Building operation permit, West 78th Street, Sep 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form /,~ Premise Address: ! , / s c /

Block: Residential Commercial Name of Building: Lot: Mix Use Other❑ /U y C 4Awe,-s /~sscc:,* Era" * of Stories: y AKA's: Building Owner/Management: Telephone Number: ( 'iL) 2.c 4 - c~Yg Name: Ne K Gam.• ( Au. 'e.i, 4s to. FAX: Address: 19 V'sm ti r. may. On Site Cojltact• Name: Ai(I - 1 t"p1Ve Telephone Number: (Z r- ) 24 - 66' Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No ? General Clean Up 10 Yes El No Locations: l .OU ~,~..(~r~z~^ ACM Clean Up ❑ Yes ❑ No ! Locations: Air Monitoring ® Yes ❑ No Locations: Copies of All Reports and Data Requested 2g Yes

Visual Inspection Results: Facade: Inspected Deb North ❑ N/A ® Yes ❑ No o Visibl oine er❑'/z to 1" South ❑ N/A ® Yes ❑ No ❑ No isible ❑'/2 to 1" ❑ > 1" East ❑ N/A ® Yes ❑ No ® No Visibl F ❑ Y2 to 1" > 1" West ❑ N/A [] Yes ❑ No [ No Visible El 1/2 to I" ❑ > 1" Facade Description: ~jrt6~.._ l.✓w.'t[ws C.Et &Jef FII !1. hd~4r4 I l ~~~ C~~ ~~Jh-1s !.

Roof p`i s~ • t -t . Debris: ® No Visibl Fine aye 0'/ to 1"l -,-" ❑ > 1" 1 Description: w// /Me

Setbacks N/A ❑ Floor: S -- Debris: ® No Visible ine Lae ❑ % to 1" 0>1" Floor: Debris: 0] No Visible/Fine Layer ❑ V to I" ❑> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>11 Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑> 1"

L, ' 0

Date: I/ 16 /2002 Inspection Team: Name: iI .- rc Agency: C SED4 Name: h - Agency: NtGC ,p

I RF as NYC-WTC-000111980