Technical Report (TR6) Periodic Inspection of Exterior Walls and Appurtenances Sub-Cycle 7A — February 21, 2010 — February 21, 2012 Sub-Cycle 7B — February 21, 2011 — August 21, 2012 Place stamp here 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. 704922 For Unsafe status or Amended reports, submit one (1) microfilm, one (1) original report, and two (2) copies. Control#: /US9ee 4 Filing Information (indicate if combined cycles) Initial Filing (Amended Filing (J 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 Name East 71st Street Zip 10021 CBNo108 BIN 1041354 Borough Manhattan) = AKA Block 1386 —_ Lot 10 | 3] Inspection Report Status Information Current Cycle: Last Inspection Date 2-09-12 SWARMP Recommended Date Prior Filing Cycle 6 [x] Sate oO Safe with repair and maintenance program (SWARMP) oO Unsafe DSate SWARMP Oo Unsafe | 4 Building Characteristics Landmark Building: DYes [KJNo Landmark District: yes Ono Wall(s) Subject to Inspection Number of stories:7 Exterior wall type: Brick and Stone Masonry Al ([] Partial | 5] Qualified Exterior Wall Inspector (QEW!) Information Last Name Fenniman First Name Thomas mMiA Bus. Name Thomas A. Fenniman Architect Bus. Address One Union Square West Bus. rs City New York State NY Zip 10003 Bus. Fax nys Lic. + Ore. Ra Mobile Phone IN Mat Owner of Record Information (Not a Representative or Business Manager or Agent) Last Name Epstein First Name Jeffrey Ml Bus. Name Maple, Inc Bus. Address 9 East 71st Street Bus. Tel. City New York State NY Zip 10021 Bus. ll Statements and Signatures Owner / Owner Representative Qualified Exterior Wall Inspector (QEW!I) (A) | hereby state that | am the owner/owner's representative of the premises referenced in the attached report. Furthermore, | have received and read a copy of the attached Name (please print) . report and | am aware of the required repairs and/or maintenance, if any and the | Thomas A. Fenniman recommended time frame for same. Signature Date (B) | 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 | hereby state that the Owner. Owner's Representative Administrative Code section §28-302.1, if applicable. has authorized me to submit this regiort. Furthermore, | hereby state that all’statements are correct and complete Richard Kahn to the best of my Knowledge. A copy of this report has Name Signature been given to the owner. Relationship toowner Treasurer ss Phone A = P.E./ R.A. Seal {apply seal, then sign anddate) cna 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. employee, or for a city employee to accept, any benefit, monetary or otherwise, either as a gratuity for properly performing the job or irexchange-for special considera- tion. Violation is punishable by imprisonment or fine or both. o2/11 EFTA00287209