NYC 9/11 Public Portal Document
w ii; visual Survey -orm
i Premise Address:
114— 116 Fvca"oi. S "r
Block: Residential 0 CommercialI Name of Building:
Lot: Mix Use O Other
# of Stories: AKA's:
Building Owner/Management Telephone Number. (2tz ) -r 2_7653
Name: e EDAf LA y -c— FAX:
Address:
On Site Contact:
Name: • so P1) Telephone Number!, PII
Building Owner Management Activities ------------------------------------------------------
Interior Survey Performed ❑ Yes ❑ No
Exterior Survey Performed ❑ Yes ❑ No
General Clean Up ❑ Yes O No Locations:
ACM Clean Up ❑ Yes ❑ No Locations:
Air Monitoring ❑ Yes ❑ No Locations:
Copies of All Reports and Data Requested Yes
visual insoectvon Results:
Facade:
Inspected Debris
North ❑ N/A Yes [] No 1No Visible/Fine Layer ❑htol" ❑>1"
South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer %s to l" ❑>1"
East N/A DYesDNo ❑ No Visible/Fine Layer '/to1" ❑>1"
West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0114t01" O>1"
Facade Descri tion:
.te r • . .fit. . .1.d
f Roof
Debris: ❑ No Visible /Fine Layer 9%to r - ❑>1"
Description:
Setbacks N/A ❑
Floor 2t Debris: ❑ No Visible/Fine Layer ❑ % to 1" > 1"
Floor. Debris: O No Visible/Fine Layer ❑ Y to 1" O> 1"
Floor. Debris: O No Visible/Fine Layer ❑ Va to 1" O>1"
Floor. Debris: O No Visible/Fine Layer 0
V to 1" O> 1"
Floor. Debris: O No Visible/Fine Layer ❑ 4 to 1" ❑ > 1"
I I Comments
Date: M/ 11 12002 Inspection Team: Name: DA , Agency: PEP
Name: , Agency:
t
NYC-WTC 000128881
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000128881Source: NYC Law Department, mirrored locally
A Department of Environmental Protection form recording facade and ACM inspection results for a building at 292 Greenwich Street dated February 12, 2002.