WTC facade inspection form, 117 Beekman Street, 2002

NYC 9/11 Public Portal Document

WTC Visual urvev Form Pro niss Address:

Block: ResidentialD Commercial Name of Building: Lot Mix Use 0 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 0 No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring [] Yes o No Locations: Copies of All Reports and Data Requested DYes

Visual Inspection Results: Facade: Ins acted Debris North Qes No Visible/Fine Layer fl % to 1" D> 1' South es g No No Visible/Fine Layer ❑'A to 1 0>1. East ❑ N/A DYesDNo No Visibte/Fine Layer ❑ % to l' 0>V West ❑ N/A [J YesD No 0 No Visible/Fine Layer ❑ %to 1' J> 1" Facade Description:

Roof

Debris: No Visible /Fine Layer .❑ % to 1' 9>? Description:

Setbacks N/AD Floor____ Debris: 0 No Visible/Fine Layer ❑ % to? > 1' Floor__ Debris: ❑ No Visible/Fine Layer j] ' to? >1 Floor. Debris: Q No Visible/Fine Layer ' to? > 1' Floor____ Debris: No Visible/Fine Layer ' to V > 1' Floor.____ Debris: No Visible/Fine Layer % to 1' > 1'

Comments

~ Date: ILO 12002 Inspection Team: Name: n 0 `Ltz Agency: Name: c eve Agency:

NYC-WTC 000118893