EFTA00287209.pdf

NYC Buildings Technical Report (TR6) Periodic Inspection of Exterior Walls and Appurtenances Sub-Cycle 7A — February 21.2010 — February 21. 2012 Sub-Cycle 78— February 21. 2011 —August 21, 2012 Sub-Cycle 7C — February 21.2012 — February 21, 2013 Place slamp here 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 I Filing Information (Indicate It combined cycles) ❑X Initial Filing ❑ Amended Filing 0 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 300021 ea No108 BIN 1041354 Borough Manhattan AKA Block 1386 L0O0 3 Inspection Report Status Information Current Cycle: Last Inspection Date 2-00-12 SWARMP Recommended Date Prior Filing Cycle 6 M Safe . Safe with repair and maintenance program (SWARMP) • Unsafe ■ Safe D! SWARMP ❑ Unsafe 4 Building Characteristics Landmark Bullring: ■ Yes E1 No Landmark District: ®Yes ❑ No Wall(s) Subject to Inspection Number of stories:7 Exterior wall type: Brick and Stone Masonry !.-J All ■ Partial SI Qualified Exterior Wall Inspector (QEWI) Information Las Name Fenniman First Name Thomas MIA Bus Name Thomas A. Fenniman Architect Bus. Address One Union Square West Bus. Tel City New York State NY Zip 10003 Bus. Fax NYS tic. I ❑ P.E. R.A. &Mall 6 Owner of Record Information (Not a Representative or Business Manager or Agent) Last Name Epstein First NameJeffrey MI Bus. Name Maple, Inc Bus. Address9 East 71st Street Bus. Tel. city New York State NY 3p10021 Bus. Fax E-Mail Mobile Phone 7 Statements and Signatures Owner 1 Owner Representative Qualified Exterior Wall Inspector (OEWI) (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 Orsleaprer's Representative Administrative Code section §28.302.1. it applicable. has authorized me toeufimit this reitort. Furthermore. I hereby state that altStatements are coact 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 Phone P.E. R.A. Seal apply seal. then sign andylate) Email Date 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,imployee. or for a city employee to accept, any benefit. monetary or otherwise. either as a gratuity for properly performing the job or litexcharigeler special considera- tion. Violation is punishable by imprisonment or line or both. 02/11 EFTA00287209