WTC Building Inspection Form, 17 Battery Place

NYC 9/11 Public Portal Document

WTC Visual Survey Form 11 Premise Address: 1~ ?f"L. ` ,~ t '.J Block: Residents 'vl Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: -t Building wner/ anag ment: Telephone Number. ( 12) 142- o I o Name: ~HS\ c 9' ~ ~i~o FAX: Address: On Site Contact: Name: - mow• — Telephone Number: Building Owner Managem nt tivities Interior Survey Performed Yes ❑ No Exterior Survey Performe es ❑ No General Clean UpQYes ❑ No Locations: ACM Clean Up DYes fg.. Locations: Air Monitoring J es 0 No Locations: Copies of All Reports and Data Requested es

Visual Inspection Results: 7 Facade: In pected Debris North ❑ N/A J YesDNo ❑ No Visible/Fine Layer % to 1" ❑ > 1" South ❑ N/A es ❑ No ❑ No Visible/Fine Layer ®'/ to 1" D>1 East ❑ N/A ❑ No ❑ No Visible/Fine Layer < Va to 1" ❑ > 1" West ❑ N/A Yes ❑ No [j No Visible/Fine Layer [0-K to 1" ❑ > 1" Facade Description:

Roof

Debris: 4lo Visible /Fine Layer ❑ % to 1" ❑ > 1" Description: '- (h ` J &'~ — ' 1 'v lnr ?tit_ ✓l ei - -I

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 ❑ Vs to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments w

Date Inspection Team: Name: Agency: I/ " I Name: Agency:

NYC-WTC-000119249