13T
NYC 9/11 Public Portal Document
WTC Visual Survey Form.
Premise Address
Block: 134
Residentia
Commerciatt
2n 2031 Wairen St, 1E5 Chinih S1
Name of Building:
Lot:
14
Mix Use |
Other D,
# of Stories:
AKA's:
Name: 125 Chunch
Buliding Owner/Manseand Corp:
Telephone Number: (516) 783-6500
Address
FAXT Lask for Michelle
On Site Contact:
Name
rorema
Telephone Number: ()
Building Owner Management Activities
Interior Survey Performed
Yes DNo
Exterior Survey Performed
Yes
•No
General Clean Up
•Yes
NO
ACM Clean Up
]Yes4&
No
Locations:
Locations:
Air Monitoring
]YesX No
Locations:
Copies of All Reports and Data Requested • Yes
Visual Inspection Results:
Facade:
Inspected
Debris
North
•N/A
XYes •No
2No Visible/Fine Layer
South
DN/AR
Yes
No
•½10 9"
L No Visible/Fine Layer
]½t0 1"
East
• N/A
West
•Yes
No
•N/A
•No Visible/Fine Layer
•½ 10 1"
AYes No
No Visible/Fine Layer
•½to 9"
Facade Description:
Ledees
has
enered
Consttruton debris
waapped hii
jafet
>9".
]>9"
> 1"
> 1"
Roof.
Debris:
ANo Visible /Fine Layer
Description:
New Roof
•½to 1" -
•>1™
Setbacks N/AQ
Floor:
Floor:
Floor:
Floor:
Floor:
Debris: • No Visible/Fine Layer
½to 1"
,9"
Debris:
Debris:
No Visible/Fine Layer
]½ to 1"
> 9°
No Visible/Fine Layer
1½to 1"
>9"
Debris:
No Visible/Fine Layer
½ t0 1"
>9"
Debris
No Visible/Fine Layer
½ to 1"
> 9°
Comments
Bldg
5
Floors has been added to old toof
har
Ten
flooL
AHt
buitdings will be combired, with one addrens
Date:
5,25
12002
Inspection Team: Name:
CARL
Name:
125 Murray 4
Agency:
Agency:
NYC-WTC_000113405
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000113405Source: NYC Law Department, mirrored locally