demolition and the specific method(s) that will be used:
B. If the demolition was ordered by a government agency, please identify the agency and attach a copy of the order:
Name:
Authority:
Date of order (mm/dd/yy):
Title:
Start date (mm/dd/yy):
Notification for an emergency demolition must be submitted as early as possible before demolition begins, but not later than
the following working day. A demolition is considered an emergency only when the facility has been deemed structurally
unsound and in danger of imminent collapse. If the structurally unsound building is known to contain any regulated ACM or is
suspected to contain any regulated ACM, special procedures must be followed. If you are unaware of the special procedures,
instructions/ regulations can be obtained by contacting the Minnesota Pollution Control Agency (MPCA) at the address or
phone number listed below.
6. Description of procedure to be followed in the event that unexpected RACM is found or Category II nonfr12ble ACM
becomes crumbled, pulverized or reduced to powder:
I.5 Cl-erarJ IDo /^ NC[6f4c])t0h To rl4c 6MSL o;-1PU��
7. Demolition waste transporter(s) information
Transporter name:
Contact name:
Tranporter address:
City, State, Zip:
Phone number:
8. Demolition waste disposal information: 'see belowfor more Information
Landfill name:
Owner/Operator:
Address/Location:
City, State, Zip:
Phone number:
9. 1 certify that the above information is correct and I am a bonafide representative of the demolition contractor or
building owner and have authority to enter into agreements for my employer.
Print name: CDt)c Coo".mQcT%ou L-L L Title: -0Wr- C_� �Q_
Signature: Date: to - -? O — Z
Important Note:
Ensure you are in compliance with Minn. R. 7036.0806 prior to the commencement of renovation/demolition.
This rule requires that the following items be removed two days prior to demolition: mixed municipal solid waste; household
hazardous waste; industrial or hazardous waste; waste tires; major appliances; items containing elemental mercury, Poly -
Chlorinated BiPhenyls (PCBs), and chlorofluorocarbons (CFCs); oil; lead; electronics; and other prohibited items. See MPCA
website at http://www.pca.state.mn.us/publicationstw-sw4-20.12dffor a Pre-Renovation/Demolition Environmental Checklist
Guidance Document to assist with completion of this rule.
'Demolition waste must be disposed of at a permitted solid waste facility. For other disposal option please contact the regional
MPCA solid waste compliance/enforcement staff with any questions.
Submit to: Minnesota Pollution Control Agency Questions call: 651-296-6300 or 1-800-657-3864
Industrial Division — Asbestos Program
520 Lafayette Road North Fax: 661-297-1438
St. Paul, MN 55155-4194
E-mail: asbestos.demolition.pea@state.mn.us
www.pca.state.mn.us 651-296-6300 • 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
w-sw4-21 • 12127112 Page 2 of 2
Asbestos (continuer
Spray applied insulation:
Blown -in insulation:
Block:
Surfacing materials
Acoustical plaster:
Decorative plaster:
_Textured paints & coatings
Spray -applied materials
acoustical, decorative, or ins
_Roofing
_Roofing shingles:
_ Roofing felt:
_Base flashing:
Cement materials (Transits
_Cement pipes (flues & vents
Cement wallboard:
Cement siding:
Pegboard:
Ceiling materials
Ceiling titles:
Ceiling the adhesives (puck
Lay -in ceiling panels:
Acoustical tiles:
Miscellaneous
Taping, joint, and spackling
compound:
Caulking/putties:
Fire curtains and blankets:
Laboratory hoods, table
tops, gloves, etc.:
Gaskets:
ChloroFluoroCarbons
Fire extinguishers both portable
and installed halon suppression
systems):
Air conditioners (rooftop, room,
and central):
Walk in coolers (refrigeration
or cold storage areas):
Water fountains and
dehumidifiers:
Refrigerators/freezers/chillers:
Heat pumps:
Vending machines/food
display cases:
Poly -Chlorinated
BiPhenyls (PCBs)
Transformers:
Transistors:
Capacitors:
Heat transfer equipment:
—Light ballasts:
Lead
Lead -based paint woodwork,
metal equipment, interior/
exterior uses):
Lead -acid batteries li htin , exit
signs, security systems
Lead flashin molds and
roof vents:
Lead pipes and solder.
Lead -lined X-ray rooms:
Other
Solid waste all non -building
components such as unattached
carpet, files, books trash, desks,
chairs, etc. must be removed
prior to demolition:
Hazardous waste inciudin
household must be properly
handled and disposed of prior
to demolition:
Oil used oil, hydraulic oils in door
closers, elevator shafts, etc.
must be collected and properly
disposed of prior to demolition:
Tanks no evidence of former
heating tanks or storage tanks
exist):
Appliances must be recycled
by an appliance recycler
Electronics:
If you have questions or comments about this checklist, identify any additional items not found in this list, or would like to discuss an
individual project, contact the Minnesota Pollution Control Agency at 651-296-6300 or 1-800-657-3864.
