WTC building inspection form, 65 Beaver Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: E e F act Block: Resid ntial El Comm cial Name of Building: Lot: 2. Mix Use ❑ Other ❑ A i.c, S'CCZ6sT i ov) 5 # of Stories: AKA's: Building Owner/Management: Telephone Number: (a ) LJa - Name: VJ p ~; nc A c~ FAX: ( ) Address: ok DOO On Site Contact: Name: Mi a \ Telephone Number: J ) a -a553 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 ❑ Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ®Yes ❑ No -No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑ to 1" 1/ 2 ❑ > 1" East ❑ N/A l Yes ❑ No No Visible/Fine Layer ❑ 1/ 2 to 1" [1> 1" West ❑ N/A ® Yes ❑ No No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Facade Description: I Roof

Debris: J,No \ /Fine Layer El 1/2 to 1" ❑ > 1" Description: c.)21_ JLi2e.Ynw -tin es A t CP C` 1U i" ua't Pr

Setbacks N/A ❑ Floor: `'- Debris: No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: j 5 . Debris: No Visible/Fine Layer El 1/z to 1" ❑ > 1" Floor: is .Par, tiiMl No Visible/Fine Layer 0'/2 to 1" ❑ > 1'~~ Floor: Debris: ❑ No Visible/Fine Layer ®'/2 to 1"S" - I J . ❑ > 1" s. Floor: I G Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" ISO lS 6 D A5 R ec~ r _S de corne,- Comments ' ~lW~\ICLw~SI~ `Ta ' Vot,Jr }~ou1 c-)r\er coc inSf Qc'c & 1J~~1~~„,~~ s

Date: / /2002 Inspection by: Name: P flfl 0(2L1 Agency: k -CEP Name: Agency:

NYC-WTC-000118970