WTC building inspection form, 277 Broadway, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 7 .7 /-~ •7 ~~~c+±'~✓i34 Block: Residential D Commercial Name of- Building: Lot: Mix Use j j Other C'h n, h P,. r L (ii /:l - # of Stories: / S AKA's: Building Owner/Management: Telephone Number. (Zr z_) d , - Name: ' n ~», ~, c .M n FAX: Address: ',am e On Site Contact: Name: l A / I.T 1 Telephone Number. , Z) 3 - nil Building Owner Management Activities Interior Survey Performed 0 Yes No Exterior Survey Performed 0 Yes No General Clean Up ® Yes 0 No Locations: ACM Clean Up 0 Yes ® No Locations: Air Monitoring 0 Yes ] No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North a] N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" South ❑ N/A Yes 0 No [0 No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A ® Yes 0 No ~C] No Vsible/Fine Layer ❑ % to 1" 0>1" West ! N/A O Yes 0 No ❑ No Vsible/Fine Layer ❑ V to 1" 0>1" Facade Description: piYsU.:._ (aJw'L zh

Roof i

Debris: b is ine yer ❑ %to 1" •1 =LM 0' 1" 1 Description:

Setbacks N/A Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" 0> 1" Floor: Debris: 0 No ViSible/Fine Layer ❑ % to 1" 0' 1" Floor: Debris: 0 No Visible/Fine Layer ❑% to 1" 0> 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ 3 to 1" 0> 1"

Comments CAS rtCJw

Date:_ f i 2 / 12002 Inspection Team: Name: /5 . F • 4 z P-, ++-. ((C Agency: 4/ 5 E /'i Name: f , T Agency: N-i e nro

NYC-WTC 000122420