Affiliation with project: D 06 c ow -OW CAto rJ l_ L C_ Title: 17 W N e V,
Printed name: Tile w Date: h — O — Z `i
Important Note:
This guidance document is not intended as a substitute for reading Minnesota Rules and Statutes and making
your own independent determination of their applicability to your renovation/demolition project. Examples in
this guidance document do not represent an exhaustive listing of type of materials that may be required to be
removed from a building prior to renovation/demolition.
www.pca.state.mn.us - 651-296.6300 • 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in altemative formats
w-sw4-20 • 7116109 Page 2 of 2
Minnesota Pollution Pre -Renovation / Demolition
Control Agency
520 Lafayette Road North Environmental Checklist
St. Paul, MN 55155-4194
Asbestos Program
Doc Type: Compliance/Enforcement Correspondence
Minn. R. 7035.0806 requires that you remove the items below before starting,a renovation or demolition project,
and then manage and recycle or dispose of them correctly. This checklist is provided to help you manage the
project and does not need to be submitted to the Minnesota Pollution Control Agency unless requested.
Project Information
Structure owner Structure information
Name: NV, L-LC Building name: fLtsStaCNrtp\- 1A0oySe
Address: Clt o 1 u U Mt30 t- P.J a 5, Address/Location: -�q'2°1 Na Q-C N L tzrl i.\ e
City, State, Zip: V>LooHmtht'OO IAtJ 55LI31 City,State,Zip: tA0 53814
Contact name: C kt7 LqS CdRs Age of bldg (yrs): Size of bldg (sq ft):
Phone number: (oS I - 1 S -5G $-3__ Present use of bldg:
Demolition contractor
Name: LiDDC- COWS-V-,JC-C%O(2 LLL
Address: 1S lLOC>ct—
City, State, Zip: wtr,y-r, S'C - PPuL S S 1 l 8
Contact name: Lt"-CLL- ° S _C.OtZ-c c5
Phone number: L S 1- S I S- SL 1; 3
Mercury
Q
Batteries
Smoke detectors:
Emergency lighting systems:
Elevator controlpanels:
Exit signs:
Security systems and alarms:
Lighting
Fluorescent lights:
High Intensity discharge
Metal halide:
High pressure sodium:
Mercury vapor
Neon:
Switches for lighting using
mercu relays lookfor any
control associated with exterior
or automated fighting s sterns
"Silent" wall switches:
Heating, ventilating, and
air conditioning systems
Thermostats:
A uastats:
Pressurestats:
Prior use of bldg:
Dates of renovation, demolition, or fire training burn:
Start date: 11- S - z,4 End date: 1 1- 8 - 7- 4
(mm/dd/yy) (mm/dd/yy)
Firestats:
Manometers:
Thermometers:
Boilersfumaces heaters
and tanks
Mercury flame sensors b
pilot lights:
Manometers thermometers,
gauges:
Pressure-trol:
Float or level controls:
Space heater controls:
Electricals stems
Load meters & supply relays:
Phases litters:
Micro relays:
Mercury displacement relays:
Asbestos
Boiler rooms
Boilers furnaces fireplaces,
and their components:
Cement sheets near heating
equipment:
bwer mswation:
HVAC duct insulation:
Ductwork flexible fabric
connections:
Fireproofing materials:
Fire doors:
Flooring:
Vinyl floor tile:
Vinyl sheet flooring:
Asphalt tile:
Linoleum paper bar —king:
Mastic/ lue floor tile, carpet etc.
Electrical
Electricalpanels:
Electrical wiring insulation:
Heating and electrical
ducts/conduit:
Pipe and other insulation
Aircell (corrugated cardboard):
Millboard:
Preform:
Joint compound:
www.pca.state.mn.us " 651-296-6300 " 800-657-3864 TTY 651-282-5332 or 800-657-3864 " Available in alternative formats
w•sw4-20 " 7116109 Page 1 of 2
For more information on PCBs in caulking or paints, see MPCA hazardous waste fact sheet #w-hw4-48k,
Managing Sealants and Coatings Containing PCBs, at
htto://www.oca.state.mn.us/publications/w-hw4-48k.odf.
Timeframes for removal
Remove all the wastes above and any other wastes which would be required to be removed at least two
days before the intended renovation or demolition date.
However, if due to accidental or emergency circumstances that were beyond the control of the
structure owner it is unsafe or unfeasible to remove all of these wastes prior to the renovation or
demolition work, then you may complete the work, but must identify and remove all of these wastes
from the debris prior to disposal. Note that identifying and removing hazardous and problem wastes
from debris is frequently much more difficult and expensive than removing them before demolition.
Examples of accidental or emergency circumstances when this deferral could be allowed may include:
• declaration by a government entity that the structure is unsafe to enter;
• damage or partial destruction of the structure by accidental fire;
• discovery after demolition or renovation has already started of previously unknown hazardous or
problem wastes which could not reasonably have been identified beforehand.
