EFTA01083977.pdf

NYC Buildings Technical Report (TR6) Periodic Inspection of Exterior Walls and Appurtenances Sub-Cycle 8A - February 21. 2015 — February 21.2017 Sub-Cycle 8B - February 21.2016 — February 21.2018 Sub-Cycle SC - February 21.2017 — February 21. 2019 Place slarnp here Must be typewritten. • For allreports, submit a digital copy of report in a DVD or CO format. a BIS Façade prIntout a completed TR.'S and the Batch Intake form (Fall). The digital copy must be indexed with a Control Number and BIN. Eg. Control' - BIN Control #: 804922 1 Filing Information (Indicate If combined cycles) 0 Initial Filing O Resubmission ❑ Amended Filing ❑ Subsequent Filing Report oyde:8A Report cycle: Initial filing date: Last cycle filing date: 02-17-12 Initial unsafe filing date: 2 Location Information House No(s)9 Street NameEast 71st Street 2010021 CB No109 BIN 1041354 Borough MAN AKA Biota 1386 Lott 0 3 Inspection Report Status Information Current Cycle: Last Inspection Date 06-24-15 SWARMP Recommended Date Prior Filing Cycle 7A Ei Safe • Safe with repair and maintenance program (SWARMP) • Unsafe M Safe • SWARMP O Unsafe 4 Building Characteristics landmark Building: Yes ONo Landmark District MI Yes O No Wall(s) Subject to Inspection Number of stories:7 Exterior wall type. Brick/Stone # Baloonies:N/A m All • Partial 5 Qualified Exterior Wall Inspector (QEWI) Information Las Name Fenniman First Name Thomas Km A Bus Name Thomas A. Fenniman Architect Bus. Address One Union Square West Bus. Tel City New York state NY Zip 10003 Bus. Fax NYS Lk. # 20340 R.A. E-Mail 6 Owner of Record Information (Not a Representative or Business Manager or Agent) Last Name Kahn First Name Richard MI Bus. Name Maple Inc. Bus. Addrass9 East 71st Street Bus. Tel. City New York State NY ZIp10021 Bus. Fax E-Mail Mobile Phone Statements and Signatures Owner / Owner Representative Qualified Exterior Walt 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 Ownectesyner's Representative Administrative Code section §28-302.1. if applicable. has authorized me tosubinit this tenon: Furthermore. I hereby state that allitatements are coact and complete to the best of my knowledge. A copy of this report has Name Richard Kahn Signature been given to the' owner. Relationship to owner Phone P.E. / R.A. Seal (apply NYS seal, then slat and date) Email Date ,.../ , *28-211.1 False statements in certificates. forms, written statements. applications. reports or certificates of correction. It shall be'unlawful for any pery.dn to make a material false statement in any certificate. professional certification. form signed statement. application. report or certification of the correc63h of.e_vicilsttinrequired under the provi- sions of this code or any rule of any agency promulgated there under that such person knew or should have known to be false. TR6 Rev: 2/15 EFTA01083977