DOT pavement permit for sidewalk work, Manhattan, Jun 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 125 F3LT®1' s-c-~ -- T E N T 2 Block: Residential 0 Commercial Name of Building: Lot: Mix Use ❑ Other # of Stories: AKA's: Building Owner/Management: ~ ~ -D„--o Telephone Number: (1 t S) 726- -7zc Name: A MT FAX: Address: its F.)eTcN - T On Site Contact: Name: Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ 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 D Yes

visual inspabUUHH rwoutw. Facade: In pected Debris North ' ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ~'/2 to 1" 0>1' South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer '/2 to 1" ❑ > 1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer fl % to 1" ❑ > 1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Facade Des rip ion:

DE51PUS VoUt D of W latW L DGE (13an FACADE tS ot. MN1J

Roof L1, Debris: ❑ No Visible /Fine aver % to 1" .1 ~'"' ❑ > 1" " ✓'~ Description: P -p - -- Wc-C -' PV 1* 'tee ( S

Setbacks N/AX Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No VSible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 06 / t 2 /2002 Inspection Team: Name: TA Agency: t tEE-"# Name: Agency:

NYC-WTC-000127913