WTC facade inspection form, 1 North End Avenue

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 0~~^ ~ ~ oil Block: esidential Commercial Name o Buildin :c- Lot: '~ Mix Use Other &A # of Stories: AKA's: Building Own nagemqj Telephone Number: (2 i z-) ,--a Name: FAX: Address: On Site Contact: Q,A Name: ' CAA cLt Telephone Number. i'L- Z 9 3 Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up 0 Yes ❑ No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Requested es r \

Visual Inspection Results: Facade: In pected pebrls North ❑ N/A Yes ❑ No bEjNoVisibleFFineLayer ❑'/ to l" 0>1" South ❑ N/A Yes ❑ No o Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" East ❑ N/A Yes ❑ No f No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ h to 1" ❑ > 1" Facade Description:

Roof

Debris: ) No Visible /Fine Layer ❑ % to 1" ❑ > 1"

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer [] % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: [] No Visible/Fine Layer ❑'/to 1" ❑ > 1" Floor. Debris: No Visible/Fine Layer % to 1" [] > 1"

Comments ~ ~~~~

C I ' •\ / Date: //12002 Inspection Team: Name: Agency: ,L-' t Name: Agency: v/

NYC-WTC-000116050