WTC Building Inspection Form, 17 Battery Place

NYC 9/11 Public Portal Document

3} «1 WTC'Visiral Survey Form Premise Address:, n 0r Block: Residentt& -\ Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building r/Manage ent: Telephone Number: (2 i' y 2r — S` 3Gu Name: OT4w%A0-0%1,, L L C_ FAX: Address: On Site Conta : Name Telephone Number: ( ) Building Owner Management ctiv i s Interior Survey Performed ❑"Yes J No Exterior Survey Performed Yes ❑ No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑Yes o Locations: Air Monitoring des o Locations: Copies of All Reports and Data RequestedJ Yes

Visual Inspection Results: Facade: pected North ❑ N/A es❑No No Visible/Fine Layer '/2 to 1" ❑ > 1" South ❑ N/A es ❑ No o Visible/Fine Layer '/2 to 1" ❑ > 1" East ❑ N/A Yes ❑ No o Visible/Fine Layer '/2 to 1" ❑ > 1" West ❑ N/A Yes ❑ No a -No Visible/Fine Layer '/2 to 1" ❑ > 1" Facade Description: IfQ Roof

Debris: ❑ No Visible /Fine Layer to 1" 0>1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fi Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine ryer ❑ %2 to 1" ❑ > 1"

Comments

Date 002 Inspection Team: Name: Agencyr' Name: Agency:

NYC-WTC 000119247