WTC Building Inspection Form, 17 Battery Place

NYC 9/11 Public Portal Document

WTC Visual Survey Form premise Address:

Block: I Residential U Commercia\,L. Name of Building: Lot: Mix Use J Other X of Stories: I AKA's: Building Owner/Man ement: Telephone Number: ( 21 z) ti-zr S- 3G Name: S L .ten-w-- FAX: E c '- 4 Address: =e On Site Contact. ~j -7 cs~ Name: - e-o^- - Telephone Number: Building Owner Management Activities Interior Survey PerformedtYes ❑ No Exterior Survey Performed ayes 0 No General Clean Uj[B No Locations: w ACM Clean Up 0 Yes ❑ No Locations: Air Monitoring es ❑ No Locations: Copies of All Re orts and Data Re uested Yes

Visual Inspection Results: Facade: Inspected North ❑ N/A es ❑ No sible/Fine Layer to 1" ❑> 1" South ❑ NIA E Yes ❑ No isible/Fine Layer t tol ❑>1" East ❑ N/A es ❑ No t sible/Fine Layer to 1 0> 1" West ❑ N/A tes ❑ No isible/Fine Layer to 1" 0>1' Facade Description:

Roof

Debris: 0 No Visible /Fine Layer to 1" 0>1' Description: 4 f

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Floor: Debris: ❑ No Visible/Fine Layer ❑'/a to 1" Debris: 0 No Visible/Fine Layer ❑% to 1" H>1" > 1"

1 Comments C► , hP..-'e,i. 6v1L, t

1/1 / 1

Date: J_/ 12002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000119259