Building inspection form for 101 Maiden Lane, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 100 11ZZ Premise Address: / p1 MATT EN 1An1E

Block: Residential D Commercial D Name of Building: Lot: MixUseD Other # of Stories: 6 AKA's: Building Owner/Management: /a► Ma.% Telephone Number: ( 212) C,o3 -16 IC. Name: /N,i fie. ToAx . FAX: Address: On Site Contact: Name: J R - R a Telephone Number: (212_)4-2.2. - 3 & ... Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Yes ❑ No Locations: Jr7 v1bY "~ ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ®.Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

visual inspection kesurts: Facade: Inspected Debris North ❑ N/A l Yes ❑ No No Visible/Fine Layer ❑Y:to1" 0>1" South ❑ N/A I( Yes ❑ No No Visible/Fine Layer ❑Yto1" 0>1- East ❑ N/A ® Yes ❑ No No Visible/Fine Layer 0Y: to T' 0>1" West ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑ Y to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer Y2 to 1" ❑ > 1" Description: ,-5"k cj vii-iU e : '-r,ra..ta- ca.Je1- c

Setbacks N/A 5a Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer L] % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 Y= to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y: to 1" ❑ > 1"

Comments

Date: _/ /2002 Inspection Team: Name: t& 6W~ Agency: I Name: Agency:

NYC-WTC 000099995