Block: Residential 0 Commercial Name of Building:
Lot: Mix Use J Other
# of Stories: AKA's:
Building Owner/Management: Telephone Number: ( )
Name: FAX:
Address:
On Site contact: ~,., „r.
Name: -" o~ Lm c~ to l; Telephone Number:
Building Owner Management Activities
Interior Survey Performed ❑ Yes 0 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 J Yes
Visual Inspection Results:
Facade:
Inspected Debris
North ❑ /A ❑ No o VSible/Fine Layer ❑Y2 to 1" 0>1"
South ) /A ❑Yes ❑ No No Visible/Fine Layer ❑Y2to1" 0>1"
East ❑ N/A vs ❑ No JNo Vsibie/Fine Layer ❑Y2to1" 0>1"
West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1"
Facade Description:
Roof
Debris: ❑ No Visible /Fine layer ❑%to1"" ❑>1"
Description:, d
0_f' to
a a.-1-e=, ~«
Setbacks NIA
Floor. Debris: No VSible/Fine Layer 0 V to 1" ❑>1"
Floor. ,3 Debris: o Visible/Fine Layer ❑ Y to 1" ❑> 1"
Floor: Debris: Visible/Fine Layer ❑ Y2 to 1" 0>1"
Floor: Debris: J No Visible/Fine Layer 0 %a to 1" 0>1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1"
Comments
A letter from the Department of Environmental Protection requesting copies of environmental hazard assessments and cleanup summaries for buildings near the World Trade Center site.
NYC Department of Buildings multi-agency property and owner information report for 250 Broadway (BIN 1001408) including building class, lot size, and tax information.