More information
Guidance and requirements in this fact sheet were compiled from Minn. R. Chapters 7035 and 7045, and
incorporate regulatory interpretation decisions made by the MPCA on July 3, 2013. Visit the Office of the
Revisor of Statutes at https://www.revisor.mn.gov/pubs to review the Minnesota Rules directly.
The MPCA has staff available to answer your waste management questions. For more information,
contact your nearest MPCA solid waste staff. For information about waste and toxicity reduction,
contact the Minnesota Technical Assistance Program (MnTAP).
Minnesota Pollution Control Agency
Toll free (all offices)...........
1-800-657-3864
Brainerd.................................218-828-2492
Detroit Lakes..........................218-847-1519
Duluth ....................................
218-723-4 660
Mankato................................507-389-5977
Marshall.................................507-537-7146
Rochester...............................507-285-7343
St. Paul...................................651-296-6300
Willmar..................................320-214-3786
Website.........http://www.pca.state.mn.us
Small Business Environmental Assistance
Toll free .............................. 1-800-657-3938
Metro ..................................... 651-28 2-6143
Website http://www.pca.state.mn.us/sbeap/
Minnesota Technical Assistance Program
Toll free
...................................1-800-247-0015
Metro .........................................
612-624-1300
Website
.............. http://www.mntap.umn.edu
Minnesota
Department of Natural Resources
Toll free
...................................1-888-646-6367
Metro.........................................651-296-6157
Website
............._h_ttp://www.dnr.state.mn.us/
Minnesota Department of Health
Toll free...................................1-888-345-0823
Metro.........................................651-201-4620
Website........ http://www.health.state.mn.us/
Page 3 of 3 December 2013 I w-sw4-07
Common wastes that must be removed before demolition
Type of waste
Appliances; such as air conditioners and furnaces
More information
See MPCA hazardous waste fact sheet #w-hw3-02,
Recyclinq Appliances, at
htto://www.pca.state.mn.us/publications/w-hw3-02.pdf.
Asbestos; such as pipe lagging and furnace flues. See MPCA webpage #482,
"If any asbestos -containing material (ACM) Is left In place In Asbestos Program, at
the portion of structure to be demolished, then all resulting http://www.i)ca.state.mn.us/tchy7f7.
debris must be managed and disposed as ACM.
Electronics; such as smoke alarms and home See MPCA hazardous waste fact sheet #w-hw4-15,
entertainment systems. Manaoina Electronic Wastes, at
httr)://www.i)ca.state.mn.us/i)ublications/w-hw4-15.i)df.
Environmental and safety system controls; such as
thermostats and manometers.
See MPCA hazardous waste fact sheet #w-hw4-62,
Manaoina Universal Wastes, at
htti)://www.i)ca-state.mn.us/i)ublications/w-hw4-62.pdf.
Hazardous waste; such as lawn chemicals and paints. See MPCA hazardous waste fact sheet #w-hw3-12,
Managing Waste from Residential Propertiesat
http://www.pca.state.mn.us/publications/w-hw3-12.pdf.
Lead -containing items; such as pipes and roof See MPCA hazardous waste fact sheet#w-hw4-23,
flashing. Lead Paint Disposal, at
'Lead paint may remain on the structure. htti)://www.pca-state.mn.us/publications/w-hw4-23.pdf.
Lighting components; such as fluorescent/HID lamps
and ballasts.
Oils; such as fuel oil and hydraulic fluids
Refrigerants and halons; such as chillers and halon
fire extinguishing equipment.
Solid wastes; such as furniture and window
treatments.
Submersible well pumps, which may contain
polychlorinated biphenyls (PCBs) or mercury.
Any other wastes not acceptable at a disposal
facility; such as radioactive or infectious wastes.
See MPCA hazardous waste fact sheet #w-hw4-62,
Manaoina Universal Wastes, at
http://www.i)ca.state.mn.us/publications/w-hw4-62.pdf.
See MPCA hazardous waste fact sheet #w-hw4-30,
Used Oil and Related Wastes, at
http://www.pca.state.mn.us/publications/w-hw4-30.i)df.
See MPCA webpage #62,
Chlorofluorocarbons (CFCs), at
htto://www.i)ca.state.mn.;s/vhlz4b8.
Search for MDH publication #141-0434, 'Sealing Unused
Wells', at http://www.health.state.mn.us/.
Wastes that do not need to be removed before demolition
You do not need to test paint for lead or remove suspected or known lead paint from a structure if you
are going to demolish the structure or if it will be burned for a legitimate firefighter training burn.
You also do not need to test caulking or paints for polychlorinated biphenyls (PCBs) or remove
suspected or known PCB caulking or paint if you are going to demolish the structure. If the structure will
be burned for firefighter training, however, the caulking and other sealants must be tested for PCBs and
any PCB -containing caulking removed prior to the burn.
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