29 JOHN STREET BN# 1001215

NYC 9/11 Public Portal Document

I WTC Visual Survey Form 10012, 157 Premise Address: 5 (9 q John '-tree~ Block: ' 7 f Residential 0 Commercial El Name of Building: Lot: Mix Use ❑ Other ❑ # of Stories: AKA's: f7- 1 - 3o h n ree Building Owner/Management: Telephonb Number: ( ) Name: FAX: ( ) Address: On Site Contact: Name: Telephone Number: ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Inspected De ris North ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑Y2to1" 0>1" ❑ N/A ❑ Yes ❑ No

A South No Visible/Fine Layer ❑to1" E1>1- East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer 0% to 1" 0>1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑Y2 to 1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑v2tol" 0>1" Description:

Setbacks N/A ❑ Floor Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Yz to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1"

Comments

Date: o2 //2002 Inspection by: Name: AP Agency: iDE P Name: Agency:

NYC-WTC 000094437