EFTA02040106.pdf

NYC Technical Report (TR6) Periodic Inspection of Exterior Walls and Appurtenances Sub-Cycle 7A - February 21, 2010 — February 21, 2012 Sub-Cycle 7B - Febuary 21. 2011 — August 21, 2012 Buildings Sub-Cycle 7C - February 21. 2012 — February 21.2013 Must be typewritten. For SWARMP or Safe status reports, submit one (1)microfilm, one (1) original report and one (1) copy. For Unsafe status or Amended reports submit one (1) microfilm, one (1) original report, and two (2) copies. Control 704922 1 Filing Information (Indicate if combined cycles) In tial Filing Amended Filing Subsequent Filing Report cycle: 7A Report cycle Initial filing date. Last cycle filing date: 11-09-06 Initial unsafe filing date. 2 Location Information House No(s)9 Street NameEast 71st Street zip 10021 ca No 108 BIN 1041354 Borough Manhattan AKA BIC& 1386 Lot 10 3 Inspection Report Status Information Current Cycle: Last Inspection Date 2-09-12 SWARMP Recommended Date Prior Filing Cycle 8 iii Safe . Safe with repair and maintenance program (SWARMP) . Unsafe ElSafe r SWARMP • Unsafe 4 Building Characteristics Landmark Building: • Yes No Landmark District: ®Yes • No Walls) Subject to Inspection Number of stories:7 Exterior wall type: Brick and Stone Masonry All Ei Partial 5I Qualified Exterior Wall Inspector (QEWI) Information Last Name Fenniman First Name Thomas Ml A Bus. Name Thomas A. Fenniman Architect Bus. Address One Union Square West Bus. Te na City New York State NY Zip 10003 Bus. Fa rays ue. a 20340 O P.E. 1:11 R.A. Mobile Pho E-Mall [email protected] 6 Owner of Record Information (Not a Representative or Business Manager or Agent) Last Name Epstein First Name Jeffrey MI Bus. Name Maple, Inc Bus. Address 9 East 71st Street Bus. Tel. City New York State NY Zip 10021 Bus. Fax E-Mail Mobile Phone 7 Statements and Signatures Owner I Owner Representative Qualified Exterior Wall Inspector (QEWI) (A) I hereby state that I am the owner/owner's representative of the premises referenced Name (please print) in the attached report. Furthermore. I have received and read a copy of the attached report and I am aware of the required repairs and/or maintenance, if any and the Thomas A. Fenniman recommended time frame for same. Signature Date (B) I certify that all items noted as SWARMP conditions in the previous cycle's report have been corrected/repaired; or this report must be rated as Unsafe as per I hereby state that the Owner./..Owners Representative Administrative Code section §26.302.1. if applicable. has authorized me to stitinit this report. Furthermore, I hereby state that all statements are correct and complete Name Richard Kahn to the best of my Knowledge. A copy of this report has Signature been given to the owner. Relationship to owner Treasurer phorwl P.E. / R.A. Seal iapply seat then sign and:date) Email Date ; \ Ii / Falsification of any statement is a misdemeanor and is punishable by a fine or imprisonment. or both. It is unlaWful to give to a city,employee. or for a city employee to accept, any benefit, monetary or otherwise, either as a gratuity for property performing the job or inexchange.fOr special considera- tion. Violation is punishable by imprisonment or fine or both. 02,11 EFTA_R1_00559285 EFTA02040106