Facade inspection form, 272 Water Street

NYC 9/11 Public Portal Document

J v WTC Visual Survey Form Premise Address:

Block: Residential 0 CommercialD Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building Owner/Management Telephone 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 p Yes

Visual Inspection Results: Facade: Inspected is North 94I Yes o

oVisible/Fine Layer D%to1' ❑> 1' South es ❑ No pNroVisible/Fine Layer ❑ % to 1' ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ h to l' [3> 1' West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" F]:,- 1" Facade Description:

Roof Debris: 7No Visible /Fine Layer .0 36 to 1" ❑ > 1" Description:

Setbacks N/AL] Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1' 0>1. Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ 3h to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer % to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer [J 34 to 1" ❑ > 1' Comments

Date: 12-0 11002 Inspection Team: Name: _ Agency: Name: Agency: ENTERED NYC-WTC-000113806