Building inspection checklist for 300 Albany Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ,,.~

Block: Residential 12J Corrnercial f J Naine of Bu (ding: Lot: Mix Use Other # of Stories: AKA's: Building O er/Management: Telephone Number: ( ••z,~ ) c 3' Name: 1►Gv~c ,. d Cc FAX: Address: On Site Contact: Name: Telephone Number: Building Owner Management Activities Interior Survey Performed [(Yes ❑ No Exterior Survey Perfo ed ❑'Yes ❑ No General Clean Up [Yes ❑ No Locations: ACM Clean Up ❑ Yes Flo Locations: Air Monitoring ❑'Yes [l No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Q Yes ❑ No ❑ No Visible/Fine Layer ❑/2 to 1" D>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2to1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/to1" 0>1" West ❑ N/A Q'Yes ❑ No ❑ No Visible/Fine Layer ❑'/a to 1" 0>1" aca a escnp ron. Fir+ ..:.. c..) trx.s 4* ~► V tiSçjL cLL - 1

Roof

Debris: No Visible /Fine ayer ❑ /2 to 1" i -4' 4 ❑ > 1" .1 •~ ~'~ Description:

Setbacks N/A~ Floor: / Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Comments

Date: t I ?.t /2002 Inspection Team: Name: Agency: X Name: iL Agency: 4 3 NYC-WTC-000116232